April Is Oral Cancer Awareness Month

Editor’s Note: The Medtopicwriter team proudly welcomes guest contributor, +Joseph Stan is a world renowned cosmetic and general Beverly Hills dentist in Beverly Hills California. His studies and experience make him a premier choice for dental patients looking for dental implants, dental veneers, laser teeth cleaning, and many other cosmetic and restorative dental procedures. 

oral cancer awareness

Keep your lips sexy - learn the facts about mouth cancer.

The month of April marks Oral Cancer Awareness Month in the United States of America. It may surprise you to learn that it has done so for the last 13 years – since 1999. Another thing that may surprise you is the rapidly rising problem of oral cancer in the U.S. Oral cancer cases increase each year; the best chance for survival is early detection and the best chance of early detection is awareness.

Just what is oral cancer?

Physicians and dentists consider any cancer occurring in and around the mouth – including the tongue, lips, tonsils, sinuses, throat, and gums – oral cancer. Each day in the United States, over 99 people receive a diagnosis of cancer of the mouth. All added up, this totals over 36,000 new oral cancer cases diagnosed each and every year. The total number of cases in 2007 increased by 11% over 2006 numbers and with no known cause for this disturbing increase.

Fortunately, the survival rate, for those whose oral cancer gets detected early, can reach over 80%. Unfortunately, for cases detected in the more advanced, later stages, the survival rate falls to around 50%. Clearly, early detection is critical, and the best way to increase detection is to increase awareness of this disease. Building awareness to increase incidence of early detection represents the main idea behind Oral Cancer Awareness Month.

So what leads to cancer of the mouth?

Good news: the majority of oral cancer cases have well-known and preventable causes. The leading causes of oral cancer in order include tobacco use, alcohol use, the HPV virus, and exposure to sunlight for the lips and outer areas.

alcohol and oral cancer risk

Prevent mouth cancer by using alcohol in moderation.

Tobacco figured as a cause in about 74% of cases diagnosed. This includes smoking cigars, chewing tobacco, and cigarettes. The next leading cause is alcohol. When the body breaks down alcohol, it turns it into acetaldehyde, which research shows to cause cancer in humans. Please note that studies have not shown mouthwash that contains alcohol to cause mouth cancer, but points to the consumption of alcoholic beverages.

Interestingly, studies indicate that using tobacco and alcohol in combination significantly increases the incidence of mouth cancers. The third leading cause of oral cancer is HPV (Human Papilloma Virus) infection.

All cases beyond these leading causes (5%) are thought to develop due to a genetic predisposition in the patient.

Avoid developing oral cancer

To avoid developing oral cancer, do not smoke, do not drink alcohol in excess, and use a lip balm containing sunscreen, such as Chapstick® or avoid sun exposure altogether. Also, schedule regular cancer screenings with your health care provider and seek medical attention if you have any of the symptoms or warning signs below for more than 14 days.

Signs and symptoms of oral cancer

See your dental specialist or physician about any skin lesion, lump, or ulcer that does not resolve within 14 days and appears on the tongue, lip, or other mouth areas.

Oral cancer lesions often exhibit the following characteristics:

  • Usually small
  • Most often pale in color, but may be dark or discolored
  • Early signs may appear as a white patch (leukoplakia) or a red patch (erythroplakia) on the soft tissues of the mouth
  • Usually painless – initially
  • May develop and cause a burning sensation or even pain when the tumor becomes advanced

Additional symptoms, possibly associated with this disease:

  • Tongue problems
  • Swallowing difficulty
  • Mouth sores
  • Pain and paraesthesia represent late-stage symptoms

Sound off on the Bleeding Edge™: Share your experiences and any questions with Dr. Stan below.

Images credit: funkydowntown dot com, topnews dot co dot uk

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  1. #1 by Lisa on March 10, 2012 - 3:37 PM

    Is that why dentists now look under your tongue when you go for an exam? I have only noticed that the past few years. Amazing what an increase there has been of oral cancer.

