By Dr Harold Katz, dentist, bacteriologist and founder of The Breath Company.
The number of people diagnosed with mouth cancer (also known as oral cancer) in the United Kingdom has now exceeded 7,500 a year, an increase of more than two thirds (68%) over the last 20 years, making it one of the nation’s fastest increasing cancers. November marks Mouth Cancer Action month in the UK – an Oral Health Foundation campaign which aims to raise awareness of mouth cancer and save lives through early detection and prevention. Dentist, bacteriologist and founder of The Breath Company Dr Harold Katz provides answers to some of the most frequently asked questions about one of Britain’s fastest growing forms of cancer.
What causes mouth cancer?
“Whilst mouth cancer is a disease that is directly related to tooth decay and gum disease (both of which are impacted by the growth of anaerobic bacteria in the mouth), lifestyle choices play a huge part in increasing your chances of developing the disease and the two leading causes in the UK are tobacco and alcohol.
Tobacco is very much still considered the main cause of mouth cancer and drinking to excess can increase the risk of mouth cancer by four times. The Mouth Cancer Foundation states that “those who smoke and drink are up to 30 times more likely to develop mouth cancer”. A lesser known risk is mouth rinses that contain alcohol when used over a long period of time could in fact contribute to the problem. So, the “burn” that you feel when you’re rinsing with a mouthwash containing alcohol is not only killing the bad breath bacteria, it may also be damaging the delicate oral tissue in your mouth and increasing your risk of oral sores and oral cancer.
Other contributing factors include chewing tobacco or other smokeless tobacco products, a poor diet and the human papilloma virus (HPV).”
When it comes to mouth cancer, what should we be looking out for?
“Mouth cancer can develop on the tongue’s surface, roof of the mouth, inside of the cheeks, lips and gums. Recent research by Mouth Cancer Action has identified that “A worrying number of Brits cannot identify the three most likely potential early warning signs of mouth cancer – lumps and swelling (41%), non-healing mouth ulcers (44%) and red patches in the mouth (60%).”
Bearing these statistics in mind it’s essential to check for these symptoms regularly and visit your dentist if these areas do not heal within three weeks. As with most forms of cancer, early detection is key and can dramatically affect the long-term diagnosis. If mouth cancer is detected early, then the prognosis is usually fairly good so it’s crucial that you make regular appointments with your dentist as they will be able to examine your mouth thoroughly and spot any areas of concern quickly.
For those who are already undergoing radiation treatment for mouth cancer, severe dry mouth may result due to irradiation of the salivary glands. In those cases, patients should consider an oral rinse to help restore saliva production such as the Breath Company’s Dry Mouth Rinse (£14.00, 500ml from Boots stores and www.boots.com) which contains beneficial salivary enzymes.”
How does mouth cancer spread?
Mouth cancer can spread both through the lymphatic system and also directly out of the mouth and into nearby tissues such as surrounding skin or the back of the jaw.
Who is more likely to develop mouth cancer – men or women?
Mouth cancer and its symptoms do not discriminate between the sexes, and although symptoms can vary between individuals, men and women should look for the same things. Mouth cancer can affect anyone, but is twice as common in men than women and approximately 91% of all diagnoses are linked to lifestyle. The HPV infection is thought to be associated with the majority of cases that occur in younger people (under 50).
What can I do to minimise my risk of developing mouth cancer?
- “Visit your dental professional regularly and make an appointment if you spot any changes in your mouth or any signs of swelling, lumps, red patches or mouth ulcers that do not heal within three weeks. They will be able to check your mouth for any warning signs and / early symptoms and advise the best course of action.”
- “Keep your mouth and gums healthy by adopting a robust oral hygiene regimen. Brush and floss regularly but avoid harsh soap in toothpaste. Brushing helps eradicate the plaque and bacteria on your teeth, however some toothpaste contains sodium lauryl sulphate (SLS), a soapy detergent that creates foam but has no cleaning benefit. The additive has recently been linked to serious side effects including canker sores. Flossing is an extra step, but it’s an important one, as it helps gets in between the teeth where toothbrushes sometimes miss. In addition, regular and specific application of alcohol-free mouth rinses such as The Breath Company Healthy Gums Oral Rinse (£14.00, 500ml, boots.com and Boots stores nationwide) will help calm the gum area and work to both eliminate germs associated with gum disease and reduce the formation of biofilm which leads to plaque and tartar build-up. It’s important to steer clear of alcohol-based mouthwashes as these can exacerbate the problem and cause dry mouth.”
- “Take a good look at your lifestyle and make the necessary changes to protect your oral health. Quitting smoking and limiting alcohol consumption will greatly decrease the risk of developing mouth cancer and will contribute to healthier gums and mouth. Eat a balanced, healthy diet with at least five portions of fruit and vegetables a day.”