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Oral Cancer Screening

Early detection saves lives: Book your oral cancer screening today

Finch Midland Dental in Scarborough includes oral cancer screening as part of every comprehensive exam — a painless, 5-minute check that can detect abnormalities when they are most treatable. our team visually examines the mouth, throat, and surrounding tissues, palpates for irregular growths, and uses advanced screening technology when indicated. With approximately 54,000 new cases diagnosed annually in the U.S., early detection is the single most important factor in survival. Schedule your screening or call (416) 297-6109.

Mature man at dentist's office chair during oral cancer screening
Preventative Care

What Is Oral Cancer Screening?

Oral cancer is a significant public health concern in the United States, with approximately 54,000 new cases and 10,850 deaths reported in 2021. The incidence of oral cancer has been on the rise in recent years, particularly among younger individuals who do not have traditional risk factors such as smoking or heavy alcohol consumption. Men are twice as likely as women to develop oral cancer. Early detection and regular dental check-ups are crucial for identifying oral cancer in its early stages when it is more treatable.

During an oral cancer screening, the dentist carefully examines the mouth, throat, and surrounding tissues for any signs of abnormal growth or tissue changes that may indicate cancer. The dentist looks for any changes in color, texture, or shape of the tissues, as well as any visible lesions or sores. The dentist may also palpate the mouth and neck, feeling for any lumps, bumps, or abnormal growths.

An oral cancer screening is usually done as part of a routine dental exam. In addition, individuals who are heavy smokers or have a family history of the disease are at a higher risk for oral cancer and should be screened more frequently.

Is it time for your oral cancer screening? Call us at Finch Midland Dental to schedule your appointment today.

Our Clinical Approach

Oral cancer screening at Finch Midland Dental is not a separate appointment — it is built into every comprehensive exam. our team systematically examines all soft tissues (tongue, floor of mouth, palate, cheeks, lips, throat, tonsils), palpates the neck and jaw for lymph node irregularities, and documents any findings for longitudinal tracking.

For patients with elevated risk factors — tobacco use, heavy alcohol consumption, HPV history, or a family history of cancer — we may recommend enhanced screening with VELscope or ViziLite technology at no additional cost.

Reviewed by our team · Finch Midland Dental, Scarborough

Transcript
are you getting oral cancer screenings at your routine dental visits the oral cancer screening I'm about to show is actually directly from the website six step screening org which I will link below in the bottom bar it is a great resource for oral cancer awareness step number one tongue and Goss the dental provider might pull out your tongue with gauze and they may visually examine it for any swelling ulceration or variations in size color or texture they may gently run their index finger along the lateral borders to feel for any hard tissue step to lip and cheek roll this is when they may roll the tissue of your buccal mucosa and lips between their fingers they are looking for any firm areas any changes in texture or any changes in color they may also pull the upper and lower lips out completely examining the labial mucosa and sulcus of the maxillary vestibule and freedom and the mandibular vestibule double-digit probe they may visually examine the floor of the mouth and they may have you touch your tongue to the roof of your mouth they may palpate it by manually with a gloved finger beneath the tongue and another under the chin on the exterior skin number four palate tickle this is when they will check the hard and soft palate visually and they may palpate it with their fingers five neck caress they may have you as the patient look down and turn your head to the side which makes your sternocleidomastoid muscles stand out and be more prominent they may roll the soft tissue of the neck over the sternocleidomastoid so they can see and feel for any lumps or bumps they may palpate the tissue around the Adam's apple as well and number six tonsils this is when they'll have you say uh and they'll take a good look at the tonsils in the back of the throat they checked for any asymmetry ulceration or redness they'll also examine the retromolar pads and all of the adjacent tissue so hopefully that was kind of an okay visual showing you the six step screening straight from six step screening org and I will link that in the bottom bar below so you can learn more that's a great resource another great resource is check your mouth org that's from the oral cancer foundation I just want to make sure we're all aware and educated and we're sharing our knowledge and our information to make sure that everyone's gay oral cancer screenings at the dental office if you're the patient ask for one if you don't think you're getting one if you're the dental professional and you realize you're not doing one make sure you start doing it thank you again for watching please like and subscribe if you enjoyed this video and until next time peace love and [Music]
The Screening Process

What to Expect During an Oral Cancer Screening

Expect Questions
During an oral cancer screening, the dentist may first ask the patient about any symptoms they have experienced, such as persistent mouth sores, difficulty swallowing or speaking, or chronic hoarseness. The dentist may also inquire about the patient's lifestyle habits, such as tobacco or alcohol use, as these are risk factors for oral cancer.

