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North Americans in 2004 were projected to die from oral and pharyngeal cancer at a rate of 1.2 per hour. Oral healthcare providers can be instrumental in reducing the incidence of oral and pharyngeal premalignant and malignant lesions by identifying patients with high-risk behavior, educating their patients about the consequences of their high-risk(More)
Oral and oropharyngeal cancer (OPC) is a complex and often relentless malignancy prone to local invasion and dissemination. Despite advances in understanding of the disease and improved therapeutic interventions, it continues to be diagnosed at an advanced stage and the survival rate remains poor. The financial cost of treating OPC may be the highest of all(More)
Population-based oral cancer screening appears to be a promising health promotion strategy (especially in high-risk individuals) with significant increases in quality-adjusted life years saved. However, the current protocol, conventional visual inspection, and palpation of oral soft tissues for the early detection of pre-malignant or malignant changes,(More)
Proper hand hygiene is acknowledged as the most critical element of an adequate infection control program in the oral healthcare setting. However, adherence to proper hand hygiene protocols is often lacking. Poor compliance with hand hygiene protocols has been attributed to such factors as lack of time, hand irritation, hand dryness, forgetfulness,(More)
A significant percentage of antibacterial agents that dentists prescribe are used for the prevention of, rather than the treatment of, an established infection. In general, when a single effective drug is used to prevent infection from a specific microorganism--or to eradicate it either immediately or soon after it has become established--chemoprophylaxis(More)
To date, there has been no conclusive explanation for the predominance of female patients with temporomandibular joint (TMJ) dysfunction. The purpose of this study was to survey a normal population without symptoms for the presence of certain putative signs of TMJ dysfunction in association with certain signs of occlusal discrepancy and to determine the(More)
Evidence-based infection control/exposure control practices are evolutionary in nature. Elements of historical note were first recorded with the suggestions of Lister for guidelines on aseptic procedures. Others, like Semmelweis, promoted the practice of hand washing by medical students and physicians prior to leaving autopsy suites and before entering the(More)
Oral infection caused by the herpes simplex virus represents one of the more common conditions the dental practitioner will be called upon to manage. Unique in its ability to establish latency and undergo subsequent recurrence, it is an ubiquitous infectious agent for which a cure does not exist. For the immunocompetent patient, herpes virus simplex(More)
It is estimated that there are up to 14 to 15 million diabetics in the United States and that many are unaware of their condition. Millions of women will become pregnant each year, although many will take oral contraceptives to prevent pregnancy. Thousands of patients are prescribed chronic doses of glucocorticoid medications every year. Many of these(More)