Importance of careful assessment of oral cavity for suspicious lesions for early detection of multiple myeloma.1
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Article title: “The multiple oral presentations of multiple myeloma”.1
Bibliographic information: Richard C. Cardoso & Peter J. Gerngross & Theresa M. Hofstede & Donna M. Weber & Mark S. Chambers. Support Care Cancer (2014) 22:259–267 DOI 10.1007/s00520-013-1960-y.
PURPOSE/QUESTION:
The purpose of this study was:
1) “To show the varied oral presentations of multiple myeloma, illustrating the importance of carefully surveying the oral cavity for suspicious lesions that could be indicative of palpable disease and/or recurrence”.1
2) “The diagnostic criteria and
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Though specific subject selection criteria are not mentioned in the article, subject selection bias is not observed as cases reported in this article include both sexes, age range reported is broad from 31 to 70 years old the location and clinical appearance of each oral lesion were different. Author has reported and discussed each case and analyzed similarities and differences in all case reports. As per my opinion this study has following issues:
• The literature review was detailed explaining the etiology diagnosis and treatment of the disease however limited literature references were mentioned to support the conclusion that, Oral cavity lesions can be the first sign of relapse or succession of myeloma.1
• Only 5 cases were reported which limits study evidence. More number of cases should be observed to confirm the conclusion.
• The purpose of the study and final conclusion do not match. In the study purpose it was mentioned that, oral cavity lesions could be indicative of palpable disease and/or recurrence of myeloma however in the conclusion it was stated that, “oral cavity lesions can be the first sign of recurrence or progression of multiple myeloma”.1
The study was well
Any of these indications may flag a significant issue, which ought to be checked by a dental practitioner. At your dental visit: The dental specialist will get some information about your medicinal history to recognize fundamental conditions or hazard elements, (for example, smoking) that may add to periodontal illness. The dental practitioner or hygienist will inspect your gums and note any indications of irritation. The dental specialist or hygienist will utilize a little ruler called a "test" to check for periodontal pockets and to gauge any pockets. In a sound mouth, the profundity of these pockets is more often than not somewhere around 1 and 3 millimeters. The dental practitioner or hygienist may take a X-beam to see whether there is any bone misfortune, and
the oral cavity? This research paper was written to provide information, to those who will
The American Cancer Society notes that the average age of people suffering from oral cancers is over 62 years of age. The vast majority of these cancers do not cause pain or discomfort in their early stages so detection is done through regular dental care. When problems are not detected early, the gums receded from the teeth and form pockets that collect bacteria. The gums eventually become sensitive, bleed, impact the underlying bone causing tooth loss, and end up causing disease.
As dental hygienists we are members of the healthcare community. That means that we have an extremely important role when it comes to the health of our patients. When patients present themselves in our treatment room, it is our responsibility to make sure we do not leave anything unexamined. We are professionals in the practice of identifying, preventing, and treating oral diseases. We do this by completing thorough extraoral and intraoral exams and being conscious of what to look for. One particular exam that we do is an oral cancer exam. As dental hygienists we are at the forefront in identifying this disease. In an article written by Nancy Burkhart, a coauthor of General and Oral Pathology for the Dental Hygienist, she states, “It is known that oral cancer is more likely to be detected in an early stage in the dental office than those found at a physician’s office, which tend to be at a later stage.” (Burkhart, 2014) This may be because dental hygienists focus more on the oral tissues than physicians do; or the fact that patients go to a doctor when it is already at advanced stages. It is imperative that we as dental hygienists know the signs and symptoms of oral cancer, as well as the risk factors involved in developing the disease and how it can be prevented. While it is important as a dental hygienist to identify oral diseases, it is more important to educate our patients on how they can avoid any potential abnormalities from becoming severe problems,
As stated by the Center for Disease Control and Prevention, “Each year, more than 30,000 new cases of cancer of the oral cavity and pharynx are diagnosed and over 8,000 deaths due to oral cancer occur.” (CDC). Most adults are unaware that they have periodontal disease or gum disease, this occurs because they do not maintain routine checkups with their dentist. When we insert food and other bacteria into our mouths, it affects our teeth and gums. We need routine dental checkups and cleanings throughout our lives. Dental checkups usually involve x-rays, cleanings, and the examination of the mouth.
