Clinical Services

Clinical Services Oral Medicine Mountain View

Clinical Services

Oral Medicine Clinical Practice

Providing Patient Care In The San Francisco
Bay Area Since 1996

Oral Medicine Mountain View

More About Oral Medicine

Q: When should I see an oral medicine specialist?

A: An oral medicine specialist can help you if you have any of the following problems:

* Dry mouth

* White changes in the mouth

* Red changes in the mouth * Pigmented changes in the mouth

* Ulcers in the mouth

* A mass or growth in the mouth

* Oral discomfort including burning sensations in the mouth

Q: What should I expect at the first oral medicine consultation appointment?

A: At your first visit in our office, Dr. Nita Chainani-Wu will discuss your concerns and review in detail your medical and dental histories with you. She will perform a detailed oral examination for any abnormalities and discuss the possible causes and treatment options with you. If more definitive diagnosis needed, she may recommend a simple biopsy at the same visit or at another time. Your report from the pathology laboratory is usually available within a week. If necessary, a carbon dioxide laser may be used during a biopsy procedure or if excision of an oral lesion or mass is required.

Q: What type of problems are oral medicine specialists trained to diagnose and treat?

Oral medicine specialists are trained to evaluate changes in the mouth including white changes, red changes, ulcers, growths as well as unusual and/or chronic oral discomfort, and determine the diagnosis and any associated systemic condition. In addition, they evaluate the oral cavity prior to and manage complications from chemotherapy and radiation in patients with head and neck cancers.

Oral Disorders

Oral Leukoplakia

Leukoplakia is a white patch on the oral mucosa that cannot be rubbed of nor attributed to any other condition.

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Oral Lichen Planus

Lichen planus is a chronic, autoimmune condition that can affect the mucous membrane lining the oral cavity. In some cases it also affects the skin and or other mucous membranes. In the mouth it can present as white changes, red changes and ulcerations.

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Lumps or Masses in The Mouth

Lumps, growths or masses in the mouth may represent reactive growths, viral conditions, mucoceles, sialoliths, benign neoplasms, malignant tumors and other conditions. Evaluation is important in order to establish a diagnosis.

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Canker sores (Aphthous ulcers)

Canker sores are relatively common, and can cause recurrent ulcerations in the mouth.

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Pemphigus Vulgaris

This is an autoimmune, mucocutaneous condition which causes ulceration of the oral mucosa and can cause significant oral discomfort.

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Mucous Membrane Pemphigoid

Mucous membrane pemphigoid is an autoimmune condition which can cause blistering and ulceration on the oral mucosa and can significantly affect quality of life.

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Burning Mouth Syndrome

Burning mouth syndrome (BMS) presents as a chronic burning sensation involving the oral mucous membranes, usually without accompanying clinical and laboratory findings.

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Sjogren’s syndrome

Sjogren’s syndrome is an autoimmune condition that can cause dry mouth, dry eyes and other systemic symptoms.

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Dry Mouth

The most common cause of dry mouth is use of medications. However there are other causes of dry mouth.

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Acute and chronic complications from treatment of head and neck cancers

Treatment of cancers often involves radiation treatment and chemotherapy.

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Diagnostic and Treatment Procedures

  • Vital Staining
  • Biopsy
  • Carbon Dioxide laser surgery

Early diagnosis and treatment of oral conditions is critical to maintain your oral and general health.