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During an incisional biopsy, a small piece of tissue (soft or bony) is removed. During an excisional biopsy, the entire
“lesion” is removed. After any type of biopsy, the tissue is then sent to a pathology laboratory for microscopic
examination and diagnosis. Once a diagnosis is made, either no further treatment is needed or occasionally,
more surgery may be recommended by your doctor.
To help your biopsy site heal properly:
- Begin with OTC pain relievers before the local anesthesia wears off and we recommend Tylenol®, Motrin®,
Advil®, or Aleve®. Avoid aspirin as this may encourage bleeding or oozing.
- Minor bleeding is normal for sometimes 24-48 hours after a biopsy, but should decrease with time.
- If you were given gauze to apply pressure to the site, put direct, constant pressure with the gauze for
1 hour then reapply hourly until bleeding has stopped. It is sometimes helpful to bite on damp gauze,
gauze dampened in a strongly steeped but cool black tea (Lipton®, Salada®), or place a dampened tea
bag against the site for 30 minutes. Black tea contains tannic acid which helps with clotting.
- Avoid hot liquids, using drinking straws or sharp foods (chips, pizza crust, bread) for at least 24 hours.
- Be careful eating until the local anesthesia has worn off to avoid traumatizing the biopsy site or biting your
lip or tongue.
- Avoid pulling on tongue or lips if these sites were biopsied or touching the biopsy site with your fingers
as this may open the wound and cause an infection.
- Brush your teeth normally but avoid rinsing for 24 hours to allow the site to form a clot.
- After 24 hours, begin rinsing 3 times a day with warm salt water. Do not use any mouthwashes that have
not been prescribed. Peroxide rinses and mouthwashes that contain alcohol are detrimental to healing so
use salt water only.
- Do NOT smoke anything for 48-72 hours.
- Stitches are usually dissolvable and typically dissolve in 5 to 7 days.
- Sometimes the biopsy area is covered with a wound dressing (Perio Pack) or a chemical which may discolor
the area (silver nitrate) but will disappear when the wound has healed. If a packing is used, it may fall
off before your follow up visit so do not be alarmed. If placed, be gentle to the packing for it will act as a
“bandage” over the biopsy site.
- Good oral hygiene in most cases prevents infections but if the site becomes redder, swollen or tender by
post-op day 5, please come in for an evaluation and to rule out an infection.
- Biopsy patients are usually asked to follow up 7-14 days after the procedure to review the results and
discuss whether any further treatment is needed.
- Please call the office (508) 660-2900 with any questions.