Pacific Dental Associates: E Esther Lopez DDS

Pacific Dental Associates:  E Esther Lopez DDS
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez
San Francisco Dentist AND Esther Lopez

Oral cancer

Oral facts Of The Cancer

> The American estimations of the company of the cancer near 30.100 new boxes (20.200 in men and 9.900 in women) of cavity bucal and of cancer pharyngeal will be diagnosed in the United States during 2001. The 7.800 persons reckoned (5.100 men and 2.700 women) will die of cancer of the cavity bucal and of the oropharynx in 2001.

> The cavity Eighty-two percent bucal and of patient oropharyngeal of the cancer survive at least a year after the diagnosis. For all the phases combined, the rate of five years of the survival is 51percent and the survival of ten years is rate 48 percent. These rates of the survival have not changed a great deal in the 20 passed years.

When they examine the patients diagnosed again with the oral cancers and of the oropharynx carefully, near 15 percent they will have another cancer in next areas such as the larynx (box of the voice), esophagus (the part of the digestive system among the throat and the stomach), or lung. Other 10 to 40 percent they will develop the cancer of one of these organs or a second cancer of the cavity bucal or of the oropharynx in last one more while. By this reason, is very important for the patients with the oral cancer and oropharyngeal to have examinaciones of the letter recordativa for the remainder of their lives and to avoid the factors of risk, such as smoking and to drink, that enlarge the risk for these second cancers.

¿ Which is oral cancer?
The oral cancer is cancer found in the cavity bucal (the area of the mouth) and the oropharynx (the area of the throat in the subsequent part of the mouth). The oral cancer, that can be mortal, is diagnosed in approximately 30.000 Americans each year, according to the American company of the cancer.

The cavity bucal includes the following one:

  • the lips, the teeth, and the gums
  • the garrison inside the lips and of the cheeks (mucosa bucal)
  • the flat of the mouth (under the tongue)
  • the cover of the mouth (paladar hard)
  • the small area behind the teeth of the wisdom

The oropharynx includes the following one:

  • the a rear half of the tongue
  • the paladar smooth
  • the amígdalas
  • the subsequent part of the throat

¿ What cause the oral cancer?
The main causes of the oral cancer include the following one:

  • use of the tobacco (80 to 90 oral percent of cancers are caused smoking the cigarettes, cigars, pipes, chewing the tobacco, and submerging the I shaved)
  • use of the alcohol

Other causes of the oral cancer can include the following one:

  • Leucoplasia - a condition characterized by a patch blanquecino that is converted inside the mouth or of the throat.
  • Erythroplakia - a condition characterized by a red one, patch raised that it is converted inside the mouth.
  • excessive exposition of the sun, that, as to another on part the body, can cause the cancer in the lip

¿ Which are the symptoms of the oral cancer?
The following are the most common symptoms for the oral cancer. Nevertheless, each individual can experience symptoms differently. The symptoms can include:

  • a pain of the lip or of the mouth that does not cure
  • a white or red patch in the gums, the tongue, or the garrison of the mouth
  • a lump in the lip or in the mouth or the throat
  • sangría, pain, or unusual stiffness in the area of the mouth
  • hinchazón of the quijada
  • pain in the ear
  • change in voice
  • a sore throat chronicle
  • sensation as if something itself lame in the throat
  • pain or difficulty in swallowing or the chewing

The symptoms of the oral cancer can be can resemble other disorders or medical problems. Consult always their doctor for a diagnosis.

¿ Which are the diverse oral types of cancer?
The oral tumors can be converted wherever in the cavity bucal and the oropharynx. Some tumors are benign (not-cancerous), some can be precancerosos (a condition that can come to be cancer patient), while other can be cancer patients. Diverse oral types of cancer can be can become diverse areas of the mouth and of the throat.

