Interdental cleaning issues?
Hello Doctor,
I would like to ask if it is possible for sucking on the gum line to cause a mucous cyst (on the right side of the lower lip)? Recently, after having tooth #16 extracted due to a fracture, I had a dental bridge made for teeth #15, #16, and #17.
After the bridge was placed, I noticed that the gap between teeth #14 and #15 became larger, and I started to lick the space between those teeth with my tongue.
When I swallowed, I could hear a sound from sucking on the gum line.
Initially, I didn't think much of it, but I continued to suck on my lower lip, and then a mucous cyst (on the right side of the lower lip) appeared.
In the past few days, I purchased a mouthguard from a sports store, and after wearing it, I could no longer suck on the gum line (even if I wanted to).
The original mucous cyst, which was about 0.5 cm, gradually diminished and became very small after about three days.
However, wearing the mouthguard all the time is quite inconvenient and not aesthetically pleasing.
I would like to know if there is a causal relationship between sucking on the gum line and the development of the mucous cyst.
Thank you, Doctor.
Best regards.
Guo Xiansheng, 40~49 year old female. Ask Date: 2017/10/24
Dr. Zhu Guanyu reply Dentistry
Hello, based on your description, addressing the mucous cyst should be more important than whether it is related to the extraction site.
I recommend that you seek medical evaluation.
Thank you for your message.
Wishing you peace and health! Dr.
Kuan-Tzu Chu, Chief of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2017/10/24
More Info
The concern regarding whether oral vacuuming can cause salivary cysts is quite valid, especially in the context of recent dental work such as the extraction of a tooth and the placement of a dental bridge. Salivary cysts, also known as mucocele, can occur when there is a blockage or damage to the salivary glands, leading to the accumulation of saliva in the surrounding tissues.
In your case, the act of "sucking" or creating a vacuum in the oral cavity, particularly around the areas where dental work has been done, may indeed contribute to the formation of a mucocele. This is especially true if the suction disrupts the normal flow of saliva or causes trauma to the minor salivary glands located in the mucosa of the lips and cheeks. When these glands are damaged or blocked, saliva can accumulate, leading to the formation of a cyst.
The fact that you noticed the cyst appearing after you began to frequently suck on your lower lip and that it reduced in size after you started using a mouthguard suggests a potential link between the two. The mouthguard likely prevented you from engaging in the sucking behavior, allowing the area to heal and the cyst to diminish.
It is also important to consider that after dental procedures, the oral environment can change significantly. The placement of a dental bridge can alter the way your teeth come together, potentially leading to new habits such as sucking or licking the area, which may not have been present before. This change in behavior can inadvertently lead to trauma or irritation of the surrounding tissues, contributing to the development of a mucocele.
In terms of treatment and management, it seems that the use of the mouthguard has been beneficial in preventing further irritation and allowing the cyst to heal. While it may be inconvenient or aesthetically unpleasing, wearing the mouthguard during activities that might provoke the sucking behavior could be a practical solution.
If the mucocele persists or if you experience any additional symptoms such as pain, swelling, or changes in the texture of the cyst, it would be prudent to consult with your dentist or an oral surgeon. They can provide a thorough examination and determine if any further intervention is necessary. In some cases, if a mucocele does not resolve on its own, surgical removal may be recommended.
In summary, while oral vacuuming or sucking can potentially lead to the formation of salivary cysts, it is often a result of the interplay between oral habits and the anatomical changes following dental procedures. Monitoring the situation and maintaining good oral hygiene, along with the use of a mouthguard, should help in managing the condition effectively. If you have ongoing concerns, do not hesitate to seek professional advice to ensure your oral health is maintained.
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