Prophylaxis and screening diagnostic methods for precancerous diseases of the oral mucosa and early forms of cancer

Precancerous diseases of the oral mucosa and those of the vermillion are common pathology; in 62.7-96.4% of cases they precede the onset of cancer. Although the mucous membrane of the mouth and vermillion are visible during observation, malignant neoplasms in a large percentage of cases (more than 60%) are diagnosed by dentists in later stages. In this sense, doctors of dental medicine should pay increased attention in terms of oncological pathology, including by using additional diagnostic methods.

Currently, in order to actively detect precancerous diseases and early stages of malignant neoplasms of oral cavity and vermilion, in addition to observation and palpation of the regional lymph nodes, un innovative method of screening diagnosis – fluorescence (autofluorescence) stomatoscopy is used. As a result of autofluorescence stomatoscopy in the focus of precancerous and cancerous diseases, the intensity of luminescence is significantly reduced and they are visualized as focal nonhomogenic darkening (“dark spot” effect).

Luminescent (autofluorescence) stomatoscopy is a non-invasive, contactless method for visualizing precancerous diseases and early stages of malignant tumors of the oral cavity and vermillion, which allows increasing the efficiency of the diagnosis by using an APS LED device.

Autofluorescence stomatoscopy of the oral mucosa was performed in 25 503 patients. Precancerous diseases were detected in 110 patients and 28 patients were diagnosed with cancer of the oral mucosa and vermillion. In 2421 patients who did not have complaints, inflammatory diseases of the oral mucosa were identified.

The obtained results testify the effectiveness of using autofluorescence diagnostics with the LED device APS in the conditions of dental treatment in order to keep oncological vigilance.

Prof. Lyudmila Maksimovskaya

PROFESSIONAL EXPERIENCE

1972 Graduation of Moscow State University of Medicine and Dentistry

1972 – 2000 Consequently become оrdinator, assistant professor, associate professor and professor at the Department of Therapeutic Dentistry at MSUMD, A. I. Evdokimova

2000 – present Head of Department “Therapeutic Dentistry” at MSUMD, A. I. Evdokimova

EDUCATION

1972 Higher education. Specialty DENTISTRY
1992 Doctor of medical science
1995 Awarded scientific rank Professor

PERSONAL SKILLS

Russian language – native language
English language – С1/С2
SCIENTIFIC ACTIVITY

Publications -250 in Russian and foreign editions
Presentations – 95 papers and reports
Participation in scientific conferences – 147
Seminars – 95
Awards and prizes: «Honorable Doctor of Russian Federation »
Memberships: Member of the Dental Association of Russia
Certifications: ” Therapeutic Dentistry “, “General Dentistry “