Oral Polyps: Causes, Concerns, and Treatment Options - Dentistry

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Oral issues


Hello, doctor.
Yesterday, I accidentally discovered a small polyp located just behind my left wisdom tooth in my mouth.
Its color is similar to the surrounding oral tissue, and when I touched it, it felt like soft tissue and was completely painless.
I personally do not smoke, drink alcohol, or chew betel nut, and I have no sexual activity.
My recent lifestyle has been quite irregular, and I'm wondering if that might be related.
I would like to know if there are any ways to get rid of it.
I have researched a lot about oral cancer online and suddenly finding this polyp has made me very anxious.
Thank you.
🙏

Niming, 10~19 year old female. Ask Date: 2021/08/13

Dr. Lin Jiayong reply Dentistry


Hello: The gingival hyperplasia may be caused by the incomplete eruption of the wisdom tooth, and the fundamental solution is to extract the impacted wisdom tooth.
It is recommended to visit a larger medical facility for further examination to rule out oral cancer.
Sincerely, Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/08/13

More Info


Oral polyps, also known as oral mucosal polyps, are benign growths that can occur in the mouth, often appearing as soft, fleshy lumps. They can develop in various locations, including the gums, tongue, and the inner lining of the cheeks. While the exact cause of oral polyps is not always clear, several factors may contribute to their formation, including chronic irritation, inflammation, and possibly genetic predispositions.


Causes of Oral Polyps
1. Chronic Irritation: Continuous irritation from dental appliances, rough teeth, or chronic inflammation from conditions like gingivitis can lead to the development of polyps.


2. Infections: Certain infections, particularly viral infections, can cause changes in the oral mucosa that may lead to polyp formation.

3. Hormonal Changes: Hormonal fluctuations, particularly during puberty or pregnancy, may influence the growth of oral lesions.

4. Genetic Factors: Some individuals may have a genetic predisposition to developing polyps or other benign growths.

5. Lifestyle Factors: While you mentioned that you do not smoke or consume alcohol, lifestyle factors such as poor oral hygiene or a diet low in essential nutrients can contribute to oral health issues, including the development of polyps.


Concerns Regarding Oral Polyps
While most oral polyps are benign and do not pose a significant health risk, there are a few concerns to keep in mind:
1. Potential for Malignancy: Although rare, some lesions may have the potential to become cancerous. It is essential to monitor any changes in size, color, or texture.

2. Discomfort or Functional Issues: Depending on their size and location, polyps can cause discomfort, interfere with chewing or speaking, or lead to further irritation.

3. Psychological Impact: Discovering a growth in the mouth can be alarming, leading to anxiety about potential serious conditions like oral cancer.


Treatment Options
1. Observation: If the polyp is small, asymptomatic, and not changing, your dentist may recommend a watchful waiting approach. Regular check-ups can help monitor any changes.

2. Biopsy: If there is any concern about the nature of the polyp, a biopsy may be performed to rule out malignancy. This involves removing a small sample of tissue for laboratory analysis.

3. Surgical Removal: If the polyp is bothersome, growing, or if there is uncertainty about its nature, surgical excision may be recommended. This is typically a straightforward procedure performed under local anesthesia.

4. Addressing Underlying Causes: Improving oral hygiene, addressing any sources of chronic irritation, and maintaining a balanced diet can help prevent the recurrence of polyps.


When to Seek Medical Attention
It is advisable to consult with a healthcare professional if you notice any of the following:
- The polyp changes in size, color, or shape.

- You experience pain, discomfort, or difficulty in eating or speaking.

- There are any other unusual symptoms in your mouth, such as persistent sores or lesions.


Conclusion
While the discovery of an oral polyp can be concerning, most are benign and manageable. Regular dental check-ups and open communication with your dentist can help ensure that any potential issues are addressed promptly. If you have ongoing concerns about your oral health or the polyp itself, do not hesitate to seek professional advice for a thorough evaluation and peace of mind.

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