Research Spotlight: Oral Squamous Cell Carcinoma and the Role of Salivary Diagnostics by Emily Long, BS

Oral squamous cell carcinoma (OSCC) accounts for 90% of all head and neck cancers, posing a significant public health concern worldwide (Shafiq et al., 2023). Despite increasing awareness, OSCC is frequently diagnosed at advanced stages, leading to poor prognoses and lower survival rates (Roi et al., 2019). If untreated, this type of cancer can metastasize, spreading to other regions of the body. According to the National Cancer Institute, 53% of cancers in the oral cavity and pharynx are id...
Read More

Becoming Comfortable with the Uncomfortable

We all need to start somewhere. Think of the first time you put a mirror and explorer into your hands- uncomfortable right? I am going to start with a few stories where I am certain you can relate, followed by a challenge to become comfortable when discussing HPV, a known risk for oral pharyngeal cancer. My son, like many children, was always trying to one-up us. Kids love to do that to their parents. When he was about 11, we were sitting at the dinner table, where we often discussed the ...
Read More

What Our Patients Should Know About Oral Cancer & HPV

There are over 100 types of Human Papillomavirus (HPV), and more than 42 million Americans are infected with types of HPV that cause disease. The CDC says nearly everyone will get a form of HPV at some point in their lives, and about 13 million Americans, including teens, become infected each year1. There are strains of HPV that are more virulent than others which divides HPV into 2 main groups: Low-risk HPV types such as 6, 11, 42, 43, and 44 have a reduced association with cancer but can ...
Read More

Part 2: Build the Microscopic Army in Your Mouth to Fight Oral Cancer and Improve Dental Health

Last week in part 1, oral cancer was defined with a potential cause being oral dysbiosis identified. This week, I will give supporting evidence of this connection along with strategies to avoid this dysbiosis. When we talk about an unhealthy microbiome, we often use the word, “dysbiosis.” Oral dysbiosis is a mouth that is unhealthy because the microorganisms are out of balance. An imbalanced microbiome may lead to symptoms or disease. Symptoms of Oral Dysbiosis: Bad breath Blee...
Read More

Part 1: Build the Microscopic Army in Your Mouth to Fight Oral Cancer and Improve Dental Health

Oral Cancer Is No Match for a Healthy Oral Microbiome Fostering a healthy oral microbiome can fight oral and other cancers. That’s nothing to say for its benefits on cavities, root canal infections, and gum disease. Your friendly bacteria protect you from disease, fight tumors, cool off inflammation, and boost your immune system. Who wouldn’t want this army of microscopic warriors on their side?! In this two-part blog, you will learn that cancers can be caused by bacteria, viruses, ...
Read More

The Co-management of an Esophageal Cancer Survivor

Background: The patient is a 75-year-old female with a history of esophageal cancer in 2013. The origin of the cancer was determined to be lichen planus. Surgical removal of the lesion occurred, and no reconstructive surgery was needed. However, post-surgery to present date, the patient experiences severe acid reflux and sleeps with her head elevated. She has great home dental care and follows a 3-month periodontal maintenance. During the head and neck exam, no significant findings were disc...
Read More

Side Effects Support LLC

As I started my first job in dentistry, my mother received a breast cancer diagnosis and suffered horribly with oral side effects from chemotherapy. Her pain from severe dry mouth and mouth sores (oral mucositis) was dismissed by her oncology team as “just part of treatments.” She received no guidance on how to prevent or reduce her discomfort and there were no oral care strategies implemented to prevent long-term damage to her dental health. Through questioning other cancer survivors, I le...
Read More

Do You Speak HPV? Part 3

In my previous blog, I explored three common positive responses I’ve encountered from patients when offering a test for oral HPV and how I would respond to them.  In this blog, I will address some of the objections from patients and how I would further educate the patient about oral HPV and testing options. Patient 1: I don’t think I need that test.  I’ve never been exposed. Response 1: I understand but in case you’re ever curious, remember we have this potentially life-saving service ...
Read More

Do You Speak HPV? Part 2

Dental clinicians have been on the front lines of oral cancer prevention and early detection for many years. We have been trained to do very thorough oral cancer exams and to use various light systems to visualize tissue changes; however, according to the Oral Cancer Foundation, the death rate for oral cancers has remained higher than that of many other types of cancers which we hear about routinely.1 Many studies support that the human papilloma virus (HPV) is responsible for a large number...
Read More

Do You Speak HPV? Part 1

Dental professionals are often uncomfortable approaching patients on topics that are unfamiliar or that feel outside the realm of “traditional” dentistry.  One such topic is Human papillomavirus (HPV).  As a hygienist of 40 plus years, I can tell you this topic never came up in my education.  Several years ago, I had to educate myself about this near epidemic viral infection. Most importantly, I had to step out of my comfort zone to find a way to share this crucial knowledge with my patients...
Read More