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HPV, or human papillomavirus, is the most common sexually transmitted infection in the country. There are over 100 strains of HPV, and, while most of these infections leave our systems on their own with no long-term ill effects, some cancers have been linked to certain “high risk” strains of the virus. One of these strains, HPV16, increases the risk of oral cancer.

HPV-related oral cancer most often appears in the oropharynx. This area of the mouth includes:

• The base, or back, of the tongue
• The soft palate
• The tonsils
• The back and sides of the throat

While HPV-related oral cancers can appear in other parts of the oral cavity, they most typically occur at the back of the throat and tongue and near the folds of the tonsils. Because of this location, oropharyngeal cancer can be difficult to detect. This is one more important reason to maintain a regular schedule of dental exams. Our examination doesn’t focus only on your teeth and gums. We are trained to look for cancerous and pre-cancerous conditions in the mouth, head, and neck to make sure you have the earliest treatment options should they be needed.

If you discover any potential symptoms of oropharyngeal cancer, call us for a check-up. These symptoms can include:

• Trouble moving the tongue
• Trouble swallowing, speaking, or chewing
• Trouble opening the mouth completely
• A red or white patch on the tongue or the lining of the mouth
• A lump in the throat, neck, or tongue
• A persistent sore throat
• Ear pain
• Unexplained weight loss
• Coughing up blood

Not every symptom is caused by cancer, but it is always best to be proactive. HPV-related oral cancer is rare, but it is on the increase. While HPV-positive oral cancers generally have a better prognosis than HPV-negative oral cancers, early diagnosis and treatment are still essential for the best possible outcome.

Finally, if you are a young adult or have an adolescent child, talk to Dr. Michelle Slezewski and Dr. Paul Engibous and to your doctor about the HPV vaccine, which is effective before exposure to the virus occurs. Most HPV vaccines, while not designed specifically to prevent oral cancer, prevent the HPV16 strain from infecting the body—the very same strain that causes the majority of HPV-related oral cancers.  Although no studies have shown definitive proof yet, there is strong feeling in the scientific community that these immunizations might protect against HPV-positive oral cancer as well as cervical, vaginal, and other cancers. It’s a discussion worth having at your next visit to our Anchorage, AK office.

Poor April. While other months celebrate romance, or giving thanks, or costumes and candy, April has—April Fool’s Day and a tax deadline. We might be forgiven for thinking these two dates seem more like warnings than celebrations.

So here’s a new topic for the April calendar: National Facial Protection Month! Take the opportunity this month to review your safety practices while you’re enjoying your favorite activities.

• Mouthguards

If you have a mouthguard for sports or athletic activities, wear it! In any activity or sport where humans come into contact with solid objects (including other humans) tooth injury is possible. A mouthguard will help protect you from dental injuries caused by falls, physical contact, or other accidents that might happen in your active life. And it’s not just your teeth—mouthguards protect your lips, tongue, and jaw as well.

You can buy mouthguards in stock sizes or shape-to-fit options, or you can have a guard custom made especially for you at our Anchorage, AK office. Custom mouthguards fit perfectly and are designed to make breathing and speaking easy and comfortable. And if you wear braces or have fixed dental work such as a bridge, a custom mouthguard can protect your smile and your appliances. Talk to Dr. Michelle Slezewski and Dr. Paul Engibous about mouthguards for some great advice on how to protect your teeth and mouth.

As long as we’re discussing facial protection, let’s look at some other ways to keep safe as you keep active.

• Helmets

If there’s a helmet available for your sport, use it! Helmets are especially important for protecting athletes from brain injury and concussion, and they help protect the face and jaw as well.

• Face Guards

If you’ve experienced a puck speeding toward you, or a defensive tackle hurtling your way, or a fast ball coming in at 90 miles an hour, you know the importance of wearing a face guard. These guards can help protect your eyes, face, teeth, and jaws. Many sports now recommend using face guards—it’s worth checking to see if your sport is one of them.

• Eye Protection

And let’s not forget eye protection. Whether it’s safety glasses or a visor, protecting your eyes and the bones around them is extremely important. You can even get sports goggles or protective sports glasses with prescription lenses to keep you safe and seeing clearly.

We have the training and experience to help treat and restore injured teeth. But we will be the first to tell you, the very best treatment is prevention!

