As a dentist at Total Dental Arts, I see every day how preventive dental care can do more than just protect teeth; it can save lives. Many people assume a dental exam is only about cavities or cleanings, but a comprehensive oral health evaluation includes something much more critical: screening for oral cancer. Oral cancer often develops silently, showing no pain or major symptoms until it has advanced. Regular dental exams allow early detection of precancerous changes, giving patients the best chance for successful treatment.
When caught early, oral cancer has a survival rate of nearly 85%. However, once the disease spreads beyond the mouth, that number drops significantly. That’s why every routine exam at my office includes a thorough check of the tongue, gums, lips, inner cheeks, and throat. I take this responsibility seriously because early detection can mean the difference between minor intervention and major reconstructive surgery or worse.
Oral cancer includes cancers of the lips, tongue, cheeks, floor of the mouth, hard and soft palate, sinuses, and throat. The American Cancer Society estimates that tens of thousands of new cases are diagnosed each year in the United States. Many of these cases are linked to tobacco use, alcohol consumption, and human papillomavirus (HPV). However, a growing number of patients with no known risk factors are also being diagnosed.
During an oral cancer screening, I carefully examine soft tissue for changes in color, texture, or shape, and I check for unusual swelling or ulcers that don’t heal. Sometimes, these warning signs appear completely painless, which is why patients often miss them. I also use advanced lighting and diagnostic tools to enhance visibility and identify potential lesions that may not be visible under normal lighting conditions.
Most oral cancers are highly treatable when discovered early. Unfortunately, because they often go unnoticed, they are typically diagnosed at later stages. Regular dental visits play a crucial role in detecting early-stage abnormalities before they become more severe.
If a suspicious area is found during an exam, I typically refer the patient for a biopsy or specialist evaluation. These follow-ups are quick, minimally invasive, and potentially lifesaving. Detecting precancerous changes in their earliest stages often allows for simple treatments and prevents the need for extensive surgery or radiation therapy later on.
Although anyone can develop oral cancer, certain risk factors increase the likelihood of diagnosis:
At Total Dental Arts, I encourage patients to limit or avoid these risk factors and maintain consistent dental checkups every six months. I also emphasize the importance of good nutrition and proper oral hygiene in maintaining healthy soft tissues and a strong immune response.
Oral cancer screenings should be included in every routine dental examination. For most adults, that means every six months. Those with higher risk factors, such as tobacco use or previous cancer, may need more frequent monitoring.
An oral cancer screening is quick, painless, and typically completed during a standard dental visit. I inspect all oral tissues visually and by touch, checking for abnormal patches, lumps, or sores. In some cases, additional light-based technology helps detect suspicious cells.
In most cases, oral cancer screenings are included as part of a standard preventive dental exam. Since they are noninvasive and take only a few minutes, they rarely require additional costs beyond the routine visit.
Common early signs include persistent sores, red or white patches, thickened tissues, or difficulty swallowing. Any sore that does not heal within two weeks should be evaluated promptly by a dentist or physician.
While it cannot be prevented in every case, lifestyle changes such as avoiding tobacco, limiting alcohol, maintaining a healthy diet, and protecting lips from sun exposure can significantly reduce risk. Regular dental exams remain the best defense for early detection.
Yes, cases among younger adults have been increasing, particularly those linked to HPV. Even individuals with no history of smoking or drinking can develop oral cancer, making regular screenings essential for all age groups.
If I identify an area that looks abnormal, I will either monitor it closely or refer the patient for a biopsy. The test determines if the lesion contains precancerous or cancerous cells, and results guide treatment decisions.
The process varies, but in many cases, a definitive diagnosis can be made within days of the biopsy. The key is not to delay testing once a lesion has been identified.
I believe preventive care is the foundation of a healthy life. At Total Dental Arts, located in Centreville, Virginia, every exam is performed with precision and attention to detail. My goal is not only to maintain healthy teeth and gums but to safeguard overall wellness through comprehensive screening and early detection.
Oral cancer can affect anyone, but when identified early, it is highly treatable. Regular dental visits make it possible to catch problems long before symptoms appear.
Contact our Centreville dentist, Dr. Kourosh at Total Dental Arts by calling (703) 890-3200 to schedule your consultation. Our dental clinic serves patients in Centreville and throughout Fairfax County, Virginia. Early detection saves lives, and it begins with one appointment.
