Oral Cancer Exam

According to research conducted by the American Cancer society, more than 30,000 cases of oral cancer are diagnosed each year.  More than 7,000 of these cases result in the death of the patient.  The good news is that oral cancer can easily be diagnosed with an annual oral cancer exam, and effectively treated when caught in its earliest stages.

Oral cancer is a pathologic process which begins with an asymptomatic stage during which the usual cancer signs may not be readily noticeable.  This makes the oral cancer examinations performed by the dentist critically important.  Oral cancers can be of varied histologic types such as teratoma, adenocarcinoma and melanoma.  The most common type of oral cancer is the malignant squamous cell carcinoma.  This oral cancer type usually originates in lip and mouth tissues.

There are many different places in the oral cavity and maxillofacial region in which oral cancers commonly occur, including:

  • Lips
  • Mouth
  • Tongue
  • Salivary Glands
  • Oropharyngeal Region (throat)
  • Gums
  • Face

Reasons for oral cancer examinations

It is important to note that around 75 percent of oral cancers are linked with modifiable behaviors such as smoking, tobacco use and excessive alcohol consumption.  Your dentist can provide literature and education on making lifestyle changes and smoking cessation.

When oral cancer is diagnosed in its earliest stages, treatment is generally very effective.  Any noticeable abnormalities in the tongue, gums, mouth or surrounding area should be evaluated by a health professional as quickly as possible.  During the oral cancer exam, the dentist and dental hygienist will be scrutinizing the maxillofacial and oral regions carefully for signs of pathologic changes.

The following signs will be investigated during a routine oral cancer exam:

  • Red patches and sores – Red patches on the floor of the mouth, the front and sides of the tongue, white or pink patches which fail to heal and slow healing sores that bleed easily can be indicative of pathologic (cancerous) changes.

  • Leukoplakia – This is a hardened white or gray, slightly raised lesion that can appear anywhere inside the mouth. Leukoplakia can be cancerous, or may become cancerous if treatment is not sought.

  • Lumps – Soreness, lumps or the general thickening of tissue anywhere in the throat or mouth can signal pathological problems.

Oral cancer exams, diagnosis and treatment

The oral cancer examination is a completely painless process.  During the visual part of the examination, the dentist will look for abnormality and feel the face, glands and neck for unusual bumps.  Lasers which can highlight pathologic changes are also a wonderful tool for oral cancer checks.  The laser can “look” below the surface for abnormal signs and lesions which would be invisible to the naked eye.

If abnormalities, lesions, leukoplakia or lumps are apparent, the dentist will implement a diagnostic impression and treatment plan.  In the event that the initial treatment plan is ineffective, a biopsy of the area will be performed.  The biopsy includes a clinical evaluation which will identify the precise stage and grade of the oral lesion.

Oral cancer is deemed to be present when the basement membrane of the epithelium has been broken.  Malignant types of cancer can readily spread to other places in the oral and maxillofacial regions, posing additional secondary threats.  Treatment methods vary according to the precise diagnosis, but may include excision, radiation therapy and chemotherapy.

During bi-annual check-ups, the dentist and hygienist will thoroughly look for changes and lesions in the mouth, but a dedicated comprehensive oral cancer screening should be performed at least once each year.

If you have any questions or concerns about oral cancer, please ask your dentist or dental hygienist.

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Testimonials

I recently decided I wanted a smaller practice for my kids and after really dragging my feet I finally dove into Google. I found Dr. Thomas and her team and they got my kids in quickly to start treatment plans.
To start, the staff is so friendly and they truly go above and beyond at the front desk! Scheduling appointments comes with ease as well. My kids do great with the dental assistant and she has the perfect demeanor for little ones. Dr. Thomas has such patience with my youngest who can be a bit dramatic and a little spacey too. My older boy is so calm for her and she does a great job working on him as well.
We meet the hygienist next month and I have no doubt the experience will be as satisfactory as all the others.

Morgan T.

Hands down the BEST dentist you will find - I dare someone to challenge me ❤️ They have the absolute friendliest staff we have ever come across and Dr. Thomas is amazing! Every time we are there, we feel like we are visiting with friends and family. All of the staff makes a point to see how we are doing and they truly listen to us and genuinely care. My husband and I have been coming here for almost 10 years now. They are very honest as well regarding dental concerns and needs. We were super nervous when it came time for our son to start coming but we soon found out we had NOTHING to worry about! He is 3 1/2 years old now and LOVES the dentist! They are so wonderful with him and are encouraging/teaching him so many wonderful dental habits. He actually is excited about brushing his teeth every day! We are so lucky to have found them. If you are looking for long term dentist - look no further! We actually travel 20+ minutes to come here. It’s worth it! Thank you all so much ❤️❤️

Meagan S.

Dr. Thomas and her staff make going to the dentist a fun experience…that has to be a first when it comes to talking about a dental visit!!! This was my first time and you have a patient for life…or for as long as you can make sure I keep my teeth. What a great office and Karen was amazing as well. Usually post dental visit I feel like I’ve been in a boxing fight, even though it was just for a cleaning. This time I felt nothing. I give Dr. Thomas and her team my highest recommendation.

Shaju T.

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