Healthy Smile Series: Water Flosser ~ Helping you achieve bacterial reduction

  It reduces the periodontal infection

One of the primary benefits of the Water Flosser is that the pulsating action creates a compression / decompression phase that expels subgingival bacteria from the pocket.

    It reduces the inflammation

Study after study, many of six months duration has shown that people who add the Water Flosser to daily self-care do better at reducing bleeding and gingivitis than people who do not use the Water Flosser.

   It helps people with diabetes

People with diabetes tend to be at greater risk for periodontal disease and often have more severe gingival inflammation. A study on people with diabetes found that those who used the Water Flosser for three months had a 44% better reduction in bleeding and a 41% better reduction in gingivitis over those who did not use the Water Flosser.

   It is safe and gentle around dental implants

Maintenance of implants is critical to their long-term survival.

    There is nothing better for cleaning around orthodontic (braces) appliances

Keeping orthodontic (braces) appliances clean can be tedious and challenging. Water Flossing makes it easier. Adolescents age 11 -17 who used a Water Flosser with the Orthodontic Tip very day for four weeks had three times the reduction in plaque versus those who used a manual brush and floss and fives times the reduction than those who only brushed.

    It gets deeper into the pocket that string floss

Findings indicate that using the Water Flosser with the Classic Jet Tip results in penetration of approximately 50% of the depth of the pocket. In contrast, it is widely accepted though not scientifically documented that ideally, floss reaches about 3 mm due to technique / anatomical constraints.

   It removes plaque

A study at the University of Southern California Center for Biofilms found that a three-second application of water flossing with the Classic Jet Tip at medium pressure removed 99.9% of the plaque biofilm from the treated area.

    It is easy to use

Using the Water Flosser is easier than string flossing because it requires less manual dexterity. It takes about one minute to cleanse the entire mouth. Beyond the initial investment, all you need is water, although the Water Flosser can accommodate most mouth rinses.

    It is a clinically proven effective alternative to string floss

Studies have directly compared the Water Flosser to string floss. The Water Flosser with the Classic Jet Tip was up to 93% more effective at reducing bleeding and up to 52% more effective at reducing gingivitis than string floss. Plaque removal was also better.

    It is evidence based

The Water Flosser has been evaluated more than 50 times since its introduction in 1962. Clinical findings reducing bleeding and gingivitis are supported by positive outcomes from more than 20 clinical trials.

 Reference: RDH magazine

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Healthy Smile Series: Don’t cry foul!

Bad breath is treatable

A lot of people are embarrassed by bad breath, but it is a problem that can usually be solved. Certain foods and beverages can cause bad breath. When strong foods like onions and garlic are the cause, bad breath is only temporary. However, some people suffer from more permanent and lasting breath problems.

The causes of bad breath

Most bad breath, also known as halitosis, is caused by incomplete or insufficient oral hygiene, along with eating foods that contribute to bad breath. What you eat affects the air you exhale. Certain foods contribute to bad breath. Once the food is absorbed into the bloodstream, it is transferred to the lungs, where it is expelled.

Brushing, flossing and mouthwash will mask the odor only temporarily. Odors continue until the body eliminates the food. Dieters may develop unpleasant breath from infrequent eating.

Dry mouth

Another common cause of bad breath is dry mouth, which happens when the flow of saliva decreases. Saliva is necessary to cleanse the mouth and remove particles that may cause odor. Dry mouth happens naturally when you sleep. You may refer to it when you wake as “morning breath.” It is generally worse in those people who are “mouth breathers” or sleep with their mouths open and those who tend to snore more often.

Dry mouth also may be caused by certain medications, salivary gland problems, cancer chemotherapy, or head and neck radiation treatments. It also is simply more common to have dry mouth as you age. If you suffer from dry mouth, your dentist may prescribe artificial saliva or suggest using sugarless candy and increasing your fluid intake.

And smokers? Almost all people who use tobacco have bad breath. Talk to your dentist about ways to kick the habit.

