F.A.C.T. Oral Health Protocol
Fluorescence Assessment and Cytology Testing
With both OralID and CytID in our offices, we find ourselves asking the question, "what is our Protocol for detecting and monitoring suspicious, potentially dangerous lesions in the oral mucosa?" The American Dental Association has set the mandatory protocol for detecting oral lesions as an annual health history review with a visual and tactile examination.
With advancements in technology, we now have the ability to “bring light” oral mucosal abnormalities, such as oral cancer and pre-cancer. Fluorescence technology will assist clinicians in visualization of oral mucosal abnormalities. Because OralID is not diagnostic, Forward Science has introduced the F.A.C.T. Oral Health Protocol™ to assist the office in triaging.
The F.A.C.T. Oral Health protocol will help guide us through the process of elimination
to determine the next steps in diagnoses. F.A.C.T. stands for:
Fluorescence Assessment, Cytology Test.
During the Fluorescence Assessment, we are looking for dark lesions. If you discover any lesions that appear dark, or abnormal, experts suggest you re-asses within 2 weeks. Any trauma due to thermal or mechanical damage will have healed by that time.
If the lesion is still present and continues to exhibit a loss of fluorescence, we will then move to the next step of the protocol, a Cytology Test using CytID. This simple and inexpensive test will give us a diagnostic result read by a pathologist on what is happening on a cellular level. Receiving results back in approximately a week, the readings will report Normal, Dysplastic, or Malignant along with additional notes on other conditions such as presence of fungus, bacteria, leukoplakia, etc. HPV testing is also available with CytID.
CytID liquid-based cytology is used “When You Need To Know More”, and is not a replacement for the standard of care biopsy. This will help you gain more information regarding a lesion, so we can have a more informed plan of action. In the common occurrence that the results come back normal, the patient’s mind will be at ease, but you as the clinician can also rest assured that you provided the best quality care.
So, know your F.A.C.T. Oral Health Protocol, your patients need you to!