Emerging Role of Dental Practices in Oral Cancers

A Round Table Discussion titled “Emerging role of Dental Practices in Oral Cancer” was conducted at Max Hospital Vaishali on 8.8.2021. The occasion was to mark World Head and Neck Day which is observed every year on twenty-seventh July.

The round table between Dental practitioners and Oncologists discussed the importance of collaboration between the two groups to change the dismal presentation and prognosis of oral cancers. The event was organized at MAX Vaishali in collaboration with Santosh deemed to be University, ICanCaRe, and Indian Dental Association.

Dr. Pawan Gupta, Director Head, and Neck, Max Healthcare said 97 % of oral cancer patients if detected and treated early can survive more than 5 years. However, sadly most of the oral cancers present to the oncologists at a very late stage with only 20 % surviving for 5 years. Oral Cancers are easily detected, easily treated, and importantly easily prevented. The cause of oral cancers chiefly – tobacco (smoking and non-smoking), alcohol, sharp teeth, ill-fitting dentures can be easily taken care and this disease can be prevented.

Dr. Amit B Lal, Professor Santosh Dental College stressed the need for collaboration amongst the dental profession to create awareness amongst the public about oral cancers.

At MAX Vaishali an Oral Care and Tobacco cessation center was established to take care of oral cancer patients from screening, oral care, and rehabilitation before, after, and during treatment and also protocol-based tobacco Cessation intervention program.

Dr. Harshita Pandey, the specialist taking care of the oral care program at Max Vaishali said “patients come at various stages and invariably they need oral and dental care. With the establishment of this center in MAX the patients are better rehabilitated and have fewer complications during treatment as well.” Many small suspicious lesions have been detected during screening and patients treated on an OPD basis itself.

It was decided that in a collaboration understanding community program would be conducted by a team from Santosh Dental College and MAX Vaishali as per digitalized protocol established by ICanCaRe.

The Round Table was Inaugurated by Dr. Meenu Walia, Chief Clinical Head and Sr. Director MAX Health Care EZ, and Dr. Umesh Sharma, President-Elect -IDA-UP in presence of dignitaries from various Dental Colleges – IDS, Sharda, etc.

The co-convenor of the event Dr. Sanjeev Tomar conducted the event with dignitaries – Dr. Neeraj, Dr. Gagan, Dr. Sowrabh Dr. Rashi, Dr. Prekshi, Dr. Safalta, Dr. Deepankar, Dr. Gurjap, Dr. Sachin, Dr. Abhishek Rathi, Dr. Vidhi Rathi, Dr. Hemkant Verma, and Dr. Hemant Sawhney.

The Round Table ended with the participants asking for more such discussions in the future.

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Dr. Pawan Gupta M.Ch. Director Head and Neck, MAX Superspeciality Hospital, Vaishali and Founder ICanCaRe as Convenor of the Round Table on “Emerging Role of Dental Practices in Oral Cancers
Inauguration of the Round Table on “Emerging Role of Dental Practices in Oral Cancers”
Round Table Discussion Round 2 – Challenges of Collaboration at the “Emerging Role of Dental Practices in Oral Cancers”

My First Experience as a Tobacco Cessation Speaker

It was my 3rd day as an observer with Dr. Pawan Gupta, when he told me that I had to accompany him to a Rotary club function for a sensitization (awareness) talk on tobacco and its ill effects. Little did I know what was awaiting me!

We were busy the whole day with patients, and had no time, whatsoever to discuss about this talk. I was sure there must be few other members of the team as well, who will take turns to talk and I felt lucky to be able to get this opportunity to listen more to them and gain more knowledge on this topic “Tobacco cessation and oral cancer”, one of the topics, I felt, have been my favourite, since the early days of my college life.

We were supposed to leave around 2:30 pm, but just as we were waiting for our conveyance, I asked him as to who all are coming with us, and he replied “No one, as they are out of station giving sensitization talks elsewhere”!!! My heart skipped a beat, as a thought crossed my mind, “what if sir is expecting me too, to go up the stage and speak something”. Not that I haven’t talked on stage earlier. I have presented and published numerous papers, have been a Dental college lecturer for around 7 years, given numerous lectures, but I am somehow never too comfortable on stage. Although it would have been a huge honor for me to share a stage with him, but somehow I was too nervous for it.

