How to do an at-home oral cancer screening

Oral cancer may not get as much attention as other types, but early detection can make a life-saving difference. While professional dental examinations remain the gold standard for screening, you can also perform a quick self-check at home to spot potential warning signs between visits.

Why self-screening matters

Oral cancer can develop in the mouth, tongue, cheeks, gums, lips, or throat. Catching it early often leads to more successful treatment outcomes. A monthly self-check can help you become familiar with what’s normal for your mouth so you’ll notice changes sooner.

Step-by-step at-home screening

  1. Wash your hands – Always start with clean hands to avoid introducing bacteria into your mouth.

  2. Check your lips and gums – Look in the mirror with good lighting. Gently pull your lips outward to examine the inside for lumps, sores, or discoloured patches.

  3. Look at the inside of your cheeks – Pull each cheek aside and look for red, white, or dark spots, as well as any thickened areas.

  4. Examine your tongue – Stick your tongue out and look at the top, sides, and underside. Use gauze or a tissue to hold your tongue for a better view. Watch for unusual lumps, ulcers, or changes in texture.

  5. Inspect the roof and floor of your mouth – Tilt your head back to check the roof, then lift your tongue to examine the floor for swelling, lumps, or sores.

  6. Feel your neck and jawline – Gently press along the sides of your neck and under your jaw for enlarged lymph nodes or unusual lumps.

Warning signs to watch for

  • Persistent sores that don’t heal within two weeks

  • Red or white patches

  • Lumps or thickened tissue

  • Numbness or pain in the mouth or lips

  • Difficulty swallowing or speaking

What to do if you find something 

An at-home oral cancer screening takes only a few minutes but could help you detect changes early. If you notice anything unusual, schedule a dental or medical appointment right away. Remember — self-screening is a supplement, not a replacement, for professional checkups.

Joel Harding