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Oral pathology

Oral pathology is the diagnosis of disease in the mouth: ulcers that do not heal, white or red patches, lumps, and changes in the lining of the cheek or tongue. Most turn out to be harmless. The point of looking properly is to find the few that are not, early, when they are still easy to treat.

What this covers

Oral pathology is the part of dentistry concerned with disease in the soft tissues of the mouth rather than the teeth: the lining of the cheeks, the tongue, the floor of the mouth, the palate, the gums and the lips.

Dr. Diala holds a Diploma in Oral Pathology from Saint Joseph University, which is an unusual qualification to find in a general dental clinic in Beirut. More about her training.

What people come in with

  • An ulcer that has not healed
  • A white patch that will not rub off
  • A red or speckled patch
  • A lump or a swelling, inside the cheek, on the tongue, or under the jaw
  • A rough or thickened area
  • Persistent soreness or burning with no obvious cause
  • A numb patch

What happens at the appointment

A careful examination of the whole mouth, not just the area you noticed, along with the history: how long, whether it changes, whether anything makes it better or worse, and what medication you take.

Many things are diagnosed on examination and resolve once the cause is dealt with, for example a sharp tooth edge or a denture that needs adjusting. Where the diagnosis is not certain from looking, the answer is a biopsy, which is a small procedure under local anaesthetic.

The reason not to wait

Almost everything found in a mouth is harmless. The small number of things that are not are far easier to treat when they are small. That is the whole argument, and it is why three weeks is the number to remember.

In more detail

Questions people ask

Anything in the mouth that has not healed in three weeks. An ulcer, a white or red patch, a lump, a rough area, a numb patch, or a change in the lining that you keep noticing. Three weeks is the rule because ordinary mouth injuries heal well inside that.

Yes, the great majority. A sharp tooth edge, a denture rubbing, a viral or fungal infection, or an immune condition explain most of what we see. That is exactly why looking is worthwhile: the cost of checking is low and the cost of missing something is not.

Because the mouth is what a dentist looks at every day, and a dentist with a diploma in oral pathology is trained specifically to recognise when a change in the lining is not ordinary. Where something turns out to need a physician or a surgeon, we refer.

Appointments

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