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Oral Cancer

Oral Cancer. Michael L. Huband, D.D.S. Director of Maxillofacial Prosthodontics Department of Oral and Maxillofacial Surgery VCU School of Dentistry. Native of Chesterfield County Graduate VCU Dental School Prosthodontic residency at LSU

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Oral Cancer

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  1. Oral Cancer Michael L. Huband, D.D.S. Director of Maxillofacial Prosthodontics Department of Oral and Maxillofacial Surgery VCU School of Dentistry

  2. Native of Chesterfield County Graduate VCU Dental School Prosthodontic residency at LSU Maxillofacial Prosthetics Fellowship M.D. Anderson Cancer Center Cleveland Clinic About Me

  3. Oral and Pharyngeal Cancer • It is predicted that 37,000 people in the United States will be diagnosed with oral and pharyngeal cancer in 2012 • Over 8000 people will die of this disease this year. • That’s about one death every hour • Source: Oral Cancer Foundation

  4. Oral Cancer in Virginia • 460 new cases of oral cancer diagnosed in 2009 • 160 deaths from oral cancer in 2009 • Five year survival rates • Early detection – 80 to 90% • Late detection – 45% • Most detected late. Economic, gender & racial disparities. • Source: The American Cancer Society and the Oral Cancer Foundation

  5. Alcohol Tobacco Cigarettes & cigars Smokeless Age Poor nutrition Believed that patient earned their cancer Causes of Oral Cancer

  6. Human Papilloma Virus Linked to cervical cancer A woman’s chances of developing oral versus cervical cancer are equal HPV-16 found in about 2 out of 3 oral and pharyrngeal cancers Tongue & tonsils Causes of Oral Cancer

  7. Oral cancer is on the rise in younger patients without traditional risk factors Changes in sexual behavior Increase in oral sex Causes of Oral Cancer

  8. Treatment of Oral Cancer Majority treated with surgery and radiation therapy Oral Cancer.RobertOrd & Remy Blanchaert

  9. Dry mouth Cavities Oral communication with the sinuses Difficulties speaking, drinking and eating Malocclusion Facial deformities Isolation from society Complications of Treatment

  10. Pre-treatment dental examination to prevent or reduce oral complications Osteoradionecrosis Bone which can not heal Hyperbaric oxygen treatment Reducing Complications

  11. Prostheses fabricated by a maxillofacial prosthodontist to restore form and function Obturators Facial prostheses Palatal augmentations Resection prostheses Implants Restoring Function

  12. Restoring Function • Facial prostheses

  13. Restoring Function • Dental implants

  14. Warning Signs of Oral Cancer • A sore which does not heal • Changes in tissue color • Difficulty speaking or swallowing • Unexplained bleeding • Trouble opening

  15. Dental Checkups • Comprehensive, head, neck and oral tissue examinations • Assist with tobacco cessation • Dental exam prior to cancer treatment

  16. Vaccine • Gardasil • 3 injections over 6 months • HPV 6,11,16,18 • Females age 9 to 26 helps protect against cervical cancer and genital warts • Males age 9 to 26 helps protect against genital warts • May help prevent oral cancer

  17. Integrated research and practice Basic science Tissue engineering Surgical techniques Prosthetics Educating patients and clinicians Best Patient Care

  18. VCU Response to Community Needs • Dental and dental hygiene students rotate through community clinics • Faculty and students participate in MOM Projects (Missions of Mercy)

  19. Jamaica Project • Over 25 years of service • Duncans Jamaica • Senior dental and dental hygiene students

  20. Jamaica Project • Extractions • Fillings • Cleanings • Education

  21. Contact Information • Dr. Michael Huband Mhuband@vcu.edu 804-628-7630 • VCU Faculty Practice 521N. 11th Street, Richmond, VA 804-828-3368 • VCU Jamaica Project Mr. Ed Kardos, Egkardos@vcu.edu

  22. Questions?

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