Fordyce Spots: What to Know About Oral White Bumps - Otolaryngology

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Fordyce spots, also known as Fordyce granules, are small, painless, pale bumps that can appear on the mucous membranes of the mouth, particularly on the inner cheeks, lips, and sometimes on the genital area. They are sebaceous glands that are not associated with hair follicles and are considered a normal anatomical variation rather than a pathological condition. These spots are typically yellowish or white and can vary in size, often measuring 1-3 mm in diameter.
In your case, the white bump you have noticed in your mouth could indeed be a Fordyce spot, especially since you mentioned that it is larger and more prominent than others but is not painful or itchy. Fordyce spots are harmless and do not require treatment unless they cause cosmetic concerns for the individual. They are not contagious and do not indicate any underlying health issues.

It is important to differentiate Fordyce spots from other oral lesions that may require medical attention. For instance, conditions such as oral leukoplakia, oral lichen planus, or even oral candidiasis can present with white lesions in the mouth but may have different characteristics and implications. Oral leukoplakia, for example, is a potentially precancerous condition that presents as white patches that cannot be scraped off, while oral lichen planus may present with a lace-like pattern and can be associated with discomfort.

If the bump you are observing changes in size, color, or if you develop any additional symptoms such as pain, swelling, or difficulty eating, it would be prudent to consult a healthcare professional for a thorough examination. A dentist or an oral pathologist can provide a definitive diagnosis through clinical evaluation and, if necessary, a biopsy.

In summary, while Fordyce spots are common and benign, it is always wise to monitor any changes in your oral health. Regular dental check-ups can help ensure that any abnormalities are addressed promptly. If you have any concerns about the bump or if it does not resolve, seeking professional advice is the best course of action.