The Need to Talk About Oral Cancer

The British Dental Health Foundation recently distributed some interesting UK survey results on oral cancer. Reading their media release, I wondered: Would US survey results be similar?

What they found:

  • 88% of the public would like to be checked for oral cancer at their dental appointments.
  • 89% of dentists check for signs of oral cancer.
  • 68% use tools like VELscope to check for cancer.

More, every dentist surveyed – 100%! – said that they consider it their role to promote oral cancer awareness. And yet the BDHF found that

  • 84% of dentists do not explain the risks and symptoms of mouth cancer to their patients.
  • Almost half – 43% – do not provide oral cancer educational material to patients.

How do you effectively “promote awareness” then?

Earlier this year, I wrote about the sharp increase in oral cancer rates:

Once upon a time, oral cancer was a disease limited largely to tobacco users and heavy drinkers. For all others, the risks were thought to be very low, and the rate of disease remained fairly steady.

And then it started going up. And fast.

How fast?

Between 1974 and 2007, cases of white men with oral cancer shot up by 225%.

At the same time, there was a five fold increase in young adults with oral cancer.

Incidence has especially skyrocketed for women. In 1950, for every 6 men who developed oral cancer, only one woman did. Today, that ratio has narrowed to 2 : 1.

Clearly, oral cancer is something we need to be talking about, dentists and patients alike. So it’s no surprise that the BDHF’s media release about this survey focused so sharply on the need for better communication.

Chief Executive of the Foundation, Dr Nigel Carter…said: “Good communication in healthcare is vital for both the professional and the patient. In dentistry it allows the dentist to explain certain procedures, which can often be very technically-minded. The patient can then come back with any further questions they may have about the treatment, what is involved and what may happen afterwards. If either of these roles is ineffective then it can lead to a failure of communication.”

“Mouth cancer cases are increasing at a phenomenal rate due to choices in lifestyle such as smoking and alcohol. The disease, its symptoms and risk factors need to be discussed honestly and openly more often and there’s no better place to start than at a dental check-up.

“Knowing the risks and learning how to self-examine are key when it comes to the early detection of mouth cancer, where it can dramatically improve survival rates to 90 per cent. Without early detection, half will die – it really is a silent killer.”

If you’re not sure your dentist checks for cancer at your regular appointments, just ask. Ask your dentist to explain the procedures and what he or she looking for. Talk with him or her about any risk factors you may have and preventive steps you can take.

I can’t speak for all dentists, of course, but as a dentist, it’s important to me that you understand what we’re doing and why we’re doing it, as well as what you can do to gain and sustain more optimal oral health in general. After all, dentists are doctors, too – physicians whose specialty involves the teeth and oral cavity. You know how the word “doctor” came about? The English word comes from the Latin word docere, which means “to show, teach or cause to know.”

Teaching is part of our job.

To learn more about key risks and symptoms of oral cancer – as well as why we’re seeing so much more of it these days – see my earlier post, “The Oral Cancer Pandemic & How You Can Keep Yourself Safe.”


Filed under Oral Health

2 responses to “The Need to Talk About Oral Cancer

  1. eleni

    went to UCLA for bone-loss under a crown posted 3yrs original moles had fracture all the way down vertically …the infection is around the fracture.. u know…
    again they want to extract it
    i hate this
    talking about implant now//
    and bone adding a new bone piece …crazy stuff
    im not in pain..why do i have to go through this?

    • There may be no pain now, but treatment now is your best bet against it or other problems cropping up down the road. Left untreated, most dental problems only become worse and require more extensive (and expensive) treatment to fix. So I encourage you to talk with your dentist about both your concerns and your options – and wish you all the best.