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Oral Cancer: Symptoms, Risk Factors and Why Early Diagnosis Saves Lives

Oral Cancer: Symptoms, Risk Factors and Why Early Diagnosis Saves Lives

8 December Mon, 2025

When people think about cancer, they often think of the lungs, breast or colon. Yet oral cancer – cancer that occurs in the mouth and surrounding structures – is more common than many realize. Because it can be silent in the early stages, mouth cancer is often diagnosed late, when treatment becomes more complex and the impact on speaking, eating and appearance is much greater.

In this article, we will explain what oral cancer is, the most important oral cancer symptoms, major risk factors and how regular oral cancer screening with a dentist or oral & maxillofacial surgeon can literally save lives.

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What Is Oral Cancer?

Oral cancer (mouth cancer) refers to malignant tumours that develop in any part of the mouth, including:

Lips

Tongue

Inner cheeks

Gums

Floor of the mouth (under the tongue)

Hard palate (roof of the mouth)

The back of the mouth near the throat

Most oral cancers are squamous cell carcinomas, arising from the thin, flat cells lining the mouth. Just like other cancers, oral cancer starts with genetic changes in cells that cause them to grow uncontrollably and invade surrounding tissues.

The good news is that when oral cancer is detected early, the chances of successful treatment and survival increase dramatically. This is why awareness of mouth cancer symptoms and regular check-ups are so important.


Early Warning Signs: Oral Cancer Symptoms You Should Not Ignore

Oral cancer does not always cause pain in the early stages. Some changes may look small or harmless, which is why they are easy to ignore. However, any of the following oral cancer symptoms should be taken seriously, especially if they last longer than two to three weeks:

1. Persistent sores or ulcers

A sore on the lip, tongue or inside the mouth that does not heal

Ulcers that bleed easily or keep coming back

2. White or red patches

White patches (leukoplakia) or red patches (erythroplakia) on the tongue, gums or inner cheeks

Mixed red-and-white areas that look unusual compared to the rest of the tissue

These patches are not always cancer, but they can be precancerous changes that require careful monitoring or biopsy.

3. Lumps, thickening or swelling

A lump, bump or area of thickened tissue in the tongue, cheek, gum or lip

Swelling in the jaw or neck that does not go away

4. Pain, numbness or burning

Persistent pain in the mouth, jaw or ear without a clear cause

Numbness or tingling of the tongue or lips

Burning sensation in a specific area of the mouth

5. Problems with chewing, swallowing or speaking

Difficulty chewing or swallowing

Feeling that food is sticking in the throat

Changes in speech, such as a lisp or difficulty moving the tongue

6. Loose teeth or denture problems

Teeth becoming loose without gum disease

Dentures suddenly not fitting properly

If you notice any of these mouth cancer symptoms, you should see a dentist or oral & maxillofacial surgeon as soon as possible. Early oral cancer screening is simple, quick and may identify problems before they become advanced.


Who Is at Risk? Major Risk Factors for Oral Cancer

Oral cancer does not have a single cause. Usually, several risk factors act together over time. The most important are:

Tobacco use

Cigarettes, cigars, pipes, shisha (hookah)

Chewing tobacco and other smokeless tobacco products

Tobacco is the strongest risk factor for oral cancer. The chemicals in tobacco smoke and juices damage the DNA of cells in the mouth and throat.

Alcohol consumption

Heavy and long-term alcohol intake also increases the risk of mouth cancer. When alcohol and tobacco are used together, the risk is multiplied – much higher than using either alone.

Human papillomavirus (HPV)

Certain types of HPV, a common virus transmitted by intimate contact, are linked to cancers in the back of the mouth and throat (oropharyngeal cancers). HPV-related cancers may occur even in people who do not smoke or drink.

Excessive sun exposure (for lip cancer)

For people who work or spend long hours outdoors, chronic sun exposure without protection can increase the risk of lip cancer, especially on the lower lip.

Poor diet and low immunity

Diets low in fruits and vegetables

Conditions or medications that weaken the immune system

These factors can make it harder for the body to repair damaged cells and fight early cancer changes.


Oral Cancer Screening: What Happens During a Check-Up?

An oral cancer screening is a simple examination performed by a dentist or oral & maxillofacial surgeon. It usually includes:

A thorough look at the lips, gums, tongue, inner cheeks, palate and throat

Gently feeling for lumps, swellings or areas of thickened tissue

Checking the neck and jaw for enlarged lymph nodes

If the clinician sees a suspicious lesion or patch that does not look normal, they may recommend:

Photographic documentation and short-term follow-up

Biopsy (taking a small tissue sample) to determine if the cells are normal, precancerous or cancerous

The entire process is usually quick and can be done during a routine dental visit. Many patients do not realize that every time they sit in the dental chair, they have an opportunity for early oral cancer detection – if the clinic is thorough.


How Can You Reduce Your Risk of Mouth Cancer?

While not all cases can be prevented, you can significantly reduce your risk of oral cancer by:

Quitting smoking and avoiding all tobacco products

Limiting alcohol intake, especially heavy daily use

Protecting your lips from the sun with SPF lip balms and hats

Eating a balanced diet rich in fresh fruits and vegetables

Visiting your dentist regularly for oral cancer screening and professional examination

Seeking prompt evaluation if you notice any persistent oral cancer symptoms

If you already have risk factors, regular check-ups become even more crucial. Detecting changes at an early, treatable stage is far easier than managing advanced cancer.


When to See a Specialist

If you notice a sore, patch, lump or other change in your mouth that does not heal within two to three weeks, do not wait. Make an appointment with a dentist or an oral & maxillofacial surgeon who has experience in diagnosing and managing oral lesions.

Early evaluation does not always mean bad news. Many lesions are benign, but only a professional examination – and sometimes a biopsy – can provide a safe answer. In the small number of cases where oral cancer is diagnosed, early treatment offers the best chance for cure and a better quality of life.


By being aware of oral cancer symptoms, understanding the risk factors and committing to regular oral cancer screening, you are taking powerful steps to protect your health, your smile and your future.




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