The Hidden Link Between Pan, Supari, and Oral Cancer in Rangpur

The Hidden Link Between Pan, Supari, and Oral Cancer in Rangpur
Rangpur has a rich cultural history, but it is also a region widely known for its heavy tobacco production and consumption. While many people are aware of the dangers of smoking, there is a silent epidemic affecting thousands of patients in our region: the severe oral health risks associated with chewing pan (betel leaf), supari (betel nut), jorda, and gul.
As a Maxillofacial Surgeon, I encounter the devastating effects of these habits daily. The reality is far more alarming than most patients realize.
The Alarming Statistics: 70% of Oral Ulcer Cases
When patients come to the clinic suffering from severe mouth sores, chronic oral ulcers, or suspected oral cancer, the underlying cause is rarely a mystery.
In my clinical experience, more than 70% of patients presenting with these severe oral conditions have a direct history of consuming smokeless tobacco and betel nut products. These substances are highly carcinogenic. They constantly irritate the soft tissues of the mouth, causing cellular mutations that eventually lead to malignant growths.
"I Quit Years Ago": The Delayed Risk of Tobacco
One of the most dangerous misconceptions about smokeless tobacco is that the risk disappears the moment you stop.
Just yesterday, I examined a patient who presented with a highly suspicious, non-healing ulcer that clearly indicated oral cancer. When I asked about his habits, he immediately stated, "I don't chew pan or supari anymore; I quit a long time ago." However, his clinical history told a different story. The carcinogens from years of use had already triggered the cellular changes that lead to cancer.
Early Detection and Prevention
If you have a history of using pan, supari, jorda, or gul — even if you stopped years ago — you are still in a high-risk category.
Key Warning Signs to Watch For
- A mouth sore or ulcer that does not heal within two weeks
- White or red patches on the gums, tongue, or lining of the mouth
- Unexplained bleeding or numbness in the oral cavity
- Difficulty chewing, swallowing, or moving the jaw
Early detection saves lives. Book an appointment with Prof. Dr. Musa Siddik today.
Written by Prof. Dr. Musa Siddik
FCPS (OMS) · Principal, Rangpur Community Dental College

