There is a linear protrusion on the left side of the oral mucosa?
Recently, I noticed a long protrusion on the left side of my cheek inside my mouth, extending from the molars to the back.
It is not painful.
What could this be? Will it go away on its own? Thank you.
Jei, 40~49 year old female. Ask Date: 2021/03/01
Dr. Zeng Guanghui reply Dentistry
Generally, it is an inflammatory response of the oral mucosa, which may be caused by emotional or psychological stress leading to an imbalance in the immune system.
It is recommended to consult a dentist for further examination.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2021/03/01
More Info
When you notice a long protrusion inside your cheek that extends from your molars to the back of your mouth, it can be concerning, especially if it is painless. There are several potential causes for such a mucosal protrusion, and understanding these can help you determine the best course of action.
One common cause of painless oral mucosal protrusions is a fibroma, which is a benign tumor made up of connective tissue. Fibromas can develop in response to chronic irritation, such as from biting your cheek or from dental appliances. They are usually firm and do not cause pain unless they become irritated.
Another possibility is a mucocele, which is a fluid-filled cyst that occurs when a salivary gland duct is blocked or damaged. Mucoceles are typically painless and can vary in size. They may resolve on their own, but if they persist or cause discomfort, they may need to be surgically removed.
Additionally, the protrusion could be a result of a condition known as oral lichen planus, which is an inflammatory condition that can cause white patches or lesions in the mouth. While this condition can be associated with discomfort, some forms may not cause any pain at all. It is important to monitor any changes in the appearance or sensation of the lesion.
Another consideration is the presence of a dental abscess, which can sometimes present as a swelling in the mouth. However, abscesses are usually painful and associated with other symptoms such as swelling, redness, and fever. If the protrusion is painless and there are no other symptoms, this is less likely.
In terms of management, if the protrusion is not causing any pain or discomfort, it may not require immediate treatment. Many benign conditions can resolve on their own. However, it is essential to keep an eye on it for any changes in size, color, or sensation. If it persists for more than a few weeks, becomes painful, or if you notice any other concerning symptoms (such as difficulty swallowing or changes in taste), it would be wise to consult a healthcare professional, preferably a dentist or an oral surgeon.
During your visit, the healthcare provider may perform a thorough examination and possibly recommend imaging studies or a biopsy to determine the exact nature of the protrusion. This is particularly important if there is any suspicion of a more serious condition.
In summary, while a painless oral mucosal protrusion can often be benign and self-limiting, it is crucial to monitor it closely and seek professional advice if there are any changes or concerns. Regular dental check-ups can also help in identifying and managing such conditions early on.
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