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Oral Cancer Awareness Month

April, 2013

 

Oral Cancer Facts

-Expected to have approximately 42,000 new cases of oral cancer diagnosed in 2013 alone.

Oral Cancer Marielaina Perrone DDS

VELscope Saves Lives From Oral Cancer

-Males account for almost 70% of all new cases.

Survival Rates of Oral Cancer

1 year – 89% survival

5 year – 56% survival

10 year – 41% survival

-Approximtely 8,000 deaths per year from oral cancer.

Age 0-44 – 9%

Age 45-54 – 20%

Age 55-64 – 29%

Age 65-74 – 21%

Over Age 75 – 21%

Oral Cancer Marielaina Perrone DDS

Keep The Whole Family Healthy With Regular Oral Cancer Screenings

Risk Factors of Oral Cancer

-Family History of Cancer

-Presence of HPV-16 Virus

Smoking Tobacco – Increases risk by a factor of 6.

-Alcohol Consumption – Increases risk by a factor of 6.

Chewing Tobacco – Increases risk by a factor of 50!

-25% of all new oral cancer cases are patients who never smoke and only drink on occasion (or never). This is where the biggest growth of new oral cancer cases is occurring.

Signs and Symptoms of Oral Cancer

-White or red patches.

-Long term earache that never seems to go away.

-Bleeding.

-Tooth Loss

-Sores in mouth that never heal.

-Lumps in head and neck area.

-Numbness of jaw or surrounding tissues.

-Pain upon swallowing.

Early Diagnosis Is The Key To Beating Oral Cancer

The earlier the cancer diagnosis is made and the quicker treatment is begun, the better chance for a successful long term prognosis from oral cancer. Oral cancer will spread very quickly and needs to be found early in its localized state before it progresses to other parts of the head and neck as well as the rest of the body.

The tool of choice in early diagnosis of oral cancer by many dentists is the VELscope. The Velscope uses a special light that can distinguish normal healthy tissue from precancerous and cancerous tissues. The VELscope examination takes about 1-2 minutes (and is non invasive!) and has literally saved thousands of lives. There are currently about 10,000-12,000 VELscopes in the United States alone. Make sure your dentist has a VELscope to ensure you are getting proper dental care for the possibility of oral cancer development.

Oral Cancer Marielaina Perrone DDS

Dental implants are a highly popular dental procedure for replacing lost teeth. Dental implants are able to restore the mouth back to full function with a highly predictive, strong, long

Dental Implants Marielaina Perrone DDS

Dental Implants – The Perfect Solution For Tooth Loss

lasting restoration. However, for many, dental implants are not even an option due to poor bone density and quality of their bone.  What if dental implants were possible for these patients? Well, new research says that is possible.

Bone Break = Stronger Bone?

A recent article in the Journal of Oral Implantology suggests that the introduction of micro cracks in the jaw bones can stimulate bone growth. This would be especially helpful in patients with compromised bone density and bone quality. In theory, micro cracks can be developed in these patients and then following healing they would be able to receive their dental implants allowing for full restoration when otherwise they would not be able to.

Currently, the only way to improve bone density in patients lacking it would be the use of a dental bone graft and/or a sinus lift. These procedures require extra steps as well as extra cost. They also come with potential pitfalls such as the bone graft not taking on the first attempt.

What Did The Research Show?

The researchers used an instrument called an Osteotensor. This instrument was designed specifically for this Dental Implants Marielaina Perrone DDSdental implants study. This instrument is able to make a series of micro cracks in the jawbone in the area of the desired dental implant placement. Researchers found that, following placement of these micro cracks, there was biological response. Proteins, stem cells, and other growth factors began work to heal and regenerate the bone. The healing process is completed in about 45-90 days. At this time, the patient would be ready for dental implant placement.

The research followed the progress of a 74 year old woman who was treated with this technique. 45 days after the initial formation of micro cracks, the osteotensor instrument was unable to penetrate the bone at 23 of 42 impact sites. After 90 days, none of the sites were able to be penetrated. Softer type IV bone had been transformed into harder type II bone and it was then deemed safe to proceed with the dental implants surgery.

Dental Implant Success Is The Goal

Dental implants are currently successful over 95% of the time but for many patients their bone density and quality do not allow them to even have the option offered to them. With this new research it opens doors to allow for even more dental implant successes in the future, as well as opening the procedure up to entire new populations.