Expect a Visual Exam
The next step in an oral cancer screening is a visual examination of the mouth, palate, tongue, gums, throat, and lips. The dentist looks for any changes in color, texture, or shape of the tissues, as well as any visible lesions or sores.

Expect Palpitation
The dentist will then palpate the mouth and neck, feeling for any lumps, bumps, or abnormal growths. The dentist may also gently press on the lymph nodes in the neck to check for swelling or tenderness.

VELscope or ViziLite
The dentist may also use a VELscope or ViziLite system to aid in the detection of abnormal tissue growth. These systems use a special light that highlights any tissue changes that may be indicative of cancer.

Biopsy
If the dentist finds any suspicious areas, they may recommend an oral brush biopsy, which involves removing a small sample of tissue for further testing.

Referral
With any suspicious finding, the dentist will refer the patient to an oral surgeon or oncologist for further evaluation and treatment.

Warning Signs

What Are the Symptoms or Signs of Oral Cancer?

Individuals who use tobacco products, consume alcohol heavily, or have a history of HPV infection are at a higher risk of developing oral cancer. Regular dental check-ups can help detect oral cancer in its early stages. Consult a dental professional for an oral exam as soon as possible if you notice any of the following symptoms:

Early Detection Saves Lives

Oral cancer detected in its earliest stage has an 80%+ survival rate. Screening at every checkup gives you the best possible chance of catching it early.

Painless 5-Minute Exam

The entire screening takes just five minutes, requires no needles or instruments, and causes no discomfort — making it one of the easiest tests you can have.

Included in Routine Checkups

Oral cancer screening is a standard part of every comprehensive exam at Finch Midland Dental — no extra appointment or additional cost required.

Peace of Mind

A clear screening result gives you confidence in your health. And if something is found, you will be glad you knew early — when treatment options are most effective.

Oral cancer is one of the most preventable and treatable cancers when caught early. our team performs comprehensive oral cancer screenings at every checkup at Finch Midland Dental in Scarborough — because your health is always our priority.
Transcript
so this video and oral cancer screening at home was highly requested and I think that's great but I was very hesitant to even make this video because of all the random variants and weird looking things that could be present in your mouth that are a hundred percent normal in my fear and what I don't want is that everyone watches this to check their mouth and then freak out because they see something in their mouth that doesn't look normal but it is a hundred percent normal and healthy you know so having said that here's a list of some things that are completely normal anatomical variants that may be present in some people's mouths canker sores cold sores mandibular Tori palatal tourists Fisher tongue geographic tongue amalgam tattoos Linea Alba coated tongue cheek bites different frenum attachments for dice granules etc etc etc there's obviously so many more things that are within normal limits that you may find in your mouth I hope that makes sense I just can't stress enough there's a lot of things in your mouth that may appear that they're not normal but they are normal so keeping that in mind here is how to do an oral cancer screening at home in between your real oral cancer screenings at the dental office first you're going to look in your mouth and in your mouth it's dark when you look in there it's hard to see in there so I suggest you grab a flashlight something to know is that the most common spots for oral cancer are the sides of your tongue the lateral borders every tongue and the floor of your mouth underneath below your tongue so what you're kind of checking for is any suspicious lumps or bumps especially around your tongue and the floor of your mouth step 1 extend your tongue as far as it can go examining the sides and the underside for white and red patches and feel your tongue for lumps also I know I said that this is one of the most common spots but this is actually one of the most common spots especially for non-smokers step 2 lip and cheek roll feel for lumps or bumps looking for white or red areas that should not be there step 3 double digit probe examine the floor of your mouth from the top and bottom simultaneously for lumps living for white and red patches step 4 palette tickle check the roof of your mouth for lumps and areas of softness on the hard palate looking for white and red patches step 5 neck caress palpate your neck for enlarged lymphnodes a possible sign of affection or something more serious step 6 tonsil ah say uh and try to examine your tonsils for symmetry a large mint redness or unusual lumps if you did notice something that is clearly new something that has never been there before again don't panic always give it two weeks and if it doesn't go away in two weeks then call your dentist often times you will notice a cut on your cheek or on your gums from like a sharp food like a chip or a cracker another popular one you might notice is a burn on the roof of your mouth that can be from pizza pizza burns a big one hot chocolate or hot coffee so if you do see something concerning try to think back and be like when did I eat something really hot or something sharp you know what I mean also keep in mind that list of variants I gave you at the start of this video all those variants like mandibular touré all of those are super normal now this is the point like in the video now I feel like I'm saying like don't worry don't be I'm trying to like call me that's just like I don't know that dental perfect like the healthcare worker in me I'm trying to like calm you down but that is not the purpose of this video I just I don't want anyone freaking out right there's a fine line between being super relaxed like you're fine and then a fine line between being like super serious and worried about everything right I want this to be serious you should take this seriously but I don't want you to freak yourself out so first and foremost educate yourself and I will provide links to six steps screening org is what we just did and it gives you more information on their website of course and check your mouth org which is through the oral cancer foundation if something looks suspicious in your mouth and you feel like something is wrong just like you would with any other part of your body and you would call your doctor or dentist that is what you should do call your doctor or dentist and schedule an appointment and lastly before we finish off here I'm just gonna list a few signs and symptoms that can relate to oral cancer persistent mouth sores or irritations that don't go away usually red or white patches pain tenderness or numbness in your mouth your lips or your ears non-tender lumps thickening rough spots crust or eroded areas chronic hoarseness abnormal swallowing difficulty chewing difficulty speaking and difficulty moving your tongue or your jaw peculiar sore throat and or a change in the way your teeth fit together when you bite down again if you've had any of these let your doneis know especially if you've had them for two weeks or more and make sure you're getting your professional oral cancer screenings at your routine dental appointments if you'd like to see what an actual oral cancer screening looks like at the dentist I will link my video on that below in the bottom bar and until next time peace love teeth and check your mouth
Self-Examination

