651 Helen Keller Boulevard / Tuscaloosa, AL 35404 / 205 556-2323 or 800 225-6882

W. Ronald McIlwain, D.M.D.
J. Terry Carlson, D.M.D., M.D.
James J. Link, D.D.S.
S. Craig Fairburn, D.M.D., M.D.

Within the scope of Oral and Maxillofacial practice, "pathology" is the study of diseases and abnormal conditions of the oral cavity and surrounding region. The inside of the mouth is normally lined with a special type of skin called mucosa that is smooth and pink. Any alteration in this appearance could be a warning sign for pathological investigation. The most serious is oral cancer. Such symptoms as reddish or whitish mucosal patches, a sore that fails to heal and bleeds easily, a lump or thickening in the mucosa, chronic sore throat or hoarseness and/or difficulty chewing and swallowing could be indications of a pathologic process or cancerous growth. Changes can also be detected on the lips, cheeks, palate, and gum tissue around the teeth, tongue, face, and/or neck. Pain is not always present with pathology or oral cancer.

Once a clinical examination has determined that an abnormality is present, a biopsy needs to be taken of the suspicious area. Most lesions of the oral cavity are benign, however; a biopsy is needed to make an accurate diagnosis. Biopsies are sent to a specialized lab for evaluation. After receiving the pathological information, the surgeon is able to formulate a personalized plan of treatment. As previously stated, most of the conditions associated with the mouth are benign and non-cancerous and can be completely removed.

Pathological biopsies and excisions are done here in the office under local anesthetic or intravenous sedation according to patient preference and doctor recommendation. Lasers are often used to provide quick, easy recovery with no bleeding, no stitches and minimal discomfort. If the patient is to be sedated, pre-operative instructions will be given. After surgery, the patient is observed for 30 minutes or until discharge criteria is met. Post-operative Instructions for Cosmetic/Soft Tissue Surgery will be given to the accompanying caregiver.

The key to a successful outcome is early detection and prompt treatment. If you are experiencing any related symptoms, please call to schedule a consult.