Maintaining strong bones and teeth is something we all need to do over the course of our lives. Most people think that all that requires is consuming more milk. That is

Nutrition Marielaina Perrone DDS

Eat Right For A Healthy Body and Teeth!

simply not the case as many different nutrients and vitamins are needed to maintain bones and teeth. Luckily, most of those nutrients can be found in common everyday foods.

Vitamins Needed For Healthy Teeth

Calcium – This is the one we all know we need. But did you know that calcium also aids in blood clotting, transmission of nerve impulses, as well as the regulation of your heart’s rhythm. Calcium is an essential nutrient your body needs and if it does not get enough of it, your body will pull it from your bones. Calcium comes from many sources. These include dairy products (milk and cheese), dark leafy greens and even dried beans. Adults up to age 50 should get 1,000 milligrams of calcium and adults over 50 should get 1,200 milligrams of calcium

Vitamin D – Vitamin D and calcium are partners in building strong bones and teeth. Vitamin D is needed to help your body absorb calcium. Unfortunately, vitamin D is not easily found in everyday foods. You can get your daily intake of vitamin D from fortified foods, spending a few minutes in the sun each day, or from supplements.

Vitamin C – Your bones, teeth and the connective tissues surrounding each tooth all contain large amounts of collagen, a type of protein. Getting enough vitamin C helps your body produce collagen and helps to ensure that you can maintain the health of collagen-rich tissues. Vitamin C deficiencies weaken your bones and teeth, and people with severe vitamin C deficiency often experience tooth loss. Most fruits and vegetables contain vitamin C, so include fresh or frozen produce in every meal to fight vitamin C deficiency.

Vitamin A – Vitamin A is important for bone growth, cell reproduction and repair. The most common sources for vitamin A are animal products, dairy, and colorful fruits and vegetables.

Vitamin E – Recent studies have found that individuals with periodontal disease have low levels of vitamin E in their gum tissue. The link between vitamin E and periodontal disease is still not completely understood, but eating foods rich in vitamin E helps increase your overall levels of this vitamin and might help maintain healthy Nutrition Marielaina Perrone DDSbones and teeth. Eat almonds, avocado and olive and canola oils as sources of vitamin E.

Excellent Sources of Food For Bone Health

Yogurt – Most people get their vitamin D through exposure to sunlight, but certain foods, like yogurt, are fortified with vitamin D. One cup of yogurt can be a creamy way to get your daily calcium. Stonyfield Farms makes a fat-free plain yogurt that contains 30% of your calcium and 20% of your vitamin D for the day. And though we love the protein-packed Greek yogurts, these varieties tend to contain less calcium and little, if any, vitamin D.

Milk – There’s a reason milk is the poster child for calcium. Eight ounces of fat-free milk will cost you 90 calories, but provide you with 30% of your daily dose of calcium. Choose a brand fortified with vitamin D to get double the benefits.

Cheese – Just because cheese is full of calcium doesn’t mean you need to eat it in excess (packing on the pounds won’t help your joints!). Just 1.5 ounces (think a set of dice) of cheddar cheese contains more than 30% of your daily value of calcium, so enjoy in moderation. Most cheeses contain a small amount of vitamin D, but not enough to put a large dent in your daily needs.

Sardines – These tiny fish, often found in cans, have surprisingly high levels of both vitamin D and calcium. Though they may look a bit odd, they have a savory taste that can be delicious in pastas, salads, and even as topping on pizza.

Eggs – Though eggs only contain 6% of your daily vitamin D, they’re a quick and easy way to get it. Just don’t opt for egg whites—they may cut calories, but the vitamin D is in the yolk.

Salmon – Salmon is known for having plenty of heart-healthy omega-3 fatty acids, but a 3-ounce piece of sockeye salmon contains more than 100% of your vitamin D. So eat up for your heart and your bones.

Spinach – One cup of cooked spinach contains almost 25% of your daily calcium, plus fiber, iron, and vitamin A.

Fortified Cereal – Certain cereals—like Kashi U Black Currants and Walnuts, Total Whole Grain, and Wheaties—contain up to 25% of your daily vitamin D. When you do notNutrition Marielaina Perrone DDS have time to cook salmon or get out in the sun, cereals can be a tasty way to get your vitamin D.

Tuna – Tuna, another fatty fish, is a good source of vitamin D. Three ounces of canned tuna contains 154 IU, or about 39% of your daily dose of the sunshine vitamin.

