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Dr. Mala N P Singh

Dentist, Chennai

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Dr. Mala N P Singh Dentist, Chennai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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Dr. Mala N P Singh is a popular Dentist in Anna Nagar, Chennai. You can visit her at Dr. Mala N P Singh's Clinic in Anna Nagar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Mala N P Singh on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 37 years of experience on Lybrate.com. You can find Dentists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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G 3 Ap 3362 A F Block, 8 Th Street 11 Th Main Road, Anna Nagar.Landmark: Near Nilgiris Super Market, ChennaiChennai Get Directions
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Oral Cancer - In A Nutshell!

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology For Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), PG Diploma In Clinical Counseling, PG Diploma In Oncology & Haematology (A.M), Ayurveda (I) Certification, Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.)
Alternative Medicine Specialist, Bhubaneswar
Oral Cancer - In A Nutshell!

Oral cancer (OC) occurs when DNA mutations develop in the cells lining the lips and the mouth cavity. It commonly affects the tongue, floor of mouth, buccal mucosa, lips, palate, gum etc all. Mostly, oral cancers are squamous cell carcinomas that begin in the squamous cells lining the lips and the inside of mouth.

  1. Type: of oral cancer are as enumerated below -

    1. Squamous cell carcinoma: is the most common, as described above.

    2. Adenocarcinoma: affects the salivary glands.

    3. Lymphoma: affects the tissues of the tonsil(s) or those involving the lymphatic system.

    4. Melanoma: may affect the mucous tissues of the oral cavity.

  2. Gender: affects the male populace predominantly. But, it can affect both male and female. It’s the commonest cancer in India currently, and accounts for a significant percentage of the total cancer mortality.

  3. Etiology: consumption of “khaini” (tobacco & lime mix), betel nut, areca nut, slaked lime, chronic irritation due to irregular teeth, smoking, alcohol consumption, oral infection with Herpes Simplex Virus (HSV) / Human Papilloma virus (HPV), nutritional deficiencies, chronic infections & poor dental/ oral hygiene are the common risk factors that can trigger oral carcinogenesis. It is noteworthy that the local effects of tobacco and alcohol are both dose-dependent and synergistic.

  4. Features: the various presentations (of signs & symptoms) of Oral cancer are as given below –

    1. Cheek cancer - hard and painless thickening, with an ulcer sometimes that does not heal for weeks together.

    2. Lip cancer - white patch on the inner lining of the lip on which a hard mass slowly develops.

    3. Palate cancer- persistent sore on the hard palate that may ulcerate.

    4. Throat cancer - difficulty swallowing, sore throat, voice changes, feeling of hard lump in the throat.

    5. Tongue cancer - ulcer on the side of the tongue that bleeds occasionally and does not heal.

    6. Gum cancer and cancer of the minor salivary glands - loose teeth, bad breath and sensory loss of the feelings in the face

  5. Screening: is generally recommended for asymptomatic populations goal of which, as usual, is to be able to detect & diagnose oral cancer at an early stage which is potentially curable. Visual screening by healthcare personnel including dentists, general practitioners, oncologists, surgeons etc all is crucial to detect not only early asymptomatic oral cancers but also the oral pre-cancerous lesions including oral submucous fibrosis (OSMF), oral leukoplakia, erythroplakia et al which carry a high risk of malignant transformation to in-situ and invasive cancers.

  6. Diagnosis: a complete physical exam of the local parts basis the features mentioned above arouses suspicion that prompts diagnosis -

    1. Biopsy (punch or removal of mass of tissue (excision) for cytology) clinches the diagnosis of oral cancer. Should there be a neck mass that arises suspicion of a regional metastatic disease, a fine needle biopsy (FNB) can be attempted.

    2. Initial staging workup includes CT, MRI scans etc all. PET CT scan though frequently employed, is not usually used for the initial workup.

    3. A triple endoscopy that includes laryngoscopy, esophagoscopy and bronchoscopy can help definitive staging of the disease. Biopsies obtained during this procedure help confirm the primary diagnosis, define the extent to which the primary site disease has spread, and identify additional pre-malignant lesions and metastasis, if any.

  7. Treatment / Prognosis: preventive measures, earlier diagnosis and right early treatment is key for better prognostication and efficient/ effective therapeutic management of oral cancer. Conventional treatment includes surgery, radiotherapy, chemotherapy as deems appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical endpoints and facilitate recovery as would be feasible contextually. As seen with other cancers, the site, stage, histopathological grading etc all determine the treatment outlook. The number of micronucleated oral mucosal cells can be a useful biomarker for predicting course of oral pre-cancerous lesions and prognosis thereof.

  8. Prevention: rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an increased focus on protective factors and avoidance of the risk factors can be of help. Especially, abstaining from use of tobacco/ products, alcohol, regularly maintaining oral health and hygiene and daily intake of fresh seasonal fruits and vegetables can help prevent a vast majority of oral cancers. Also, timely screening/ detection of the pre-cancerous lesions of the oral cavity and prompt treatment thereof is crucial to preventing a malignant transformation of the same. If you wish to discuss about any specific problem, you can ask a free question.

