Evidence-based clinical recommendations regarding screening for oral squamous cell carcinomas.

Michael P. Rethman, William Carpenter, Ezra E.W. Cohen, Joel Epstein, Caswell A. Evans, Catherine M. Flaitz, Frank J. Graham, Philippe P. Hujoel, John R. Kalmar, Wayne M. Koch, Paul M. Lambert, Mark W. Lingen, Bert W. Oettmeier, Lauren L. Patton, David Perkins, Britt C. Reid, James J. Sciubba, Scott L. Tomar, Alfred D. Wyatt, Krishna AravamudhanJulie Frantsve-Hawley, Jennifer L. Cleveland, Daniel M. Meyer, Dental Association Exp Panel Oral Souamous Cell Carcinomas American Dental Association Exp Panel Oral Souamous Cell Carcinomas

Research output: Contribution to journalArticlepeer-review

Abstract

This article presents evidence-based clinical recommendations developed by a panel convened by the American Dental Association Council on Scientific Affairs. This report addresses the potential benefits and potential risks of screening for oral squamous cell carcinomas and the use of adjunctive screening aids to visualize and detect potentially malignant and malignant oral lesions. The panel members conducted a systematic search of MEDLINE, identifying 332 systematic reviews and 1,499 recent clinical studies. They selected 5 systematic reviews and 4 clinical studies to use as a basis for developing recommendations. The panel concluded that screening by means of visual and tactile examination to detect potentially malignant and malignant lesions may result in detection of oral cancers at early stages of development, but that there is insufficient evidence to determine if screening alters disease-specific mortality in asymptomatic people seeking dental care. The panel suggested that clinicians remain alert for signs of potentially malignant lesions or early-stage cancers while performing routine visual and tactile examinations in all patients, but particularly in those who use tobacco or who consume alcohol heavily. Additional research regarding oral cancer screening and the use of adjuncts is needed.

Original languageEnglish (US)
Pages (from-to)491-507
Number of pages17
JournalTexas dental journal
Volume129
Issue number5
StatePublished - May 2012
Externally publishedYes

ASJC Scopus subject areas

  • Dentistry(all)

Fingerprint Dive into the research topics of 'Evidence-based clinical recommendations regarding screening for oral squamous cell carcinomas.'. Together they form a unique fingerprint.

Cite this