Consulting About Oral Lesions: What to Know Before Removal - Dentistry

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Oral Health Consultation


Hello Dr.
Lin,
I have a flesh-colored bump (approximately 0.1 cm in size) located near the upper buccal fold, close to the midline of the hard palate.
It has been present for many years, and its shape, size, and color have not changed significantly.
I would like to ask Dr.
Lin:
1.
Is this flesh-colored bump part of (or an extension of) the upper buccal fold?
2.
Since my tongue often touches this bump, I would like to remove it to make it flat.
Is this advisable? Can I have it removed at a general dental clinic? Additionally, will this procedure have any adverse effects on the oral mucosa?
3.
If it is possible to have this flesh-colored bump (approximately 0.1 cm in size) removed at a dental clinic, would anesthesia be necessary for a bump of this size?
Thank you, Dr.
Lin.

A-Xiang, 30~39 year old female. Ask Date: 2020/04/28

Dr. Lin Jiayong reply Dentistry


Hello: If the protrusion has already affected your daily life, it is advisable to visit a larger hospital or a clinic run by an oral and maxillofacial surgeon to have the protrusion removed and sent for biopsy.
Thank you!

Reply Date: 2020/04/28

More Info


When dealing with oral lesions, particularly those that have been present for an extended period without significant changes, it is essential to approach the situation with caution and informed decision-making. Here’s a comprehensive guide based on your questions regarding the small flesh-colored bump located near the hard palate.


1. Nature of the Lesion
The small flesh-colored bump you described, measuring approximately 0.1 cm, could potentially be a normal anatomical variation, such as a normal part of the palatal mucosa or a minor fibroma. These types of lesions are often benign and can be a result of irritation or friction, especially if they are located in an area frequently contacted by the tongue. However, without a clinical examination, it is difficult to definitively categorize the lesion.

2. Considerations for Removal
If the lesion is causing discomfort or is frequently irritated by the tongue, removal may be a reasonable option. However, it is crucial to consult with a dental professional, preferably an oral surgeon or a specialist in oral pathology, to evaluate the lesion properly. They can determine whether the lesion is indeed benign and whether removal is necessary.
Removing a lesion can have implications for the surrounding oral mucosa. If the lesion is excised, there is a possibility of scarring or changes in the texture of the mucosa, which could lead to sensitivity or discomfort in the area. Additionally, if the lesion is part of a larger anatomical structure, removing it could potentially alter the function or appearance of the surrounding tissues.


3. Procedure and Anesthesia
Regarding the procedure itself, if the decision is made to remove the lesion, it is typically performed under local anesthesia. Given the small size of the bump (0.1 cm), the procedure is likely to be straightforward and minimally invasive. The use of local anesthesia will help ensure that you are comfortable during the procedure, as the area will be numbed to prevent pain.


Conclusion
In summary, while the lesion you described may not pose a significant health risk, it is essential to have it evaluated by a dental professional. They can provide a definitive diagnosis and discuss the potential benefits and risks of removal. If you decide to proceed with removal, ensure that it is done in a sterile environment by a qualified practitioner to minimize complications. Regular follow-ups after the procedure will also be important to monitor the healing process and ensure that no further issues arise.

If you have any additional concerns about the lesion or the procedure, do not hesitate to discuss them with your healthcare provider. They can provide personalized advice based on your specific situation and medical history.

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