and Treating Benign Oral Mucosal Growths: Expert Insights

Palatal rugae elevation

Hello Dr.
Wu,
I have a slightly larger protrusion in the area above my oral mucosa (approximately 0.1 cm based on visual estimation).
It has been present for several decades without any changes.
I have consulted a dentist, who assessed that this protrusion is likely a benign tissue part of the mucosal fold.
I would like to ask Dr.
Wu:
1.
For this benign mucosal fold tissue protrusion, can I remove it on my own for aesthetic reasons to make it flatter? Would there be any adverse effects from doing so?
2.
The dentist mentioned that it can be surgically excised (with anesthesia), but the protrusion is only about 0.1 cm (possibly even smaller).
Can I go to a dermatologist to have the protrusion removed using cryotherapy, similar to the removal of common skin tags? Is cryotherapy applicable for removing such protrusions inside the oral cavity?
Thank you, Dr.
Wu.

Axiang, 30~39 year old female. Ask Date: 2020/04/27

Dr. Wu Yuxin reply Dermatology

I still recommend seeing a dentist.

Reply Date: 2020/04/27

More Info

When it comes to benign oral mucosal growths, such as the one you described in the area of your palatal folds, it's essential to approach the situation with a thorough understanding of the implications of removal and the potential risks involved. Here are some insights based on your questions:
1. Can I remove the benign growth for aesthetic reasons? What are the potential adverse effects?

While it may be tempting to remove a benign growth for cosmetic reasons, it is crucial to consult with a qualified dental professional before proceeding. The growth you mentioned has been stable for decades, which is a good sign that it is likely benign. However, self-removal or attempting to flatten it without professional guidance can lead to complications such as infection, excessive bleeding, or scarring. Additionally, if the growth is indeed part of the normal anatomy, removing it could alter the structure of the oral cavity, potentially affecting your bite or the function of surrounding tissues. Therefore, it is advisable to have a thorough examination and discuss your concerns with a dentist or an oral surgeon who can provide a safe and effective treatment plan.

2. Is it appropriate to use cryotherapy to remove the growth?
Cryotherapy, or freezing treatment, is commonly used for various skin lesions, but its application in the oral cavity is more complex. The oral mucosa is sensitive, and the use of cryotherapy can lead to complications such as tissue damage, pain, and delayed healing. Moreover, the effectiveness of cryotherapy on oral mucosal growths is not as well-established as it is for skin lesions. It is generally recommended to have such procedures performed by dental professionals who are experienced in oral surgery techniques. They can ensure that the procedure is done safely and effectively, minimizing the risk of complications.

In summary, while benign oral mucosal growths can be concerning from an aesthetic standpoint, it is essential to approach their removal with caution. Consulting with a dental professional who can evaluate the growth and discuss the best course of action is critical. They may recommend surgical removal if deemed necessary, ensuring that the procedure is performed in a sterile environment with appropriate anesthesia to minimize discomfort and complications. Always prioritize professional guidance over self-treatment to ensure your oral health remains intact.

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