What are the early warning signs?
- A white or red patch that doesn't go away
- An ulcer that hasn't healed in 2 weeks
- Difficulty opening your mouth fully
- Burning with spicy food
- A lump or thickening in the cheek, tongue or gums
- Numbness or unexplained bleeding
Having a symptom does not definitely mean you have cancer, but it is important to get checked by a dentist.
Why does screening matter in Rupandehi?
A 2024 study of 500 outpatients in Rupandehi found that tobacco-related mouth lesions (oral submucous fibrosis, leukoplakia, tobacco pouch keratosis and chewer's mucositis) are the most prevalent oral diseases in the district, with 41% of participants using tobacco and areca-nut chewing a significant predictor of oral submucous fibrosis. Nepal's National Oral Health Policy lists oral cancer as a leading cause of cancer in Nepal.
What happens at a screening?
A painless visual and touch examination of your mouth, tongue and gums, done in a few minutes during any dental visit. If we find a suspicious area, we explain what it means and arrange further tests or a specialist referral.
Who should be screened?
Anyone who uses any form of tobacco or areca nut, current or past, and anyone over 40 at their routine check-up.
Does quitting help?
Yes. Stopping tobacco and areca nut is the most important step, and many changes improve after quitting. We give practical advice to quit and can point you to cessation support.
Frequently asked questions
Does screening hurt?
No. It is a visual and touch examination with no needles or cutting.
If I've used gutkha for years, is it too late?
No. Many changes improve after quitting, and early detection greatly improves outcomes.
Is oral submucous fibrosis cancer?
No, but it is a potentially malignant condition, which means it can develop into cancer in some people. It needs regular monitoring.