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Dentists using more accurate checkup to screen for oral cancer

by Meg Farris / Eyewitness News

wwltv.com

Posted on September 1, 2010 at 4:55 PM

NEW ORLEANS -- Actor Michael Douglas is making news after doctors found he has stage 4 throat cancer. It's a type of cancer often times caused by smoking and alcohol.

And now local dentists have a way to find oral cancers at an earlier stage.

Debbie Stagni is getting ready to have a type of cancer screening that she's never had before.

"Cancer is no stranger to my family, so any type of screening that's out there that I have access to is important," said Stagni.

In the past her dentist, Dr. Terry Billings, has checked the inside of her mouth and under her neck manually, touching, feeling and looking for signs of oral cancer. He knows early detection is key.

"What we know is once we see it, the metastasis, or the spreading, has probably already taken place. And so many times oral cancer is the primary source of cancer, and so it can metastasize to brain, lung, lymphomas and things like that," said Metairie Dentist Terry Billings.

But today Billings is using ViziLite Plus to help him see oral lesions that might not be visible to the naked eye.

"We're able to eradicate some of the more grotesque surgeries that are resulting from the oral cancers that go unnoticed," he said.

The test is simple and quick. Stagni rinses her mouth for 40 seconds with a special vinegar-tasting solution. Then the doctor explores the mouth with the light. If there is a spot that glows, he then paints it with a special blue dye called T-Blue. That is wiped off. If the area stays blue and the dye doesn't come off, it could be cancer and you will be sent for further diagnosis by a specialist.

"I have, in my 30 years of practice, have been unfortunate to diagnose four cases of oral cancer. One was the first case, was one of my best friends from high school who is, was probably 26 at the time, and unfortunately was significantly disfigured at his death around 30," Billings said.

The main causes of oral cancer are smoking, chewing tobacco, alcohol, mouthwash with alcohol, the sun -- especially on the lips -- and spreading the HPV (human papillomavirus) through oral sex. That's the same class of viruses that cause cervical and genital cancers.

While Stagni is at very low risk for oral cancer since she has never smoked, 25 percent of people with oral cancer have no risk factors. So it's a good idea that all people 18 and older have the exam once a year.

"It was painless and only took a few minutes, and certainly it's worth it," said Stagni.

Doctors say if a mouth sore does not heal in two weeks, it needs to be checked out. Oral cancer can spread quickly to the brain, lungs and other organs.

 

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