November is Mouth Cancer Action Month in the UK, so it is a good moment to explain part of the check-up that many patients do not realise is happening.
While we examine your teeth and gums, we also look closely at your tongue, the floor of your mouth, the inside of your cheeks, your lips and the roof of your mouth. We may gently feel around your jaw and neck too. We are checking for anything unusual, and it takes less than a minute.
Signs to look out for
Mouth cancer is much easier to treat when it is found early. See a dentist or GP if you notice any of these:
a mouth ulcer that has not healed within three weeks
red or white patches inside the mouth
a lump or swelling in the mouth, lip or neck
a persistent sore throat, hoarseness or difficulty swallowing
numbness in the tongue or lip that you cannot explain
Most of the time these turn out to be something harmless. But a three-week ulcer always deserves a professional look.
What increases the risk
The main risk factors are smoking and other tobacco use, and drinking alcohol, particularly the two together. Chewing tobacco, betel quid and paan also raise the risk significantly. HPV infection is linked to cancers at the back of the mouth and throat. Mouth cancer can affect anyone, including people with none of these risk factors, which is why we check everyone.
Checking at home
Once a month, in good light, look and feel around your mouth: lips, gums, tongue (including underneath and the sides), cheeks and the roof of your mouth. You are simply getting to know what is normal for you, so that a change stands out.
If you are due a check-up, or something has been bothering you, call 020 8203 1599 or book online.