
Have you noticed an unusual growth, persistent sore, or discolored patch in your mouth that doesn’t seem to heal? Are you concerned about changes in your oral tissues that don’t look or feel normal? At Dental West NYC on Manhattan’s Upper West Side, our team offers expert oral pathology services and biopsy procedures to diagnose and treat various oral conditions, ensuring your complete oral health and peace of mind. Our approach to oral pathology focuses on early detection, accurate diagnosis, and effective management of oral lesions and abnormalities.
Understanding Oral Pathology
Oral pathology is the branch of dentistry concerned with diagnosing and treating diseases that affect the mouth, jaws, and surrounding facial structures. These may include:
- Oral infections
- Benign (non-cancerous) growths
- Potentially pre-cancerous lesions
- Oral cancer
- Autoimmune conditions affecting oral tissues
- Developmental abnormalities
- Salivary gland disorders
Early detection of oral abnormalities is crucial for effective treatment. At Dental West NYC, we perform thorough oral examinations during your regular dental visits, carefully screening for any signs of pathological changes. If we identify any concerning areas, we may recommend further evaluation through a biopsy procedure.

What Is an Oral Biopsy?
An oral biopsy is a diagnostic procedure that involves removing a small sample of tissue from a suspicious lesion or abnormal area in the mouth for laboratory examination. This procedure is the gold standard for diagnosing oral diseases, as it provides definitive information about the nature of the lesion.
There are several types of oral biopsies, including:
- Incisional Biopsy: Removal of a representative portion of the lesion for examination
- Excisional Biopsy: Complete removal of a small lesion for diagnosis and treatment
- Brush Biopsy: A minimally invasive technique that collects cells from the surface of a lesion
- Fine Needle Aspiration: Collection of cells using a thin needle, typically used for deeper lesions
At Dental West NYC, we utilize our advanced PerioLase MVP-7 Nd:YAG laser for many soft tissue biopsies, offering enhanced precision and comfort compared to traditional methods.
When Is an Oral Biopsy Necessary?
We may recommend an oral biopsy if you have:
- An oral lesion that persists for more than two weeks
- White, red, or mixed white and red patches in your mouth
- A growth or swelling that has changed in size, color, or texture
- Unexplained bleeding or numbness in the mouth
- Persistent mouth sores that don’t heal
- Pain or discomfort that cannot be explained by other causes
During your comprehensive examination, Dr. Leora Walter or one of our skilled associates will evaluate any suspicious areas and determine if a biopsy is necessary for proper diagnosis and treatment planning.
The Oral Biopsy Procedure at Dental West NYC
At Dental West NYC, your comfort and care are our priorities throughout your oral biopsy procedure. Here’s what you can expect:
Before the Procedure
We’ll conduct a thorough examination of the area of concern, possibly including digital imaging to better visualize the lesion. Dr. Walter will discuss the procedure with you, explaining why a biopsy is recommended and what to expect. We take x-rays only when necessary – typically every 2-2.5 years rather than annually – and we’re happy to use your existing x-rays if you can provide them.
During the Procedure
The oral biopsy procedure at our Upper West Side office is typically quick and straightforward:
- We’ll administer a local anesthetic to ensure your complete comfort throughout the procedure.
- For soft tissue biopsies, we often use our advanced PerioLase MVP-7 Nd:YAG laser, which offers precise tissue removal with minimal bleeding and discomfort.
- For traditional biopsies, a small tissue sample is carefully removed using specialized instruments designed to preserve the tissue architecture for accurate diagnosis.
- The specimen is properly prepared and sent to a pathology laboratory for microscopic examination by oral pathology specialists.
- The biopsy site may require a few small sutures, which are typically absorbable and don’t need removal.
The entire procedure usually takes 15-30 minutes, depending on the location and type of biopsy being performed.
After the Procedure
Following your oral biopsy, we’ll provide detailed aftercare instructions to ensure optimal healing:
- Temporary diet modifications to soft foods
- Gentle oral hygiene practices around the biopsy site
- Over-the-counter pain relievers if needed (most patients experience only mild discomfort)
- Antimicrobial mouth rinses if prescribed
Most patients can return to their normal activities immediately after the procedure, though we recommend avoiding strenuous activity for the rest of the day. The biopsy site typically heals within 1-2 weeks.
Receiving Your Biopsy Results
After your biopsy, the tissue sample is sent to a specialized laboratory where it’s examined by oral pathologists who are experts in diagnosing oral diseases. Results typically take about 1-2 weeks to return, at which point we’ll schedule a follow-up appointment to discuss the findings with you.
Based on the diagnosis, we’ll work with you to develop an appropriate treatment plan. This may range from simple observation of benign conditions to more extensive treatment for serious conditions, or referral to appropriate specialists if necessary.
The Importance of Early Detection
Early detection of oral abnormalities is critical for successful treatment, particularly for conditions like oral cancer. Regular oral cancer screenings are an essential part of our comprehensive dental examinations at Dental West NYC. By identifying and addressing concerning lesions early, we can help you maintain not just your oral health, but your overall health and well-being.
Our advanced laser technology provides an additional advantage in both the detection and treatment of oral lesions, allowing for more precise procedures with less discomfort and faster healing.
Why Choose Dental West NYC for Oral Pathology and Biopsy
Our practice philosophy centers on minimally invasive, preventive dentistry using the most advanced technology. Our team includes Dr. Leora Walter, a surgically trained prosthodontist, and associates with extensive training in comprehensive oral health care.
We take pride in our patient-centered approach, taking time to thoroughly explain your condition and treatment options. Our goal is to help you maintain optimal oral health through early detection and effective management of any oral pathologies.
For concerning oral lesions, our advanced laser technology allows for more comfortable biopsy procedures with minimal bleeding and faster healing than traditional methods.
Book Your Consultation Today
If you have noticed any unusual changes in your mouth or have concerns about your oral health, don’t wait. Early detection is key to successful treatment. Contact Dental West NYC today at (212) 580-4520 or book your appointment online to schedule a consultation. We offer free fluoride treatments during cleanings and use our advanced technology to provide you with the best possible care.

Dr. Leora Walter is a surgically trained prosthodontist and an elite dentists, with an expertise in cosmetic procedures at Dental West NYC on Manhattan’s Upper West Side.
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