THE ROLE OF DENTIST IN PREVENTING AND DETECTING ORAL CANCER
Dr Shamaz Mohamed Eiliyah Dental Care
Wilson garden, Bengaluru Jan 27, 2017
Dentists hold a vital in prevention and early detection of oral cancer. This is primarily due to their familiarity with the structures and health of the oral cavity and its associated tissues and to regularity with which their patients attend for routine examination.
Tobacco use and heavy alcohol consumption are important risk factors in the etiology of oral precancerous and neoplastic lesions. The dentists role and indeed that of the whole dental team, in helping patients to quit the use of tobacco and moderate alcohol intake is of great importance. Indeed, it is an area of dental practice the overlap between oral health and general health can be most keenly emphasized.
The message regarding ill effects of tobacco can be given to students of VII and IX through formal education. Awareness raising campaigns can be undertaken for general public.
Dentists should remember the four A’s;
·Ask your patients;
· ·Advice them to stop;
· ·Assist them and
· Arrange follow up and support
Healthy diet can also help guard against oral cancer. Fresh yellow, green fruits and vegetables have been identified as beneficial dietary components in this, as in other connections, as has the supplementation of vitamins A, C and E. Similarly, dietary advice of a general nature can help to improve personal as well as oral health with regard to cancer and the other common oral diseases.
The prevention and early diagnosis of oral cancer lies mainly in the hands of the primary dental care professionals.
Dentists are important in secondary prevention through opportunistic screening and planned screening of populations at risk.
In addition to visual and digital examination, a method that is now gaining widespread attention is the adjunctive use of a solution of Toluidine Blue, which stains cancerous lesions a dark blue.
American Cancer Society guidelines on diet, nutrition and cancer prevention:
Choose most of the foods you eat from plant sources.
· ·Eat five or more servings of fruits and vegetables each day.
· ·Eat other foods from plant sources, such as breads, cereals, grain products, rice, pasta or beans several times a day.
2. Limit your intake of high fat foods, particularly from animal sources.
·Choose foods low in fat.
· ·Limit consumption of meats, particularly high – fat meats.
3. Be physically active: achieve and maintain a healthy weight.
·Be moderately active for 30 minutes or more on most days of the week.
· ·Stay within your healthy weight range.
4. Limit consumption of alcoholic beverages, if you drink at all.
5. Do not use tobacco.
6. Avoid sexually transmitted infections.
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