How to Screen for Oral Cancer at Home

While regular dental check-ups with a healthcare professional are essential for oral cancer screening, it is also important to conduct regular at-home screenings to help detect any changes or abnormalities in your mouth. Here are the steps to conduct an at-home oral cancer screening:

  1. Start by standing in front of a well-lit mirror and opening your mouth wide.
  2. Use your fingers to feel for any lumps, bumps or changes in texture on the roof of your mouth, tongue, cheeks, and gums.
  3. Check the inside of your lips and look for any sores, ulcers, or white or red patches.
  4. Check the back of your throat and tonsils for any lumps, bumps or changes in texture.
  5. Examine your neck and jaw area for any swelling or lumps that are not normally present.
  6. Repeat this examination once a month and keep a record of any changes or abnormalities that you notice.

An at-home oral cancer screening is not a substitute for regular dental check-ups with a healthcare professional. If you notice any changes or abnormalities during an at-home screening, it is important to schedule an appointment with a dental or healthcare professional as soon as possible for a thorough examination and diagnosis.

Advanced Technology

What Is VELscope and ViziLite Technology?

The VELscope system uses a special blue light that highlights abnormal tissue in the mouth. The light causes healthy tissue to fluoresce, while abnormal tissue appears dark. This technology can help identify precancerous and cancerous lesions that may not be visible to the naked eye. The VELscope system is a non-invasive and painless diagnostic tool that can be used during routine dental check-ups.

The ViziLite system is another technology that uses a blue light to detect abnormal tissue in the mouth. A special rinse is used to temporarily stain abnormal tissue, which appears white under the blue light. This technology can also help detect precancerous and cancerous lesions in the mouth. Like the VELscope system, the ViziLite system is a useful diagnostic tool that is suitable for use during routine dental check-ups.

Both the VELscope and ViziLite systems are effective diagnostic tools for the early detection of oral cancer. These technologies can help detect oral cancer in its early stages, when it is more treatable and has a higher chance of successful outcomes. In addition to early detection, these technologies can also reduce the need for invasive biopsies, which can be uncomfortable and costly.

Diagnostic Procedure

What Is a Dental Brush Biopsy?

A dental brush biopsy is a diagnostic procedure that is sometimes used to diagnose oral lesions or suspicious growths in the mouth. It involves the use of a small, soft brush that is gently rubbed against the area of concern to collect a sample of cells.

The collected cells are then sent to a laboratory for examination under a microscope to determine if they are cancerous or precancerous. A dental brush biopsy is a minimally invasive procedure that can be performed in the dentist's office and usually does not require any anesthesia.

