Vizilite

 ViziLite Plus  By: Shayla & Lyndsay ViziLite Plus is a oral cancer screening aid. It aids in the detection of oral cancer lesions and helps save lives. (Zila, 2011)

Goal:

To make dental hygienists more familiar of the benefits of using oral cancer screening aids, such as ViziLite Plus.

Learning Objectives: • Identifying who is at risk for developing oral cancer. • What Vizilite Plus is. • How ViziLite Plus works. • How to use ViziLite Plus. • The healthcare professionals that perform oral cancer screening aids like ViziLite Plus. • Positives and Negatives of ViziLite Plus. • If ViziLite Plus is covered by insurance.

media type="custom" key="11325542" align="left" width="32" height="32"  ViziLite Plus Informative Video media type="youtube" key="ddvxymHvo2o" height="315" width="420" align="right"

(Dental 360, n.d)

(Jkpcguru, 2010) Today, dental hygienists or oral health care professionals will learn about a new innovative oral cancer screening aid by the name of ViziLite Plus.

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 300%;">REVIEW:

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;">Whose At Risk For Oral Cancer:

<span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• Everyone is at risk for oral cancer, but those who smoke or drink <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">alcohol have a higher risk of developing oral cancer. <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">•Clients with systemic diseases such as Diabetes, and HIV are <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">at an increased risk of oral cancer as well. <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">•Clients that are between the ages of 18-49.

(Alanta Dental, n.d)

(Englewood Dental, 2010)

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;">What is ViziLite Plus?

<span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif;">"ViziLite Plus with TBlue is the leading oral cancer screening system that was developed to help oral healthcare professionals identify, evaluate, monitor and mark abnormal oral lesions suspicious for pathology including precancerous cells and cancer tha <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; line-height: 25px;">t may be difficult to see during a regular visual exam" <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%; line-height: 25px;">(Zila, para.1, 2011). (Klemes Dental Associates, n.d)

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;">When is ViziLite Plus Used?

<span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">This oral cancer screening system is used while a oral healthcare professional is performing an intraoral exam and can be used on a high risk, or not high risked client.

<span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif;">ViziLite Plus is a great tool for the dental hygienist to use on client's to help detect oral cancer, it is important to detect sus <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; line-height: 25px;">picious lesions early before they manifest into bigger and more serious lesions.

<span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%; line-height: 25px;">(Zila, 2011)

(Cahaba Dental Arts, n.d)

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;">How it Works:

<span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">When a healthy cell starts to alter and begins to transform a cancerous cell it causes the DNA replication to increase throughout those cells at a much faster rate. This causes the DNA within these now cancerous cells to start to occupy more space within the cell, and causing it to take over. this can cause the DNA to take up a substantial amount of the cell. How VizilLite Plus works is that when these cells begin transforming into cancerous cells the ViziLite Plus is able to pick up these differences within the cell. The solution that the client rinses with helps to dry out the surrounding tissues which causes the lesions to become more noticeable. Then the ViziLite Plus handheld light is then used and it reaches the base of these suspicious lesions and have an illuminating factor to them. (Zila, 2011) (Dentalblog.com, 2009) (Peterson, 2008)

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;">Who Can Perform ViziLite Plus:

<span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• A dentist, a dental hygienist, nurse, or doctor is able to use the ViziLite Plus. <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• The findings must be discussed with the client by the dentist since dental hygienists are not able to diagnose. <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 17px; line-height: 25px;">

(Masterfile, 2011) (Ficarra, 2010)

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;">Package Contents: <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• Pre-Rinse Solution <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• Handheld Light Stick  <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• TBlue Marking System  <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• Disposable Retractor  <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• Single-use Dose Cup  <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">(Zila, 2011) (PR Newswire, n.d)

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;"> How to Use ViziLite Plus: media type="custom" key="11343324" (Zila, 2011) media type="youtube" key="4Y_owRwRp-8" height="315" width="420"

(Leviverson, 2011)

