Soft Tissue Lasers
Lasers may be used in dentistry for gingivectomy, curettage, biopsy and other procedures. The advantages of soft tissue lasers are greater hemostasis, disinfection of periodontal pockets, reduced use of anesthesia and decreased healing time. In the case of a medically compromised patient, such as one taking anticoagulants, the use of soft tissue laser may be an advantage due to the reduced chance of bleeding.
VELscope® Oral Cancer Screening
Oral cancer is often deemed the “forgotten disease,” because it kills more people than testicular cancer, cervical cancer and cancer of the brain each year and receives little publicity in return. Each year, over 30,000 Americans contract oral cancer, and only 57% of these people will live for more than five years without treatment.
Many people believe that if they abstain from tobacco and alcohol use, oral cancer will not affect them. Tobacco and alcohol use does contribute to oral cancer; however, 25% of those diagnosed abstain from both substances.
The best way to stay protected from oral cancer is to get annual oral cancer screenings. Most dentists perform an oral cancer exam during a regular dental checkup. The FDA-approved VELscope® offers dentists another examination tool to help detect oral cancer in its earliest stages. The VELscope® is a blue excitation lamp, which highlights precancerous and cancerous cell changes.
How does the VELscope® work?
The VELscope® uses Fluorescence Visualization (FV) in an exciting new way. Essentially, bright blue light is shone into the mouth to expose changes and lesions that would otherwise be invisible to the naked eye. One of the biggest difficulties in diagnosing oral cancer is that its symptoms look similar to symptoms of less serious problems. The VELscope® System affords the dentist important insight as to what is happening beneath the surface.
The healthy soft tissue of the mouth naturally absorbs the VELscope® frequency of blue light. Healthy areas beneath the surface of the soft tissue show up green, and the problem areas become much darker.
Here are some of the advantages of using the VELscope® System:
Can be combined with digital photography.
Detects lesions, white and red patches.
Detects problem areas that cannot be seen under white light.
Exposes precancerous and cancerous tissue.
Helps dentists check that diseased soft tissue is completely removed.
Helps diagnose oral cancer in its earliest stages, exponentially increasing the chance of survival.
Quick, painless examinations.
How is the VELscope® examination performed?
The VELscope® examination literally takes only two or three minutes. It is a painless and noninvasive procedure that saves many lives every single year.
Here is a brief overview of what a VELscope® examination is like:
Initially, the dentist will perform a regular visual examination of the whole lower face. This includes the glands, tongue, cheeks and palate as well as the teeth. The dentist provides special eyewear to protect the integrity of the retinas. The lights in the room are dimmed to allow a clear view of the oral cavity.
Lesions and other indicators of oral cancer are easily noticeable because they appear much darker under the specialized light.
If symptoms are noted, the dentist might take a biopsy to determine whether or not this is oral cancer. The results of the biopsy dictate the best course of action from there. Otherwise, another oral cancer screening is performed in one year’s time.
If you have any questions or concerns about oral cancer screening or the VELscope® system, please contact our office.
According to research conducted by the American Cancer Society, more than 30,000 cases of oral cancer are diagnosed each year. More than 7,000 of these cases result in the death of the patient. The good news is that oral cancer can easily be diagnosed with an annual oral cancer exam, and effectively treated when caught in its earliest stages.
Oral cancer is a pathologic process which begins with an asymptomatic stage during which the usual cancer signs may not be readily noticeable. This makes the oral cancer examinations performed by the dentist critically important. Oral cancers can be of varied histologic types such as teratoma, adenocarcinoma and melanoma. The most common type of oral cancer is the malignant squamous cell carcinoma. This oral cancer type usually originates in lip and mouth tissues.
There are many different places in the oral cavity and maxillofacial region in which oral cancers commonly occur, including:
Reasons for oral cancer examinations
It is important to note that around 75 percent of oral cancers are linked with modifiable behaviors such as smoking, tobacco use and excessive alcohol consumption. Your dentist can provide literature and education on making lifestyle changes and smoking cessation.
When oral cancer is diagnosed in its earliest stages, treatment is generally very effective. Any noticeable abnormalities in the tongue, gums, mouth or surrounding area should be evaluated by a health professional as quickly as possible. During the oral cancer exam, the dentist and dental hygienist will be scrutinizing the maxillofacial and oral regions carefully for signs of pathologic changes.
The following signs will be investigated during a routine oral cancer exam:
Red patches and sores – Red patches on the floor of the mouth, the front and sides of the tongue, white or pink patches which fail to heal and slow healing sores that bleed easily can be indicative of pathologic (cancerous) changes.
