Addresses issues related to the surgical management of soft tissue lesions/masses of the mouth.
Highlights that management of pathology specimens requires care and attention to detail.
Discusses surgical treatment of common oral soft tissue lesions, together with specific indications for cryosurgery, diathermy and laser surgery.
Lesions of the mouth are surprisingly common and vary from the totally innocuous to highly malignant neoplasms. As required for the management of all patients, a clear and concise history and a thorough clinical examination are essential. In addition, radiographs and other laboratory investigations may be required to formulate a differential diagnosis. A definitive diagnosis, on which treatment planning should always be based, can usually only be confirmed following a histological examination. This may be obtained through a biopsy or following total excision of a lesion.
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Felix D H, Luker J, Scully C . Oral medicine. 1. Ulcers: aphthous and other common ulcers. Dent Update 2012; 39: 513–516, 518–519.
Felix D H, Luker J, Scully C . Oral medicine. 2. Ulcers: serious ulcers. Dent Update 2012; 39: 594–598.
Felix D H, Luker J, Scully C . Oral medicine. 3. Ulcers: cancer. Dent Update 2012; 39: 664–668, 670.
Williams D M . Vesiculo-bullous mucocutaneous disease: benign mucous membrane and bullous pemphigoid. J Oral Pathol Med 1990; 19: 16–23.
Ramos-e-Silva M, Ferreira A, Jacques C . Oral involvement in autoimmune bullous diseases. Clin Dermatol 2011; 29: 443–454. 10.1016/j.clindermatol.2011.01.015.
Felix D H, Luker J, Scully C . Oral medicine: 6. White lesions. Dent Update 2013; 40: 146–148, 150–152, 154.
Felix D H, Luker J, Scully C . Oral medicine: 7. Red and pigmented lesions. Dent Update 2013; 40: 231–234, 236–238.
Comert E, Turanli M, Ulu S . Oral and intralesional steroid therapy in giant cell granuloma. Acta Otolaryngol 2006; 126: 664–666.
Pia López-Jornet . Labial mucocele: A study of eighteen cases. Internet J Dent Sci 2006; 3: 10.5580/2672.
Dawber R, Colver G, Jackson A . Cutaneous cryosurgery: Principles and clinical practice. London: Martin Dunitz, 1992, pp. 7–15.
Kuflik E G, Gage A A . Cryosurgical treatment of skin cancer. New York: Igaku-Shoin, 1990, pp. 35–51.
Ishida C E, Ramos-e-Silva M . Cryosurgery in oral lesions. Int J Dermatol 1998; 37: 283–285.
Suter V G, Altermatt H J, Sendi P, Mettraux G, Bornstein M M . CO2 and diode laser for excisional biopsies of oral mucosal lesions: A pilot study evaluating clinical and histopathological parameters. Schweiz Monatsschr Zahnmed 2010; 120: 664–671.
Hempton T J, Dominici J T . Contemporary crown-lengthening therapy: A review. J Am Dent Assoc 2010; 141: 647–655.
Bonacci F J . Hard and soft tissue augmentation in a postorthodontic patient: A case report. Int J Periodontics Restorative Dent 2011; 31(1): 19–27.
Jaiswal P, Bhongade M, Tiwari I, Chavan R, Banode P . Surgical reconstruction of interdental papilla using subepithelial connective tissue graft (SCTG) with a coronally advanced flap: A clinical evaluation of five cases. J Contemp Dent Pract 2010; 11: E049–57.
Chambrone L, Sukekava F, Araújo M G, Pustiglioni F E, Chambrone L A, Lima L A . Root coverage procedures for the treatment of localised recession-type defects. Cochrane Database Syst Rev 2009; Issue 2; CD007161.
National Institute for Health and Clinical Excellence. Division of ankyloglossia (tongue-tie) for breastfeeding: Understanding NICE guidance – information for people considering the procedure for their baby, and for the public. December 2005. Available at: http://www.nice.org.uk/nicemedia/live/11180/31410/31410.pdf.
Sorrentino J M, Tarnow D P . The semilunar coronally repositioned flap combined with a frenectomy to obtain root coverage over the maxillary central incisors. J Periodontol 2009; 80: 1013–1017.
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Hill, C., Devine, M. & Renton, T. Oral surgery II: Part 4. Common oral lesions. Br Dent J 223, 769–779 (2017). https://doi.org/10.1038/sj.bdj.2017.985