Oral Pathology in Gaithersburg & Silver Spring 

Timely Treatment Required

Board Certified Oral and Maxillofacial Surgeons have been rigorously trained to evaluate and treat pathology that develops in and around the mouth. Because of our doctors’ unique training, we often see patients referred to us by other dentists or physicians who would appreciate our help. In addition, we often see patients who have genuine concerns about things that they have noticed themselves. Timely examination and treatment are paramount to optimally successful healthcare and especially true in situations where pathologic lesions may have developed in your body.

The inside of the mouth is normally lined with a special type of skin (mucosa) that is smooth and coral-pink. Any alteration in this appearance could be a warning sign for a pathological process. The most serious of these is oral cancer.

• 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.
• 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 and remember that your mouth is one of your body’s most important warning systems.

In addition, teeth can develop associated cysts and lesions that may need further evaluation as well. These areas can be evaluated (with the help of radiographs as necessary) to determine if treatment is required.

Frequently Asked Questions about Oral Pathology:

1. What are the main causes of oral diseases?

Oral diseases can be caused by a variety of factors, including poor oral hygiene, tobacco use, alcohol consumption, poor diet, genetics, infections, and environmental factors. Other conditions like autoimmune disorders or systemic diseases (e.g., diabetes) can also contribute to oral health issues.

2. What are some common oral pathologies?

Some common oral conditions include:

• Cavities (Dental Caries): Tooth decay caused by bacterial activity.
• Gingivitis and Periodontitis: Gum disease caused by plaque buildup.
• Oral Cancer: Cancerous growths in the mouth, tongue, lips, or throat.
• Aphthous Stomatitis (Canker Sores): Painful ulcers in the mouth.
• Benign Oral Lesions: Including conditions like fibromas and papillomas.

3. How is oral pathology diagnosed?

Oral pathologists diagnose conditions through a combination of clinical examination, medical history, radiographic imaging (X-rays), and laboratory tests, including biopsy and histopathologic evaluation of tissue samples.

4. What should I do if I notice an abnormality in my mouth?

If you notice any unusual changes in your mouth, such as persistent sores, lumps, bleeding, or changes in the color or texture of tissues, it is important to consult with a dentist or oral pathologist for a thorough evaluation.

5. Is oral pathology related to oral cancer?

Yes, oral pathology plays a critical role in the early detection and diagnosis of oral cancers. Pathologists analyze biopsies of suspicious areas to determine whether a lesion is benign or malignant, guiding treatment decisions.