I thought being direct would be the best option. “Sir please don’t ask me to give a talk as I am absolutely unprepared”, I told him bluntly, but politely, trying to explain that I was completely unaware that the other team members were not coming, and that I need some preparation before delivering any kind of a public speech. On this, sir, Dr. Pawan, replied, “Oh, that reminds me, even I am not prepared !!!!” Then he opened his laptop and started working, but as always, was interrupted within a few seconds and that preparation could never happen.

Our conveyance soon arrived and very soon we reached our destination. It was a small clubhouse for rotary function activities and we received a warm welcome. Very soon the function started. Dr. Pawan and I, were first asked to light up the lamps, along with other dignitaries, and then we were duly introduced and welcomed by the club secretary. During these introductions, I asked sir that how many other doctors are present in this function, to which he replied, “None, other than the two of us”!!!! I was again surprised but kept it to myself. Sir asked me, “Are you sure you wouldn’t be able to speak even for a few minutes?” It was a simple question, but I was feeling bad that he had expected me to help him & now he had to take the whole responsibility alone, so I replied, “Ok sir, I would speak a few lines about oral examination and diagnosis”, this being my specialty, I thought I will be able to talk on this topic even if not prepared. Sir was delighted. He gave a huge smile and his eyes lit up.

He was called up on stage. He started, not by talking about his work as an oncosurgeon, (which according to me, is THE NOBLEST PROFESSION, even among the noblest of the doctors) but, by introducing me and that how I am doing such a noble job of helping the tobacco addicts quit their habit, how I am travelling so much every day and that what a great person I am!!!!! I was totally embarrassed by his words, and kept thinking that how can a doctor of his experience, caliber and status be so polite, humble, and down to Earth. Instead of talking about his achievements, his miraculous surgeries and his passion to make India tobacco free, this man was talking about me, one who has just joined the organisation and just started making small efforts to bring some changes in society. I was totally floored!!! After what felt like a life-time, he finally stopped, and I could take my seat, but during that time, this great man made me take a pledge within, that now I must work really hard to prove his words true.

 He started by talking about how tobacco affects our lives, causes addiction and why it’s so difficult to leave. He was an interactive speaker as he kept asking the audience, engaging and mind boggling questions, some of them making the addicts think hard about how they are simply destroying not only their but their family’s lives as well. He spoke about the huge wastage of money by tobacco users and how they are a burden on their employer as well as the nation. He kept emphasizing that tobacco is not just a habit, it’s a disease, and that’s why it needs proper treatment, which includes repeated assessment, motivation, counselling, drugs and follow up, to help the user stay quit, as that’s the most difficult part.

When he came to the oral examination section, he proudly announced my name. Surprisingly, this time I didn’t feel nervous at all. I confidently marched up to the stage but requested him to stay upstairs as I was unaware of his slide presentation. As I opened up the first slide of this chapter, I got confused, as it was something written in Hindi, a slogan as simple as “Chhota dana bhool na jana”. There he was again, helping me by taking over and explaining the meaning in simple layman’s language. After that he again let me talk. I then talked from my own education and experience for around 5-10 minutes, after which he took over again as the next topic approached.

By the end of the session, he had successfully sensitized most of the audience, and many of them asked for his help, to which he modestly replied, “Ask madam, she would help you to quit”.

At the conclusion of the ceremony, we were felicitated & I was gifted  a beautiful potted plant, which I proudly brought back home.

Pawan sir, as he is fondly known as, is a mentor, in the true sense of the word, as he not only teaches you something, but also guides, inspires, motivates and promotes you, till the very end. And I must say that I am very fortunate to find him as my mentor. Thank you Pawan sir.