Gum disease

Bad breath also may be a sign that you have other mouth issues, such as tooth decay or gum disease. One of the warning signs of gum disease is bad breath or a bad taste in the mouth. Gum disease is caused by plaque, the sticky, colorless film of bacteria that constantly forms on teeth.

The bacteria create toxins that irritate the gums. In the advanced stage of the disease, the gums, bone and other structures that support the teeth become damaged. With regular dental checkups, your dentist can detect and treat gum disease early. Sometimes, bad breath can be a sign of a more serious health issue. If your bad breath has a particular reoccurring odor; perhaps fishy, fruity or like ammonia, you might need to see your physician.

Diagnosis and treatment

When you eat, minute particles of food get trapped between your teeth and in tiny grooves and bumps on your tongue. That’s why proper brushing and flossing are the first line of defense against bad breath.

Many people use mouthwash to combat bad breath, but most over-the counter rinses are just a temporary mask and do not solve the underlying problem. Your local West Michigan Dental Society member dentist may recommend a medicated mouthwash instead. With good care on your part and professional care from your dentist, you can combat bad breath and enjoy life with confidence.

Brought to you by the 600 members of the West Michigan District Dental Society in Kent, Ottawa, Ionia, Montcalm and Mecosta counties. West Michigan District Dental Society dentists are also members of the Michigan Dental Association.

For more information visit our website; Office of Brian Nylaan facebook page; or Brian S. Nylaan, D.D.S. facebook page.

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Dental Cleanings and Prevention

Importance of regular dental teeth cleanings and dental exams.

We recommend that you have a routine dental cleaning to remove plaque and tartar from your teeth. Plaque is a sticky, colorless film of food and bacteria that forms constantly on your teeth. A routine dental teeth cleaning is often called a prophylaxis.

Even when you brush and floss your teeth properly every day, some plaque remains on your teeth and hardens to become tartar. Tartar can be removed effectively only with a professional teeth cleaning. It is important to remove plaque and tartar because they are the main cause of tooth decay and gum disease.

A dental exam every six months is recommended in order to identify and prevent a variety of oral health problems.

A regular check-up includes a complete visual exam of your mouth. We check for decay on the biting surfaces of teeth, signs of wear, cracks, or other problems with restorations such as fillings and crowns.

In addition, we check the color and contours of your gums. Red, swollen gums are often signs of gingivitis or periodontal disease. We use a periodontal probe to check the depth of the spaces between your teeth and gums. Readings deeper than 3 millimeters often indicate periodontal disease.
We also diagnose any sores or lesions on the soft tissues of your mouth, screening them for signs of oral cancer.

Other conditions cannot be easily seen, so we often take x-rays. X-rays show us decay between and inside the teeth and tartar on the teeth and tooth roots. X-rays also show us signs of periodontal disease, such as the loss of bone around the teeth. In addition, x-rays allow us to see cysts, abscesses, and other problems.

We may also examine your jaw joint to help diagnose problems with your bite or TMJ. Sometimes check-ups include additional treatments based on your individual situation.

Regular check-ups are important because neglecting dental conditions can lead to much more serious problems, such as-

• Infected teeth.
• Tooth loss and shifting teeth.
• Receding gums.
• Loss of bone in the jaw.
• Painful jaw joints.

With regular dental exams and dental cleanings, we can detect problems early and help you maintain your oral and overall health.

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Healthy Smile Series: Oral Health for Diabetics

Physicians and diabetic educators work hard to educate their diabetic patients that diabetes is a serious health condition with many complications. These include heart disease and stroke and vascular disease, skin infections and amputations, kidney failure, blindness, neuropathies, and now gum disease. In fact, the National Institute of Dental Health has published that periodontal disease is now considered the 6th complication of diabetes.

It has long been observed that diabetics (especially poorly controlled diabetics) have more gum infections and periodontal disease. Current research is confirming that diabetics are more susceptible to gum disease.

New research suggests that the relationship between gum disease and diabetes goes both ways. Periodontal disease can make it more difficH ult for diabetics to control their blood glucose levels, and people with diabetes tend to have more gum disease. This means that this disease equation is really a double ended arrow – a veritable “vicious cycle”.

