Oncology

The Latest on Adjunctive Diagnostic Techniques for Oral and Oropharyngeal Cancer Discovery

My interview with Dr. Michaell Huber served as a review of the current status and of the latest in the area of adjunctive diagnostic techniques for diagnosing and discovering oral and oropharyngeal cancer. Dr. Huber is Professor and specialist in oral medicine in the Department of Comprehensive Dentistry at UT Health San Antonio Dental School. He authored an article in the Dental Clinics of North America titled: Adjunctive Diagnostic Techniques to diagnose Oral and Oropharyngeal Cancer. I hope you find the information valuable and enjoy the conversation. Please share your thoughts, questions, and suggestions with us at oasisdiscussions@cda-adc.ca Until next time! ...

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JADA Article Commentary: Dental Disease Before Radiotherapy in Patients with Head & Neck Cancer

In December 2017, the Journal of the American Dental Association (JADA) published an article on guidelines for preventive dental care. In it, the authors attempted to bridge a perceived knowledge gap through the development of a clinical registry of dental outcomes in head and neck cancer patients.  Dr. Bob Wood, oral radiologist and forensic dentist at Princess Margaret Cancer Center, suggests that the article needs a careful interpretation and an appropriate contextualization of the individualized treatment provided to these patients.  I hope you find the information beneficial and you will share your thoughts, suggestions, and questions with us through oasisdiscussions@cda-adc.ca ...

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Oasis Critical Moments: What would you have done in this situation?

In this post, we present an Oasis Critical Moment, a crossroad moment that arise every day in clinical practice and where the decision the practitioner takes, can make the difference between grief for him/her and the patient, or comfort for all concerned.  We have invited Dr. Bob Wood and Dr. Erin Watson to guide the management of this case. Dr. Bob Wood is an oral radiologist and forensic dentist; and Dr. Erin Watson is a general dentist, and they both practice out of Princess Margaret Cancer Center in Toronto.  Imagine this scenario You are performing a fairly routine denture try-in ...

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The Prevention and Management of Medication Related Osteonecrosis of the Jaw: Two Cases

Today, we bring you two interesting complex cases that were treated by Dr. Erin Watson, general dentist practicing out of Princess Margaret Cancer Center, and Dr. Irwin Golosky, Endodontist in Toronto.  Both cases deal with patients who are at higher risk for medication related osteonecrosis of the jaw (MRONJ). Educational information is also presented to frame the situation and provide relevance to the general dentist. In cases where it is possible to prevent MRONJ, treatment is somewhat straightforward. However, in other cases where there is already a risk of MRONJ, treatment is challenging and requires the tight collaboration of a ...

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Oasis Case Conference: Managing a Patient with a Nasopharyngeal Carcinoma

The following conversation occurred between Drs. Paul Belzycki and Erin Watson, general Dentists in Toronto. Dr. Belzycki is a private practitioner and Dr. Watson is a dentist operating at Princess Margaret Hospital. The conversation is about the management of a patient with a nasopharyngeal carcinoma and who was treated by both Drs. Belzycki and Watson. Drs. Belzycki and Watson emphasized the importance of clearly and regularly communicating between professionals to ensure the best treatment for the patient. Dr. Belzycki is accustomed to thoroughly document his cases, a fact that Dr. Watson praised and considered instrumental for the patient’s treatment and most helpful. I ...

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ADA: Evaluation of Potentially Malignant Disorders in the Oral Cavity Clinical Practice Guideline (2017)

Adapted from the American Dental Association website A panel of experts convened by the American Dental Association (ADA) Council on Scientific Affairs presents an evidence-based clinical practice guideline called the “Evidence-Based Clinical Practice Guideline for the Evaluation of Potentially Malignant Disorders in the Oral Cavity.” The goal for this 2017 clinical practice guideline is to inform clinicians about the potential use of adjuncts as triage tools for the evaluation of lesions, including potentially malignant disorders (PMDs), in the oral cavity. Among the guideline’s recommendations: Clinicians should obtain an updated medical, social, and dental history and perform an intraoral and extraoral ...

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Oral Complications during Cancer Therapy: Bacterial Infections

Submit your question or share your feedback with us through oasisdiscussions@cda-adc.ca Highlights In this Oasis Discussions segment, Dr. Deborah Saunders and Dr. Joel Epstein discuss the management of bacterial infections in oncology patients undergoing treatment. Periodontal and odontogenic infections are commonly found worldwide. However, Periodontal pathogens may cause serious problems in cancer patients. As such, dentists play a crucial role in decontaminating patients and ensuring safe treatments for these patients. All patients should be examined prior to the cancer treatment. It is important to understand his his/her cancer diagnosis and the type of treatment he/she will be having. The work-up ...

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Oral Complications during Cancer Therapy: Viral Infections

Submit your question or share your feedback with us through oasisdiscussions@cda-adc.ca Highlights Dr. Joel Epstein and Dr. Deborah Saunders return to Oasis Discussions to discuss viral infections and how they may present in cancer patients. Diagnosis of these infections requires asking the correct questions of the patient to determine if the patient may be a carrier of the virus, clinical presentation, nature and timing during cancer therapy and the appropriate tests. In some instances, prophylactic management may be considered. Most viral infections are reactivation of viral infections that are latent in the host. The virus uses the host’s DNA or ...

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