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Its unclear as to what causes the mutations in DNA that lead to oral cancer, though there are risk factors that include, according to the Oral Cancer Foundation: Tobacco use Heavy alcohol use Human papillomavirus (HPV) A weakened immune system Excessive sun exposure to the lips If youre concerned that you may have oral cancer, your doctor will perform a physical examination of the area and may take a small sample of cells, called a biopsy, for testing

Eric Walsh, medical director of Hartford HealthCare-GoHealth Urgent Care

Ramo DE, Liu H, Prochaska JJ

Rolling the Paper Hold the roller with both hands longways between your thumbs and index fingers