Oral Cancer Exam

According to research conducted by the American Cancer society, more than 30,000 cases of oral cancer are diagnosed each year.  More than 7,000 of these cases result in the death of the patient.  The good news is that oral cancer can easily be diagnosed with an annual oral cancer exam, and effectively treated when caught in its earliest stages.

Oral cancer is a pathologic process which begins with an asymptomatic stage during which the usual cancer signs may not be readily noticeable.  This makes the oral cancer examinations performed by the dentist critically important.  Oral cancers can be of varied histologic types such as teratoma, adenocarcinoma and melanoma.  The most common type of oral cancer is the malignant squamous cell carcinoma.  This oral cancer type usually originates in lip and mouth tissues.

There are many different places in the oral cavity and maxillofacial region in which oral cancers commonly occur, including:

  • Lips
  • Mouth
  • Tongue
  • Salivary Glands
  • Oropharyngeal Region (throat)
  • Gums
  • Face

Reasons for oral cancer examinations

It is important to note that around 75 percent of oral cancers are linked with modifiable behaviors such as smoking, tobacco use and excessive alcohol consumption.  Your dentist can provide literature and education on making lifestyle changes and smoking cessation.

When oral cancer is diagnosed in its earliest stages, treatment is generally very effective.  Any noticeable abnormalities in the tongue, gums, mouth or surrounding area should be evaluated by a health professional as quickly as possible.  During the oral cancer exam, the dentist and dental hygienist will be scrutinizing the maxillofacial and oral regions carefully for signs of pathologic changes.

The following signs will be investigated during a routine oral cancer exam:

  • Red patches and sores – Red patches on the floor of the mouth, the front and sides of the tongue, white or pink patches which fail to heal and slow healing sores that bleed easily can be indicative of pathologic (cancerous) changes.

  • Leukoplakia – This is a hardened white or gray, slightly raised lesion that can appear anywhere inside the mouth. Leukoplakia can be cancerous, or may become cancerous if treatment is not sought.

  • Lumps – Soreness, lumps or the general thickening of tissue anywhere in the throat or mouth can signal pathological problems.

Oral cancer exams, diagnosis and treatment

The oral cancer examination is a completely painless process.  During the visual part of the examination, the dentist will look for abnormality and feel the face, glands and neck for unusual bumps.  Lasers which can highlight pathologic changes are also a wonderful tool for oral cancer checks.  The laser can “look” below the surface for abnormal signs and lesions which would be invisible to the naked eye.

If abnormalities, lesions, leukoplakia or lumps are apparent, the dentist will implement a diagnostic impression and treatment plan.  In the event that the initial treatment plan is ineffective, a biopsy of the area will be performed.  The biopsy includes a clinical evaluation which will identify the precise stage and grade of the oral lesion.

Oral cancer is deemed to be present when the basement membrane of the epithelium has been broken.  Malignant types of cancer can readily spread to other places in the oral and maxillofacial regions, posing additional secondary threats.  Treatment methods vary according to the precise diagnosis, but may include excision, radiation therapy and chemotherapy.

During bi-annual check-ups, the dentist and hygienist will thoroughly look for changes and lesions in the mouth, but a dedicated comprehensive oral cancer screening should be performed at least once each year.

If you have any questions or concerns about oral cancer, please ask your dentist or dental hygienist.

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Testimonials

Dr. Hekmat's chairside manner is something that should be cloned, and all young dentists and doctors should be able to see the tender insight that this man gives his patients. Dr. Hekmat is one of the nicest, most skillful, most dedicated men I have ever met. I can't believe I was so lucky to have found him in such a huge, busy metropolis as Los Angeles.

John Burbank, CA

Dr. Hekmat has been my trusted family dentist for many years, not only taking care of me--but my wife, sister, mother, brother-in-law and mother-in-law, too! From the warm smiles that greet me when I walk in the door to the compassionate, skillful and concerned care that Dr. Hekmat and his staff provide, my visits to his office are always like visiting a member of the family. ...And I don’t want to forget to mention that I appreciate the fact that in busy Westwood, Dr. Hekmat still provides completely free, validated parking. That’s no small feat in my part of town!

Louis Santa Monica, CA

Dr. Hekmat and his team are true professionals. He is kind and always has time to answer ALL of my questions and concerns. I began visiting him after a a friend referred to me several years ago and I have not visited any other dentists since getting work done with him because he continuously provides me and my family with excellent work. I have had a root canal, crowns, bonding, whitening and removal of amalgam fillings with him and I could not be happier with his work.

He is also totally available for emergencies, something other doctors shirk at. I was on my way to LAX when my front tooth (it was being prepped for a root canal) totally came off, I panicked, called him and drove myself to his office within a hour he had me all patched up.

He never tries to sell you anything, he and his staff know my name and always make me feel welcome and calm the anxiety that comes with getting dental work done.

Lizzie West Los Angeles, CA

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