Ideas

HPV, Oral Cancer link and Teenagers

Anonymous — Wed, 16 Mar 2011 16:36:22 GMT

I have a 12 year old daughter who has had the first of her HPV immunisations. It has lead me to look at what HPV is, how it is tranmitted and what the consequences of it are especially the links to oral cancer..... and it's frightening. I would love the possibility to be able to research this topic from the point of view of a Dental Professional, A Mum and to get some idea of what young people think about it too.

A recent study conducted by Dr. Maura Gillison at the Johns Hopkins Oncology Center furthered the premise that HPV is linked with certain types of oral cancer. In 25% of 253 patients diagnosed with head and neck cancers, the tissue taken from tumors was HPV positive and HPV 16 was present in 90% of these positive HPV tissues. This information helps to confirm that there is a strong link between HPV 16 and oral cancer. 25% of those diagnosed with oral cancer are non-smokers while the other 75% of those diagnosed have used tobacco in some form during their lifetimes. The research into the relationship of HPV and oral malignancies may give us clues as to the origin of cancer in those 25% of diagnosed individuals who did not smoke.

I'd appreciate anyone's advice and support.

Cheers,

Ann

Cheers,

Ann

DCPs and Skills

Beth Caines — Wed, 27 Oct 2010 17:10:09 GMT

Should Dental Care Professionals expect , IF ASKED, to confirm to patients the evidence that through ASSESSED CPD they have the requisite skills and knowledge for the portfolio of treatments they offer? If NOT -WHY NOT!!

Root-filled premolars

dibdob999 — Wed, 27 Oct 2010 17:08:28 GMT

What is the retention rate of fully-functional root-filled premolars at five or ten years when the crown is restored with:

A direct composite with no cuspal coverage;
A direct composite with cuspal coverage;
A laboratory-made gold or ceramic onlay;
A full gold, porcelain fused to metal or all-ceramic crown?

Breastfeeding

Beth Caines — Wed, 27 Oct 2010 17:04:43 GMT

Does prolonged breastfeeding put infants at a higher risk of tooth decay?

Restoring deciduous teeth

ruth katrin pole — Wed, 27 Oct 2010 17:03:17 GMT

Which method of restoration lasts the longest when restoring deciduous teeth with dentinal caries extending less than half way to the pulp?

reducing dental caries

cinderalla — Wed, 27 Oct 2010 16:58:43 GMT

how offen do dental practitioners take time off from completing the dental treatment rendered to the patient to explaining to the pt ,,the importance of the right brushing technique??????????while carrying out a clinical trial for 200 patients all coming from lower income grp of which 100 where given toothpaste A the other 100 were given toothpaste B ,to check the efficiency of the toothpaste which contained a particular ingredient, which would reduce the plaque adhesion to the tooth surface. This trial was carried out for a period 6 mths where in the pts were screen 4 times .It was realised that the scores taken at the start of the trial when no toothpaste was given and the scores at the end of the trial after using the given toothpaste A and B , the results were fantastic, the scores had improved to a great extend.However there were not much difference in the scores of those using toothpaste A and those using toothpaste B ...the reason was nt bec the ingredient had no efficacy but bec the dentist delivering the toothpaste to both the grps taught them all, the right method of brushing,, the right stokes of using the brush and also the right pressure to be used .Also, the brushes were provided by the promoters of the study so as to hv uniformity....so everyone in the study were using soft bristle brushes with gentle pressure on the teeth .Thus,it is realised that besides explaining to pts the prevention of decay ...by going for fluoride application,sealant, etc. it is our duty to explain the advantages of right brushing..this will not only reduce dental decay but also reduce abrasion cavities...and finally reduce the cost incurred to the patient for dental treatment. this will reduce the cost ijnvolved in treatment and thus help in spending this cost on research as to how to bring dental treatment to everyone at an affordable tag thank you

Oral Cancer Diagnosis

sharpie — Wed, 27 Oct 2010 16:56:57 GMT

Can we find out how to best diagnose oral cancer, without just relying on the naked eye? Once found then to apply for funding to create a whole oral cancer screening process, which is as reliable as possible given that lots of different pairs of eyes will be looking. With more formalised guidelines of what to do once a suspicious lesion is found, ie research what out exact pollow up should be given different sets of parameters?