Growths Near Molars: What You Need to Know - Otolaryngology

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A growth of tissue near the molars?


I recently visited an ear, nose, and throat (ENT) doctor due to a cold.
During the examination of my throat, the doctor mentioned that there is a growth near my molars.
The doctor tried to touch the growth and asked if it hurt, to which I replied that it didn't.
It appears slightly pink with a whitish tip and is raised, resembling a small protrusion.
I've been quite worried about this for the past few days and hope the doctor can provide me with some answers.
Thank you.

A-Hsien, 20~29 year old female. Ask Date: 2017/02/23

Dr. Zheng Jueyi reply Otolaryngology


Hello, it is common to have a granuloma.
If you are concerned, it is advisable to visit the ENT department or oral surgery department at a hospital for further examination.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/02/23

More Info


When it comes to growths near the molars, it’s understandable to feel concerned, especially after a recent visit to an ENT specialist who noted the presence of a lump. Let’s break down what this could mean and what steps you might consider taking.


Understanding the Growth
1. Nature of the Lump: The description you provided—a pinkish bump with a slightly white tip—could suggest several possibilities. Common benign growths in the oral cavity include:
- Fibromas: These are benign tumors made up of connective tissue. They are usually painless and can appear as firm lumps.

- Mucocele: This is a cyst-like lesion that forms when a salivary gland duct is blocked or damaged, leading to the accumulation of mucus. Mucoceles often appear bluish or translucent but can also be pink.

- Papillomas: These are benign epithelial tumors that can appear as small, wart-like growths. They may be pink or white and can vary in size.

- Abscess: If there’s an infection, a dental abscess could form, which might feel like a lump and could be painful or tender.

2. Symptoms to Monitor: Since you mentioned that the lump does not hurt, that’s a positive sign, as many serious conditions tend to be painful. However, you should monitor for any changes, such as:
- Increased size of the lump
- Changes in color or texture
- Pain or discomfort
- Difficulty chewing or swallowing
- Any unusual discharge

Next Steps
1. Follow-Up with a Dentist: It’s crucial to consult a dentist or an oral surgeon for a thorough examination. They can provide a more definitive diagnosis through a physical examination and possibly imaging studies, such as X-rays, to assess the underlying bone structure.

2. Biopsy: If the growth persists or changes, your dentist may recommend a biopsy. This involves taking a small sample of the tissue to analyze it for any abnormal cells. This step is essential to rule out any malignant conditions.

3. Oral Hygiene: Maintain good oral hygiene to prevent any potential infections that could complicate the situation. Regular brushing, flossing, and using an antibacterial mouthwash can help keep your mouth healthy.

4. Avoid Irritants: If you smoke or consume alcohol, consider reducing or eliminating these habits, as they can irritate the oral tissues and potentially exacerbate any existing conditions.


Conclusion
While it’s natural to feel anxious about any growth in your mouth, many oral lesions are benign and treatable. The key is to seek professional advice promptly. A dentist will be able to provide you with the best course of action based on a thorough examination. Remember, early detection and treatment are crucial for any health issue, so don’t hesitate to make that appointment. Your health and peace of mind are worth it!

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