¿ Which are benign tumors?
There is many forms of tumors (not-cancerous) benign that they can appear in the cavity bucal or the oropharynx (besides other places in/on the body), including:

acuminatum of the condiloma
(also known as warts genitals)
a small, humid, pink or red growth that grows alone or inside coliflor-as bunches
granuloma eosinófilo a benign tumor that affects it more often possible to children and to adolescents and is found generally in a bone or the lungs
fibroma a benign tumor that consists of fine weaves conectivos fibrous
keratoacanthoma a topetón meat-colored, of crecimineto quick in the skin with a queratina enchufa the center (the queratina, the main component of the external layer of skin, hair, and the nails, is a resistant substance)
leiomyoma a tumor of the smooth muscle, found often in the esophagus, the small intestine, the útero, or the stomach
lipoma a composed tumor of fat cells I you mature
neurofibroma a fine weave of the nerve of the tumor that consists of fibrous
tumors odontogenic tumors in the quijada
osteochondroma a composed tumor of the bone and of the cartílago
papilloma a tumor that resembles a wart, growing in the epitelio (the cells that form the skin and the membranes mucosas)
granuloma piógeno a topetón small, round that has often a surface ulcerada
rhabdomyoma a tumor of the estriado-mu' sculo that can appear in the tongue, the pharynx, the útero, the vagina, or the heart
Schwannoma a single tumor that grows in the neurilemma (wrapping of Schwann? s) of nerves
xantoma of the form of the verruca tumors wart-formed

Some benign tumors disappear in their the own. Other they can have to be removed surgical. The majority of the benign tumors itself are not repeated. Consult always its doctor for a diagnosis.

¿ What oral conditions can be precancerosas?
Two conditions in the mouth - leucoplasia and erythroplakia - really can be precursors al cancer. It caused often smoking or chewing the tobacco, these (intially) benign conditions can occur wherever in the mouth. Only a biopsy can be determined if the cells precancerosas (displasia) or the cells of the cancer been present in a leucoplasia or an erythroplakia.

¿ You Knew?

Near 15 percent of leucoplasias become cancer. Nevertheless, 51 percent of erythroplakias cancer patients are found to be when is carried out a biopsy, according to the American company of the cancer.

  • Leucoplasia - a condition characterized by a patch blanquecino that is converted inside the mouth or of the throat.
  • Erythroplakia - a condition characterized by a red one, patch raised that it is converted inside the mouth.

The processing for the leucoplasias or the erythroplakias can include the use of the retinoids - medicaciones that relate to the vitamin TO - to eliminate, to reduce, and/or to avoid that the displasia form.

¿ Which are oral tumors evils?
Although there are various types of cancers oral evils, more than 90 percent of all the oral cancers diagnosed are carcinoma squamous of the cell.

carcinoma squamous of the cell Also known as cancer squamous of the cell, this type of cancer originates in the layer squamous of the cell in the garrison of the cavity bucal and of the oropharynx. In the first times, this cancer been present only in the layer of the garrison of cells (calls carcinoma in situ). When the cancer is separated beyond the garrison, cancer is called squamous invading of the cell.
carcinoma verrucous Although also it is considered a type of carcinoma squamous of the cell, this lower cancer of quality metastasizes rarely (the extensions to the distant places). Covering less than 5 percent of all the oral cancers diagnosed, the carcinoma verrucous can be separated deeply in the surrounding fine weave, requiriendo the surgical retreat with a margin of the surrounding fine weave.
cancers salivales of smaller importance of the gland The garrison of the cavity bucal and of the oropharynx contains glands salivales numerous. At times, the cancer will originate in a gland salival. The processing depends on the type and of the locating of the cancer salival of the gland, as well as the degree to be separated. According to the American company of the cancer, the cancers salivales of the gland explain less than 1 percent of all the cancers.

¿ Which is a factor of risk?
A factor of risk is any thing that can enlarge an occasion of the person? s to develop an illness. Can be an activity, just as to smoke, diet, preceding relatives, or many other things. Diverse illnesses, including cancers, have diverse factors of risk.

Although these factors can enlarge a risk of the person? s, do not cause necessarily the illness. Some people with some or more factors of risk never develops the illness, while other develop illness and do not have no factor of risk known.

