Oral cancer: early detection and prevention are key

Oral and oropharyngeal cancers, now among the 10 most common cancers worldwide, often go unnoticed at first because they can develop without pain or symptoms. But, if the cancer is detected early and before it has spread to other tissues, it can usually be treated successfully.

Dental hygienists, essential primary health care professionals, provide oral cancer screenings during appointments and will make referrals to specialists if they spot anything unusual. Between oral care appointments, however, we should watch for any of the following changes in our mouths:

  • Alterations to the colour or texture of gums, cheeks, lips or tongue
  • Mouth lumps or sores that do not heal within 14 days
  • Chronic sore throat or cough
  • Difficulty swallowing
  • Lumps in the neck, including those that aren’t bothersome
  • Mouth or ear pain

That’s not all. Just as we can help with early detection, we also have a role to play in preventing oral cancers from developing in the first place. Tobacco use, alcohol consumption, sun exposure to the lips and the human papillomavirus (HPV) are all known risk factors for oral cancers. While modifying our smoking and drinking habits is a necessary first step, preventing HPV infection is proving to be even more important.

In Canada, 25% to 35% of oral and oropharyngeal cancers are now related to HPV infection, and this rate continues to rise. Fortunately, there are three HPV vaccines that have been proven to be highly effective at preventing HPV-related diseases. Health Canada recommends that everyone under the age of 27 consider getting vaccinated against HPV. In some cases, it may be appropriate for men and women over the age of 27 to receive the vaccine as well.

Your dental hygienist can offer tobacco cessation strategies and other guidance on lifestyle choices to help reduce your risk of oral cancer. By committing to a healthy lifestyle, booking an appointment for an HPV vaccine, examining our mouths for suspicious changes and scheduling regular dental hygiene visits, we can protect our oral and overall health.

For more information on oral cancer and self-examination tips, visit dentalhygienecanada.ca