#5e2d92_SMALL_Nov-Dec 2024 DRA Journal Cover

From myth-busting photobiomodulation therapy to showcasing advanced aesthetic cases, this issue delivers practical insights for modern dental practice. Explore evidence-based techniques in implant and veneer rehabilitation, essential guidance on monkeypox protocols, and strategies for enhanced patient communication.

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Alarming Rise in Oral Cancer Deaths Linked to Dentist Waiting Times

Long Waiting Times Blamed for a Surge in Mouth Cancer Deaths

In a concerning trend, data from the Oral Health Foundation reveals a staggering 46% increase in mouth cancer deaths over the past decade, with 3,000 fatalities reported in 2021. Experts express growing concerns that prolonged waiting times for routine dental check-ups may be contributing to this alarming rise. The foundation warns that the state of access to dentistry is in disarray, raising fears that timely diagnoses for many individuals with the disease may be compromised.

Read: Oral cancer patients delaying treatment due to pandemic

Warning Signs: Identifying Mouth Cancer Early

Neil Sikka, a dentist at Bupa Dental Care in London, emphasizes the importance of recognizing early warning signs for mouth cancer. While symptoms such as mouth ulcers that don’t heal, a hoarse voice, and unexplained lumps may not definitively indicate cancer, they necessitate further investigation. Sikka underscores the need for prompt attention to these indicators to ensure timely diagnosis and intervention.

  • Mouth Ulcers: Ulcers in the mouth that persist beyond three weeks, recur, or grow larger, especially near the back of the throat, should prompt a visit to a GP or dentist. While common ulcers typically heal within two weeks, their prolonged existence may be indicative of a more serious issue.
  • Swelling or Lumps: Unexplained swellings and lumps around the mouth or jaw, often painful and discomforting, can be early signs of mouth cancer. Recognizing these symptoms and seeking professional evaluation is crucial, as swift intervention may significantly impact outcomes.
  • Red or White Patches: Cancerous changes in the mouth may manifest as red or white patches. While not cancer themselves, these patches can become tender or painful. Neil Sikka warns that untreated patches may progress to mouth cancer, emphasizing the importance of assessment by a doctor or dentist.
  • Loose Teeth: Adults experiencing unexplained tooth looseness should be cautious, as it could be an early indication of mouth cancer. Tumors, lesions, cracking, bleeding gums, and difficulties in tooth socket healing after extractions may contribute to tooth mobility, warranting prompt medical attention.
Read: Dentist’s relationship with cancer patient linked to their disclosing behaviour

Expert Insights on Mouth Cancer

As the sixth most commonly diagnosed cancer globally, mouth cancer affects over 8,000 people annually in the UK and close to 55,000 in the US. The most prevalent type, squamous cell carcinoma, accounts for nearly 90% of cases. Additional types include adenocarcinoma, sarcoma, oral malignant melanoma, and lymphoma.

Despite a reported increase in the number of adults visiting dentists in recent years, concerns persist over long waiting times for dental appointments. Experts urge individuals to prioritize regular dental check-ups and promptly address any concerning symptoms to mitigate the impact of delayed diagnoses on mouth cancer outcomes.

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