Black Bumps in the Mouth: When to See a Dentist - Dentistry

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Black mass


I have developed a lump inside my cheek that I am unsure about.
It is not painful, but I constantly feel like something is stuck in my teeth, and it feels raised and close to black.
I didn't notice it in the morning, and I haven't bitten my mouth all day, yet it suddenly appeared.
Should I see a doctor? Here is the link to the photo: https://www.dropbox.com/sh/xkc45d15x021bb0/AACLAaNFf6R4Tj8oSttntQj9a?dl=0 Thank you!

Shu Shu, 20~29 year old female. Ask Date: 2016/08/24

Dr. Lin Jiayong reply Dentistry


Hello: The image link cannot be opened.
If you have a sudden lump, it is recommended that you go to the hospital for an examination as soon as possible! Wishing you safety and good health.

Reply Date: 2016/08/24

More Info


When it comes to noticing unusual changes in your oral cavity, such as a black bump or lump inside your cheek, it can understandably cause concern. The presence of a bump that is black in color and feels raised can be attributed to several factors, and while it may not be painful, it is essential to monitor the situation closely.

Firstly, the black bump could be a result of a hematoma, which is a localized collection of blood outside of blood vessels, often caused by trauma or injury. Even if you do not recall biting your cheek or experiencing any trauma, sometimes minor injuries can go unnoticed. The bump may also be a result of irritation from dental appliances, such as braces or dentures, which can cause friction and lead to the formation of a bump or sore.

Another possibility is that the bump could be a benign growth, such as a fibroma or a mucocele. A mucocele is a cyst that forms when a salivary gland becomes blocked or damaged, leading to a buildup of mucus. These are typically harmless and may resolve on their own, but they can also persist and require treatment if they cause discomfort or interfere with oral function.

In some cases, a black bump could indicate a more serious condition, such as a pigmented lesion or even oral cancer. While the likelihood of a malignant condition is lower, especially if the bump is not painful and has appeared suddenly, it is crucial to rule out any serious issues. Oral cancer can present as a persistent sore, lump, or change in the color of the tissue in the mouth, and early detection is key to successful treatment.

Given that you have noticed this bump suddenly and it has a distinct color, it is advisable to seek a professional evaluation from a dentist or an oral health specialist. They can perform a thorough examination, possibly including imaging or a biopsy if necessary, to determine the exact nature of the bump. It is better to err on the side of caution, especially when it comes to changes in your oral health.

In summary, while the bump you are experiencing may not be causing pain, it is essential to have it evaluated by a dental professional. They can provide a proper diagnosis and recommend any necessary treatment. Monitoring the bump for changes in size, color, or associated symptoms is also important. If you notice any additional symptoms, such as pain, difficulty swallowing, or changes in your oral hygiene routine, do not hesitate to seek care sooner. Your oral health is vital, and addressing concerns promptly can help ensure that any potential issues are managed effectively.

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