The factors most often linked to oral cancer are tobacco use in any form, alcohol, HPV infection, and for cancer of the lip, long-term sun exposure. Age and a family history of cancer also matter, and those you can’t change. Having a risk factor doesn’t mean you will develop oral cancer, and people with no known risk factors can still get it, which is why the Timonium office of Dr. Steven W. Haywood, DDS recommends a yearly oral cancer screening for all patients over eighteen.

This article explains each risk factor in plain terms, separates the ones you can influence from the ones you can’t, and describes practical steps that may lower your risk. It is general education, not personal medical advice. Your physician and dentist can help you understand your own situation.

What we know about oral cancer risk

On its oral cancer screening page, the practice notes that alcohol, infection, the HPV virus and smoking have all been implicated in the onset of oral cancer, and that regular screenings are especially important for anyone over 40, anyone who smokes and anyone with a family history of cancer.

A “risk factor” is something linked to a higher chance of developing a disease. It is not a cause in every case, and it is not a prediction. Think of risk factors as a reason to pay closer attention, not a reason to panic.

Risk factors you can control

Tobacco in any form

Smoking is one of the best-known risk factors for oral cancer, and it isn’t limited to cigarettes. Cigars, pipes, chewing tobacco and snuff all expose the tissues of the mouth to harmful substances, and smokeless tobacco sits directly against the gums and cheeks. Tobacco also stains teeth, raises the risk of gum disease and slows healing.

Vaping

Vaping is newer, and its long-term effects on the mouth are still being studied. It isn’t a proven safe alternative for your oral health. Read how smoking and vaping put your smile at risk.

Alcohol

Alcohol has been implicated in oral cancer, and heavier drinking is generally associated with greater risk. Using alcohol and tobacco together is widely considered riskier than using either one alone.

Sun exposure on the lips

Years of sun on unprotected lips is linked to cancer of the lip. People who work or spend a lot of time outdoors can protect their lips with a lip balm that contains sunscreen and a wide-brimmed hat.

HPV infection

The HPV virus has been implicated in oral cancer, particularly cancers toward the back of the mouth and throat. You can’t always know whether you have been exposed, but you can ask your physician whether HPV vaccination is appropriate for you or your children.

Diet and overall health

A diet with plenty of fruits and vegetables is commonly recommended for overall health, and good nutrition supports the body’s defenses in general. It is a sensible habit, though no single food prevents cancer.

Risk factors you can’t control

Age

The risk of oral cancer tends to rise with age, which is one reason the practice considers regular screening especially important for anyone over 40. Younger adults can still develop oral cancer, so screening starts at eighteen.

Family history of cancer

A family history of cancer is a reason to be especially consistent with screenings. Mention it at your visit so it becomes part of your health record.

Other health conditions

A weakened immune system, whether from an illness or from medications, can make it harder for the body to fight infections and is generally considered a risk factor for several cancers. Keep your dental team updated on your health history and medications.

Can you get oral cancer with no risk factors?

Yes. People who have never smoked or used tobacco, drink little or no alcohol and have no family history can still develop oral cancer. That is why screening isn’t reserved for high-risk patients, and why any change in your mouth that doesn’t go away should be checked. Read oral cancer signs and symptoms.

Practical steps that may lower your risk

  1. Stop using tobacco, or don’t start. If you are quitting, your physician can help with options.
  2. Limit alcohol, and avoid combining it with tobacco.
  3. Protect your lips from the sun.
  4. Ask your physician about HPV vaccination if it is appropriate for your age and health.
  5. Eat a balanced diet with plenty of fruits and vegetables.
  6. Get to know your mouth so you notice changes early. See how to check your mouth for oral cancer.
  7. Have an oral cancer screening once a year, and sooner if you notice a change.

How the practice screens for oral cancer

An oral cancer screening is part of your regular checkup at Dr. Haywood’s practice. It is quick and pain-free and checks the soft tissues of your mouth, throat and tongue for abnormalities.

  • ViziLite: a screening tool used to identify abnormal cells or other signs of oral cancer, available during office examinations. Signs can be detected in as little as ten minutes.
  • t-blue staining and Oral CDX cellular analysis: non-surgical techniques for identifying cancer, available right in the office when an area needs a closer look.
  • A clear conversation: Dr. Haywood explains what the findings mean and discusses your next steps with you.

If you would like to know whether you might be at risk, ask at your next visit or call the office. For a step-by-step look at the visit, read what happens during an oral cancer screening.

Paying for your screening

The practice is out of network with all dental insurance providers. You pay at the time of your visit, and the office files the claim on your behalf so your plan can reimburse you for whatever it covers. Health savings and flex plans are welcome, and financing is available through CareCredit, with no-interest options for up to 12 months, and Cherry, with plans from 3 to 24 months. See financing options.

Frequently asked questions

What is the biggest risk factor for oral cancer?

Tobacco use is one of the most widely recognized risk factors, and alcohol, HPV infection and smoking have all been implicated. Risk tends to be higher when more than one factor is present.

Can nonsmokers get oral cancer?

Yes. Oral cancer can develop in people who have never smoked, which is why the practice recommends a yearly screening for all patients over eighteen.

Does vaping cause oral cancer?

The long-term effects of vaping on the mouth are still being studied, so it is too early to say. It shouldn’t be considered a safe alternative to smoking for your oral health.

How often should I be screened if I have risk factors?

The practice recommends screening once a year for all adults, and regular screening is especially important if you are over 40, smoke or have a family history of cancer. If you notice a change between visits, call rather than waiting.

Talk about your oral cancer risk in Timonium

Whatever your risk factors, a yearly screening is a simple, pain-free step. Request an appointment or call (410) 453-9399. The office of Dr. Steven W. Haywood, DDS is at 108 W Timonium Rd, Ste 200, Timonium, MD 21093, serving Timonium, Towson, Pikesville, Baltimore and the surrounding communities. Learn more about oral cancer screening in Timonium.

Ready to see your future smile?

Wondering about your oral cancer risk? Ask at a screening visit in Timonium.

Dr. Steven W. Haywood, DDS team member smiling