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Oral Pathology

Not every change in your mouth is “just a sore.” While most oral abnormalities are harmless, some require expert evaluation to rule out more serious issues.

Our oral and maxillofacial surgeons diagnose and treat a wide range of oral conditions, diseases, and cancers affecting the mouth, jaws, and surrounding structures. You can count on us for answers, peace of mind, and compassionate care when it matters most.

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Diagnosis & Treatment for Oral Diseases & Conditions

When something feels or looks a bit off in your mouth, it’s important to get clear answers.

Our board-certified oral and maxillofacial surgeons use the most advanced diagnostics and their specialized training in oral pathology to uncover the cause of changes in your mouth.

Along with a thorough clinical examination, our specialists incorporate imaging and biopsy techniques to evaluate and diagnose oral blisters, ulcers, swelling, tumors, cysts, oral cancer, and more, so you can get the right treatment and protect your oral health.

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Why Oral Pathology Matters

Changes in your mouth, like sores that don’t heal, unusual lumps, or persistent pain, can be early signs of serious conditions, including oral, gum, and mouth cancer.

Being proactive and getting an evaluation with an oral surgeon can enable prompt treatment, prevent complications, and give you comfort knowing your health is protected.

Concerning Symptoms

  • Persistent canker sores or ulcers lasting more than two weeks
  • White or red patches inside the mouth
  • Unexplained numbness, swelling,  or lumps in the cheeks, lips, or gums
  • Pain in your mouth or difficulty chewing or swallowing
  • Mouth sores that do not heal
  • Chronic sore throat or hoarseness

Causes

  • Trauma or repetitive irritation (e.g., cheek/lip biting, braces)
  • Blocked salivary glands causing mucoceles or cysts
  • Infections and viruses such as herpes and HPV
  • Tobacco or alcohol use
  • Poor oral hygiene
  • Oral cancer or precancerous changes

Future Issues

Left untreated, some oral abnormalities may lead to more serious problems, including:

  • Progression to gum, mouth, or oral cancer
  • Infection or abscess formation
  • Tissue damage or bone loss
  • Difficulty eating, speaking, or maintaining oral hygiene
  • Spread of disease to nearby tissues or lymph nodes
  • Need for more extensive surgery later on
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Oral Pathology Services

Our team provides expert diagnosis, personalized treatment recommendations, and compassionate care for oral diseases and conditions affecting the mouth and jaws.

When surgery is needed, our oral surgeons can remove abnormal growths, tissues, or lesions to restore both health and function.

Oral Biopsy

Oral and maxillofacial surgeons are trained to identify and evaluate abnormalities in oral tissues and perform biopsies when needed.

During a biopsy procedure, a small sample or the entire lesion may be removed to send to a lab for a precise diagnosis.

We offer safe anesthesia and sedation options to make sure you stay comfortable during biopsies.

Specialized Care at CCOFS

Choosing the right provider for your oral health concerns can make all the difference.

At Carolinas Center for Oral & Facial Surgery, we combine deep expertise in oral pathology with compassionate, patient-centered care across the Carolinas.

What Sets Us Apart

Comprehensive, Specialized Expertise
Our multidisciplinary team includes experienced board-certified oral surgeons, oral pathology and orofacial pain specialists, and anesthesia teams working together to deliver precise, coordinated, and comprehensive care.

State-of-the-Art Surgical Centers
Your evaluation and biopsies are performed in our warm and welcoming surgical centers across North and South Carolina. Designed specifically for oral and maxillofacial procedures, our surgical suites feature full anesthesia capabilities along with advanced imaging and diagnostic tools to ensure accuracy, comfort, safety, and efficiency.

Accessible, Patient-Centered Care
From easy and speedy scheduling to coordinated support with referrals and insurance, we make every step of your care easy, seamless, and stress-free. You’ll receive expert diagnosis and compassionate care that prioritizes your comfort and well-being.

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Oral Pathology: What to Expect

Since oral pathology encompasses a wide range of conditions, from minor irritations to severe diseases, treatment plans are always tailored to your unique and individual needs. Here’s a general overview of what the process typically includes:

Consultation & Evaluation

Your visit begins with a comprehensive exam by one of our oral and maxillofacial surgeons. We’ll review your symptoms, health history, and thoroughly examine the affected area using visual inspection and imaging if needed.

Diagnosis

If the condition appears benign and doesn’t require immediate intervention, we may recommend monitoring with regular check-ins. If further evaluation is needed, a biopsy may be recommended to obtain a tissue sample for microscopic examination by the pathologist. Oftentimes, we have same-day biopsy availability.

Biopsy

A sample or complete removal of the affected soft or bony tissue is collected and sent to a pathologist.  Examination of the cellular structure of the tissue helps confirm the presence of any disease, infection, or abnormality, whether benign or malignant.

Results & Treatment Plan

Once results are available, your specialist will explain the findings and recommend appropriate next steps. This may include additional medical or surgical treatment, continued observation, or a referral to another specialist if needed.

Follow-Up Care

Our team is here for you at every step, monitoring your oral health and healing, answering questions, and ensuring you’re fully supported throughout your care.

Insurance & Financing for Oral Pathology

At Carolinas Center for Oral & Facial Surgery, we believe that identifying and diagnosing oral health concerns shouldn’t be delayed due to financial uncertainty.

We accept major dental and medical insurance plans and will help you understand what’s covered by your benefits.

If you’re uninsured or paying out of pocket, we offer flexible financing options through trusted partners, including CareCredit and Sunbit.

We are here to provide you with clarity and confidence through the process, without unexpected financial stress.

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Everyone there is so pleasant, kind, and cares about you and your needs—very friendly atmosphere.

Margaret M.

My first visit for a possible pre-cancerous concern in the roof of my mouth had me nervous, but the nurse was incredibly comforting, and the doctor was uplifting. What a team! I left feeling confident.

Beck R.

Dr. Howell treated us like family. After concerning x-rays at our general dentist, we were worried about the possibility of oral cancer. Despite a busy schedule, Dr. Howell and his team squeezed us in so we could have peace of mind that night. After a thorough exam and explanation, we feel confident that we are receiving the best care. We are truly grateful for the care and peace of mind provided and will definitely recommend this practice!

Lindsey S.

Oral Pathology FAQ

Find quick explanations to the most common questions about oral pathology and biopsies.





Specialized Oral Surgery Near You

Receive advanced, personalized care from our board-certified oral and maxillofacial surgeons at a location convenient for you. No referral required.

Connect with us today to schedule your appointment.