There is a round, swollen red lesion on the maxilla in the oral cavity?
Hello, doctor.
I have a round, slightly swollen bump near my upper gums close to my front teeth (not very protruding), which is not painful or itchy.
It has been there for almost two weeks and is about 1.5 cm in size.
The last time I visited an ENT specialist, the doctor applied some medication, but it had no effect at all.
What could this be? Is it something dangerous?
Manman, 10~19 year old female. Ask Date: 2018/01/25
Dr. Zeng Guanghui reply Dentistry
There is a round, swollen red bump on the oral maxilla, which may be a reaction to inflammation of the oral mucosa.
It could be caused by a bacterial or viral infection.
It is recommended to consult a dentist for further evaluation and examination.
Reply Date: 2018/01/25
More Info
When it comes to a red bump on the upper gum, there are several potential causes and considerations to keep in mind. Based on your description of the bump being round, non-painful, and persisting for nearly two weeks, it is essential to approach this situation with a thorough understanding of oral health.
Firstly, the bump could be a benign condition such as a fibroma, which is a non-cancerous growth that can occur in the oral cavity. Fibromas are often the result of irritation or trauma to the gum tissue and can appear as smooth, firm bumps. Another possibility is a mucocele, which is a fluid-filled cyst that can develop when a salivary gland duct is blocked or damaged. Mucoceles are typically painless and can vary in size.
Another common cause of a red bump in the gum area is a periodontal abscess, which occurs due to an infection in the gum tissue. While you mentioned that the bump is not painful, it is still essential to consider that some infections may not present with significant discomfort initially. If the bump were to be an abscess, it could potentially lead to more severe complications if left untreated.
In some cases, the bump could also be related to a condition known as gingival hyperplasia, where the gum tissue overgrows due to various factors, including medications, hormonal changes, or chronic inflammation. This condition can sometimes be seen in individuals taking certain medications, such as anticonvulsants or calcium channel blockers.
While the bump you described does not seem to be causing you any pain or discomfort, it is crucial to monitor it closely. If it changes in size, color, or begins to cause discomfort, it would be advisable to seek further evaluation from a dental professional or an oral surgeon. They may recommend imaging studies or a biopsy if there is any concern about the nature of the bump.
Regarding your concern about the potential dangers associated with this bump, it is essential to note that while many oral lesions are benign, some can be indicative of more serious conditions, including oral cancers. However, given that the bump is not painful and has not changed significantly over two weeks, the likelihood of it being a malignant lesion is relatively low. Nevertheless, it is always better to err on the side of caution and have any persistent oral lesions evaluated by a healthcare professional.
In summary, the red bump on your upper gum could be a benign growth, a mucocele, or possibly an early sign of a periodontal issue. It is essential to keep an eye on it and consult with a dental professional for a thorough examination and appropriate management. Regular dental check-ups are vital for maintaining oral health and addressing any concerns promptly. If you experience any changes or new symptoms, do not hesitate to seek medical advice.
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