Comprehensive Guide: Head and Neck Cancer Screening for Dental Professionals

In the realm of cancer, early diagnosis plays a pivotal role in enhancing patient outcomes. Recognising this, the Mouth Cancer Foundation advocates for a comprehensive head and neck cancer screening as a routine part of dental appointments, emphasising the importance of this proactive measure in identifying potential issues promptly.

Unified Team Approach

The Mouth Cancer Foundation underscores the significance of a whole-team approach to cancer screening, encouraging all members of the dental practice to be well-versed in identifying signs and symptoms. Beyond the clinical setting, the foundation emphasises the ongoing effort required to heighten public awareness about mouth cancer, reinforcing the commitment to early detection.

To streamline the screening process for patients aged 16 and above, the Mouth Cancer Foundation has introduced a standardised mouth cancer screening protocol. This concise examination, taking less than two minutes, employs simple tools such as gloved hands, a mirror, and adequate lighting. Effective communication before and after the screening ensures patients understand the procedure and receive appropriate advice based on their risk factors.

Dental Health Linked to Improved Survival in Head and Neck Cancer Patients

Step-by-Step Screening Protocol

• Extraoral Examination
• Observe the face and neck for any swellings, skin abnormalities, moles, and asymmetry.
• Examine the vermillion border of the lips and mouth, noting any changes in color or texture.
• Palpate the lymph nodes in the neck, focusing on the submandibular and submental regions, as well as the upper jugular regions.

Intraoral Examination

• Ask denture-wearing patients to remove dentures.
• Examine the labial mucosa and sulcus with the mouth half open.
• Observe the maxillary and mandibular sulci on both sides.
• Retract the cheek and examine the buccal mucosa, noting changes in color and texture.
• Examine the tongue at rest and protruded, assessing color, texture, symmetry, mobility, and papillae distribution.
• Inspect and palpate the lateral borders of the tongue by holding the tip and retracting the cheeks alternately.
• Lift the tongue and examine the ventral surface and the floor of the mouth.
• Depress the tongue to examine the soft and hard palates, and ask the patient to say ‘Ah’ to inspect the oropharynx, uvula, and pillars of the fauces.

This systematic and thorough examination allows dental professionals to detect potential abnormalities, offering a proactive approach to oral health and contributing to early cancer detection. The Mouth Cancer Foundation’s screening protocol empowers dental teams to make a meaningful impact on patient well-being.