What is an oral biopsy?

A biopsy involves the removal of a tissue sample generally done to diagnoses lesions and cysts occuring within the mouth. Biopsies may be done ranging from simple periapical lesions to malignancies to detect oral cancer.

Experienced oral surgeons checks within x-ray imaging and plans biopsy surgery to ensure that the biopsy taken from the patient is correcty done that is beneficial to the receiving pathologist (the doctor expert that checks for tumors)  in reaching a meaningful diagnoses, and corresponding providing the patient an accurate and correct result for further treatment plan.

There is often more than one method of performing the biopsy surgery successfully. Whatever the method used, your oral surgeon will need to provide representative sample to the pathologist whilst minimising any perioperative discomfort to you. 

When do you need oral biopsy?

Symptons to watch out that you may like to have it look by a specialist include:
  • A new sore or lesion on your gum that has lasts longer than two weeks and is not improving. It is normally a white or red patch on your gum.
  • An enlarging mass, chronic ulceration or tissue friability.
  • There is a hardened mass or formation.
  • There is persistence mucosal changes even when local irritants is removed.
During your visit, your dentist may do a comprehensive dental examination using visual and physical assessment and x-ray imaging of the oral soft tissues. You may be asked on related information such as history, duration, possible cause and changes in appearance. A biopsy is referred to be done if your dentist has any clinical suspicion of malignancy. 

types of biopsy techniques

Biopsy using the scalpel for both incisional and excisional procedures is the most common technique used in oral biospies because it generally provides for a satisfactory sample.

  1. Incisional biopsy : A straightforward elliptical incision is made with a length to width ratio of 3:1 using a scalpel blade. The oral surgeon takes a soft tissue specimen that has been most severely affected.
  2. Excisional biopsy : This is the complete removal of a lesion whereby an ellipse is traced around the lesion and removed with a scalpel blade angled toward the centre of the lesion. A wedge-shaped specimen is taken and wound is closed.
  3. Punch biopsy : Uses a punch to perform a incisional biopsy or excision biopsy of a small lesion at an accessible site. The punch is placed over the lesional tissue and remved with a downward, twisting motion. The soft tissue is then severed at the base with a curved scissors.
oral biopsy

Excision  biopsy

Suited for small structure with a peduncle (a stem) or attached to another structure by a peduncle or lesions arising from the outer surface at an accessible areas.

dental biopsy

Incisional biopsy

The method of choice for most lesions including malignancy. Its accuracy is relative as the entire lesion cannot be studied and the oral surgeon will need to attempt to acquire a most representative specimen.

biopsy

Punch biopsy

Suited for areas on the lateral side of the tongue and buccal mucosa area. Punch biopsy is not suited for vesiculobullous diseases due to its twistig motion.

Sources:

  1. Oral biopsies methods and applications by R. J. Liver, P Sloan and M. N. Pemberton; Oral Cancer Foundation 
  2. Oral Soft-Tissue Biopsy: An Overview by Sylvie Louise Avon, DMD, MSc, PhD, FRCD(C); Hagen Klieb, DMD, MSc, FRCD(C); JCDA

What procedure and oral biopsy Costs?

Oral Biopsy Procedure

If you have a cyst or lesion with suspected clinical malignancy, your dentist may refer you to have a soft tissue biopsy done on the gums, lips or affected area. The costs for oral biopsies include :

  1. Assessment and Imaging : Information and imaging are taken of the affected area 
  2. Specimen collection  : During this visit, your oral surgeon numbs the area with local anesthesia and makes incisions to remove the tissue specimen. The sample is placed into a preservative bottle and transported immediately to the pathologist lab on the same day.
  3. Biospy Reporting: The pathologist diagnoses the tissues cells and provides a report back to your oral surgeon. Our oral surgery dental center calls you to report on returned results or for a followup visit with your oral surgeon.
oral dental specialist

Initial Assessment

  1. Panoramic x-ray
  2. History and information collection to determine the removal of lesion or cyst and if an oral biospy is required. If yes, arrangement preparations are made for actual day of surgical removal or biospy collection
bangkok oral clinic

Surgical Specific Collection

  1. Local anesthesia is administered. Your oral surgeon removes or samples the affected tissue area. The specimen is placed in a container to be sent to the pathologist lab.
  2. Medications is prescribed.
oral cancer biopsy

Biospy Report

  1. A registered nurse from our oral surgery center calls you to inform on collection of results with a followup appointment with your oral surgeon

Oral Biopsy Recovery

After surgical removal of the affected tissue is made, a post operative visit is normally made about 1 to 2 weeks later to ensure healing and to discuss the results of the biopsy. Your dentist explains the results diagnosis and will advise on further treatment or management where needed. 

