What Is Oral Pathology?
Oral pathology involves diagnosing diseases of the mouth, salivary glands, jawbones, tongue, and facial tissues. While many oral abnormalities are benign, some can be precursors to or signs of oral cancer or systemic disease.
Common conditions evaluated through oral pathology include:
- Oral cancer (squamous cell carcinoma)
- White or red patches (leukoplakia, erythroplakia)
- Persistent mouth sores or ulcers
- Oral cysts and benign tumors
- Lumps or swelling in the mouth or jaw
- Chronic pain or numbness in the face or mouth
- Salivary gland disorders
- Jawbone lesions or changes in tissue texture
Early evaluation of these symptoms through biopsy and pathology review is the most effective way to rule out or treat serious conditions.
When Should I See an Oral Surgeon for a Pathology Exam?
You should schedule a consultation if you experience:
- Sores that don’t heal within 10–14 days
- Lumps or thickening in the cheek or gums
- Difficulty chewing, swallowing, or speaking
- Persistent hoarseness or sore throat
- Bleeding without a clear cause
- Color changes in oral tissues
- Jaw swelling or facial asymmetry
If your dentist notices abnormalities during a routine checkup, they may refer you to our team for evaluation and, if necessary, a biopsy procedure. Learn more about our process for referring providers.
Our Oral Pathology Process
Step 1: Clinical Exam
During your initial visit, our surgeon will conduct a thorough head and neck examination and document any abnormal tissue findings.
Step 2: Advanced Imaging
We may use 3D imaging or panoramic X-rays to visualize lesions or bone involvement more accurately.
Step 3: Biopsy
If suspicious tissue is identified, we will perform a small tissue sample extraction (biopsy). This is typically done under local anesthesia and sent to a pathology lab for microscopic analysis.
Step 4: Diagnosis & Treatment Plan
Once pathology results are available, we will review the findings with you and recommend appropriate treatment—whether surgical removal, close monitoring, or coordination with oncology specialists if malignancy is detected.
Importance of Early Detection
The earlier oral pathology issues are identified, the higher the likelihood of a successful outcome, especially in cases of oral cancer. Early-stage oral cancer has a 5-year survival rate of over 80%, compared to late-stage cancer, where outcomes drop significantly.
We urge patients to schedule evaluations if symptoms arise, even if they seem minor. Prevention and early care are your strongest allies in maintaining lifelong oral health.
Why Choose Kitsap OMS for Oral Pathology?
- Board-certified oral surgeons with extensive pathology training
- 30+ years of experience in Kitsap County
- In-house surgical biopsy capabilities
- Three convenient locations in Silverdale, Poulsbo, and Port Orchard
- Fast coordination with pathology labs and oncologists
- Trusted by referring dentists and medical professionals
- Patient-first care with 4.8+ star ratings across hundreds of reviews
Visit our Video Reviews to hear directly from patients about their experience and outcomes.
FAQs About Oral Pathology
Is oral pathology cancer?
No oral pathology is the medical specialty that identifies both cancerous and non-cancerous oral diseases. It includes diagnosing infections, autoimmune conditions, and precancerous or malignant lesions.
Who is likely to get oral cancer?
Risk factors include tobacco use, heavy alcohol consumption, HPV infection, age over 40, and sun exposure (especially for lip cancers). Regular screenings help catch it early.
What is the most common pathology for cancers of the oral cavity?
The vast majority (over 90%) of oral cancers are squamous cell carcinoma, which originates in the surface cells lining the oral cavity.
What percent of oral biopsies are cancerous?
Most oral biopsies are not cancerous—studies suggest approximately 10–20% may show malignant or pre-malignant changes. However, biopsy is essential to confirm the diagnosis and guide care.
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Schedule an Oral Pathology Consultation in Silverdale, Poulsbo & Port Orchard, WA
If you’ve noticed an unusual spot, lump, or sore in your mouth that isn’t healing, don’t wait. Let our expert surgical team at Kitsap OMS evaluate it with confidence and care.
