The Importance of Oral Cancer Awareness and When to See an Oral Surgeon

A close up of a doctor give a man an oral exam.

Oral Cancer Myth: “Oral cancer is rare, so I don’t need screening." 

Every year, thousands of people are diagnosed with oral cancer, yet many don’t realize that a quick, painless screening during a routine dental visit could be the key to catching it early. Raising awareness about oral cancer and knowing when to seek professional care is crucial for prevention and successful treatment. 

"The early detection and treatment of mouth cancer leads to significantly improved outcomes,” says Dr. Danielle GillOral and Maxillofacial Surgeon at Carolinas Center for Oral & Facial SurgeryWhen oral cancer is caught early, treatments are often less aggressive so it’s important to stay on top of your oral health and know what to look for.”

What is Oral Cancer? 

Oral cancer refers to cancerous growths that develop in the mouth, tongue, lips, cheeks, or throat. Unlike other cancers that may present with obvious symptoms, oral cancer often develops silently. It can affect anyone, but certain lifestyle choices and risk factors increase susceptibility. 

Common Causes & Risk Factors: 

  • Tobacco & Alcohol Use – Smoking and excessive alcohol consumption are leading contributors to oral cancer. 
  • HPV Infection – Certain strains of the human papillomavirus (HPV) have been linked to oral cancers. 
  • Excessive Sun Exposure – Prolonged sun exposure can increase the risk of lip cancer. 
  • Poor Oral Hygiene – Chronic irritation from poorly fitting dentures or neglected oral health can contribute to risks. 
  • Genetics & Family History – Some individuals may have a genetic predisposition to oral cancers. 

Signs & Symptoms to Watch For 

Early detection is key and knowing what to watch for can save lives, but what does oral cancer look like?

"Typically oral cancer will present in the mouth as white or red patches,” explains Dr. Gill. “Patches that change in size and thickness can also be an indication of progression into cancer."

Here are some warning signs that should never be ignored: 

  • Persistent sores anywhere in the mouth that don’t heal 
  • White or red patches on the gums, tongue, or lining of the mouth 
  • Lumps, swelling, or thickening of oral tissues 
  • Unexplained bleeding or numbness 
  • Difficulty chewing, swallowing, or moving the tongue or jaw 
  • Chronic hoarseness or sore throat 
  • Sudden weight loss with no clear cause 

“Harmless ulcers or sores usually go away within two weeks,” says Dr. Gill. “Sores that linger beyond that should be evaluated. A visual exam and evaluation of your risk factors can go a long way in differentiating ulcers from precancer and cancers.  When there is high enough concern, a mouth tissue biopsy can quickly and easily be done in our office setting.”

Why Should You See an Oral Surgeon for Oral Pathology? 

Oral surgeons specialize in diagnosing and treating conditions affecting the mouth, jaws, and facial structures. When it comes to oral cancer, their expertise is invaluable in: 

  • Performing thorough oral examinations and biopsies 
  • Identifying abnormal growths that may require treatment 
  • Collaborating with oncologists and medical teams for comprehensive care 
  • Surgically removing tumors or pre-cancerous lesions when necessary 

"Lots of advancements in oral cancer detection have greatly improved our ability to catch abnormalities without delay. Technologies like fluorescence visualization, such as VELscope, allow us to identify tissue changes that aren’t visible under normal lighting.  HPV is an increasing cause of oral cancers and vaccines like Gardasil can reduce risk. Reducing processed foods and increasing leafy greens and cruciferous vegetables (like broccoli) can help support oral health. Futhermore, salivary diagnostics are emerging as a non-invasive method to detect biomarkers linked to oral cancer. These tools, combined with a thorough clinical exam, greatly enhance early detection and can improve patient outcomes."

Dr. Gill

The Importance of Early Detection 

One of the most alarming aspects of oral cancer is that many cases go undiagnosed until they reach an advanced stage. The survival rate for early-stage oral cancer is significantly higher than for late-stage diagnoses. This is why regular screenings during dental visits, even when no symptoms are present, are crucial. 

How to Stay Proactive: 

  • Schedule routine dental checkups that include oral cancer screenings 
  • Perform monthly self-examinations using a mirror to check for abnormalities 
  • Avoid tobacco and excessive alcohol use 
  • Maintain a healthy diet rich in antioxidants to support oral and overall health 
  • Use lip balm with SPF to protect against sun damage 

Oral cancer awareness starts with education, but action is what truly makes a difference. "Paying attention to any change, reducing risk factors, and seeking professional evaluations, when necessary, you can protect yourself from the often-overlooked threat of oral cancer."

Dr. Gill

Expert Oral Pathology Care at Carolinas Center for Oral & Facial Surgery 

At Carolinas Center for Oral & Facial Surgery, we offer expert care for those concerned about oral cancer. Our experienced surgeons are trained to identify, diagnose, and treat oral cancer effectively. If you or someone you know has concerns about oral health changes, don’t wait. Schedule an appointment with one of our expert oral surgeons today to take the first step toward early detection and peace of mind. 


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