# Oral cancer screening in Butwal for tobacco and areca-nut users

Medically reviewed by [Dr. Rekha Pandey, BDS (NMC 38136)](https://kashyapdental.com.np/dr-rekha-pandey)

**Short answer:** If you chew gutkha, khaini, surti, paan or supari, or smoke, a quick mouth check can find early warning signs of oral cancer while they are still treatable. The screening is 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.

**Price:** Oral cancer screening at Kashyap Dental & Aesthetics, Butwal is done by Dr. Rekha Pandey (BDS); the cost is confirmed at consultation.

## 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](https://doaj.org/article/8e7fed2a512842cdb6c48156a5e1cf15)). 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](https://mohp.gov.np/uploads/Resources/1657877144550National%20Oral%20Health%20Policy.pdf)).

## 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](https://kashyapdental.com.np/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.

Last updated: 24 Oct 2026

## Clinic details
- **Kashyap Dental & Aesthetics**, Butwal (काश्यप डेन्टल एन्ड एस्थेटिक्स)
- Address: Tilottama Path (Hospital Line), near Gastrocare, Butwal 32907, Lumbini Province, Nepal (तिलोत्तमा पथ (हस्पिटल लाइन), ग्यास्ट्रोकेयर नजिक, बुटवल). On Hospital Line (Tilottama Path), next to Gastrocare. Plus code MFX8+29 Butwal.
- Phone / WhatsApp: +977 974-3679953 (https://wa.me/9779743679953)
- Email: kashyapdcaa@gmail.com
- Opening hours: every day, 8 AM–6 PM
    - Sunday: 8:00 AM–6:00 PM
    - Monday: 8:00 AM–6:00 PM
    - Tuesday: 8:00 AM–6:00 PM
    - Wednesday: 8:00 AM–6:00 PM
    - Thursday: 8:00 AM–6:00 PM
    - Friday: 8:00 AM–6:00 PM
    - Saturday: 8:00 AM–6:00 PM
- Payment: Cash, eSewa, Khalti, Fonepay / bank QR, debit and credit cards
- Doctors: Dr. Rekha Pandey, BDS (NMC 38136), performs every treatment except braces and aligners; Dr. Madhav Pandey, MDS Orthodontics (NMC 15670), plans and treats every braces and clear aligner case.
- Google Maps: https://maps.google.com/?cid=2552023128400234002
- Prices: https://kashyapdental.com.np/prices
- Book an appointment: https://kashyapdental.com.np/book

Source: https://kashyapdental.com.np/oral-cancer-screening