Painful Bumps on the Upper Palate: When to See a Dentist - Dentistry

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Hello doctor, this morning I woke up and noticed a bump that looks like a pimple on the upper palate, slightly to the left.
It hurts when my tongue touches it, and it also hurts when I eat and it comes into contact with it.
What could this be, and do I need to see a doctor? Thank you.

Li Rui, 10~19 year old female. Ask Date: 2016/03/28

Dr. Zeng Guanghui reply Dentistry


It is likely that the oral mucosa is inflamed due to irritation.
It is recommended to consult a dentist for further examination.

Reply Date: 2016/03/28

More Info


When you notice a painful bump on the upper palate, particularly one that resembles a pimple and causes discomfort when touched or when eating, it can be concerning. There are several potential causes for such a bump, and understanding these can help determine whether you need to see a dentist.

One common cause of a bump on the palate is a mucocele, which is a fluid-filled cyst that can occur when a salivary gland becomes blocked or damaged. Mucoceles are typically painless unless they become inflamed or infected. They can appear as small, soft bumps and may change in size. If the bump is indeed a mucocele, it may resolve on its own, but persistent or painful cases may require treatment from a dentist or oral surgeon.

Another possibility is a palatal abscess, which is a localized collection of pus that can occur due to infection, often following dental issues such as untreated cavities or gum disease. An abscess can be quite painful and may be accompanied by swelling, redness, and sometimes fever. If you suspect that the bump is an abscess, it is crucial to see a dentist promptly, as abscesses can lead to more serious complications if left untreated.

Additionally, the bump could be a fibroma, which is a benign growth of connective tissue. Fibromas are generally painless and may not require treatment unless they cause discomfort or interfere with normal function.

In some cases, the bump could be related to oral herpes or other viral infections, which can cause painful sores or lesions in the mouth. If you have a history of cold sores or if the bump is accompanied by other symptoms like fever or swollen lymph nodes, it may be worth consulting a healthcare professional.

Given that the bump is painful and affects your ability to eat comfortably, it is advisable to see a dentist. They can perform a thorough examination, possibly including imaging if necessary, to determine the exact nature of the bump. Early diagnosis and treatment can prevent potential complications and provide you with relief from discomfort.

In summary, while some bumps on the palate may resolve on their own, the presence of pain, especially when eating or touching the area, warrants a professional evaluation. A dentist will be able to provide a definitive diagnosis and recommend appropriate treatment, whether that involves monitoring the bump, draining an abscess, or removing a growth. It's always better to err on the side of caution when it comes to oral health, so don't hesitate to seek professional advice.

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