3555 people found this helpful

Sir, I was suffering from tooth (Molars) pain and finally go to hospital and removed it, but sir I found much more empty space in mouth. Sir my question is what should I do should I use artificial tooth or not if yes then PLZZ tell me who much it costs.

BDS, Masters in Immediate Loading Implants, Digital Smile Degin , Fellowship in Implantology
Dentist, Gurgaon
Sir, I was suffering from tooth (Molars) pain and finally go to hospital and removed it, but sir I found much more em...
Dental implant is best solution for missing teeth ranges from 15,000-50,000 different companies of implants are available in market. Visit your dentist fr more details.
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My teeth bleed and has tarter ,i have recently consulted a dentist about the cleaning process whether I can go for cleaning treatment .He suggested me to take scaling treatment can I know the benefits of that ? Is that really use full to me, and also the cost of that treatment?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
My teeth bleed and has tarter ,i have recently consulted a dentist about the cleaning process whether I can go for cl...
All individuals requires scaling (cleaning) to be done atleast once in 6 months to maintain our oral hygiene clean. Our toothbrush is not much finely designed to clean all the plaque and calculi in the interdental areas of the teeth, which is the area where most of the calculus accumulate much and has to be removed regularly using scalers by the dentist.
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I m 35 year old I eat gutka from last 18 years regularly Now want to stop itAnd want my teeth to be stain free what to do to get my teeth clear.

BDS
Dentist, Hyderabad
I m 35 year old I eat gutka from last 18 years regularly Now want to stop itAnd want my teeth to be stain free what t...
Dental scaling 2 sittings but after scaling don't start again eating gutka and cancer is at high risk so please think about your loved ones before you start that habit again.
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When I eat Icecream or any thing which is cold. Start pain in teeth tell me sir what should I do.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
When I eat Icecream or any thing which is cold. Start pain in teeth tell me sir what should I do.
Homoeopathic tooth paste hypericum 1x (wilmar schwabe india) chew 1 tab twice daily kreosote q (sbl) rinse your mouth with 15 drops in 20 mlluke warm water twice daily homoeodent tooth paste (sbl) heklalava tooth powder (wheezal) use at night precaution 1. Afways scrub teeth with above powder before sleep at night 2. Avoid extreme hot and cold things 3. Avoid sour things 4. Rinse your mouth with rinseout (sbl, everytime you eat or drink anything during the day.
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My mouth is closed because of eating gutkha. Is there any tablet or way to open it.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
My mouth is closed because of eating gutkha. Is there any tablet or way to open it.
Consult a maxillofacial surgeon you may require surgery med n physiotherapy it's likely to be osmf a precancerous condition. Stop gutka.
1 person found this helpful
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I am 26 year old male. Having many bad teeth, consulted a doctor and he told he will bridge correct 22 teeth and it will cost around 1.2 lacs. Is any option there?

MDS Prosthodontics, B.D.S
Dentist, Kolkata
There are many options, but it is needed that you get a full mouth xray done and post it along with your clinical pictures, so that we all can help you with our advise.
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Sir/Mam, how can we remove strains from our teeth? And how can we make our teeth white.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Sir/Mam, how can we remove strains from our teeth? And how can we make our teeth white.
Homoeopathic medicine HEKLA LAVA TOOTH POWDER ( WHEEZAL) Scrub teeth daily night RINSEOUT ( SBL) Gargles 20 drops in 20 ml luke warm water.Gargles 3 times daily while holding water for 20 seconds in mouth esp.after meals.
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I have cavity and tooth decay. Its around 2 years now. Doctor told to have a root canal one year back. Since then I had no pain. However I still avoids eating from that side of teeth as I know that it will start giving pain. Is there any way to reverse tooth decay and let the tooth heal naturally? I heard about oil pulling as one remedy. What you suggest? Please advise.

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
I have cavity and tooth decay. Its around 2 years now. Doctor told to have a root canal one year back. Since then I h...
Hello, the best treatment for tooth decay and infection is root canal treatment. I don't know much if oil pulling will help. But do not wait long for the treatment as the tooth may start to break and then even root canal will not be possible, you will have to go for extraction. So trust your doctor and go ahead with the treatment advised by your dentist.
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I recently extract my tooth. But the pain is unbearable. I tried many medicines and pain killers but didn't work. please help me.

Certified Implantologist, BDS
Dentist, Mumbai
I recently extract my tooth. But the pain is unbearable. I tried many medicines and pain killers but didn't work. ple...
You may have infection at the extraction site. Visit the dentist who did your extraction. He/she will give you antibiotics and analgesic after cleaning the wound (irrigating the wound). In the mean time use betadine gargles dilute it with equal amounts of water and rinse gently 3-4 times a day.
1 person found this helpful
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