Your oral surgeon will always aim to remove as little specimen as possible whilst ensuring sufficient sample. Depending on the biopsy site, the healing process can take between a few days to a few weeks. If sutures has been used to close wounds, these may be dissolvable or may need to be removed after healing around 1 to 2 weeks later.

As with any surgical procedure, avoid any hot, spicy or abrasive foods during the healing process. Soft, cool foods are recommended after a biopsy procedure. During the first day, do not rinse, spit, or brush directly over the area to allow the wound area to heal.  Avoid vigorous activities or sport during the first few days until any discomfort subsides.

Oral Surgery Center

Why should you choose BIDH thailand oral surgery clinic for your oral surgery treatments?

implant dentist

Each of our oral surgons and implantologists have more than a decade of treatet experience trained from Germany, UK or USA. Many of our oral surgeons are professors and lecturers who teach at Thailand's best dental schools. Our dentists has treats thouands of cases including complex and advance surgical teeth extractions, biopsies, full mouth dental implants and orthognatic surgeries.

 

Unlike the pasts, having oral surgery treatments has become quicker, simply and less invasive. Because BIDH dental hospital has a top tier team or oral surgeons and specialists, this assures you for an effective, efficient treatment. Treatment and diagnoses are done right the first time –  properly, safely and correctly. Havinv qualified and skilled dentists means there is less margin of risks and you have access to the latest techniques and developments.

deep sedation

BIDH dental hospital is one of the few dental centers in Thailand that offers safe sedation dentistry options for pain control and anxiety. If you have a phobia of dental treatment, sedation methods may be administered that is monitored by our registered nurses or licensed anaesthesiologist doctor. This assures with patient safety. We do not perform gas or uncontrolled sedation options that dental clinics may risks doing and have strict polices on quality and hospital safety.


You can choose mild sedation with oral medications to feel more relaxed but you are awake; moderate sedation with Intravenous (IV) sedation so you are placed in a semi-concious state but is still able to respond; or in deep sedation under general anaesthesia where you will not have any re-collection of your oral surgery.

dental implant care

As a dental hospital, we specialize only on dentistry. Dentistry is at the core of our operations whereby our medical care staff performs only dental treatments day in and day out. This enables us to be an expert at our area of expertises.


BIDH dental hospital uses strict and high controls for infection prevention and controls. Sterilization quality and patient safety is a mandatory part of our operations. We follow international standards. BIDH bangkok dental is one of Thailand's first offical dental hospital.

bangkok implant center

BIDH thailand oral surgery center has one of the top team of oral surgeons. Our oral surgeon team consists of award-receiving dentists in oral cancer care and treatment. Our implantologist team composes of ITI (International Team of Implantolgy) scholars and lead international speakers.


As as dental hospital, we track our oral surgery success rate and infection rates to ensure that our patients are consistently taken care for by our dentists, nurses and staff. 

dental treatment room

We are one of the first and few dental center in thailand with an operating theatre (OR) specificially designed and catered for oral surgeries. Our operating theatre room follows controlled sterilization flows and strict processes and is equiped with emergency life-saving equipment.  Our dental building is designed during its design phase as a dental hospital. Facilities, technologies, workflow systems to therefore catered specifically for dental treatments.

 

During and after all oral surgery treatments, international patient safety goals (IPSGs) and instrument preparations are checked and accounted for by registered nurses, doctors and dental assistance.  

award oral surgery center

BIDH bangkok dental hospital is part of Thailand's largest and trusted dental clinic network group in Thailand. We are listed on the stock exchange of Thailand with  a transparent systems for governances and treatment fees. All our prices are standardized and non-discriminatory. Our dental clinc network group manages award-winning dental clinics and centers in Bangkok, Chiang mai and Phuket.

Established for more than over a 15 years within the dental sector, our dental group pulls the best of dentistry resources, know-how and skills within our dental hospital, dental center and dental clinics.

have a complimentary consult

Make an advance appointment for a treatment plan with our dentists. There is no obligation to start treatment. Find out what treatment is specific to you.

Conclusions – Oral biopsy

Soft tissue oral biopsy is a useful tool to diagnosis oral diseases. There are a variety of biopsy techniques, the underlying focus of your oral surgeon is to obtain a representative tissue specimen for a histologic interpretation.

To ensure that a proper and good quality biospy has been made, BIDH dental hospital will need to pre-arrange your specimen collection with specified receptacle, containment preservatives, temperature-controlled case to safely transport the sample to the pathologist laboratory. An experienced oral surgeon is recommended to perform your biospy for patient safety as well as to obtain a represntative sample for an accurate diagnoses.

BIDH oral surgery clinic is one of the few dental hospital with certified oral surgeons qualified in the field of biospy for oral cancer detection and removal of soft tissues.You should be referred to a specialist with expertise in the diagnosis and management of oral diseases.

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