Services - Oral Pathology

Oral Maxillofacial Pathology Biopsy Service

The School of Dentistry Oral Maxillofacial Pathology Services Laboratory offers histopathologic and diagnostic services of surgical specimens taken from the oral and maxillofacial regions of the body. Dental and medical practitioners including general dentists, oral surgeons, endodontists, periodontists, pediatric dentists, dermatologists and otolaryngologists are invited to utilize our services. In addition, histochemistry, immunofluorescence and immunohisto-chemistry procedures are available for special studies from the Department of Pathology, UMC, at rates established by that department.

 

Oral and Maxillofacial Pathologist

Sigurd O. Krolls, DDS, MS, MSEd
Professor Emeritus
Diplomate of the American Board of Oral and Maxillofacial Pathology
Diplomate of the American Board of Oral Medicine
skrolls@msn.com
Telephone:
Office 601-984-6090 or 601-984-6671
Home 601-856-6653 (best number to leave a message)
2003 Tidewater Lane
Madison, MS 39110-9271

 

If you are in need of a biopsy kit or a cytology kit, click on the appropriate kit or form:
- Biopsy Kit
- Cytology Kit
- Biopsy Request Form (PDF)

Frequently Asked Questions

Q. How do I refer a patient for a clinical pathology examination?
A. An appointment may be made with Dr. Krolls by calling 601-984-6090, 601-984-6671, or 601-856-6653.

Q. Is there a charge for the biopsy and cytology services?
A. Yes. We use CPT codes to determine fees. If special studies are required, additional fees will be charged. Patients are billed directly for our services. Most of our services are covered by medical insurance, some by dental insurance. The patient is responsible for filing the claim. Our office will provide a detailed statement with all the necessary coding information for them to file. Patients are responsible for deductibles and co-pays.
One exception is that our office WILL file Medicare and Medicaid claims. The patient's enrollment numbers must be clearly indicated on the biopsy request form in order that we may assist in this.

To receive biopsy kits or cytology kits please fill in the following information:
Name
Address
City
State
Zip
Phone
E-mail
  Number of kits needed
Biopsy Kits
Cytology Kits

How To Perform A Cytologic Smear

1. Blot to remove saliva, but Do NOT wipe or otherwise disturb the area you choose to smear.
2. Using a dental cement spatula OR a damp wooden tongue blade, firmly wipe the area. Use enough strokes to collect a visible accumulation of oral fluids.
3. Transfer the fluids to a clean dry glass slide. Smear the sample across the slide to make a thin coat. Hold the glass slide up to the light. If you can see the sample on the slide, you have enough. Repeat in another area if necessary. IF THE PATIENT HAS A VERY DRY MOUTH, have them rinse gently with a little water before you smear.
4. Spray Cytofix OR regular hair spray on the slide from a distance of about one foot. DO NOT spray too closely or you will rinse the cells off the slide. Do not overspray, one swipe should be enough.
5. Allow the slide to dry for a few minutes and place in the slide container.
6. Fill out the request form in full. Be sure to indicate the reason for the smear and the location you smear. If your patient is on Medicare or Medicaid, be sure to include their number.
7. Mail the same day to Oral Maxillofacial Pathology Laboratory.
8. Please inform your patient that there will be a charge from the laboratory. Medical insurance, Medicare and Medicaid generally cover this fee.
9. You will receive your results within 48 hours of the slide's arrival in our lab.
10. You will need the second slide in the kit to repeat the smear after treatment (if necessary), to determine if your treatment was successful.