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It is very important for your oral surgeon to be well versed in oral lesions of all kinds. White patches in the mouth or tongue sores that do not heal are of concern and need to be evaluated promptly. Perhaps your family dentist has advised you to seek out an oral surgeon for a mouth biopsy or thorough oral examination.
Incisional biopsy is used to sample a thick, keratotic region at the anterior aspect of the tongue. Infiltration of local anesthetic (b) is followed by tracing of an ellipse (c and d). The anterior edge of the ellipse is gently raised with tissue forceps, which allows detachment of a canoe-shaped sample (e and f).