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;">Positives of Using ViziLite Plus: <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• Aids with the early detection of oral cancer <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%; text-align: left;">• Is cord-free and able to move around easily within the oral cavity  <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%; text-align: left;">• Helps to see lesions more clear compared to with the naked eye. Here is a lesion that was coloured blue using the TBlue portion of the ViziLite kit. (Zila, 2011)

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;">Negatives of Using ViziLite Plus: <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• Not every insurance covers oral cancer screenings <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• No part of the kit is reusable therefore is quite wasteful. <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• Only identifies white lesions. <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;"> (Bregman, 2008)

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;">Clients Who Should Not Use ViziLite Plus: <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• Children <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• Lactating or pregnant women <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">• People with renal or liver impairment <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">•Those hypersensitive toTBlue630 ingredients <span style="color: #1a1a18; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">(Alanta Dental, n.d)

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;">Is ViziLite Plus Covered Under Insurance?

<span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">CDT CODE: D0431 <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">This code in 2005 was passed by the american dental association that included oral screening exams. “The relevant passage read: ‘Adjunctive pre-diagnostic test that aids in the detection of mucosal abnormailities including pre-malignant and malignant lesions not to include cytology or biopsy procedures’”(Zilla, para. 2, 2011). Since ViziLite Plus is not a biopsy procedure it falls underneath this code. Not all insurance companies are not refunding back the cost of the ViziLite Plus procedure, or other oral cancer screening aids. It is very important to check prior to the procedure if their insurance company does cover the procedure incase lack of financial resources are a factor. Some medical insurances tend to cover ViziLite Plus and similar procedures. A couple of the codes are 82397, Chemiluminescent assay, 99201 for new patients. <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">(Zilla, 2011)

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;">Where Can You Purchase ViziLite Plus: <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">Through Zila Customer Service, as well as most major dental distributors will carry ViziLite Plus. <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif;">The link for Zila Customer Service is: zilapro@zila.com <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif;">Phone Number: 1- 800-228-5595 <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif;">Pricing varies, but most are sold at $19.95/40-pack unit (Dental 360, n.d)

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;">Summary Video: media type="youtube" key="YL079XqPcEU" height="315" width="420" (Agatep, 2008)

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;">Key Points:
 * <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">Everyone is a risk for developing oral cancer, especially people who smoke or drink alcohol.
 * <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">ViziLite Plus is an oral cancer screening aid which helps oral health professionals detect anything abnormalities in the oral cavity.
 * <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;"><span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif;">ViziLite Plus helps in detecting oral cancer by cells begin transformed into cancerous cells. The ViziLite Plus wand is able to pick up these differences within the cell, the solution that the client rinses with helps to dry out the surrounding tissues which causes the lesions to become more noticeable.
 * <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">Advantages of VizilLite Plus: aids in detections of oral cancer, cordless, and helps lesions become more obvious.
 * <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">Disadvantages of ViziLite Plus: not all insurance covers it and it only makes white lesions noticeable.
 * <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">Costs approximately $19-40.
 * <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">Children, pregnant women, people with liver and renal impairments are all contraindicated for the use of ViziLite Plus.

<span style="background-color: #006eff; border-bottom-style: double; border-left-style: double; border-right-style: double; border-top-style: double; color: #ffffff; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 275%;">Learning Outcomes:
 * 1) <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">Who is at risk for oral cancer?
 * 2) <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">What is ViziLite Plus and what healthcare professionals use it?
 * 3) <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">What is the cost of ViziLite Plus?
 * 4) <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">What are the positive and negative aspects of ViziLite Plus?
 * 5) <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">Who should not use ViziLite Plus?
 * 6) <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">What are the 4 steps of performing a ViziLite Plus examination?
 * 7) <span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 170%;">Will insurance cover ViziLite Plus?

