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Does a Dental Biopsy In My Mouth Mean I Have Oral Cancer?

The short answer is no.

A dental biopsy is a technique of removing some tissue in order to examine it under a microscope. Most biopsies are done by administering some local anesthetic and then removing a segment of tissue with a scalpel. The indication for a biopsy is for any lesion or entity that is not normal.

Many conditions that affect the skin, for example, psoriasis, can also affect the mouth. Without a biopsy, one cannot be certain of the diagnosis. Sometimes there are patches on the tongue or lip that become rather thick and white, or parts of the skin of the mouth (mucous membrane) can break away, leaving raw and painful areas.

In order to determine the exact nature of the condition, a biopsy is necessary. Once the diagnosis is made, the appropriate therapy is administered.

Sometimes a biopsy is required because a small lump appears on the lips, cheeks, or tongue. It can be a nuisance in that it may cause concern or it may be traumatized by inadvertently being chewed on.

Some children (and adults) have a habit of chewing their lips and this can traumatize the small salivary glands in those areas. The glands can swell and form mucoceles. Mucoceles are areas of saliva ballooning up in the tissues after the duct has been partially obstructed. They usually are a painless, blue-domed, raised structure that almost always appears in the lower lip. Often, the only way to eliminate them is to excise them by performing a biopsy.

A recent development is the OralScan CD, in which a pipe-stem-like brush is swept across abnormal tissue (without use of a local anesthetic) and then the brush is drawn over a glass slide and a fixative solution is added. The slide is then examined by an advanced computer system for the presence of abnormal cells. This later technique is not similar to a Pap smear because it does not examine superficial cells, but instead examines the deeper or basal cells in the lesion.

Just as in the rest of the body, any lump, ulcer, sore or odd-appearing tissue should have a biopsy done on it if is still present two weeks after whatever is thought to have caused it is removed. Again, a dental biopsy does not mean you have oral cancer.

by Myer Leonard, DDS, MD

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Oral Surgery: The Solution to Wisdom Tooth Impaction Oral Surgery: The Solution to Wisdom Tooth Impaction Oral Surgery: The Solution to Wisdom Tooth Impaction

Oral surgery is frequently a part of growing up and developing wisdom teeth. Many people don't have the space in their mouths for their wisdom teeth, so the teeth aren't able to come in straight.

Impacted wisdom teeth happen when the developing wisdom tooth pushes into the tooth next to it. This can be quite painful, but some patients don't experience pain and don't realize they have impacted teeth.

That's why wisdom teeth dentists take x-rays. This enables a dentist to see how much the teeth have developed so far and where they look to be headed.

If the patient has impacted wisdom teeth, then the dentist will recommend oral surgery to remove the wisdom teeth. Simple extractions may be performed by a general dentist in his or her office under local anesthesia (like Novocain), but more complex cases will be referred to an oral surgeon.

During wisdom tooth oral surgery, the dental surgeon surgically removes the problematic teeth. (Most people get all four wisdom teeth removed, but that's not true for everyone.) In general, wisdom tooth surgery is easier to perform on younger people, as their wisdom teeth are still developing and haven't fully hardened to bone.

A visit to the wisdom tooth surgeon is not an inevitable part of becoming an adult, but for many people, it's a wise investment in their long-term dental health!

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.