Mouth cancer
What is mouth cancer?
Most people have heard of cancer affecting parts of the body such as the lungs or breasts. However, cancer can occur in the mouth, where the disease can affect the lips, tongue, cheeks and throat.


Who can be affected by mouth cancer?
Mouth cancers are more common in people over 40, particularly men. However, research has shown that mouth cancer is becoming more common in younger patients and in women. There are, on average, 3800 new cases of mouth cancer diagnosed in the UK each year. Only half these patients will survive. If cancers are diagnosed and treated early enough, the death rate could be dramatically reduced.


What can cause mouth cancer?
Most cases of mouth cancer are linked to tobacco and alcohol. Cigarette, cigar and pipe smoking are the main forms of tobacco use in the UK. However, the traditional ethnic habits of chewing tobacco, Betel Quid, Gutkha and Paan are particularly dangerous. Alcohol increases the risk of mouth cancer, and if tobacco and alcohol are consumed together the risk is even greater. Over-exposure to sunlight can also increase the risk of cancer of the lips.


What does mouth cancer look like?
Mouth cancer can appear in different forms and can affect all parts of the mouth, tongue and lips. Mouth cancer can occur whether people have their own natural teeth or wear false teeth (dentures). Sometimes a white or red patch in the mouth may develop into cancer, but most often cancer appears as a painless ulcer that does not clear up. It is important to visit your dentist if these areas do not heal within two weeks.


How can mouth cancer be detected?
During a dental examination the dentist will not only check the teeth, but the cheeks, tongue, gums and lips as well. The mouth is simple to inspect so it is easy to spot early signs of cancer. There are also products available that can be applied as a solution around the mouth and will highlight any suspicious areas with a special dye.



What happens if my dentist suspects I have mouth cancer?
If your dentist suspects that your mouth shows signs of cancer, they will refer you to a consultant at the local hospital, who will carry out a thorough examination of your mouth and throat. A small sample of the cells may be gathered from the area (a biopsy), and these cells will be examined under the microscope to see whether they are cancerous or not.


What happens if mouth cancer is diagnosed?
If the cells are cancerous, more tests will be carried out. These may include overall health checks, blood tests, x-rays or scans. These tests will decide what course of treatment is needed.


How is mouth cancer treated?
Treatment may come in the form of surgery, radiotherapy, chemotherapy or a mixture of them all, depending on the nature and stage of the cancer.



What are the side effects of treatment?
There are different side effects that can arise following treatment, such as breathing, swallowing and eating difficulties. Speech may also be affected, and occasionally even lost. Facial disfigurement can also occur. However, techniques in reconstructive surgery have advanced.

Social and psychological issues, such as difficulty in communicating, low self-esteem, social isolation and the impact on relationships can cause just as much distress to lives as the cancer itself.



Can mouth cancer be cured?
If mouth cancer is detected early, the chances of a complete cure are good, and the smaller the area or ulcer the better the chance of a cure. However, too many people come forward too late, and the main problem is that people do not visit their dentist for regular examinations.


Can mouth cancer kill?
Mouth cancer actually causes as many deaths as skin and cervical cancers. There are around 4,000 new cases of mouth cancer in the UK every year, and mouth cancers account for between 1% and 4% of all cancer cases. 1,700 of the patients diagnosed with mouth cancer will die as a result. Unfortunately, the number of new cases of mouth cancer is on the increase. However, if the cancers were caught early enough, the death rate could be drastically reduced.


How can I make sure that my mouth stays healthy?
It is important to visit your dentist at least once a year, even if you wear dentures. This is especially important if you smoke and drink.
· When brushing your teeth, look out for any changes in your mouth, and report any red or white patches, or ulcers, that have not cleared within two weeks.
· When exposed to the sun, be sure to use a good protective sun cream, and put the correct type of barrier cream on your lips.
· A good diet, rich in vitamins A, C and E, provides protection against the development of mouth cancer. Plenty of fruit and vegetables help the body to protect itself, in general, from most cancers.
· Cut down on your smoking and drinking.

Regular visits to your dentist could save your life