Exodontia.Info
Lumps, Bumps and Patches in the Mouth
(Oral Pathology)
Oral Pathology is the specialty of dentistry and discipline of pathology that deals with the diagnosis
and assessment,  made from tissue changes characteristic of disease of the oral cavity, jaws and
salivary glands.

This is a clinical specialty undertaken by laboratory-based personnel.

The practice of
Oral Pathology includes research and diagnosis of diseases using clinical, radiographic,
microscopic, biochemical, or other examinations.

This section of the website deals with the pathology of the more common clinical oral pathologies, their clinical
manifestations and management.


Whilst working at the
Royal Berkshire Hospital (2001 – 2006), I audited the biopsy specimens received by the
Histopathology Department (results below) from the Oral Surgery Department.

From the results, I wrote information sheets reflecting the incidence of the oral pathology.

I did not write an information sheet regarding Oral Cancer (
Squamous Cell Carcinoma) as this is best handled
either by specific cancer websites or the medical / surgical teams handling this.
Clinical Entity
  Actual
Number
  % of Total
Number
Received
Miscellaneous
  74
  3.75%
Melanotic Macule
      0.40%
Foreign Body
  13
  0.70%
Odontogenic
Keratocyst
  13
  0.70%
Lipoma
  16
  0.88%
Pleomorphic Adenoma
  16
  0.88%
Trichomonas
  21
  1.15%
Mucocoele
  27
  1.48%
Pyogenic Granuloma
  28
  1.54%
Fibrous Epulis
  30
  1.65%
Radicular Cyst
  42
  2.30%
Haemangioma
  50
  2.70%
Dentigerous Cyst
  74
  4%
Oral Ulceration
  81
  4.40%
Dental Cyst
      5.40%
Squamous Cell
Carcinoma
  99
  5.40%
Hyperkeratosis
  124
  6.80%
Keratosis
  238
  13%
Lichen Planus
  268
  14.70%
Fibro-Epithelial Polyp
  502
  27.50%
Miscellaneous entities here refers to:

Useful Articles:


Dental Update 1999.  Orofacial Disease.  Update for the Dental Clinical Team.  4. Red, Brown, Black & Blueish Lesions

Dental Update 1999.  Orofacial Disease.  Update for the Dental Clinical Team.  6. Complaints Affecting Particularly  the Lips
or Tongue

Dental Update 1999.  Orofacial Disease.  Update for the Dental Clinical Team. 7.  Complaints Affecting Particularly the
Palate or Gingivae

British Medical Journal 2000.  ABC of Oral Health - Oral Health and Disease

British Medical Journal 2000.  ABC of Oral Health - Swellings & Red, White & Pigmented Lesions

British Medical Journal 2000.  ABC of Oral Health.  Oral Cancer

A Guide to Common Oral Lesions 2003

J Can Dent Assoc 2004.  Pigmented Lesions of the Oral Cavity. Review, Differential Diagnosis and Case Presentations

Dept of Oral & Maxillofacial Pathology 2006.  A Guide to Common Oral Lesions

ENT News 2008 - What is the Risk of a Red or White Lesions in the Mouth Being Malignant?

MJA 2009.  Oral White Lesions - Pitfalls of Diagnosis

Dental Update 2010.  Management of White Patches

Dent Update 2012.  Oral Medicine 10. Lumps & Swellings - Neck

Dent Update 2013.  Oral Medicine 11. Lumps & Swellings - Mouth

Dent Update 2013. Oral Medicine 13. Lumps & Swellings - Jaws

In Tech 2013.  Diagnosis & Management of Common Oral & Maxillofacial Lesions

Int J Dent 2017.  Peripheral Exophytic Oral Lesions - A Clinical Decision Tree


Useful Websites:

World Health Organisation

Scottish Intercollegiate Guidelines Network

National Institute for Health & Clinical Excellence

Cancer Research UK

Macmillan

Merseyside Head & Neck Cancer Centre

American Academy of Oral Medicine

European Association of Oral Medicine
Last Updated 1st January 2020