Dentist's Role in Prevention and Screening for Oral HPV

Dentistry has an important role to play in the screening and prevention of Human Papillomavirus (HPV). One of the leading causes of oropharyngeal cancers is HPV.   The face of oral cancer has changed dramatically in the last decade with  an increase in both younger and female patients. Many of the early symptoms of HPV may seem quite innocent but may become apparent in a dental exam or through discussion with a dentist.  In light of the link between oral cancer and HPV, therefore,  it is important for dentists to not only be aware of the risk factors for HPV-related oral cancers but also to be able to communicate with patients about them. This can become very uncomfortable as such conversations may involve taking a sexual history as well as discussing sexual practices. Additionally, the stigma that may be associated with HPV and the means of transmission may increase the difficulty of such conversations with patients who may be embarrassed or reluctant to disclose pertinent information. Conversations about sexual behavior and sexual risk factors are not typical in the dentist/patient relationship.  This presentation will discuss the clinical background of HPV-related oral cancers, discuss how to ethically navigate the often uncomfortable situation in the clinical setting wherein a dentist screens for and/or treats oral cancer in both adults and minors, and recommend ways to improve this communication to enhance both screening and prevention.