It is widely believed that diabetics have a higher risk for developing infections and experience poor wound healing, generally, especially in uncontrolled or advanced stages.

Signs and symptoms of gum disease include:

·         Gums that bleed

·         Red, swollen and tender gum tissues

·         Bad breath

·         Loose or migrating teeth

·         Elevated C-reactive protein levels

Gum disease is a chronic low-grade infection around the teeth. Infections in diabetics generally impair the ability to process and/or utilize insulin. This can cause blood sugars to be more difficult to manage, and in turn can make the gum infections (or any infection in the body) more severe.

Because gum disease is more common and more serious in people with diabetes, periodontal disease has now been called an “oral complication” of diabetes. In fact, one in three diabetics have chronic gum disease problems. Because gum disease is an infection it represents a significant complication for diabetics.

Physicians are becoming more tuned in to the importance of good periodontal health generally and especially in their diabetic patients. It is important that physicians examine or ask about the oral health of diabetic patients and make a referral to a dentist for an evaluation as necessary. Additionally, dentists should be aware that their diabetic patients require closer supervision. Often dentist and physician must work together to manage the diabetes condition, especially if there is changing or improving oral health conditions which may alter insulin or oral medication needs.

The nature of gum disease is that it is a bacterial infection of the gums and bone around teeth. As such it increases local inflammatory factors producing inflammation in the gums. This also allows bacteria and inflammatory by-products to enter the blood stream and produce systemic inflammation in the body generally. This inflammation is believed to affect the health of blood vessels, tissues and organ systems throughout the body, a condition called “systemic inflammation.”

Increases in inflammation interferes with the body’s natural healing response to infection, of which gum disease is a classic example. Poorly controlled diabetics experience a dysregulation that can contribute to periodontal breakdown and diminished tissue repair capacity. As a consequence, diabetics respond differently to the oral bacterial microfilm that naturally accumulates at the gum line around teeth, compared to non-diabetics.

Effective control of diabetes (good blood sugar control) increases and improves the health of the gum tissues. The improved health of these oral tissues improves the ability to control blood sugars and increasing diabetic control. The good news is that when chronic oral infections are treated and when people have good oral health, the management of diabetes markedly improves. This information should give diabetics and their care-takers another reason to smile, because healthy gums aid in the overall control of diabetes, and vice-versa.

reference : Lee Ostler DDS

(Disclaimer: This information cannot be relied on as medical advice for individual circumstances, nor can it substitute for advice from qualified health professionals. Always consult with your physician, dentist, and/or other health professionals who are experienced with working with diabetic patients.)

Healthy Smile Series: The Periodontal Heart Connection

The evidence linking periodontitis to heart disease began in 1989 by a study in Finland, which observed that patients who had heart attacks had more severe oral conditions including periodontal disease and tooth decay. Several studies since have shown that a preexisting periodontal disease results in an increased risk for a heart attack or stroke.

These studies suggest that periodontal disease is not only associated with cardiovascular events like heart attack and stroke, but it is also associated with subclinical evidence of atherosclerosis including thickening of the vessel wall. These controlled studies indicate that periodontitis remains an independent contributor to heart disease. Caution is in order because these associations do not establish causality.

Recent evidence shows the relationship between gum disease and heart disease by demonstrating the presence of periodontal pathogens (bacteria & microorganisms) within the atheromatous plaque lesions of the vessels. We have long known that gum disease is associated with transient exposures of the bacteria into the blood (bacteria) and this is the reason why antibiotics are used as a prophylactic prevention prior to dental treatment for patients with heart murmurs and valve problems. New evidence is suggesting that these organisms can lodge in the vessel walls and persist. Thus the bacteria is associated with the plaques within the vessels themselves.

Other new information links gum disease with systemic inflammation, as measured by the production of liver proteins such as C-reactive protein. This protein has been known to be a risk factor for myocardial infarction or diagnosis of peripheral artery disease in otherwise healthy individuals. Mild elevations in C-reactive protein appear to confer risk for these cardiovascular complications. New research links gum disease as one potential cause for these elevations in this protein, thus suggesting another link between gum disease pathogens and heart disease risk.

