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.
Oral cancer screenings are available at Oak Tree Dental in Poway and the surrounding area. Early detection may make cancer treatment more effective. Call us at (858) 748-2101 to schedule an appointment today.
Signs that could indicate a need for a screening test
Many people who receive care from a dentist receive oral cancer screenings even though they do not have any signs of a specific need for the test. Oral cancer screenings, similar to screenings for tooth decay or gum disease, are typically a component of a routine dental check-up.
Some people may have specific signs that might indicate a need for an oral cancer screening, including:
- A change in the mouth tissue, such as a thickening, or rough spot
- An ulcer, or eroded area of the mouth
- Discolorations, such as new red or white patches in the mouth
- Hoarseness, sore throat, or feeling of something stuck in one’s throat
- New problems such as difficulty with speaking, moving one’s tongue or jaw, closing one’s teeth together, chewing, or swallowing
- Pain or numbness in the lips or other mouth structures
- Unexplained bleeding in the mouth
- Weight loss
If a patient experiences one of the above symptoms, particularly if it is changing quickly or causing pain, an oral cancer screening can help put their mind at ease.
“This is because oral cancer screenings, similar to screenings for tooth decay or gum disease, are typically a component of a routine dental check-up.”
What to expect during the test
Oral cancer screenings are typically integrated into a routine dental check-up, so a patient may not even notice when a dentist is performing a screening exam. During the typical oral cancer test, the dentist will examine the entire oral cavity, including the lining of the cheeks, the gums, the tongue, the hard palate, the back of the throat, and the lips. The patient may feel the dentist moving their gloved fingers along these structures to palpate the tissue, but the exam should not cause any pain or discomfort. The dentist will also look globally at the structures of the face and neck, checking for symmetry.
To do a more in-depth screening, some dentists may use a special blue light to assess particular areas. If a spot of interest is detected during oral cancer screening, the dentist may perform a biopsy or refer the patient to another provider for this procedure.
“The patient may feel the dentist moving his or her gloved fingers along these structures to palpate the tissue, but the exam should not cause any pain or discomfort.”
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.”
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An oral cancer screening is simple enough to be performed during every check-up, and the American Dental Association recommends a thorough evaluation of the oral cavity during a regular exam.
For most patients, a dentist will advise a routine dental visit every six months, so some form of oral cancer test may be administered twice yearly. Some dentists may conduct a more formalized oral screening at a different interval. For patients who have a history of oral cancer or who have significant oral cancer risk factors, a dentist may conduct more frequent oral screenings.
“For most patients, a dentist will advise a routine dental visit every six months, so some form of cancer screening may be administered twice yearly.”
Questions answered on this page
Q. What are the limits of oral cancer screenings?
Q. What are signs of oral cancer?
Q. What is an oral cancer screening like?
Q. How often should a patient get an oral cancer screening?
Q. What happens after an oral cancer screening?
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What happens after an oral cancer screening?
After the dentist evaluates the mouth and surrounding structures for signs of oral cancer, the patient will be able to continue with their daily routine as usual, without restrictions. The dentist will discuss any potential areas of concern and may ask that the patient return to the office in a few weeks for a re-evaluation, to see if the areas have changed or resolved. The dentist will not be able to tell for sure if an area of focus is cancerous, so more tests may be needed. If the patient has been scheduled for a biopsy, that patient will receive further instructions about how to prepare.
“The dentist will discuss any potential areas of concern and may ask that the patient return to the office in a few weeks for a reevaluation, to see if the areas have changed or resolved.”
Frequently asked questions
According to the American Dental Association, more than 50,000 people in the U.S. are diagnosed with oral cancer every year. While this is intimidating, you can lower your risk of developing oral cancer by avoiding tobacco and alcohol. It is also wise to stay on top of oral health by following a regular check-up schedule.
The American Cancer Society notes that people who drink heavily are more likely to develop oral cancers than those with light or no alcohol intake. People who pair heavy drinking with heavy tobacco smoking increase their risk even further. The people who combine these activities have a risk of oral cancer that is 30 times higher than those who abstain from alcohol and tobacco.
The most important thing you can do to prevent the development of oral cancer is to avoid using tobacco products. Limiting your alcohol intake can also reduce your risk. Because of the association between oral cancers and HPV, it is also recommended that preteens get two doses of the HPV vaccine, as this could prevent oral cancers.
If the dentist identifies a suspicious area in the mouth during oral cancer screening, he or she may recommend a biopsy. A biopsy is a procedure that removes a small piece of tissue so that it can be examined more closely, by a pathologist. This may be done using several different methods, including a needle, a scalpel, or a specialized tool. Some dentists perform their own biopsies, and others coordinate with other types of healthcare professionals, such as otolaryngologists.
Besides those who drink heavily and use tobacco, those with certain strains of the human papillomavirus (HPV) tend to develop it at higher rates. Also, men develop it at higher rates than women. Those with poor nutrition or who are overweight, are also at higher risk.
Dental terminology
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.
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.
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.
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.
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 is a common form of oral cancer that occurs within the mouth, which can also result from excessive smoking and alcohol use.
Learn more today
Regular oral cancer screenings may help stop the disease before it has the chance to spread. At Oak Tree Dental, we can help figure out the best preventative care plan for you. Call us at 858-748-2101 to schedule an appointment today.
Individual results vary. How long a treatment lasts, and how it looks and feels, depends on each patient.