Oral Mucosa Issues: What to Do About a Bump Near Wisdom Teeth - Dentistry

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Oral mucosa, maxillary region?


There is a small bump about 0.5 cm in size on the left oral mucosa, approximately at the area of the upper wisdom tooth.
It is flat but protruding, resembling a piece of meat.
Initially, it was not painful and had no white coloration, but now the tip of the bump has developed a white appearance similar to an ulcer, and it has started to hurt.
What should I do? Should I seek medical attention or will it resolve on its own? Thank you.

Mo, 10~19 year old female. Ask Date: 2017/10/23

Dr. Zhu Guanyu reply Dentistry


Hello: Based on your description, it is difficult to make an accurate diagnosis.
I recommend that you seek medical examination.
Thank you for your message.
Wishing you peace and health! Dr.
Jianfu Zeng, Director of Oral and Maxillofacial Surgery, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/10/23

More Info


When dealing with oral mucosa issues, particularly concerning a bump near the wisdom teeth, it’s essential to approach the situation with caution and awareness of potential underlying conditions. Based on your description, the bump you are experiencing appears to be a small, flat, protruding mass that has developed near the area of your wisdom teeth. Initially painless, it has now started to exhibit signs of discomfort and a white appearance at its tip, which could indicate inflammation or ulceration.


Understanding the Condition
The bump you are describing could be a variety of things, including:
1. Fibroma or Mucocele: These are benign growths that can occur in the oral cavity. A fibroma is a fibrous tissue growth, while a mucocele is a cyst that forms when a salivary gland duct is blocked.

2. Inflammatory Lesions: The bump may be a result of irritation or trauma to the mucosa, possibly exacerbated by the presence of your wisdom teeth. This irritation can lead to localized inflammation, which may cause the tissue to swell and become painful.

3. Oral Candidiasis: If the white area is indicative of a fungal infection, it could be oral thrush, which is common in individuals with compromised immune systems or those who have recently used antibiotics.

4. Oral Ulcer: The white appearance could also suggest an ulcer, which can be painful and may require treatment if it does not resolve on its own.


Recommended Actions
Given the symptoms you are experiencing, here are some steps you should consider:
1. Consult a Dentist or Oral Surgeon: It is advisable to seek professional evaluation. A dentist or oral surgeon can perform a thorough examination, possibly including imaging or a biopsy if necessary, to determine the exact nature of the bump.

2. Monitor Symptoms: Keep track of any changes in the size, color, or pain level of the bump. If it continues to grow, becomes increasingly painful, or if you develop additional symptoms (such as fever or difficulty swallowing), seek immediate medical attention.

3. Maintain Oral Hygiene: Continue to practice good oral hygiene. Gently brushing the area around the bump can help prevent further irritation. However, be cautious not to aggravate the area.

4. Avoid Irritants: Steer clear of spicy, acidic, or hard foods that may irritate the bump. Additionally, avoid tobacco products, as they can exacerbate oral mucosal issues.

5. Consider Over-the-Counter Treatments: If the pain is significant, topical anesthetics or anti-inflammatory medications may provide temporary relief. However, these should not replace professional evaluation.


Conclusion
While some oral mucosal bumps can resolve on their own, the presence of pain and changes in appearance, such as the development of a white tip, warrant a professional assessment. Early diagnosis and treatment can prevent potential complications and ensure that any serious conditions are ruled out. It’s always better to err on the side of caution when it comes to changes in your oral health.

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