<span style="font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%;">References <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; text-align: left;"> Agatep, K. (2008). //Vizilite-oral cancer//. Youtube. [Video File]. Retrieved November 15, 2011 from http://www.youtube.com/watch?v=YL079XqPcEU <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; text-align: left;"> Alanta Dental. (n.d). //ViziLite plus faqs.// Retrieved November 15, 2011 from http://www.atlantadentalarts.com/vizilite-plus-faqs#%7BB8308002-3088-4A29-B550- D2F6B113C81C%7D <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">Bregman. (2008). //Early oral cancer detection and screening: The dental team is the front line. Dental Compare.// Retrieved November 15, 2011 from http://www.dentalcompare.com/Featured-Articles/2017-Early-Oral-Cancer-Detection-and-Screening-The-Dental-Team-is-the-Front-Line/ <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">Burkhart. (2009). //The intraoral and extraoral exam.// Dentalcare.com. [Online Image]. Retrieved November 15, 2011 from http://www.dentalcare.com/en-US/dental-education/continuing-education/ce337/ce337.aspx <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">Cahaba Dental Arts. (n.d). //Prevention.// [Online Image]. Retrieved November 15, 2011 from http://cahabadentalarts.com/Education/Prevention.aspx <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">Dental 360. (n.d). //Vizilite plus with tblue//. Retrieved November 15, 2011 from http://www.dentalproductshopper.com/vizilite-plus-tblue <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">Dental 360. (n.d). //Vizilite plus with tblue//. [Online Image]. Retrieved November 15, 2011 from http://www.dentalproductshopper.com/vizilite-plus-tblue <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">Dentalblogs.com. (2009). //ViziLite plus and tblue win hygienetown award//. [Online Image]. Retrieved November 15, 2011 from <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">http://www.dentalblogs.com/archives/administrator-2/vizilite®-plus-and-tblue®-win-hygienetown-award/  <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">Englewood Dental. (2010). //Don't smoke your teeth away//. [Online Image]. Retrieved November 15, 2011 from http://englewooddentalblog.com/2010/08/don’t-smoke- <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;"> your-teeth-away/  <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">Ficarra. (2010). //Doctor-nurse relationship: How to energize and engage the doctor and nurse team.// [Online Image]. Retrieved November 15, 2011 from http://healthin30.com/2010/09/doctor-nurse-relationship-how-to-energize-and-engage-the-doctor-and-nurse-team/ <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; text-align: left;"> Jkpcguru. (2010). //ViziLite oral cancer screening//. Youtube. [Video Image]. Retrieved November 14, 2011 from http://www.youtube.com/watch?v=ddvxymHvo2o <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">Klemes Dental Associates. (n.d). //Vizilite plus.// [Online Image]. Retrieved November 15, 2011 from http://www.klemesdentalassociates.com/vizilite.htm Leviverson. (2011). //ViziLite oral cancer screening by burnsville dentist nancy holm dds.// Youtube. [Video Image]. Retrieved November 15, 2011 from http://www.youtube.com/watch?v=4Y_owRwRp-8 <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;"> Mastfile. (2011). //Dentist and dental hygienist working.// [Online Image]. Retrieved from http://www.stock-images-men.com/enlarged/631-01368842/Dentist-and-dental-hygienist-working/2 <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">Peterson. (2008). //Vizilite//. Family Gentle Dental Care. [Online Image]. Retrieved November 15, 2011 from http://www.dentalgentlecare.com/vizilite.htm <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">PR Newswire. (n.d) //Zila, a tolmar company, launches ViziLite plus angled exam mirror to aid in the early detection of oral cancer.// [Online Image]. Retrieved <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">November 15, 2011from http://www.prnewswire.com/news-releases/zila-a-tolmar-company-launches-viziliter-plus-angled-exam-mirror-to-aid-in-the-early-detection-of-oral-cancer-97292749.html  <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">Zila. (2011). //Vizilite.// [Online Image]. Retrieved November 15, 2011 from http://www.zila.com/40/ <span style="display: block; font-family: 'Palatino Linotype','Book Antiqua',Palatino,serif; font-size: 110%; text-align: left;">Zila. (2011). //Vizilite//. Retrieved November 15, 2011 from http://www.zila.com/40/