Oral Pathology in Issaquah, WA

At Adara Surgical Institute, our board-certified oral and maxillofacial surgeon offers expert evaluation and treatment for a wide range of conditions. These include everything from common oral lesions to suspicious growths that may require biopsy and further care.

If you have noticed a persistent sore, white patch, or unusual swelling in your mouth, it’s time to have it checked. Early diagnosis is the key to effective treatment and peace of mind.

What Is Oral Pathology?

Oral pathology is the branch of dentistry that investigates abnormalities of the mouth, jaw, and related tissues. This includes both non cancerous and cancerous lesions, infections, autoimmune disease manifestations, and salivary gland disorders.

Using clinical evaluation and microscopic examination of tissue biopsies, oral pathologists determine the nature of a lesion and help guide treatment. Our oral and maxillofacial surgeons work closely with diagnostic labs to provide thorough evaluations for every patient.

Oral Cancer: A Serious but Often Overlooked Threat

According to the American Cancer Society, an estimated 59,660 new cases of oral cavity and pharynx cancer are expected to be diagnosed in the United States in 2025. 

Oral cancer can develop on the tongue, lips, floor of the mouth, soft palate, and other areas—and early detection can save lives.

We offer oral cancer screening and biopsy services for any suspicious lesion that does not resolve with time. If pathology confirms a type of cancer, we help coordinate appropriate follow-up care based on your medical history and treatment needs.

Common Types of Oral Lesions

There are many possible causes for abnormal patches or bumps in the mouth. Some are harmless and temporary, while others require close monitoring or treatment.

Fungal Infections (Candidiasis)

Often seen in patients with dry mouth, diabetes, or weakened immune systems, oral fungal infections may present as white, creamy patches on the tongue or inner cheeks. These may wipe off and leave red, irritated areas beneath.

Cold Sores (Herpes Simplex Virus)

Small, painful blisters typically found around the lips or inside the mouth. They tend to recur and are triggered by stress, illness, or sun exposure.

Oral Ulcers (Canker Sores)

Shallow, round sores with a white or yellow center and a red border. These may be caused by irritation, certain foods, or autoimmune conditions.

Oral Cancer

Lesions that are firm, non-healing, or irregularly shaped may signal malignancy. A suspicious lesion often appears as a persistent white patch (leukoplakia), red patch (erythroplakia), or mass that bleeds easily or causes pain.

What to Watch For

While many oral lesions are benign, certain signs should prompt evaluation by an oral surgeon:

• A white patch or red patch in the mouth that lasts more than two weeks
• A lump, thickening, or sore that doesn’t heal
• Difficulty chewing or swallowing
• Persistent dry mouth
• Numbness or tingling in the face, tongue, or jaw
• Changes in the way your teeth fit together

If any of these symptoms are present, especially in combination with a history of smoking, alcohol use, HPV infection, or autoimmune disease, a diagnostic exam is recommended.

Importance of Annual Exams

Regular dental exams are one of the best ways to catch oral disease early. Most general dentists perform an oral cancer screening as part of your routine checkup. If they notice a suspicious lesion, they will refer you to a specialist, typically an oral surgeon, for further evaluation and biopsy.

We routinely work with referring dentists to evaluate abnormal findings. Our team provides comprehensive diagnostic services, including biopsy and pathology review, to determine the nature of the lesion and guide next steps.

Early detection is critical. Many oral diseases, including oral cancer, cause no pain in their early stages and may only be caught during a professional screening.

What Happens If You Need a Biopsy?

If a lesion appears abnormal or fails to improve, we may recommend a biopsy. Our maxillofacial surgeons perform this procedure in a comfortable outpatient setting. The tissue is sent to an offsite pathology lab, and results typically return within 5–14 days.

Should the biopsy reveal oral cancer or another serious oral disease, our team will explain your options and help coordinate your next steps. We prioritize compassion and clarity every step of the way.

Early Treatment is Key to Success

Every abnormal bump, sore, or patch has a story—and some are more serious than they appear. That’s why getting a professional evaluation matters. 

Whether your dentist has referred you or you’re simply unsure about something you’ve noticed, the next step is simple: get it checked by a specialist you can trust.