Dental brush biopsies are often used to diagnose oral lesions that are too small to be seen with the naked eye or that do not appear to be cancerous based on a visual examination. They are also used to monitor the growth of lesions over time and to determine the effectiveness of treatment.

While dental brush biopsies can be a useful diagnostic tool, they are not always conclusive and may need to be followed up with a more invasive biopsy or other diagnostic tests. It is important to discuss any concerns about oral lesions with a dental or healthcare professional to determine the most appropriate course of action.

Common Concerns

Common Concerns About Oral Cancer Screening

Patients often have these questions about oral cancer screening. our team addresses each one honestly.

"I don't smoke — do I still need an oral cancer screening?"

Yes. While tobacco use significantly increases risk, approximately 25% of oral cancer cases occur in people with no traditional risk factors. HPV (human papillomavirus) is now the leading cause of oropharyngeal cancers in younger adults. The screening takes less than 5 minutes, is completely painless, and is included in every comprehensive exam at no extra cost.

"What happens if you find something suspicious?"

Most findings are benign — not every sore or discoloration is cancer. If our team identifies an area of concern, the next step is typically monitoring it for 2 weeks. If it persists, a brush biopsy (painless, done in-office) can collect cells for lab analysis. If further evaluation is needed, we refer you to an oral surgeon or oncologist promptly. Early-stage oral cancer has an 80%+ survival rate.

"Is the HPV vaccine effective at preventing oral cancer?"

The HPV vaccine is highly effective at preventing the HPV strains (particularly HPV-16) most commonly associated with oropharyngeal cancers. The CDC recommends vaccination for boys and girls starting at age 11–12. However, the vaccine does not protect against all causes of oral cancer, so regular screening remains important regardless of vaccination status.

What to Know

Why Oral Cancer Screening Matters

Oral cancer is highly treatable when detected early — but the consequences of late detection are severe.

  • The 5-year survival rate for oral cancer detected at Stage I is over 80% — but drops to approximately 40% when detected at Stage IV
  • Late-stage treatment often requires surgery, radiation, and chemotherapy — affecting speech, swallowing, and facial appearance
  • Oral cancer can develop in areas that patients cannot see or feel on their own — professional screening catches what self-exams miss
  • HPV-related oropharyngeal cancers are increasing in younger adults who have no traditional risk factors like smoking
Common Questions

Frequently Asked Questions About Oral Cancer Screening

Anyone can develop oral cancer, but those at higher risk include individuals who smoke or use tobacco products, consume excessive alcohol, have a history of HPV infection, or have a family history of cancer. Men are twice as likely as women to be diagnosed.

It is recommended to get an oral cancer screening at least once a year during your routine dental check-up. At Finch Midland Dental, screening is included in every comprehensive exam.

No, an oral cancer screening is typically painless and only takes a few minutes to complete. It involves a visual exam and gentle palpation — no needles or instruments.

our team visually examines all soft tissues in the mouth (tongue, cheeks, palate, gums, lips, throat), checks for color or texture changes, palpates the neck for lymph node irregularities, and may use VELscope or ViziLite technology for enhanced detection.

Yes. At our Scarborough dental office we offer oral cancer screening to patients in Scarborough and the surrounding area. Contact our office today to schedule an appointment.

Oral cancer screening is included as part of your comprehensive dental exam, which is covered by most dental insurance plans. There is typically no separate charge for the screening itself.

Watch for persistent mouth sores that don't heal within 2 weeks, white or red patches on the gums, tongue, or lining of the mouth, difficulty swallowing or chronic hoarseness, unexplained numbness in the mouth or lips, and lumps or swelling in the neck or jaw. If you notice any of these, contact our office promptly.

When detected at Stage I, oral cancer has a 5-year survival rate exceeding 80%. Early-stage treatment is typically less invasive and has significantly better outcomes than late-stage diagnosis. This is why regular screening is so important — it catches problems before they progress.

Medical Disclaimer

This content is for informational purposes only and does not constitute dental or medical advice, diagnosis, or treatment. Oral cancer screening is a preventive measure and does not guarantee detection of all cancers. A brush biopsy is a diagnostic tool; definitive diagnosis may require additional testing. Consult our team or a qualified dental or medical professional regarding any questions about your oral health. Individual risk factors and outcomes vary.

Protect Your Health with an Oral Cancer Screening

Early detection saves lives. Schedule your oral cancer screening at our Scarborough dental office today.