There is also an association with known cardiovascular risk factors that are involved in systemic inflammation, and there is also evidence that the organisms are within the plaques. This represents a body of circumstantial evidence suggesting that this may be directly involved in the pathology associated with cardiovascular disease.

Regardless of the root causes for cardiovascular diseases, it stands to reason that good nutrition and good oral hygiene control of bacterial inflammation in the mouth are necessary components to help lower risk factors and prevent heart disease and its complications. Removing the oral bacteria meticulously well on a daily basis, and having regular periodic professional cleanings and dental checkups, as well as providing oneself with a diet high in necessary nutrients, will help reduce unnecessary risk factors that can lead to gum disease, heart disease and stroke.

Reference - Lee Ostler DDS

(Disclaimer: This information cannot be relied on for individual circumstances or substituted for medical advice from qualified health professionals.)

What your mouth reveals about your health

If left untreated, this oral health problem can damage more than your gums. Gum disease has been linked to an increased risk of heart disease, stroke and other health problems.

Gum disease, also known as periodontal disease, is a chronic infection that can result in a number of health problems, from mild inflammation to severe gum damage to tooth loss, if left untreated. In addition, gum disease can affect your overall health, and has been linked to an increased risk of heart disease and stroke.

Gum disease develops in the space between your gum line and your teeth. It causes tissue inflammation and damage that can eventually cause your gums to recede. The severity of gum disease is determined by the depth of the excess space, or so-called "pockets," that form as your gum tissue recedes.

The National Institute of Dental and Craniofacial Research estimates that 80 percent of adults in the United States have some degree of gum disease.

Types of Gum Disease

Gum disease is classified as either gingivitis or periodontitis. Gingivitis is the first stage of gum disease and is reversible with treatment. But it can also develop into the more serious oral health problem, periodontitis.

·    Gingivitis results in swollen, irritated gums that bleed easily. Good oral health habits, including daily flossing and brushing, as well as getting regular professional teeth cleanings can prevent and help to reverse this disease, which typically doesn't result in the loss of gum tissue or teeth.

·    Periodontitis occurs as a result of untreated gingivitis. In periodontitis, the gums significantly recede from the teeth, leading to the formation of infected pockets. As your body's immune system struggles to fight off these infection, tissues and bones may start to break down. Without proper treatment, the gums, connective tissue, and jaw bones that support your teeth may all deteriorate and begin to compromise your overall oral health. Eventually, the teeth will loosen and either fall out or have to be removed.

Signs of Gum Disease

Your oral health is critical to your overall health. If you notice any of the following symptoms, seek care from a dentist who is knowledgeable about treating gum disease:

·      A sour taste in your mouth or persistently bad breath

·      A change in how your partial dentures fit

·      A change in how your teeth fit together when you bite   down

·       Bleeding gums

·      Gum tissue that pulls away from your teeth

·      Loose teeth or increasing spaces between your teeth

·      Pain when chewing

·     Unusually sensitive teeth

·      Swollen and tender gums

Causes of Gum Disease

In addition to poor oral health habits, other factors associated with gum disease include:

·    Smoking and chewing tobacco — tobacco products irritate the gums and make gum disease more difficult to treat.

·    Systemic diseases that affect the immune system, such as cancer, diabetes, and HIV/AIDS

·    Taking certain medications, including some blood pressure drugs, antidepressants, steroids, and oral contraceptives, that can cause dry mouth. The lack of saliva in your mouth makes you more susceptible to gum disease since one of its main functions is to help wash away food particles and bacteria.

·    Crooked teeth

·    Dental bridges that don’t fit properly

·    Old and defective fillings

·    Hormonal fluctuations, particularly those that occur during pregnancy

·    Genetic differences may make some people more susceptible to gum disease

·    Stress, which can reduce your body's defenses when it comes to fighting off any infection, including gum infections

Consequences of Untreated Gum Disease

Untreated gum disease has been associated with an increased risk for heart disease and stroke, and for women, an increased chance of delivering a baby with a low birth weight. Gum disease has also been linked to trouble controlling blood sugar among diabetics.

