Background.
Oral human papillomavirus (HPV) infection is the principal underlying cause of a dramatic rise in oropharyngeal cancer. Dentistry can play an important role in developing clinical algorithms for secondary prevention.
Methods.
This cross-sectional pilot study was conducted with practices of the National Dental Practice-Based Research Network. It evaluated the feasibility and acceptability of screening and testing procedures as judged by practitioners and patients. Tablets were used for patient screening, obtaining consent and administering a confidential oral HPV risk factor survey.
Results.
Most patients (85%) were comfortable being asked about cigarette use, their sexual behavior (69%), and were interested in participating again (79%). Over 90% of practitioners were comfortable with study procedures except the extra time required for patient participation (75% comfortable). There were no problems with oral rinse collection as reported by patients or practitioners.
Conclusions.
It is feasible in community dental offices to collect oral rinses for HPV detection and to ask patients explicit questions about sexual history when using a tablet device for confidentiality
Practical Implications.
Discussing high-risk types of HPV and appropriately assessing that risk is a challenge for dental professionals. These results are positive from a research perspective but do not address the advisability of routine HPV screening in dentistry.