Oral Cancer Screening
Oral Cancer Screening
Oral cancer screenings can identify the signs of disease before it has spread. This may be beneficial to those in high-risk groups. Regular oral cancer screenings can give patients the advantage of treating cancer in the early stages when there is a higher chance for remission.
Why Have Regular Oral Cancer Screenings?
Regular oral cancer screenings can be as important as regular dental checkups. Fortunately, patients can ask to get both procedures done at the same time. As per the National Cancer Institute, oral cancer symptoms tend not to appear until the disease has spread. Early detection may make oral cancer easier to treat when the chances for remission are higher.
According to WebMD, everyone should have a dental checkup at least once a year. However, experts have yet to reach a consensus on how often patients should go in for an oral cancer screening. A dentist may be able to conduct a comprehensive exam to determine how frequently a patient should have screenings.
“Early detection may make oral cancer easier to treat when the chances for remission are higher.”
▣ Groups at High Risk for Oral Cancer
Certain groups may benefit from regular oral cancer screenings more than others. Common risk factors include but are not limited to:
▣ A history of oral cancer
▣ Certain types of human papillomavirus (HPV)
▣ Regular consumption of a lot of alcohol
▣ Excessive amounts of time spent in the sun
▣ Tobacco use, in any form
Patients may find it beneficial to consult a professional about their medical history to better determine their risk for oral cancer.
“Some groups may benefit from regular oral cancer screenings more than others.”
▣ Limitations of Oral Cancer Screenings
Although regular oral cancer screenings are integral to maintaining good health, Mayo Clinic points out that it may be difficult to detect abnormal cells through a simple visual exam. Thus, there is always a possibility that a small sign of cancer or precancerous lesion could go undetected.
A group of unusual cells does not always mean that the patient has cancer. Rather, the patient will have to undergo a biopsy to get a definitive answer. If it is cancerous, then early detection will afford the patient more treatment options.
While the evidence does not yet link screenings with reduced oral cancer deaths, regular screenings may help identify cancers early at a time when remission is more likely.
“While the evidence does not yet link screenings with reduced oral cancer deaths, regular screenings may help identify cancers early at a time when remission is more likely.”
▣ What to Expect During an Oral Cancer Screening
Oral cancer screening requires no special preparation, and patients can typically expect screening to take place during a routine dental appointment. In most cases, a basic oral cancer screening will consist of the dentist taking a thorough look at all the parts of the patient's mouth, including:
▣ The back of the throat
▣ The gums
▣ The insides of the cheeks
▣ The outside and the inside of the lips
▣ The roof of the mouth
▣ The tongue
Patients with dentures must remove the devices to allow Chandler Goltz, DMD to check the tissue underneath, along with the area underneath the jaw.
All in all, the screening should take less than five minutes.
“There is no special preparation required for an oral cancer screening, and patients can typically expect screening to take place during a routine dental appointment.”
▣ Additional Tests After Oral Cancer Screenings
Depending on the patient's situation, the dentist may perform special tests in addition to the basic screening. More in-depth oral cancer screenings can involve the patient rinsing their mouth with blue dye to make any unusual cells more visible. Additionally, the dentist may choose to shine a light in the patient's mouth during the exam. This light will "highlight" abnormal tissue by making it appear white.
If any of these tests find signs of oral cancer or any possibly cancerous lesions, then the patient should undergo a biopsy. This procedure consists of removing a sample of cells for laboratory testing. The patient may also need to make a follow-up appointment to see if the abnormal area has grown or changed since detection.
“Depending on the patient’s situation, the dentist may perform special tests in addition to the basic screening.”
Frequently Asked Questions
Do oral cancer screenings hurt?
What are the warning signs of oral cancer?
▣ Changes in denture fit
▣ Difficulty or discomfort swallowing
▣ Diminished ability to perform normal oral functions (such as chewing, opening jaw, swallowing)
▣ Mouth sores or ulcers, especially if they bleed easily or do not heal
▣ Pain and tenderness in teeth or gums
▣ Red or white patches in the mouth
▣ Unexplained lump in the neck, throat, or floor of the mouth
▣ Unexplained swelling or fullness in the neck
▣ Visible changes in the mouth tissue
Which parts of the body can be affected by oral cancer?
How can I decrease my chances of getting oral cancer?
What are the stages of oral cancer?
A biopsy is a medical test that a medical professional uses to extract a sample of tissue to determine the exact cause of a disease.
▣ Dental Checkup
A dental checkup is an appointment that involves cleaning the teeth, identifying any signs of infection and removing said signs of infection at least once every six months in the office.
▣ Dental Prophylaxis
A dental prophylaxis is a thorough cleaning procedure that involves preventing the spread or continued growth of periodontal disease and gingivitis.
Dysphagia is the difficulty or discomfort that one can experience when swallowing due to this disease.
Gingivitis is the inflammation of gum tissue that results from plaque, other infections in the mouth and poor oral hygiene.
▣ Oral Cavity
The term oral cavity is another name for the mouth, including the lips, cheeks, gums, teeth, the front of the tongue and the roof of the mouth.
▣ Oral Mucosa
The oral mucosa is the mucous membrane that lines the inside of the mouth consisting of oral epithelium and lamina propria.
▣ Oral Squamous Cell Carcinoma
Oral squamous cell carcinoma is a common form of oral cancer that occurs within the mouth, which can also result from excessive smoking and alcohol use.
▣ Precancerous Lesions
Precancerous lesions are morphologically altered tissue that has a high probability of causing oral cancer to occur in those specific spots.
Tartar forms when plaque builds up on the surface of the teeth and calcifies into a hard surface that is much more difficult to remove and will require professional treatment.