Why this matters in Rupandehi
A 2024 study of patients in Rupandehi found that tobacco-related mouth lesions (oral submucous fibrosis, leukoplakia, tobacco pouch keratosis and chewer's mucosa) 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 (Athens Journal of Health & Medical Sciences, 2024). Nepal's National Oral Health Policy lists oral cancer as a leading cause of cancer in Nepal and names cigarettes, khaini, supari, surti, gutka, paan and alcohol among its causes (Ministry of Health and Population).
See a dentist if you notice
- 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
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.
Quitting
Stopping tobacco and areca nut is the most important step. We give practical advice to quit and can point you to cessation support.
Price
| Treatment | Price (NPR) | Notes |
|---|---|---|
| Oral cancer screening | Confirmed at consultation | Varies case by case |
Prices last updated: 24 October 2026. Your exact cost is explained and agreed before treatment starts.
See all treatment prices.
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.