But, to know its factors about risk to any illness can help to direct him in the appropriate actions, including behaviors that change and clinical being supervised for the illness.

¿ Which are the factors of risk for the oral cancer?
Although the inheritance also plays a factor, the certain habits of the form of life and conditions of the health can enlarge a risk of the person? s to develop the oral cancer. These they include, but themselves are not limited to, the following one:

Use of the tobacco The majority of patients with the oral tobacco of the use of the cancer (90 percent) in a form or another. The tobacco can damage the cells in the garrison of the cavity bucal and of the oropharynx, doing the abnormal cells to grow more quickly to repair the damage. The investigators believe that the DNA-DAMAGING chemical products in tobacco are joined al growing risk of the oral cancer, according to the American company of the cancer.
Use of the alcohol The majority of patients with oral alcohol of the use of the cancer (75 to 80 percent) frequently. It coupled with use of the tobacco, patient that drink and smoke increase its risk to develop the oral cancer still more. The investigators have found that the alcohol enlarges the DNA-DAMAGING chemical penetration of products in the garrison of the cavity bucal and of the oropharynx, according to the American company of the cancer.
Light of the sun The exposition prolonged to the radiation ultravioleta of the sun can cause the cancer of the skin. People that is al free air by a period extended of the increase of the time its risk of the cancer of the lip, also.
Chronic irritation The irritation to the garrison of the mouth, chronic due to the Dentures badly appropriate or to other reasons, can enlarge a risk of the person? s for the oral cancer.
Lack of fruits and of vehicles in diet The investigation has suggested that the fruits and the vehicles, that contain the antioxidants that are able "to trap" the harmful molecules, can diminish the risk for the oral cancer (and other cancers). Thus, speculates that the persons with a product under of these types of food are in a growing risk for the cancer (oral).
Rinse alcohol-containing Some studies have shown that the rinse with the content in alcohol enlarges the risk for the oral cancer. Besides, other studies have shown that the smokers and the people that drink the alcohol spread to utilize rinse more often, tying the three together factors.
Human infection of the papillomavirus (HPV) HPV causes warts and has tied generally to the vaginal, cervical cancers, and penal. HPV can also enlarge the risk for the oral cancers.
Wrongs Oral cancer is twice ace common in men then in women, partly because men till dies likely to use tobacco and alcohol.

Preventing oral cancer:
It is important to detect oral cancer ace early ace possible , ace treatment works best before the disease there you are spread. The National Cancer Institute (NCI) and American Cancer Society (ACS) encourage people to take go activate mention in the early detection of oral cancer by performing monthly self-examinations. The Oral Health Education Foundation recommends the following steps (below) when examining your mouth. Take special note of any network or white patches, lumps or thickening of skin, tissue , or gums, to sore that either does not heal properly (after to 1 to 2 week period), or to sore that tends to bleed easily or excessively. In addition, be sure to take note of to persistent sore throat, hoarseness, or difficulty maneuvering the jaw during chewing or swallowing. Be sure to consult your physician right away if any of these symptoms till present.

Did You Know?

Wearing lip balm that contains to sunscreen or sunscreen lotion on the lips may help protect against cancer on the lip.

  • It removes any dental prosthesis in the mouth.
  • Visually look and touch your mouth, including the lips and gums.
  • Check the roof of your mouth.
  • Check the inside of the cheeks and the back gums.
  • Check the tongue, including the sides and underneath.
  • Check for enlarged lymph nodes in the neck and under the jaw.

Regular dental checkups that include go examination of the entire mouth till also important in the early detection of oral cancer or precancerous conditions. Your physician should also check your mouth ace part of to routine physical exam.

