Приборы для скрининга рака полости рта. Oral Cancer screening

Опубликовано: 1796 дней назад (24 мая 2014)
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Различные приборы для скрининга злокачественных очагов доступны на рынке. Они рекомендуются для использования в стом. офисе как стоматологами, так и гигиенистами. Обычно это беспроводные приборы, которые используют 3 различных длины волн (ярко-белый, фиолетовый и зелено-золотистый), для мониторинга биохимических и морфологических изменений в полости рта, глотке, миндалин, языка, дна полости рта.
Препарирование зубов под коронки с уступом или без??? | Книги и интересы в стоматологии
0 # 24 мая 2014 в 07:14 0
Много полезной информации о скрининге рака полости рта, изменениях слизистой, вариантах использования прибора.
0 # 24 мая 2014 в 07:14 0
Microlux/DL раствор, используется для полоскания и осмотра Microlux diagnostic light для диагностики
0 # 24 мая 2014 в 11:00 0
Oral CDX


Computer-Assisted Transepithelial Oral Brush Biopsy

The OralCDx BrushTest® is an in-office test to help ensure that the harmless-appearing white or red spots in your patient’s mouths are not precancerous or cancerous. OralCDx consists of 2 components: 1) a specially designed brush that is used to painlessly obtain a sample of an oral lesion. In contrast to a typical cytologic smear, like a Pap smear, which samples cells only from the superficial layer, the OralCDx brush obtains a complete transepithelial biopsy specimen collecting cells from all three layers of the epithelium: the superficial, intermediate and the basal layer. OralCDx requires no anesthesia, causes no pain and minimal or no bleeding. 2) the analysis of the OralCDx sample is aided with highly sophisticated computers at a specialty laboratory where specially-trained pathologists render a result.

OralCDx is very accurate and has been the subject of well controlled, randomized, clinical trials. In every study in which the same lesion was simultaneously tested with both an OralCDx brush and scalpel biopsy, OralCDx was shown to be at least as sensitive to a scalpel biopsy in identifying dysplasia or cancer. In addition, the positive and negative predictive values of OralCDx have been repeatedly shown in published studies to be substantially greater than other accepted life-saving tests such as the Pap smear, mammogram, and PSA.


"In every study in which the same lesion was simultaneously tested with both a brush and scalpel biopsy, OralCDx was shown to have a sensitivity and specificity well over 90%."

- Mehrotra R, MD


Oral Cancer Overview

Oral cancer kills nearly as many Americans every year as malignant melanoma and almost twice as many as cervical cancer. Only about half of oral cancer patients survive more than 5 years, and the poor mortality rate has remained unchanged for 50 years. With early detection, the survival rate for oral cancer is well over 80%, compared with late stage detection when the survival rate drops to a dismal 19%. When dysplasia is identified and treated, oral cancer cab potentially be prevented from even starting.

Oral Cancer: What Causes It?
Although tobacco and alcohol have long been implicated as traditional risk factors for oral cancer in adults of any age, a significant number of young patients, under age 40, with oral cancer have never smoked or consumed alcohol. In the past 30 years, there has been an alarming five fold increase in incidence in oral cancer patients under age 40. The incidence of oral cancer in women is increasing significantly, and females now account for about one third of all oral cancer cases. Identifying and treating epithelial dysplasias before they become cancer has proven to be one of the most effective methods for reducing the incidence and mortality of other types of cancers. The widespread use of the Pap smear offers a striking example of how a simple diagnostic test impacted the incidence and survival rate of cervical cancer. In 1955, cervical cancer was one of the leading causes of death among American women. As the Pap smear became adopted into routine practice as a method of detecting dysplasia, the number of cervical cancer deaths dropped considerably and the disease went from the 2nd to the 11th leading cause of death.

Is it Hard to Detect Oral Cancer?
A number of obstacles hinder detection of dysplasia and early oral cancers. Biopsy of an oral lesion is an invasive procedure associated with potential morbidity and is almost always performed by a specialist. Consequently, oral lesions are typically biopsied when they display suspicious clinical signs and symptoms of disease.

Early- stage oral cancers and dyplasias often do not exhibit suspicious clinical features that are visually recognizable and moreov
0 # 25 мая 2014 в 07:42 0
Sapphire Plus Lesion Detection

Reasons to screen your patients with Sapphire Plus Lesion Detection
Clinically proven technology for early detection of oral lesions1
Pays for itself in the first month!
High power output for enhanced visualization
Find lesions that aren't visible under white light1
Potential to save lives through early detection
Superior optics bring examinations closer for enhanced viewing
Easily administered during routine checkups
HPV increases the need for screening young, non-smoking patients
Attachable Canon® G11 digital camera - improve patient records and help protect yourself from malpractice
0 # 25 мая 2014 в 18:24 0
DentLight DOE технология использует флюоресцирующий свет с увеличением
Soft tissue lesion imaging
Dental caries transillumination
Easy composite viewing and removal
Options to add on fast composite curing, light weight illumination, and hands-free composite removal system
0 # 30 мая 2014 в 22:27 0
OralDNA Labs Inc выпустили на рынок OraRisk HPV test - неинвазивный и простой в использовании тест для обраружения HPV, который теперь уже доказано связан с раком полости рта.

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
0 # 6 июня 2014 в 17:51 0
Ты как всегда открыла нужную и интересную тему, особенно в свете дискуссии о биопсии;))))
0 # 11 июня 2014 в 03:52 0
как то я уже писала обо всех этих приборах в какой то группе. В свете последний событий, а именно организации бесплатных скрининг дней для профилактики рака полости рта в офисе и моем участии в Head and neck Cancer Board и Greater Miami Cancer Community и активном ведении пациентов с челюстно-лицевой реконструкцией после и во время лечения рака головы и шеи, мы очень активно обсуждали какой прибор приобрести. Я их все внимательно изучила, просмотрела все исследования. Больше всего мне нравится Velscope - недешевый аппарат, но пожалуй самый эффективный.
0 # 15 июня 2014 в 03:13 0
Интересная статья, описывающая все возможные приборы и методики на современном рынке,
0 # 25 июня 2014 в 08:56 0
Информация о бесплатных скринингах рака полости рта в нашем офисе