Oral Pathology
The inside of the mouth is normally lined with a special type of skin (mucosa) that is smooth and coral pink in color. Any alteration in this appearance could be a warning sign for a pathological process. The most serious of these is oral cancer.
The following can be signs at the beginning of a pathological process or cancerous growth:
- Reddish patches (erythroplasia) or whitish patches (leukoplakia) in the mouth
- A sore that fails to heal and bleeds easily
- A lump or thickening on the skin lining the inside of the mouth
- Chronic sore throat or hoarseness and/or difficulty in chewing or swallowing
These changes can be detected on the lips, cheeks, palate, and gum tissue around the teeth, tongue, face, and/or neck. Pain does not always occur with pathology, and curiously, is not often associated with oral cancer. However, any patient with facial and/or oral pain without an obvious cause or reason may also be at risk for oral cancer.
We would recommend performing an oral cancer self-examination monthly. Remember that your mouth is one of your body’s most important warning systems. Do not ignore suspicious lumps or sores. Please contact us so we can assist you with any questions or concerns.
The Tooth Extraction Process
At the time of extraction the doctor will need to numb your tooth, jaw bone and gums that surround the area with a local anesthetic.
During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.
You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.
If you do feel pain at any time during the extraction please let us know right away.
Sectioning a Tooth
Oral, Facial, and Dental Surgery Services
Surgeons Peter H. Kim, DDS; Serv S. Wahan, DMD, MD; Daniel T. Brady, DDS; and Dustin Altmann, DMD, Dr. Gross, DMD, MD, provide a full scope of oral and maxillofacial surgery, from corrective jaw surgery and wisdom tooth removal to advanced dental implant and bone grafting procedures, as well as diagnosis and treatment of facial pain, facial injuries, and TMJ disorders. Our clinical team is highly trained in assisting with I.V. sedation in a modern, state-of-the-art office setting, so you can receive care comfortably and safely.
Board-Certified Oral & Maxillofacial Surgeons in Washington State
- Board-Certified Specialists
- Trusted by Referring Dentists
- State-of-the-Art Technology
- Proven Outcomes & Satisfaction
- Personalized Patient Experience
- Comprehensive Care
- Advanced Surgical Expertise
- Safe Sedation
- Four Local Offices
What Our Patients’ Say
FAQs
What is oral pathology and why would I be referred for it?
Oral pathology focuses on identifying and evaluating changes in the tissues of the mouth, such as the gums, tongue, cheeks, and jaw. You may be referred if something unusual is noticed during a dental exam that needs closer evaluation to understand the cause.
What kinds of mouth changes should I take seriously?
Changes that last longer than expected should be checked. These can include red or white patches in the mouth, sores that do not heal, lumps or thickened areas, or ongoing pain or irritation. Hoarseness or difficulty chewing or swallowing can also be reasons to seek an evaluation.
Are all mouth sores or patches a sign of oral cancer?
No. Many mouth changes are not cancerous and may be related to irritation, infection, or other conditions. However, because some serious conditions can look similar early on, it is important to have persistent or unexplained changes evaluated rather than assuming they will go away on their own.
What happens during an oral pathology evaluation?
The surgeon will carefully examine the area of concern and review your symptoms and history. If needed, further steps may be recommended to better understand what is causing the tissue change. The goal is to identify the issue clearly so appropriate care can be planned.
Why was I referred to an oral and maxillofacial surgeon for this?
Oral and maxillofacial surgeons are trained to evaluate conditions affecting the mouth, jaw, and surrounding structures. Their surgical and diagnostic background allows them to assess complex tissue changes and guide next steps when further evaluation is needed.
How soon should I have a mouth lesion or lump checked?
If a sore, patch, or lump does not improve after a reasonable amount of time, or if it changes in size, color, or texture, it should be evaluated. Early assessment helps clarify what is happening and avoids unnecessary delays.