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Family & Cosmetic Dental PLLC

Oral Pathologyin Glendale, Arizona

In the past decade there has been a dramatic interest in cosmetic dentistry. We all realize that having a healthy, bright, beautiful smile enhances our appearance and allows us to smile with confidence. Thanks to the advances in modern cosmetic dentistry, we are able to improve our teeth and smiles with quick, painless and surprisingly affordable treatments.

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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.

Welcome to Family & Cosmetic Dental PLLC
With over 30 years of experience, Dr. Adrian Pulkrabek and his team combine science and artistry to prioritize your comfort and oral health. From routine cleanings to complete smile redesigns, we offer state-of-the-art restorative and cosmetic dentistry in a friendly, welcoming environment.
Why Choose Us
20+ Years of Clinical Experience
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Charles B
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Great Dentist!! Office staff, simply put, are just darn good people. Kathleen always greets you with a smile and a friendly welcome. Sarah is the Dental Assistant and Hygienist; she's wonderful, always making sure I feel comfortable and it shows by how she treats a patient (me). All 3 are very professional!! The office is very clean, and the front desk area is organized and well maintained by Kathleen. That being said, Dr. Pulkrabek is an excellent Dentist. Explains every procedure very well, detailed and also making sure I understand and he makes sure I feel comfortable during my visit. One of the great benefits when I'm in the Dental chair and Dr. Pulkrabek is working his magic on my teeth, It's always been practically painless Dentistry. I'm always extremely pleased with the outcome of the Dr's work on my Ivorys!! My overall experience has been outstanding with each visit. I highly recommend making an appointment with Dr. Pulkrabek for your Dental needs and concerns.
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Renee C
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I have been a patient of Dr. Pulkrabek and his team since probably 2005/2006. I have pretty severe dental anxiety and he is the only reason I’m able to show up for my six month cleanings. He is so gentle, thorough, knowledgeable, and fun. He is efficient. Contemplating a move out of the State and joked that we would probably keep him as our provider and just come back for cleanings. He is that good. Such an amazing dentist.
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Barbara L
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I have always been pleased with the staff and the doctor. The office manager is professional, and her experience shows as she engages with clients. The doctors assistant is professional, and very pleasant to deal with. The doctor himself, is knowledgeable, professional and always treats me as if I’m his only patient and I have no complaints about my dental care from him.
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Jordynn B
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Amazing Dentist! Staff was very friendly and I got an appointment very quickly! They gave me a great referral and helped with all my questions and concerns!
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Megan T
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Amazing dentist! Everyone in the office is amazing and professional. They made me feel at ease and this was the first time going to the dentist. They explain each procedure and how it will benefit your teeth and health.
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Candice H
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Dr. Pulkrabek and his staff are great. We have been coming here for years and would highly recommend.
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Ahmed M
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Dr. Adrian was super helpful and explain everything to me! Super easy visit. Extremely friendly staff that helped me with all the insurance and billing!
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Julian M
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Dr. Pulkrabek is a great dentist, and he does a very good job cleaning and examining teeth. He found a cavity growing underneath a prior filling after taking a closer look. The office staff and dental hygienists are all friendly and professional. I am looking forward to my next visit.
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Natasha L
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Great office! Everyone is super helpful and does a great job
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