Oral surgery II: Part 4. Common oral lesions

Key Points

  • 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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Figure 5: Palatal swelling.
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Figure 7: Denture-induced hyperplasia.
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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

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