• Occasionally, when the cancer involves the upper gums it may be necessary to remove a portion of the sinus.
  The prosthodontist is again needed for reconstruction.
• For larger cancers that have a lower cure rate with surgery alone, treatment combines all three methods
  chemotherapy , followed by surgery, followed by radiation therapy .

Treatment by Location & Stage 
Stage I 
Standard Treatment 
• Lip: Surgery or radiotherapy , depending on cosmetic and functional results.
• Front of tongue: Wide local excision . For larger lesions, either surgery or radiotherapy. 
• Inside of cheek: Surgery for small lesions (with skin graft, if needed) or radiotherapy for larger lesions.
• Floor of mouth: Surgery or radiotherapy. 
• Lower gums: Surgery, possibly with removal of some bone and the use of a skin graft. Radiotherapy results are
  usually not as good as surgery.
• Behind wisdom teeth (retromolar trigone): Can usually be controlled by external radiotherapy. Alternatively,
  surgical removal, including part of jawbone.
• Upper gums and hard palate: Surgery, with postoperative radiation if needed.