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 handles either
by specific cancer websites or the medical 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
  99
  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 Actinomycosis,
Adenoid Cystic Carcinoma
, Ameloblastic Carcinoma,
Ameloblastic Fibrodentinoma
, Crohn's Disease, Denture
Granuloma, Dermoid Cyst, Epithelial Dysplasia, Fibrous
Dysplasia
, Malignant Melanoma, Monomorphic Adenoma,
Neurilemona
, Pemphigoid, Sebaceous Cyst, Sialosis, TB,  
Adenolymphoma
, Granular Cell Tumour, Lymphangioma,
Pemphigus
, Verucca Vulgaris, Adenocarcinoma,
Ameloblastoma
, Candidiasis, Ossifying Fibroma,
Osteoma
, Osteomyelitis, Giant Cell Granuloma,
Carcinoma in situ
and Giant Cell Epulis.
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

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

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

Dental Update 2010.  Management of White Patches


Useful Websites:

World Health Organisation

Scottish Intercollegiate Guidelines Network

National Institute for Health & Clinical Excellence

Cancer Research UK

Macmillan

Merseyside Head & Neck Cancer Centre

European Association of Oral Medicine
Last Updated 30th November 2010