Gum Disease Treatment Options

Gum disease can be treated in several ways, depending on whether you have gingivitis or periodontitis. The primary goal is to manage the chronic infection that leads to gum damage. Treatment options include:

·    Regular professional deep cleanings

·    Medications that are either taken orally or are inserted directly into infected tissue pockets

·    Surgery, in more severe cases of gum disease. One type, called flap surgery, involves pulling up the gum tissue in order to remove tartar and then stitching the tissue back in place for a tight fit around the teeth. Tissue grafts can also be used to replace severely damaged bone or gum. In bone grafting, for instance, a small piece of mesh-like material is placed between the bone and gum tissue, enabling the supportive tissue and bone to regenerate.

While it's good to know there are treatments, it's better to avoid gum disease in the first place, by brushing and flossing at least twice a day, eating a balanced diet, and visiting your dentist regularly for exams and cleanings.

Reference: Everyday health

Bad Breath: 5 Causes and 5 Cures

How to restore your fresh breath—and relationships

Wondering why your loved ones are giving you more personal space than you’ve asked for? Suspicious about the Altoids left on your desk with dental floss bows? If you’re one of 90 million Americans suffering from chronic bad breath, here are some of the possible causes, as well as remedies to restore your fresh breath—and relationships.

 

Top 5 Causes of Bad Breath

 

1. A dirty mouth

“Ninety percent of mouth odors come from mouth itself—either from the food you eat or bacteria that’s already there,” says Dr. Richard H. Price spokesman for American Dental Association. “Mouth odor is like any other body odor—the result of microbes living in the body giving off byproducts.” In the mouth, this means bacteria that normally live in the mouth interact with food particles, blood, tissue, etc., to create volatile (i.e., stinky) sulfur compounds. If you don’t clean properly, the bacteria build up, and next thing you know—that’s not toothpaste on your tongue.

 

2. A mouth out of balance

Certain mouth conditions can exacerbate bacterial growth and odor, such as gum disease and dry mouth. Gum disease causes bloody gums, creating more elements for those pesky bacteria to putrefy. But it is a dry mouth that is the more common cause of bad breath. Saliva helps flush out the mouth, keeping bacteria moving so they don’t settle down and multiply, while drier mouth is a breeding ground for bacteria. In spring and summer, allergy medications can dry you out; in winter, dry heat tends to be the culprit.

 

3. Stinky foods

If it stinks going in, chances are it’s going to stink coming out. The obvious offenders are onions, garlic, alcohol and tobacco. And foods don’t only create a stench in the mouth. “Plant oils are absorbed and the byproducts enter your bloodstream so you are actually breathing the odors out via your lungs three to four hours later,” says Jeannie Moloo, a registered dietitian and spokeswoman for the American Dietetic Association. [Fulldisclosure: Moloo is the author’s cousin.]

 

4. Not enough carbs

You look great after four weeks on Atkins, so how come you still can’t get a date? High-protein, low-carb diets cause your body to burn stored fats for fuel instead of carbs and can lead to a condition called ketosis. “As fat burns, ketones build up in the body, and some are released through breath,”explains Moloo. “Unfortunately ketones don’t smell particularly good.” And bad breath trumps six-pack abs.

 

5. Illness

Occasionally, bad breath can be a sign of a more serious illness. The most common systemic causes of bad breath are diabetes or GERD (or gastro esophageal reflux disease). Diabetes can also cause ketosis, and the resulting bad breath is sometimes one of first symptoms that lead to diagnosis. GERD is a backflow of acid from the stomach to the esophagus. Less common but possible are liver or kidney disease—when toxins from these organs are excreted through the lungs, causing bad breath.

 

· 

Top 5 Cures

 

1. Keep it clean

Gum, breath mints, mouthwash… these are all helpful stopgaps, but they won’t cure bad breath. The way to get rid of bad breath for most of us is to brush, floss and tongue scrape twice a day. Yes, for fresh breath, the key is tongue scraping. “You can brush and floss till the cows come home, but it won’t help unless you get way back,” says Price of the American Dental Association. A tongue scraper is available at most drugstores. Price swears it helped him when he was suffering from bad breath (not something you want in your dentist, he points out). “Now I smell like a petunia,” he says. “For most of us, brushing, flossing and tongue scraping twice a day will control bad breath.”

