Dentists have been encouraged to
probe into the personal lives of their patients, to help check the escalating
incidence of oral cancer.
This requires the doctors to ask
patients about their lifestyle, including details regarding their smoking and
drinking habits and about their sexual behaviour. This does not warrant a
lecture, but it may increase the doctor's awareness regarding his patient. For
instance if the dentist comes across a person who smokes and drinks more than
the recommended amount, then he is likely to observe the patient much more
The above requirement is seen as
a move to get the dentists to take a more active role in fighting oral
carcinoma, which is claiming increasing numbers of lives in the UK.
The number of people with oral
cancer has been steadily increasing. It is predicted that by 2030, 9,200 cases
of this cancer will be diagnosed each year in the UK alone. Naturally, death
rates too are expected to rise by around 22 per cent in the next two decades.
The reason for the present trend
remains hazy, nevertheless, it is thought that the human papilloma virus (HPV),
which can infect the mouth through oral sex, has a role to play. HPV is
considered to be a risk factor for oral cancer along with alcohol and smoking.
The number of people indulging in
alcohol and oral sex has considerably increased, especially among the young.
There is growing evidence that those who have multiple sex partners and those
who indulge in oral sex carry an increased risk for oral cancer.
Oral carcinoma is a type of
cancer that affects the lips, tongue, cheek lining, palate, gums and floor of
the mouth. Symptoms include sores, ulcers or lumps, but these are usually
dismissed as insignificant or harmless.
Cancer Research UK, the British
Society for Oral Medicine, and the British Association for the Study of
Community Dentistry are jointly persuading the dentists to take oral cancer
more seriously. They are seeking to make early detection and prevention of oral
carcinoma a compulsory part of training for the dentists.
Recently, oral cancer detection has been made a
recommended subject, not compulsory, for continuing professional development.
This is just half the way. What is required is early diagnosis and prevention to
be treated with the same importance as what is given to cross infection control
and the risk from X-ray radiation. And it is hoped that it will happen, sooner
than later !