Oral Cancer

Oral Cancer Prevention

Oral cancer, the sixth most common cancer, accounts for about 3.6 percent of all cancers diagnosed, with roughly 40,000 new cases reported annually in the United States. The vast majority of oral cancers occur in people older than 45 years, with men being twice as likely as women to develop the disease. The most frequent sites are the tongue, the floor of the mouth, soft palate tissues in back of the tongue, lips, and gums. If not diagnosed and treated in its early stages, it can spread, leading to chronic pain, loss of function, irreparable facial and oral disfigurement following surgery, and even death. Your general dentist can perform a thorough screening.

What causes oral cancer?

Scientists aren’t sure of the exact cause of oral cancer. However, the carcinogens in tobacco products, alcohol and certain foods, as well as excessive exposure to the sun have been found to increase the risk of developing the disease. Risk factors may also be genetically inherited.

What are the warning signs to watch out for?

Oral cancer-represented by red, white or discolored lesions, patches or lumps in or around the mouth-is typically painless in its early stages. As the malignant cancer spreads and destroys healthy oral tissue, the lesions or lumps become more painful. However, it is sometimes difficult to self-diagnose so routine dental exams are recommended. See your dentist immediately if you observe: any sore that persists longer than two weeks; a swelling, growth or lump anywhere in or about the mouth or neck; white or red patches in the mouth or on the lips; repeated bleeding from the mouth or throat; difficulty swallowing or persistent hoarseness.

How does a dentist screen for oral cancer?

Your dentist should screen for oral cancer during routine checkups. He or she feels for lumps or irregular tissue changes in your neck, head, cheeks and oral cavity, and thoroughly examines the soft tissues in your mouth, specifically looking for any sores or discolored tissues.

How to treat oral cancer?

If your dentist suspects oral cancer, they will require a biopsy of the lesion to confirm the diagnosis. If confirmed, you will need surgery to remove the tumors, which may cause disfiguration. Radiation therapy may help as part of the treatment.

What can I do for prevention?

Oral cancer accounts for roughly 9,000 deaths annually (about 3 percent of all cancer-caused deaths). Of all major cancers, oral cancer has the worst five-year survival rate at about 54 percent. Because it is usually not diagnosed in its early stages, less than half of all patients are cured. You can help prevention of this disease by not smoking, using spit tobacco and drinking excessive alcohol. When combining tobacco use and alcohol, the risk increases 15 times more than non-users of tobacco and alcohol products. Research suggests that eating plenty of fruits and vegetables may safeguard against oral cancer.

Because successful treatment and rehabilitation are dependent on early detection, it is extremely important to see your dentist for a screening and regular checkup at least every six months. The earlier the discovery, the greater your rate of survival increases. During your next dental visit, ask your dentist to do an oral cancer screening.

Sources: American Cancer Society; Luke F. Matranga, DDS, MAGD, CBGD, past president of the AGD; “The War on Oral Cavity and Pharyngeal Cancer,” by Dr. Harold Slavkin, JADA, April 1996; “U.S. Adult Knowledge of Risk Factors and Signs of Oral Cancers: 1990,” by Dr. Alice Horowitz, et. al., JADA, January 1995; “The Early Warning Signs of Oral Cancer,” by Edmund Cataldo, Dental Hygienist News, Spring 1994.