semmelweis university 2 0 1 2 / 2 0 1 3

SEMMELWEIS UNIVERSITY / FACULTY OF DENTISTRY
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The two main risk factors are smoking and alcohol consumption, the combinationof these multiple
the risk rate. Nowadays it is noteworthy that the frequency of oral cancers is increasing in younger
age groups and among women lacking the before mentioned risk factors.
II. Methods of oral cancer screening
1. Population based methods – large number of people invited to take part in a cancer
screening, which could be combined with a general dental health assessment.
2. Oppurtunistic screening
This mean the comprehensive dental examination of a particular patient attending a dental
service. This screening is not only concentrating on detection of oral premaligmacies oral
malignancies, but also other developmental and inflammatory lesions.
Basic investegative methods of head and neck region
– detailed case history (with special aspects on tumors, life syle, persistant, non-healing lesions)
– Precise extra- and intraoral physical examination
– Novel visual examination procedures (e.g. Velscope)
Conclusion
Screening for oral malignancies is a very important part of dental examination. Lesions, persisting
two weeks after eliminating any irritating factor a special clinical examination including histology is
needed. In this way the survival possibilities of oral cancer patienst could be inhanced largely.
This shows the extreme importance of this subject in dental and medical education as well.
THEMATICS
Contemporary diagnostics of oral premalignancies and cancers
1. Importance of oral malignancies
Epidemiology, morbidites and mortality data
2. Etiological factor and pathomechanismus of oral tumors
3. Rate and efficacy of different screening methods (screen or not to screen)
4. Basic clinical signs and symptoms of oral malignancies and premalignancies I.
5. Basic clinical signs and symptoms of oral malignancies and premalignancies II.
6. Consultation
7. Possibilities of early detection and prevention
8. Diagnostic process of oral malignancies I. Traditional physical examination
9. Diagnostic process of oral malignancies II. Traditional physical examination
10. Diagnostic process of oral malignancies novel Procedures (e.g. lightningdevices)
11. Contemporary diagnostical possibilities and a multidisciplinary cooperation
12. Social and dental rehabilitation after the treatment of oral cancer
13. Consultation /Examination