How is oral cancer diagnosed?
In addition to to complete medical history and physical examination, diagnostic procedures for oral cancer may include the following:

  • Biopsy - to procedure in which tissue samples till you remove (with to needle or during surgery) from the body for examination under to microscope; to determine if cancer or other abnormal cells till present.
  • Computed tomography scan (Also called to CT or CAT scan.) - To diagnostic imaging procedure that use to combination of x-rays and computer technology to produces cross-sectional images (often called slices ), both horizontally and vertically, of the body. To CT scan shows detailed images of any part of the body , including the bones, muscles, fat, and organs. CT scans till dies detailed than general x-rays.
  • Ultrasound - to diagnostic technique which use high-frequency sound waves to create you they go image of the internal organs.
  • Magnetic resonance imaging (MRI) - to diagnostic procedure that use to combination of loosen magnets , radiofrequencies, and to computer to produces detailed images of organs and structures within the body.

Eleven to diagnosis is made, the cancer will be staged (to determine the extent of the disease) before to treatment plan is established.

Treatment for oral cancer:
Specific treatment for oral cancer will be determined by your physician based on:

  • your age, overall health, and medical history
  • extent of the disease
  • your tolerance for specific medications, procedures , or therapies
  • expectations for the course of the disease
  • your opinion or preference

Treatment may include:

  • surgery
    Different surgery techniques till used to removes specific types of oral tumors, including:
  • Primary tumor resection - removal of the entire tumor and surrounding area of tissue.

  • Maxillectomy - removal of the tumor , including part or all of the hard palate (roof of the mouth), if bone is involved.

  • Laryngectomy - removal of to loosen tumor of the tongue or oropharynx, which may involve removing the larynx (voice box).

  • Neck dissection - if cancer there you are spread to the lymph nodes in the neck, these lymph nodes may need to be remove ace well.

  • Reconstructive surgery - primary surgical reconstruction may be required to restore optimal speech and swallowing function.
  • radiation therapy
    Radiation therapy is treatment that use high-energy rays that damage cancer cells and halts the spread of cancer. Radiation therapy is very localized, aimed at only the area where the cancer is present. Radiation therapy may be administered externally with to machine , or internally with radioactive materials.
  • chemotherapy
    Chemotherapy involves medications that kill cancer cells. Chemotherapy there you are the ability to interferes with the cancer cell' s replication, and may be used in combination with surgery and radiation therapy.

Preparing for surgery:
If surgery is needed to treat the oral cancer, the National Cancer Institute recommends asking the following questions:

  • What type of operation will I undergo?
  • What can I expect after surgery?
  • How will any pain be treated?
  • Will I have trouble eating?
  • Will I have any scarring?
  • Will there be any long-term effects or permanent physical changes from surgery?
  • If I need plastic surgery, how soon can that be donate following the initial surgery?
  • Will I need speech therapy?
  • When can I summarizes my normal activities?

What till the side effects of oral cancer treatment?
Side effects of treatment for oral cancer vary, depending on the type of treatment and the area being treated. Side effects can be temporary or permanent. The following till some of the dies common side effects of oral cancer treatment:

  • swelling from surgery
  • sore mouth
  • difficulty chewing, swallowing, or talking
  • changes to appearance, temporarily or permanently
  • weight loss due to to sore mouth, which may make eating difficult
  • inability to wear dentures for to period of time

Depending on the type of treatment, other side effects may include:

  • tire
  • dental problems
  • lowered immune system
  • nausea
  • vomiting
  • mouth sisters
  • lack of appetite

Rehabilitation after oral cancer:
Rehabilitation may vary from person-to-person depending on the type of oral cancer treatment, and the location and extent of the cancer. Rehabilitation may include:

  • dietary counseling
    Many patients recovering from oral cancer surgery have difficulty eating, I am it is often recommended that they eat small meals consisting of soft, moist foods.
  • surgery
    Some patients may benefit from reconstructive or plastic surgery to restore the bones or tissues of the mouth , returning to dies normal appearance.
  • prosthesis
    If reconstructive or plastic surgery is not go option , patients may benefit from dental or facial-part prosthesis to restore to dies normal appearance. Special training may be needed to learn to use to prosthetic device.
  • speech therapy
    If to patient experiences difficulty in speaking following oral cancer treatment, speech therapy may help the patient relearn the process.
Pacific Dental Associates:  E Esther Lopez DDS

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