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Oral Cancer
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The incidence of oral cancer is ____ of all cancers
3%
The estimated number of patients with oral cancer is
30,000
The number one kind of cancer is
gastrointestinal cancer
90% of head and neck tumors are
squamaous cell carcinomas
When is the highest incidence of oral cancer
60-70's
What percentage of oral cancer appears on the lateral borders of the tongue
30%
What percentage of oral cancer appears on the lips
17%
What percentage of oral cancer appears on the floor of the mouth
14%
To decrease the risk of oral cancer diet should include
Fiber Vitamin C E and selenium
The presence of what two HPV viruses increased the risk of oral cancer
16 and 18
What percentage of oral cancer patients will have oral manifestations
40%
What are some oral manifestations of patients receiving chemotherapy
Mucositis and Ulceration
Infection
Neurotoxicity
Xerostomia
Bleeding
Osteonecrosis of the jaw
What is mucositis a direct result of
The cytotoxic effects of the antineoplastic drugs
What are some opportunistic organisms not usually found in the mouth
Mucormycosis
Aspergillosis
E.Coli
What two medication have a high incidence of neurotoxicity
Vincristine and Vinblastine
The patient may have spontaneous bleeding from the mouth when the platelet count drops below
50,000cells/mm
What are the two most common injectable bisphosphonates
Aredia
Zometa
What rinse is good for spontaneous bleeding
Amicar
For caries control what two products should be used
1.1% Neutral sodium Fl (Prevident)
0.4% Stannous flouride in custom trays
Ideally all dental treatment should be complete
2-3 weeks before chemotherapy begins
What are some oral manifestations of radiation
Radiation caries
Osteoradionecrosis
Trismus
Erythema
Nutritional deficiency
When will patient of radiation start to exhibit erythema
2nd day of treatment
When will a radiation patient start to exhibit mucositis
5-6th day
When do radiation treatment patient start to exhibit xerostomia
After 1 week
Where are dental caries mostly seen in radiation patients
cervical 1/3
What are some sialogogues
Salagen (pilocarpine)
Sialor (anethole trihione)
Evoxac (cevimeline)
What are some mucositis and ulcerative treatment treatment rinses and pain relief
50% Kaopectate and 50% Benadryl
2% viscous lidocaine & diprehydranine elixir 12.5mg/5cc and maalox in 3=measures
Dyclonine HCL 0.5% & diphenhydramine HCL 0.5% in 2 measures
Oral morphine 0.3mg/kg every 2-5 hours
Methadone 0.1mg/kg every 2-5 hours
What is Kamillson
Proposed to be an anti-inflammatory agent to help prevent mucositis
Each year in the US how many new cases of oral cancer is diagnosed
1 million
Author
haitianwifey
ID
55440
Card Set
Oral Cancer
Description
Oral cancer
Updated
2010-12-13T02:09:06Z
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