Leukoplakia – This is a hardened white or gray, slightly raised lesion that can appear anywhere inside the mouth. Leukoplakia can be cancerous, or may become cancerous if treatment is not sought.
Lumps – Soreness, lumps or the general thickening of tissue anywhere in the throat or mouth can signal pathological problems.
Oral cancer exams, diagnosis and treatment
The oral cancer examination is a completely painless process. During the visual part of the examination, the dentist will look for abnormality and feel the face, glands and neck for unusual bumps. Lasers which can highlight pathologic changes are also a wonderful tool for oral cancer checks. The laser can “look” below the surface for abnormal signs and lesions which would be invisible to the naked eye.
If abnormalities, lesions, leukoplakia or lumps are apparent, the dentist will implement a diagnostic impression and treatment plan. In the event that the initial treatment plan is ineffective, a biopsy of the area will be performed. The biopsy includes a clinical evaluation which will identify the precise stage and grade of the oral lesion.
Oral cancer is deemed to be present when the basement membrane of the epithelium has been broken. Malignant types of cancer can readily spread to other places in the oral and maxillofacial regions, posing additional secondary threats. Treatment methods vary according to the precise diagnosis, but may include excision, radiation therapy and chemotherapy.
During bi-annual check-ups, the dentist and hygienist will thoroughly look for changes and lesions in the mouth, but a dedicated comprehensive oral cancer screening should be performed at least once each year.
Single Tooth Anesthesia
- The STA Single Tooth Anesthesia System unit is uniquely capable of numbing a Single Tooth, something never before possible using conventional techniques
- The STAutilizesCompuFlo system which is a patented computer-controlled drug delivery system that incorporates DPS Dynamic Pressure Sensing technology for safer and painless delivery of anesthesia.
- Whereas conventional syringes deliver anesthesia blindly,the computer-controlled STA system removes the guesswork by providing real-time visual and audible feedback.
- The system results in the patient having no collateral numbness and no pain along with instant, predictable anesthesia (no more lip or tongue biting after the dental visit).
- Allows for more efficient flow of anesthetic solution through tissues resulting in amore rapid onset and longer duration of anesthesia.
- Minimizes adverse tissue reactions by minimizing tissue damage.
Digital radiography (digital X-ray) is the latest technology used to take dental X-rays. This technique uses an electronic sensor (instead of X-ray film) that captures and stores the digital image on a computer. This image can be instantly viewed and enlarged, helping the dentist and dental hygienist detect problems more easily. Digital X-rays reduce radiation 80-90% compared to the already low exposure of traditional dental X-rays.
Dental X-rays are essential, preventative, diagnostic tools that provide valuable information not visible during a regular dental exam. Dentists and dental hygienists use this information to safely and accurately detect hidden dental abnormalities and complete an accurate treatment plan. Without X-rays, problem areas can go undetected.
Dental X-rays may reveal:
Abscesses or cysts.
Cancerous and non-cancerous tumors.
Decay between the teeth.
Poor tooth and root positions.
Problems inside a tooth or below the gum line.
Detecting and treating dental problems at an early stage can save you time, money, unnecessary discomfort, and your teeth!
Are dental X-rays safe?
We are all exposed to natural radiation in our environment. Digital X-rays produce a significantly lower level of radiation compared to traditional dental x-rays. Not only are digital X-rays better for the health and safety of the patient, they are faster and more comfortable to take, which reduces your time in the dental office. Also, since the digital image is captured electronically, there is no need to develop the X-rays, thus eliminating the disposal of harmful waste and chemicals into the environment.
Even though digital X-rays produce a low level of radiation and are considered very safe, dentists still take necessary precautions to limit the patient’s exposure to radiation. These precautions include only taking those X-rays that are necessary, and using lead apron shields to protect the body.
How often should dental X-rays be taken?
The need for dental X-rays depends on each patient’s individual dental health needs. Your dentist and dental hygienist will recommend necessary X-rays based upon the review of your medical and dental history, a dental exam, signs and symptoms, your age, and risk of disease.
A full mouth series of dental X-rays is recommended for new patients. A full series is usually good for three to five years. Bite-wing X-rays (X-rays of top and bottom teeth biting together) are taken at recall (check-up) visits and are recommended once or twice a year to detect new dental problems.
An intraoral camera reveals even the smallest details such as cracks and other anomalies. The camera captures clear and detailed images of the oral cavity so patients can really understand.