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27,700-28,000 New Cases per year 7,320 Deaths M/F 2:1 Ratio-smoking and/or tobacco use Early Diagnosis=85% survive 1 year after diagnosis 5 year survival=59% in general 10 year survival=44% in general |
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oral cancer high risk sites |
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Floor of mouth Ventrolateral tongue Soft palate |
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Tobacco use-cigarettes cigar, smokeless*, pipe Excessive alcohol consumption 4x more likely-pharyngeal CA & 50x more likely CA of cheek and gums |
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oral cancer warning signs |
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Sore mouth that bleeds easily (does not heal) Lump in cheek felt with tongue White or red patch on gums, tongue or lining of mouth -Leukoplakia=white, raised patches (not easily removed) -Erythroplakia=red, velvety raised patch Soreness or feeling that something is caught in throat Difficulty chewing/swallowing Difficulty moving jaw/tongue Numbness of tongue/other areas Poor fit of dentures or discomfort |
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(# of packs per day) x (years) 2 packs for 4 years =2x4 =8 pack years |
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Parotid (open by the second molar, inflamed when you have mumps), submandibular (behind mandible), and lingual (under the tongue) |
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circumoral pallor shows... |
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blue coloring shows hypoxia |
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aspirin overdose and carbon monoxide poisoning |
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cracking at the corners of the mouth |
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open at second molar duct obstructed will be red and swollen |
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number of teeth for adult and child |
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Definition
adult-32 (including wisdom teeth) child-20 |
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not raised, white coating on tongue, normal (you brush this off) |
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raised line low on B or D vitamins |
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little opening on the sides of the bottom of the mouth |
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Definition
flab of skin under the tongue that keeps tongue to the floor of the mouth |
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black on tongue-too much pepto |
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Hypoglossal -Stick out midline with no tremors --Usually will deviate to the side of the injury -stick their tongue to their cheek and we push on it to check tongue strength |
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“palatine torus” or “torus palatinus” |
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Definition
line down the middle where there is a ridge protruding |
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Definition
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Glossopharyngeal and Vagus -Say “Ahhh”-symmetrical rise of uvula and palatine arches & uvula stays midline -Gag reflex (nursing judgment)-THE LAST THING TO GO AND FIRST ONE TO COME BACK!-check if they have a head injury --Don’t check on-epileptic, someone who is nauseous, who says they gag when they brush their teeth, anyone that can swallow usually has a gag reflex. –some people have stronger ones than others --Surgery also affects gag reflex -Voice quality for hoarseness -Swallowing |
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facial -taste anterior 2/3 of the tongue --salt, sweet, and sour |
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Glossopharyngeal -taste posterior 1/3 of tongue --bitter |
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-should have 20 by age 2 1/2 -under age 2: age in months minus 6-# of teeth |
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pregnancy gingivitis (hypertrophy) |
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1+ - 2+ seen in healthy people on a 4+ scale |
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Not seen-if you can’t see them 1+-visible 2+-half way anterior pillar and uvula 3+ touching uvula 4+ touching each other |
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Decreased sense of taste; many dental changes; decreases saliva esp. from meds or medical conditions |
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