If you are concerned that your oral health issue might be too complex to deal with, don't you worry! Robert A Eckelson and his team have worked on many difficult cases and
Considering the possibility of malignancy in the lesion, the patient underwent a punch biopsy and a fine needle aspiration biopsy within one month of being seen by the ENT surgeon. Microscopically, the specimen consisted of normal appearing squamous epithelium overlying inflammed minor salivary glands which completely replaced by an infiltrate of lymphocytes and plasma cells. No malignant cells were seen in the fine needle aspirate.
Besides staying clear of unhealthy consumption of tobacco and alcohol, it is very important to have an oral examination at least once a year, to catch any newly developed lesions that may have gone unnoticed. The dentist will look for any abnormal lumps and sores and red or white patches. Survival rates are higher when cancerous cells are found at early stages (Cutter). Unfortunately, most oral cancers are not discovered early enough. Once the dentist examines the mouth, the dental hygienist, who cleans the teeth, has the opportunity to re-examine the mouth. It is the hygienist's duty to notice any peculiar areas in the mouth and bring them to the attention of the dentist. Having both the dentist and hygienist examine the mouth adds a cautionary step in the process of oral examination.
During your appointment, we will also take X-rays and lots of intraoral photos. This will help us get a good idea of your current situation and let us know what we can do to help you. You will meet with the doctor to discuss the results and talk about treatment. We will also do an oral cancer screening and a visual examination of your mouth. We want to make sure we get a full picture of what is going on so that we can best help you get the care you
Skin and mucous membrane integrity of head and neck, evidence by gingival bleeding and inflammation due to inadequate self-oral care. (Generalized moderate chronic periodontitis).
Oral squamous cell carcinomas are rapid in growth and are not due to sunlight exposure. Refusal to eat due to the tumors on the tongue and/or surrounding gums, drooling, bad breath, and swollen lymph nodes, are symptoms. Oral carcinoma’s needs to be diagnosed early. If not, the prognoses is not good and death is eminent.
- The article chosen focuses on proper assessment of oral ulceration in the primary care setting to aide in the early diagnosis of oral cancerous ulcerations. Benign oral ulceration may cause by numerous factors ranging acute ulcerations, like trauma (i.e. biting your mucosa), medications, and various infectious agents like (herpiesveridae) (Paleri, V. et. al., 2010). Chronic oral ulceration can develop with persistent irritation, such as dentures. Chronic infections, and medications can be the causative factor to chronic ulcerations (Paleri, V. et. al., 2010). When it comes to Cancerous oral ulcerations can manifest and
The goals of dental hygiene during cancer therapy are managing the occurring oral problem and preventing complications
A total of forty five subjects were included in the study with an age ranged from thirty five to forty five years. They were divided into three groups. Group1 (control group) include 15 healthy subjects. Group2 ( chronic gingivitis group) include 15 patients; those patients were diagnosed as having chronic gingivitis after obtaining a proper case history, and through clinical and radiographic examination. Group3 ( chronic periodontitis group) include 15 patients; those patients were diagnosed as having chronic periodontitis after obtaining a proper case history, and through clinical and radiographic examination. Both study groups (group 2 and group3) had undergone phase I therapy.
Salivary gland tumors are a morphologically diverse group of neoplasms, which may present considerable diagnostic and management challenges for the pathologist and surgeon. Salivary gland tumors are rare with an overall incidence in the western world of about 2.5 to 3.0 per 100,000 per year. About 80% of all lesions are benign; hence salivary malignancies are particularly rare, comprising less than 0.5% of all malignancies and about 5% of cancers in the head and neck. (1)