Oral Cancer Screening, Prevention, and Detection

Oral cancer is one of the most common cancers, with roughly 35,000 new cases reported annually in the United States. The vast majority of oral cancers occur in people older than 50 years, with men being twice as likely as women to develop the disease. The most frequent oral cancer sites are the tongue, the floor of the mouth and soft palate tissues in back of the tongue, lips and gums. If not diagnosed and treated in its early stages, oral cancer can spread, leading to chronic pain, loss of function, irreparable facial and oral disfigurement following surgery and even death. Dr. Guerra can perform a thorough screening for oral cancer.

Oral Cancer Screening and Treatment

Dr. Guerra and Carol will screen for oral cancer during routine checkups. They feel 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.

If your dentist suspects oral cancer, a biopsy of the lesion is required to confirm the diagnosis. Surgery is required to remove the tumors, which may cause disfiguration. Radiation therapy and chemotherapy may be used as part of the treatment.

What Causes Oral Cancer?

Scientists aren't sure of the exact cause of oral cancer. However, the carcinogens in tobacco products and alcohol, as well as excessive exposure to the sun, have been found to increase the risk of developing oral cancer. Research also suggests that some forms of oral cancer may be caused by the human papillomavirus (HPV).

What are the Warning Signs of Oral Cancer?

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, oral cancer is sometimes difficult to self-diagnose, so routine dental exams are recommended. See Dr. Guerra 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 Can I Prevent Oral Cancer?

You can help prevent oral cancer by not smoking, using spit tobacco or drinking excessive alcohol. The risk of oral cancer is 15 times higher in those who both smoke and drink compared to 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 regularly check your mouth for changes in appearance and see Dr. Guerra for an oral cancer screening and regular checkup at least every six months. Survival rates greatly increase the earlier oral cancer is discovered and treated. During your next dental visit, ask Dr. Guerra or Carol to do an oral cancer screening. Remember, however, that 20-25% of those who develop an oral cancer have NO risk factors (i.e. smoking or drinking).