 

2. Keep it moist

The best way to keep the right saliva balance is to drink plenty of water or liquids. To prevent dry mouth in winter, use a humidifier. If you snore or suffer from postnasal drip, try saline nasal spray to keep nasal passages moist.

 

3. Watch what you eat

Avoiding the main offenders (onion, garlic, tobacco, coffee, etc.) is the best way to avoid food-related bad breath. Dietitian Moloo also cites research that suggests certain foods can help: “Two cups of tea a day can prevent bad breath for some. The polyphenols, a plant chemical in tea, may prevent growth of bacteria responsible for bad breath.” You can also chew parsley, which seems to curb offending smells from other foods and bacteria. And cranberries may eliminate offensive smells and make the bacteria less sticky, which makes plaque less likely to form. Price says sugarless gums that contain xylotol may kill some bacteria and help reduce plaque.

 

4. Eat some carbs

Apparently the only way to help the ketosis caused by low-carb diets is… to eat some carbs. Moloo recommends fruits, vegetables and whole grains over frosted doughnuts.

 

5. See your doctor

If tongue scraping and carbo-loading doesn’t do the trick, check with your doctor to see if he or she suspects a more serious cause. Diabetes, GERD or other diseases require specific diagnoses and treatments.

 

Reference : MSN Healthy Living

How "preventive care" pays you during tough times.

Most of us get through tough times by cutting back or delaying "unnecessary" expenses. However, in order to save your teeth, your health and your money make sure you are not postponing your dental care.

You can have serious dental problems without having pain. Dental issues do not go away by themselves. They will eventually turn into more complex, painful and costly problems.

"During tought economic times, we know that health and health care can suffer, especially for those individuals who lose their insurance coverage. We want to encourage utilization of services - like preventive care - that are highly effective and relatively inexpensive.", says Brian C. Quinn, PhD of the Robert Wood Johnson Foundation.

Do not allow limited or lack of dental insurance coverage stop you from making healthy decisions. Your best dental insurance is your daily home care, getting routine preventive exams and having regular professional dental cleaning performed.

Remember these exams are highly effective and relatively inexpensive. Preventive measures will save you a lot of money in the long run. No dental plan coves all dental costs and your coverage may not cover conditions that existed before your plan became effective. However, this does not mean your condition does not need to be treated.

Do not confuse what your dental plan will cover with  the dental services you need to have performed. Your dental coverage is determined by your insurance carrier; your dental care is determined by your dental professional here at Dr. Nylaan's office.

Trying to save a few dollars by skipping preventive examinations, professional cleanings, or necessary dental work is not a wise decision.

Routine preventive care is the smart solution for your dental health and overall health!

Another smart solution is enrolling in our Dental Health Investment Plan. Our commitment to you through this plan is that we will increase your monthly investment in yourself by 20%.

HPV, which causes cervical cancer can also fuel oral cancer

WASHINGTON — A prolonged sore throat once was considered a cancer worry mainly for smokers and drinkers. Today there's another risk: A sexually transmitted virus is fueling a rise in oral cancer.
The HPV virus is best known for causing cervical cancer. But it can cause cancer in the upper throat, too, and a new study says HPV-positive tumors now account for a majority of these cases of what is called oropharyngeal cancer.

If that trend continues, that type of oral cancer will become the nation's main HPV-related cancer within the decade, surpassing cervical cancer, researchers from Ohio State University and the National Cancer Institute report Monday.

"There is an urgency to try to figure out how to prevent this," says Dr. Amy Chen of the American Cancer Society and Emory University, who wasn't part of the new research.
While women sometimes get oral cancer caused by the HPV, the risk is greatest and rising among men, researchers reported in the Journal of Clinical Oncology. No one knows why, but it begs the question of whether the vaccine given to girls and young women to protect against cervical cancer also might protect against oral HPV.