Collared Greens – Like spinach, this leafy green often enjoyed south of the Mason-Dixon line is full of calcium. One cup of cooked collards contains more than 25% of your daily calcium.

Orange Juice – A glass of orange juice does not have calcium or vitamin D, but it is often fortified to contain these nutrients. Try Tropicana’s Calcium + Vitamin D to get a boost of these essentials.  Also, studies have shown that the ascorbic acid in OJ may help with calcium absorption, so you may be more likely to get the benefits of this fortified drink.

Conclusion

Maintaining healthy bones and teeth requires attention to what we eat. It is never too early to start as studies have shown that women who maintain proper nutrition levels at earlier ages have less bone density issues as they age. As always see your dentist regularly for dental examinations, oral cancer screenings, and professional cleanings to keep your teeth their healthiest.


Las Vegas Dental Implants Marielaina Perrone DDS

Dental Implants – Solution for Tooth Loss

In today’s world, when a tooth is lost, most of us would like it replaced permanently with another tooth. The options for patients varies among different cases and situations. In the case of a lost or missing tooth, there have been traditionally several ways to restore it. The removable flipper, a cemented 3 tooth bridge (fixed bridge), or dental implants. If you have ever seen or worn a flipper, basically a removable retainer with a tooth attached, you know that it is not the best option. A fixed bridge may be necessary if there is inadequate bone or health issues deeming implants a higher risk. Dental implants have become the optimum choice, basically replacing the tooth with a whole new tooth.

Traditional Dental Bridge

A traditional dental bridge, utilizes one or more adjacent teeth for stability. A bridge is anchored to healthy teeth at either end. With a traditional dental bridge, the  tooth behind and in front of the missing tooth are trimmed down, to accommodate the fitting of crowns.  The bridge usually consists of 3 crowns fused together, and is custom fabricated by a laboratory technician.

There are three types of Fixed Dental Bridges:

-Traditional bridges involve fabricating a crown for the tooth on either side of the missing tooth, with a pontic (fake tooth) fused in between. Traditional bridges are the most common type of bridge and are generally made of either porcelain fused to metal or all porcelain.

-Cantilever bridges are used when there are adjacent teeth on only one side of the missing tooth or teeth. The cantilever extends out over the missing tooth space without end support. This type of bridge can cause rocking and damage to the tooth or teeth it is attached to.

-Maryland bridges (also referred to as a resin-bonded bridge) are made of plastic or porcelain teeth and gums supported by a metal framework structure. Metal wings on each side of the bridge are adhesively bonded to your existing teeth. The metal can show through and hamper cosmetics.

Dental Implants

A dental implant is essentially a new root for your new tooth. The implant is surgically placed into your jaw, the bone grows around it and actually sticks to it. The process is called osseointegration. This is what gives the implant it’s strength. It is actually stronger than a natural tooth. The best part, is you do not have to disrupt the surrounding teeth, and it will never decay.

Las Vegas Dental Implants Marielaina Perrone DDSPros and Cons

Dental implants may be less noticeable and provide a more natural cosmetic appearance.

-Dental implants can be flossed, brushed , and treated like a normal tooth, bridges require more complex hygiene maintenance.

Dental implants provide more efficient chewing than bridges, which may chip, break, or shift.

-Dental implants have a 98% success rate.

.-Bridges require healthy, stable teeth on either side of the missing tooth or teeth for placement. This is not required in the case of dental implants.

-The teeth to which a traditional bridge is attached are permanently affected by the procedure of placing crowns on them. With dental implants, adjacent teeth are not affected or prepared in any way. If one tooth to which a bridge is attached develops problems, the entire bridge will likely need to be replaced.

Dental implants are generally a bit more expensive than bridges.

Dental implants can fail. They may not integrate with bone, may develop periodontal disease, or may break.

Dental Implants generally take a few months from start to finish of treatment, whereas a dental bridge can be completed in about 2 weeks.

Longevity

The average life span of a bridge, with proper oral hygiene, is eight to 15 years. Dental implants are considered permanent, although any crowns or bridges attached to them are subject to normal wear and tear and may need to be replaced at some point. Proper oral hygiene is crucial to the success of any restorative dental work.

Conclusion

In today’s modern dentistry, dental implants are quickly becoming the first choice for many. The choice of an implant has become more affordable, and more successful. Life is all about choices. The dentist can give the patient the pros and cons of each procedure and allow the patient to make the most educated decision they can.  The procedure  you choose will solve the problem of a missing tooth, in the way that works best for you.