Oral Cysts: When to See a Dentist for Concerns - Dentistry

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Doctor, I have a lump in my mouth?


The lesion was originally a round white spot approximately 0.2 cm in size.
It has been present for a month, and it previously nearly disappeared but has now grown larger.
I do not smoke, drink alcohol, or chew betel nut.
Could you please provide some advice? Should I go directly to see a dentist?

Xiang, 10~19 year old female. Ask Date: 2016/04/20

Dr. Huang Zhicheng reply Dentistry


Hello, due to the lack of an actual examination and only having images, a diagnosis cannot be made.
Please visit a clinic or hospital to see a dentist.
Wishing you safety and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/20

More Info


When it comes to oral cysts, it's essential to understand what they are, their potential causes, and when to seek professional dental care. Oral cysts can be fluid-filled sacs that develop in the mouth or surrounding tissues. They can vary in size, shape, and color, and while many are benign, some may require further investigation or treatment.

In your case, you mentioned that you have a white circular cyst that has been present for about a month, initially shrinking and then growing larger again. This fluctuation in size can be concerning, as it may indicate an underlying issue that needs to be addressed. Given that you do not smoke, drink alcohol, or chew betel nut, these lifestyle factors are less likely to contribute to the development of the cyst.

Here are some key points to consider regarding oral cysts:
1. Types of Oral Cysts: There are various types of oral cysts, including mucous cysts (mucocele), dentigerous cysts, and keratocystic odontogenic tumors. Each type has different implications for treatment and management. Mucous cysts, for example, often arise from blocked salivary glands and may resolve on their own, while other types may require surgical intervention.

2. Symptoms to Watch For: While many cysts are asymptomatic, you should monitor for any changes in size, color, or texture. Additionally, if you experience pain, swelling, difficulty swallowing, or any other unusual symptoms, these could be signs that the cyst is problematic.

3. When to See a Dentist: It is advisable to see a dentist if:
- The cyst persists for more than two weeks without improvement.

- It changes in size or appearance.

- You experience pain or discomfort in the area.

- There are any associated symptoms such as fever, swelling, or difficulty eating.

4. Diagnostic Procedures: Upon visiting a dentist, they may perform a clinical examination and possibly take X-rays or other imaging studies to assess the cyst's nature and its relationship to surrounding structures. In some cases, a biopsy may be necessary to determine if the cyst is benign or if it requires further treatment.

5. Treatment Options: Treatment will depend on the type of cyst diagnosed. Some may resolve spontaneously, while others may require drainage or surgical removal. If the cyst is associated with an underlying dental issue, such as an impacted tooth, addressing that issue may also alleviate the cyst.

In conclusion, it is prudent to consult with a dentist regarding your oral cyst. They can provide a thorough examination and determine the best course of action based on your specific situation. Early intervention can prevent potential complications and ensure that any necessary treatment is administered promptly. Remember, maintaining regular dental check-ups is crucial for overall oral health, especially if you notice any changes in your mouth.

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