Understanding The Value Of Acne Treatments

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Oral Lesions And Laser Surgery: How An Oral Surgeon Addresses The Problem

Health & Medical Blog

Oral lesions include any strange lumps or bumps in the mouth that A) should not be there, and B) do not seem to heal or go away. In most cases, the lesions are benign, but an oral surgeon will perform a biopsy anyway. Because your mouth is full of bacteria, and because you cannot take time off from eating and drinking for wounds to heal, your surgeon will use a laser to remove the lesions. Here is what you can expect from the surgery.

General or Local Anesthetic

If you only have one or two lesions and they are on your lips or tongue or under your tongue, your surgeon may decide to just give you a local anesthetic to numb those areas. The laser he or she uses is quick, but the burning sensation makes patients uncomfortable. A general anesthetic is better if you have multiple lesions that need excising or if your surgeons expects that your procedure will be long and arduous. Once your mouth is numb or you are asleep, the surgeon can begin.

A Tiny Laser

Your oral surgeon will use a tiny laser, which looks a lot like a pen with a fiber optic tip, to cut away the lesions from inside your mouth. The advantages to using a laser to remove the lesions are:

  • completely cauterize wounds
  • less or no bleeding than a scalpel
  • virtually no pain, unless you have a low pain threshold
  • wounds heal within a week or two
  • you are able to eat and drink normally
  • no infections or downtime away from work, other than the time needed for the surgery

Although the laser seals off any blood vessels, you may still have some stitches to prevent the wounds from breaking open should you accidentally bite them.


Any abnormal lesion requires a biopsy. All of the lesions excised from your mouth will be sent to the lab for testing. Your doctor will follow up with you regarding the results, as well as the removal of any stitches.

Effectiveness and Surgical Follow-up

The same lasers have been used in cosmetic dentistry with similar successes and benefits. Unless the biopsies show signs of cancer, or other lesions develop, you should not need any more surgeries. Many patients report that they do not/did not need any pain medication after the lesions were removed by laser. Your case could be different, depending on the size of the lesions, their locations, and your tolerance for pain. Talk to experts like Iowa Oral & Maxillofacial Surgeons, PC for more information.


26 February 2015