Small Bump in Mouth: What Could It Be and Should You Worry? - Dentistry

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A small lump has developed in the oral cavity?


Hello Doctor: I am 23 years old.
Three days ago, I noticed a small bump on the left side at the back of my mouth.
It is not easily visible to the naked eye, but I can definitely feel it with my tongue.
It is pink in color and looks similar to the surrounding normal tissue, and it does not hurt when I touch it.
Although I often get mouth ulcers one or two times a month, they usually heal quickly with some pain.
This is the first time I have noticed a small bump, and it is making me quite worried.
I do not smoke or chew betel nut, so I am unsure if this is serious.
I would appreciate your guidance.
Thank you.

ccw, 20~29 year old female. Ask Date: 2005/11/16

Dr. Zeng Guanghui reply Dentistry


A small lesion has developed in the left posterior area of the mouth, which is noticeable to the tongue and appears pink in color.
This is likely a soft tissue lesion of the oral mucosa caused by infection or chronic mechanical irritation (such as from sharp edges of teeth).
It may also be related to periodontal or pulpal disease of adjacent teeth, leading to a gingival infection.
It is advisable to consult a dentist for further examination and appropriate treatment.

Reply Date: 2005/11/16

More Info


When it comes to small bumps or lesions in the mouth, there are several potential causes, and it's understandable to feel concerned when you notice something unusual. Based on your description, it sounds like you have a small, painless bump on the left side of your mouth that is pink and similar in color to the surrounding tissue. Given that you have a history of occasional mouth ulcers, this could be related to a few different conditions.

One possibility is that the bump is a benign growth, such as a fibroma or a mucocele. A fibroma is a non-cancerous tumor made up of connective tissue, often resulting from irritation or trauma to the area. Mucoceles, on the other hand, are fluid-filled cysts that can occur when a salivary gland duct is blocked or damaged, often due to biting or trauma. These typically appear as soft, painless swellings and can resolve on their own or may require minor surgical intervention if they persist.

Another consideration is that the bump could be a result of a viral infection, such as herpes simplex virus, which can cause lesions in the mouth. However, these lesions are usually painful and may be accompanied by other symptoms, such as fever or swollen lymph nodes. Since you mentioned that the bump is not painful and resembles the surrounding tissue, this seems less likely in your case.

It's also worth noting that some individuals may develop small bumps due to chronic irritation from habits like cheek biting or dental appliances. If you have a habit of biting your cheeks or lips, this could lead to the formation of fibrous tissue in response to the irritation.

In terms of your concern about the bump being something serious, it's important to remember that most oral lesions are benign, especially if they are painless and not changing rapidly. However, monitoring the bump is crucial. If it grows, changes in color, becomes painful, or does not resolve within a few weeks, it would be advisable to seek further evaluation from a healthcare professional, such as a dentist or an ear, nose, and throat (ENT) specialist. They may recommend a biopsy or other diagnostic tests to rule out any serious conditions.

In the meantime, maintaining good oral hygiene is essential. This includes brushing your teeth at least twice a day, flossing daily, and using an antibacterial mouthwash to help prevent any infections. Staying hydrated and avoiding irritants like spicy or acidic foods can also be beneficial.

Lastly, if you experience any additional symptoms, such as difficulty swallowing, persistent pain, or changes in taste, these should be addressed promptly with a healthcare provider. While it’s natural to feel anxious about changes in your body, most oral bumps are harmless and can be managed effectively with proper care and monitoring.

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