So here are a few suggestions for your calendar this month:

• If you haven’t gotten a mouthguard yet, now’s the time. Tooth and mouth injuries occur in sports beyond hockey and football. If you play basketball, ski, skateboard, ride a bike—in fact, almost any sport where you can fall or make contact with a person or object—a mouthguard is a must.
• If you need to replace an ill-fitting or damaged helmet and face guard, do it before your next game. And do replace a bike helmet if you’ve been in a crash—most likely it won’t be as protective, even if damage isn’t visible.
• Talk to your eye doctor about protective eyewear if off-the-rack products don’t work for you.
• If you are a parent or caregiver, make sure your child athlete has the proper facial protection—and uses it.
• If you are a coach, make sure your athletes have the right protective gear—and wear it.
• It’s also a great time to commit to using your protective gear every single time you’re active.

But, wait—these reminders are helpful and important, but weren’t we promised something to celebrate this April? Good catch! The great news is, using facial protection for sports and athletic activities gives you rewards you can celebrate all year: fewer injuries, fewer visits to the emergency room, and a beautiful, healthy, intact smile. Suit up!

If you need oral surgery, Dr. Michelle Slezewski and Dr. Paul Engibous and our team will use our expertise and training to ensure that you have the best possible surgical outcome. And we want to make sure you have the best possible outcome for your recovery as well. Here are a few of the most common aftercare suggestions for making your healing as comfortable and rapid as possible.

• Reduce Swelling

Ice packs or cold compresses can reduce swelling. We’ll instruct you how to use them if needed, and when to call our Anchorage, AK office if swelling persists.

• Reduce Bleeding

Some amount of bleeding is normal after many types of oral surgery. We might give you gauze pads to apply to the area, with instructions on how much pressure to apply and how long to apply it. We will also let you know what to do if the bleeding continues longer than expected.

• Reduce Pain or Discomfort

If you have some pain after surgery, over-the-counter pain relievers such as ibuprofen might be all that you need. We can recommend those which are best for you. If you need a prescription for pain medication, be sure to take it as directed and always let us know in advance if you have any allergies or other reactions to medications.

• Recovery-friendly Diet

Take it easy for the first few days after oral surgery. Liquids and soft foods are best for several days following surgery. We will let you know what type of diet is indicated and how long you should follow it depending on your particular procedure. We might, for example, recommend that you avoid alcohol and tobacco, spicy, crunchy, and chewy foods, and hot foods or beverages for several days or several weeks.

• Take Antibiotics If Needed

If you have been prescribed an antibiotic, be sure to take it as directed. If you have any allergies to antibiotics, let us know in advance.

• Protect the Wound

Do NOT use straws, smoke, or suck on foods. Avoid spitting.  Part of the healing process can involve the formation of a clot over the surgical site which protects the wound. If the clot is dislodged by suction or spitting, it can prolong your recovery time, or even lead to a potentially serious condition called “dry socket.”

• Maintain Oral Hygiene

Depending on your surgery, we might recommend that you avoid rinsing your mouth for 24 hours, use salt water rinses when appropriate, and keep away from the surgical site when brushing. It’s important to keep your mouth clean, carefully and gently.

• Take it Easy!

Rest the day of your surgery and keep your activities light in the days following.

These are general guidelines for recovery. If you have oral surgery scheduled, we will supply you with instructions for your specific procedure, and can tailor your aftercare to fit any individual needs. Our goal is to make sure that both your surgery and your recovery are as comfortable as possible.

There are certainly situations when going to an emergency room is the best response for your problem. A severe injury to your mouth, jaw, or face would qualify.

However, when it comes to long-term solutions for other dental problems, an emergency room visit may fall short. If you suffer from a major toothache, cavity, a broken tooth, crown, or veneer, it’s better to go straight to the dentist for treatment.

Dr. Michelle Slezewski and Dr. Paul Engibous can provide you with a treatment plan that will be long lasting. When you visit an ER for a common dental problem, more likely you’ll only be given temporary relief for a serious and ongoing problem.

In many cases, the emergency room will give you pain medication to mask the symptoms until you can schedule an appointment at our Anchorage, AK office. That results in a lot of wasted time, as well as two separate medical bills. The ER may give you a temporary crown or filling, but you will still need a follow-up appointment for a permanent restoration.

We recommend you find the nearest emergency dental clinic, or even try a home remedy to relieve the pain until you can schedule an emergency appointment at Pediatric Dental Associates. A warm salt-water rinse or cold compress can be used to sooth tooth and gum pain in the meantime.

If you experience a dental emergency and are unsure about what to do, feel free to contact our Anchorage, AK office at any time. We will fit you into our schedule right away and figure out the best course of treatment for your problem.