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Part of a checkup

The screening fits into your regular dental visit. The exam is short.

The two-week rule

See a dentist or doctor if a sore, lump, thick patch or sore throat lasts more than two weeks.

Risk factors are known

Tobacco, heavy alcohol use and HPV are linked with oral cancers. Risk also rises after age 40.

Findings need follow-up

If your dentist sees something unusual, the next step may be more tests or a referral. A flagged spot is not a diagnosis.

A cancer screening is looking for cancer before a person has any symptoms. A person’s mouth will show precancerous conditions that could potentially lead to cancer. Abnormal tissue that is found early can help prevent cancer. When a person starts to show symptoms, cancer may have begun to spread. An oral cancer screening can be performed by both a dentist or a doctor. Here at Town Center Dental our team is trained in effectively screening our patients.

Proactive Screenings Are Best

It is important to remember that proactive screening is the most effective method in preventing cancer. if your dentist suggests you get an oral screening, it does not necessarily mean that you have cancer. Scientists are still working to better understand the causes and conditions of certain types of cancer and why we get them. They study people with different lifestyles and environments to look for common causes. These studies can help doctors better recommend who should be screened for cancer, what type of treatment they should get, and how frequent their tests should be.

Oral and oropharyngeal cancers should be screened annually starting around the age of 18. If a person uses tobacco products, screenings should commence at the age they begin tobacco use. The screenings are usually quick, pain-free, and non-invasive to undergo.

General Information about Oral Cancer

According to the Oral Cancer Foundation, close to 54,000 Americans will be diagnosed with oral or oropharyngeal cancer each year. Of those 54,000 diagnosed individuals, only slightly more than half will be alive in 5 years - approximately 57%, a number that has only slightly improved in decades. This is due to an increase in HPV16-caused cancers that are more vulnerable to existing modes of treatment, creating a significant survival advantage.

Historically the death rate associated with oral cancer is not because it is particularly hard to detect or diagnose, but because it is routinely discovered late in its development. Another obstacle in the fight against oral cancer is the emergence of the virus HPV16. The virus has significantly contributed to the incidence rate of oral cancer and emerges in the posterior region of the mouth: the base of the tongue, the tonsils, and the oropharynx making it harder to detect because there are no visible lesions or discolorations in the front of the mouth.

Detection and Prevention

Oral cancer is especially dangerous because it may not be detected by the patient in its early stages. It can thrive without producing pain or recognizable symptoms and has a high risk of producing second primary tumors. Oral cancer may seem very daunting, but the good news is that you are not alone. Town Center Dental is here to help. A dentist or doctor can in many cases, see or feel pre-cancer tissue changes, or actual cancer while it is still very small. It may appear as a red or white patch in the mouth or a small hard ulcer that looks like a canker sore. Because there are so many benign changes in the tissues of the mouth, a bite on the side of your cheek or a canker sore, it is important to have any sore or discolored area of your mouth that does not heal within 14 days, looked at by a professional. Other symptoms include a painless mass or lump felt on the inside of the mouth, pain or difficulty in swallowing, chewing, or speaking, or hoarseness that lasts for a long time.

If you are experiencing any of these symptoms, please call 636-273-5866.

What a dentist checks during an oral cancer screening
AreaWhat your dentist looks or feels for
Face and neckLumps, swelling or changes in shape
LipsSores, crusts, color changes
Gums and inside cheeksRed or white patches, thickened or rough areas
Tongue, floor and roof of the mouthLumps, patches, numbness or sores that do not heal
Back of the throatChanges in color or texture, visible swelling

What happens during an oral cancer screening?

It is quick. The National Institute of Dental and Craniofacial Research (NIDCR) says your dentist or dental hygienist checks your face, neck, lips, entire mouth and the back of the throat for possible signs of cancer. The exam is short and is usually part of your regular checkup.

Your dentist looks with a light and mirror, and also feels the tissues for lumps or thick areas. If something looks unusual, you may get further tests or a referral. That is a next step to find out more, not a diagnosis.

Tell your dentist about changes you have noticed. These include a sore that does not heal, a rough spot, numbness, trouble swallowing, or dentures that no longer fit. You can read more in our blog post on what an oral cancer screening checks, and in the dental exam page. A common finding is leukoplakia, a white patch your dentist may want to watch.

Who has a higher risk of oral cancer?

Several factors raise risk. NIDCR says most cancers in the mouth are related to tobacco use, drinking alcohol, or both, and most throat cancers are caused by the human papillomavirus (HPV). Risk rises with age, and oral cancer most often occurs in people over 40. Sun exposure can cause cancer of the lip.

You cannot control every factor, but you can control some. The American Dental Association lists avoiding tobacco, smoking and smokeless, as a way to reduce risk. If you use tobacco or drink heavily, tell your dentist so the exam can focus on those areas.

If you have risk factors, ask how often you should have a screening. Your dentist decides based on your history. Senior dentistry and family dentistry both include screening as part of regular care.

What symptoms should I report between visits?

Do not wait for your next checkup. NIDCR says to see a dentist or a doctor if you have any of these symptoms for more than two weeks: a sore, irritation, lump or thick patch in your mouth, lip or throat; a persistent sore throat or feeling that something is caught; hoarseness; swelling of the jaw that makes dentures fit poorly; or numbness in the tongue or mouth.

The American Dental Association adds red or white patches, difficulty chewing or moving the tongue or jaw, and a change in the way your teeth fit together.

Most of these have other causes. A canker sore or a rough tooth edge can look worrying and heal on its own. The two-week rule exists so that a sore which does not heal gets looked at. Call the office at (636) 273-5866 or request an appointment.

Questions about oral cancer screening

Read the guideWhat Happens at a Dental Exam and Cleaning

Can a dentist screen for oral cancer?

Yes. The American Dental Association says dentists are often the first health professionals to notice the signs of oral cancer. The exam is part of a regular checkup. Your dentist or hygienist looks at your face, neck, lips, mouth and throat.

Does an oral cancer screening hurt?

Your dentist looks at and feels the tissues of your mouth, face and neck during a regular checkup. A screening does not cut tissue. Tell your dentist if anything feels tender, and ask about any step before it starts.

How often should I have an oral cancer screening?

Ask your dentist. Many dentists include a screening at each checkup. How often you need one can depend on your age, tobacco and alcohol use, and your history. Your dentist gives a plan for your situation.

What happens if my dentist finds something unusual?

NIDCR says the dentist may recommend additional tests or refer you. An unusual spot is often not cancer, and many causes are harmless. A tissue sample (biopsy) is a separate step if your dentist or another provider needs one.

Does HPV cause oral cancer?

NIDCR says most throat cancers are caused by the human papillomavirus, and the HPV 16 type has been linked to oral cancers. Your dentist can talk with you about risk and about screening at your visits.

Do I need a screening if I have no symptoms?

Yes, a screening is for people without symptoms too. The American Dental Association notes that your dental team checks for oral cancer each time you visit, and that you should still know the symptoms to report.

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