Certified Tobacco Cessation Specialists to Make Quitting Simpler and Easier

1st Batch of CTCS Participants and Faculty

ICanCaRe organized its 1st Batch on Certificate Course for Certified Tobacco Cessation Specialist endorsed by Gujarat University on 14-15th June 2019 at Max Super Speciality Hospital, Vaishali. It was tremendously sensational and an interactive sessions where experts from various specializations had participated to learn the latest techniques of cessation like Motivational Interviewing(MI), Cognitive Behavioural Therapy (CBT), Change Talk, Handling challenging responses from patients, Group Counselling, Pharmacotherapy, Relapse Prevention, Treatment Planning, Documentation, Evaluation, Community Program and Regulations for Tobacco Control in India.

Dr.S.K.Arora Delivering his Lecture
Participants Taking Assessment

Demonstration for e-cessation app and instruments required for evidence based cessation was also given to help the specialists perform a protocol based cessation with the patients to enhance the effectiveness of the patients. MI is specially designed to bring the patients from pre-contemplation to contemplation state by helping them explore their own thoughts and barriers to quitting.

Mr. Rishabh Agrawal on Role of Technology for Tobacco Cessation

There were many case discussions and role plays for different topics which led the participants to imbibe the concepts properly with the experts. Eminent speakers like Dr. Pawan Gupta, Director of Surgical Oncology at Max Hospital; Dr. S.K.Arora, Additional Director General of Health Services of Delhi Government; Dr. Rakesh Rawal, Professor and Coordinator of the course from Gujarat University and Lawyer Rabindra Mishra conducted sessions as faculty and imparted abundant knowledge to help the participants preach and practice cessation with their patients daily.

Role Plays – Played by Participants

Dr Rakesh Rawal, critically evaluated the process of training,  assessment and certification process as per the university mandate and congratulated the pioneer batch to have joined this noble preparation to save millions of Indians from tobacco, the killing agent.

Dr Rakesh Rawal, Gujarat University

Dr Shridhar Dwivedi, an eminent and senior cardiologist enlightened the participants on the history of tobacco and its severe health hazards and impact on day to day life during his lecture.

Dr Shridhar Dwivedi Delivering his lecture
Dr. Pawan Delivering his Lecture

Dr Gagan Saini, Associate Director, Radiation Oncology, Head and Neck , Max Hospital Vaishali explained the participants and equipped them with the knowledge on early detection of oral cancer lesions. During his lecture he provided the technique for oral cavity examination, neck examination for clinically examination and identification of affected areas due to tobacco use.

Dr Gagan Saini lecture on Oral Screening
Dr. Pawan Gupta Discussing Case with Participants
Our Enthusiastic Participants

None the less, the participants were very passionate and enthusiastic. Their rigor and passion to learn cessation was unmatched. They listened to all the speakers with sheer concentration and very vigilant in asking pertinent questions to clarify their doubts besides, vigourosly participating in all role plays.

The course participants included Dr Ravi Ahuja, Council Member IDA; Dr Umesh Sharma, National Secretary CDH; Dr Alok Narang, Surgical Oncologist, Max Super Speciality Hospital, Vaishali; Dr. Antosh Kumar,  Senior MO, NTPC Vindhyanagar; Dr Avnica Agrawal, Dr. Suchitra Prasad and Dr. Surabhi Sharma.

Ms Vandana Tomar critically evaluated the course process and was very appreciative of ICanCaRe’s effort to build a course with such lucid language that can be understood, learned and practiced by any healthcare professional.

The session was conducted in a span of two days. It was followed by assessment, memento distribution and a gala dinner to congratulate all participants and faculty to kick start a revolution of introducing preventive healthcare into the industry for tobacco.

Gala Dinner

With this first batch, ICanCaRe is now a team of 10 passionate, energetic and extremely talented specialists who can beat the habit of tobacco in their patients. Let’s begin the revolution and kick tobacco’s butt!

For all those who want to quit smoking or chewing, the right help is now fully available to get over your addiction of tobacco. Don’t fail self-trying again and again. Become a champion with our experts. Call ICanCaRe today on 7838783268 or visit www.icancare.in for more details!