Oral CancerScreening

At The Smile Collective, oral cancer screening is an important part of routine dental care. Screenings are offered at our six clinics in Mount Eliza, Mornington, Oakleigh, Mooroolbark, Greensborough and Strathmore.

Oral cancer screening 1, The Smile Collective

These checks allow dental professionals to examine the soft tissues of the mouth for signs of change that may require further investigation.

Oral cancer refers to abnormal cell growth in the mouth or throat. It can develop on the lips, tongue, cheeks, gums, palate, or the floor of the mouth. Like many cancers, oral cancer has better outcomes when detected early. Regular screening by a dental professional provides an opportunity to identify unusual areas sooner and, if needed, refer patients for medical follow-up.

Why Oral Cancer Screening Matters

Oral cancer can develop without obvious signs in its early stages. Sometimes, the changes are small, painless, or easy to overlook — such as a patch inside the mouth, a sore that doesn’t heal, or a slight lump. Because these changes may seem minor, the condition can progress before being noticed.

Dental teams regularly check the soft tissues of the mouth, which gives them an important role in identifying changes that may need further review. Screening is not a diagnosis but a helpful way to detect signs that should be assessed more closely.
Recognising changes early may:

  • Allow smaller areas of concern to be found sooner, when care may be simpler
  • Lower the chance of the condition developing unnoticed
  • Provide an opportunity for timely referral and specialist assessment

Each situation is assessed carefully to confirm that removal is appropriate and that all other treatment options have been considered.

Understanding Oral Cancer

Oral cancer is part of a broader group known as head and neck cancers. It can affect any area within the oral cavity, including:

  • Lips
  • Tongue (particularly the sides and underside)
  • Gums
  • Cheeks (buccal mucosa)
  • Palate (roof of the mouth)
  • Floor of the mouth

Risk Factors for Oral Cancer

Certain factors can increase the chance of developing oral cancer. These include:

  • Tobacco use: Smoking or chewing tobacco is a major contributor.
  • Alcohol consumption: Frequent or high alcohol intake has been linked to a higher likelihood of oral cancer.
  • Human Papillomavirus (HPV): Some types of HPV are linked to cancers of the mouth and throat.
  • Sun exposure: Extended exposure, particularly for outdoor workers, can increase the risk of lip cancer.
  • Age: The likelihood rises with age, although it can also occur in younger individuals.
  • Diet and nutrition: A diet low in fruits and vegetables may play a role.
  • Family history: A genetic tendency may make some people more prone to developing the condition.

Being aware of these factors can help identify patients who may need closer monitoring or more frequent screening during routine visits.

Signs and Symptoms

During a screening, dental professionals look for visible or palpable changes in the mouth. Patients should also be aware of symptoms that warrant prompt evaluation.

These include:

  • Red or white patches on oral tissues
  • A sore or ulcer that does not heal within two weeks
  • Persistent lumps, swellings or thickened tissue
  • Unexplained bleeding in the mouth
  • Difficulty chewing, swallowing, or moving the tongue or jaw
  • Numbness or pain in the lips, tongue, or other areas of the mouth
  • Changes in voice or a persistent sore throat
  • Loose teeth not related to gum disease

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What Happens During Oral Cancer Screening

Oral cancer screening can be completed during a regular dental visit. It involves a visual and physical examination of the soft tissues inside the mouth, including the lips, cheeks, tongue, and throat, to check for any unusual areas or changes.

The process typically includes:

Health History Review
The dentist may ask about lifestyle factors, such as smoking or alcohol use, as well as any family history or previous health conditions.

Visual Examination
Using good lighting and sometimes magnification, the dentist examines the inside of the cheeks, lips, tongue, gums, and palate. They also check the back of the throat when possible.

Palpation
The dentist gently feels the neck, jaw, and oral tissues to identify any lumps, swellings or irregularities not visible on the surface.

Documentation
Any areas of concern are documented, photographed or recorded for comparison at future visits.

Referral (if needed)
If a suspicious lesion or change is identified, the dentist will refer the patient to an appropriate medical professional (such as an oral medicine specialist, surgeon, or oncologist) for further investigation, which may include a biopsy.

Frequency of Screening

There are no universal guidelines that prescribe how often oral cancer screening should occur. However, many dentists incorporate screening into routine check-ups, typically every six to twelve months.

Patients at higher risk — for example, smokers or those with heavy alcohol use — may benefit from more frequent monitoring. The dentist will advise based on individual circumstances.

Patient Role in Early Detection

Regular professional screening is important, but patients also play a part in noticing changes between visits. It can help to check the mouth at home from time to time and look for:

  • Sores or patches that do not heal
  • Lumps or swelling inside the mouth or neck
  • Ongoing hoarseness or difficulty swallowing
  • Any changes that persist or seem unusual should be discussed with a healthcare professional for further assessment.

Limitations of Screening

It is helpful to know what oral cancer screening can and cannot do.

  • Screening does not diagnose cancer — it helps identify areas that may need further testing.
  • Some cancers may not be visible in the early stages or may develop in areas that are hard to see.
  • Results are not always definite — an unusual area may be harmless, and new changes can appear between visits.

Even with these limits, screening remains an important part of ongoing dental care and helps support early review when changes are detected.

Oral Cancer Screening at The Smile Collective

Oral cancer screening is available at all six Smile Collective clinics in Mount Eliza, Mornington, Oakleigh, Mooroolbark, Greensborough and Strathmore.

Our aim is to support patients by monitoring oral health, identifying unusual changes early, and encouraging appropriate medical follow-up where necessary. For more information about oral cancer screening or to arrange a consultation, please contact your nearest Smile Collective clinic.