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Oral Pathology in Santa Rosa, CA 

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An oral exam is routinely performed by the dentist during the course of an initial comprehensive exam and regular check-ups. An oral cancer exam refers to the identification and management of diseases pertaining to the maxillofacial and oral regions.

The soft tissue of the mouth is normally lined with mucosa, which is special type of skin that should appear smooth in texture and pink in color. Any alteration of the color or texture of the mucosa may signal the beginning of a pathologic process. These changes may occur on the face, neck, and areas of the mouth (e.g., gums, tongue, lips, etc.). The most serious of these pathologic changes (which may or may not be painful) is oral cancer, but there are also many other common pathologic problems.

Geographic Tongue – Also known as Benign Migratory Glossitis or Erythema Migrans, is a condition where the tongue is missing papillae (small bumps) in different areas, and a map-like appearance can develop. This condition is usually seen as red well defined areas on or around the sides of the tongue. The red patches (which can look like an unsightly rash) may come and go from hours to months at a time and cause increased sensitivity to certain substances.

Median Palatal Cyst – This cyst is of developmental origin and is essentially a fluid filled skin sac. It usually appears in the middle of the palate and may cause substantial discomfort.

Hairy Tongue – An overgrowth of bacteria or a yeast infection in the mouth which can cause the tongue to appear hairy and black. This condition is usually a result of poor oral hygiene, chronic or extensive use of antibiotics, or radiation treatments to the head or neck. It is often also seen in HIV positive patients and those who are intravenous drug users. Hairy Tongue may or may not require treatment.

Treatment of Pathological Diseases

In the majority of cases, the pathological changes experienced in the oral region are uncomfortable and disfiguring, but not life threatening. However, oral cancer is on the rise (especially among men) and the chances of survival are around 80% if an immediate diagnosis is made.

Oral cancer is a general term used when referring to any type of cancer affecting the tongue, jaw, and lower cheek area. Since it is impossible for the dentist to decisively diagnose a pathological disease without taking a biopsy sample of the affected area, seeking immediate treatment when changes are first noticed might be a life and death decision. For less serious problems, there are several options available, such as:

  • Antibiotics – In the case of a bacterial infection or persistent soreness, the dentist may prescribe a dose of antibiotics to return the mucosa to its natural state. This will alleviate soreness and discomfort.
  • Diluted Hydrogen Peroxide – When poor oral hygiene is causing changes to the soft tissue, the dentist may prescribe a diluted hydrogen peroxide mouthwash. This will kill more bacteria than regular mouthwash and improve halitosis (bad breath).
  • Oral Surgery – If the patient has cysts or abnormal non-cancerous growths, the dentist may decide to completely remove them. This can improve comfort levels, alleviate breathing problems, and make speech substantially easier depending on the location of the cyst.

Oral Examinations

During the course of a regular check up, the dentist will thoroughly inspect the soft tissue of the mouth and take serious note of any changes. If there are cell changes present, the dentist will take a biopsy of the affected area and send it away to be analyzed by laboratory specialists. When definitive results are obtained, the dentist can decide on the best course of treatment.

Oral Cancer Screenings

An oral cancer screening is usually performed during a comprehensive or recall (check-up) exam. Screening is painless and only takes a few minutes. The dentist or hygienist will use a laser light to assess the soft tissue for cell changes that might be indicative of oral cancer. If such cell changes are present, a small biopsy will be taken and sent to a laboratory for review. If the biopsy indicates that oral cancer is present, an excision (removal) will generally be performed.

If you are experiencing any pain or symptoms that cause you concern, we encourage you to contact us today to schedule an appointment.

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Deck Julio
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The experience of getting dental implants with Dr. Attri was life changing. he was very informative and didn't upset me at all during the treatment and afterwards checked on my healing progress. The implants are so similar to my own teeth that I can eat and smile with confidence once again. Thanks to his well-thought-out strategy.
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Vickie Miles
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I was treated for a gum disease and was treated well during the entire treatment. The dentist informed me the reason for the problem and provided me with very clear instructions on how to take better care of my gums at home. It was done with great care and I have seen a definite difference since then.
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Patti Barrett
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Excellent dentist! On vacation & had the bonded plug over the screw head of my implant come out, after having it installed by my dentist less than a month ago. I arrived as a walk-in when they opened & the dentist fixed it right away. The office staff was super nice & chill. The dentist was gentle & caring. The office was clean & welcoming. Not the vacation excursion I was expecting but still a pleasant experience. I was so appreciative of them fitting me in for the repair.
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Alyssa
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I’ve been coming here since last year when I moved to the area, and wanted to find a holistic dentist. Dr. Attri is amazing! He fixed a lot of dental issues I’d been having and truly changed my smile. He’s also incredibly kind and caring. All of the staff are so wonderful too. I couldn’t recommend enough
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Don Weaver
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I was referred to Dr. Attri from my naturopathic doctor friends in Santa Rosa, and in my few interactions with him so far, I’ve found him to be very friendly and knowledgeable. I recently had my first “major” work done with him, which was getting a precise impression for a crown to place over an implant, then having him fit the crown. As far as I can tell, he did it all perfectly, and my chronic jaw pain (from not having a matching back molar on the left side) has subsided greatly. I chose Dr. Attri for this work both because I think he is very trustworthy and competent, and also because his price for a crown was very helpfully lower than what my other outstanding dentist in Berkeley was going to charge. I am grateful to have found Dr. Attri and his Stunning Smiles practice in Santa Rosa and, from experience to date, I recommend him.
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Amy Breckenridge
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Dr. Attri and his staff are professional, kind and knowledgeable. Best care in Santa Rosa, Ca. If you have any fears , Dr. Attri and staff will put your mind to rest!
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Nancy Lazark
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I am happy to write a review for Dr. Attri. I find him to be very gentle and thorough. I have had quite a lot of work done in the past year and he is satisfied when everything is perfect. I have had caps replaced a night guard made and several other procedures done. I can highly recommend him
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Haakon Williams
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Happy to have a good dentist in Dr. Attri! I have always felt in good hands with him and his team. The few times I have had questions or concerns, he has been very able to talk with me, adjust as needed, and make sure I leave the office satisfied. Look no further for your local holistic dentist!
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Andrew Harrison
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Dr. Attri is the real deal. He explains everything very well, is very patient and kind, and has a gentle hand compared to dentists I've had in the past. You won't regret coming here for dental care
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