HPV vaccination is approved for boys to prevent genital warts and anal cancer, additional problems caused by human papillomavirus. But protection against oral HPV hasn't been studied in either gender, says Dr. Maura Gillison, a head-and-neck cancer specialist at Ohio State and senior author of the new research. That's important, because it's possible to have HPV in one part of the body but not the other, she says. A spokeswoman for Merck & Co., maker of the HPV vaccine Gardasil, said the company has no plans for an oral cancer study.

Monday's research was funded by the NCI and Ohio State. Gillison has been a consultant to Merck.
There are nearly 10,000 new cases of oropharyngeal cancer a year, and overall incidence has risen by 28 percent since 1988 even as other types of head-and-neck cancer have been declining.

Tobacco and alcohol have long been the main causes of these tumors, which occur in the tonsils, base of the tongue and upper throat. But over the past few years, studies have shown HPV is playing a role in that rise, probably due to an increase in oral sex even as tobacco use was dropping.

The new study took a closer look, tracking HPV over time by directly testing tumor tissue from 271 patients that had been stored in cancer registries in Hawaii, Iowa and Los Angeles. The proportion that were HPV-positive rose from just 16 percent in the late 1980s to nearly 73 percent by the early 2000s.
Translate that to the overall population, and the researchers concluded that incidence rates of the HPV-positive tumors more than tripled while HPV-negative tumors dropped by half.

Oral cancer has always been a bigger threat to men than women. Gillison says women account for only about 1 in 4 cases, and their incidence is holding steady while men's is rising. That raises questions about gender differences in sexual behavior or whether oral HPV infection is likely to linger longer in men.

While HPV is the most common sexually transmitted infection, studies show women's bodies usually clear the virus from the cervix quickly; only an infection that persists for years is a cancer risk. It's not known if oral HPV acts similarly or even is as common.

Nor is it clear if oral sex is the only way it's transmitted, cautions Dr. Gregory Masters of the American Society for Clinical Oncology, an oncologist at Delaware's Helen Graham Cancer Center.
Regardless, just over 11,000 cases of cervical cancer will be diagnosed this year, a number that has been dropping steadily thanks to better Pap smears. (It's too soon to know what difference vaccination will make.) Gillison's team calculated that annual cases of cervical cancer will drop to 7,700 by 2020 – compared with about 8,700 cases of HPV-positive oropharyngeal cancer by then, about 7,400 of them in men.

The cancer society's Chen urged caution about those numbers, saying more data is needed. But she says two things are clear: First, patients with HPV-linked oral tumors have better survival odds than those with other types of this cancer, possibly because they tend to be younger. Studies are beginning to test if they can scale back today's treatment and thus suffer fewer long-term side effects such as problems with speech and swallowing.

And "just because you're not a smoker or drinker doesn't mean you can't get throat cancer," Chen says – so get checked for symptoms like a throat that's sore for longer than two weeks.

~ Lauran Neergaard - Huffington Post

Our office offers The OraRisk^® HPV Salivary Diagnostic Test

Human papillomavirus (HPV) is one of the most common virus groups in the world. According to the Centers for Disease Control, at least 20 million people in the United States are infected with HPV and there are approximately 6 million new cases each year.

Oral HPV is a manifestation of the HPV virus in the mouth, and is primarily found in the oropharyngeal complex. Specific types of oral HPV are now considered to be separate and serious risk factor for developing oral cancers. Early detection and identification of the presence or absence of oral HPV is important, as early oral HPV infections do not typically cause any clinical signs or symptoms.
The OraRisk^® HPV test is a non-invasive, easy-to-use screening tool to identify the type(s) of oral HPV, a mucosal viral infection that could potentially lead to oral cancer. OraRisk^® HPV enables the clinician to establish increased risk for oral cancer and determine appropriate referral and monitoring conditions.

Who should be tested?

• Patients with traditional risk factors for oral cancer
• Patients who are sexually active
• Patients with signs and symptoms of oral cancer
• Patients with suspicious oral lesions

Schedule an appointment for your OraRisk^® HPV Salivary Diagnostic Test