    • #2 by Samantha Gluck on March 10, 2012 - 5:07 PM

      I believe that’s why. With the proliferation of HPV and the definitive confirmation that it does cause cancer, they’ve begun to scrutinize the oral area more closely. We always knew that excessive alcohol intake and (of course) tobacco products were a factor, but it’s only in the past decade or so (please correct me, Dr. Stan, if I’ve got inaccurate info) that scientists made a direct confirmation that the HPV virus causes cancer — backed up by hard empirical evidence.

  2. #3 by Claudia on March 11, 2012 - 4:41 PM

    As a dentist, I have been doing oral cancer exams on all of my patients at their check up and cleaning appointment for as long as I have been in practice (22 years) It is a very important component of the check up. Reviewing the patient’s medical and habit history is also part of that exam. Catching questionable areas early is key to the success of diagnosis and treatment of oral cancers. Thanks for posting such an important and informative article increasing awareness for Oral Cancer Awareness Month!!

    • #4 by Samantha Gluck on March 17, 2012 - 6:09 PM

      Claudia,

      So you’ve been conducting oral cancer exams since before HPV was a confirmed culprit in many cases of the disease? I think that’s great! Most of the dentists I spoke to reported that they only did screenings on smokers and users of other types of tobacco before the data came out about HPV. Kudos to you for being on the bleeding edge! We love that at Medtopicwriter. Have a blessed day! XO

      Samantha

  3. #5 by Joseph Stan DDS on March 12, 2012 - 3:07 PM

    That is correct Samantha, HPV has only recently been discovered to be the cause of many cases of oral cancer. Your dentist should do a full mouth check to screen for oral cancer. There are also a few machines/products that they can use to screen for it as well. Saliva testing for oral cancer is on the horizon as well.

  4. #6 by Eric Statler on March 17, 2012 - 5:38 PM

    As a four year Stage IV Oral Cancer Survivor and Oral Cancer Awareness advocate & Director of Strategic Partnerships at the Oral Cancer Foundation it does my heart good to see these articles done. Awareness and early detection saves lives.

    Over the last four years Oral Cancer drastically changed my life, severely disfiguring me and leaving me disabled, unable to go back to the work managing hotels and the life I lead before. I now spend my time raising awareness about Oral Cancer, traveling the country speaking at Awareness Talks and Universities about the subject, often having to educate medical and dental professionals about this disease.

    That being said, there are some issues with the facts in this article, even though it was written by a dental professional and probably due from using figures from 2006 & 2007. Last year this article came out and was published by the Oral Cancer Foundation

    http://www.oralcancer.org/presskit/pdf/HPV-Leading-Cause-of-Oral-Cancers-in-US.pdf

    Here is a quote from the article.

    “HPV16, one of about 130 versions of the virus, is now the leading cause of oral cancer, and is found in about 60% of newly diagnosed patients. Dr. Maura Gillison from the James Cancer Center, a long time researcher of the relationship between HPV and oral cancers, recently reported these new findings at the American Academy for the Advancement of
    Science meeting.”

    The fastest growing segment of Oral Cancer patients are younger males, between 20-40 who do not have a history of tobacco use. This is likely due to unprotected oral sex and HPV. Dental screenings saves lives by detecting the cancer early and our dental professionals are our first line of defense and need to be brought up to speed on the massive change of demographics in this cancer.

    My dentist didn’t do an Oral Cancer screening in the fall of 2007 due to my age (33) and not having a history of using tobacco or alcohol. In January of 2008 I was diagnosed with Stage IV oral cancer by an Ear Nose & Throat surgeon and was given a 17% chance of survival in 5 years. The treatment and surgeries that saved my life left me severely disfigured and disabled and not able to return to the life I led before. Had the cancer been caught earlier I would likely still have my face and more than likely my old life back.

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