Lip Swelling and Misalignment: Dental and Medical Insights - Dentistry

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Lip and malocclusion issues?


Hello Dr.
Huang,
I would like to ask which specialty I should consult for lip issues.
My lips have been persistently swollen, and there are many tiny yellowish bumps at the corners of my mouth.
I also experience symptoms similar to dehydration and dryness (although I do not have insufficient fluid intake, as I drink about 2500 to 3500 cc of water daily).
My lips are swollen and appear to be cracked as if I am dehydrated.
I have seen an otolaryngologist and an oral surgeon, but it hasn't helped.
Recently, I even noticed a large bump about half a centimeter in diameter inside my lower lip, which is very painful to touch and has a small yellow spot on the surface that looks like it might be infected.
Could this be lip cancer?
Additionally, I have issues with my dental occlusion; my lower jaw seems to be retracted, making it difficult to bite properly.
I often use my front teeth and lower lip to tear food, which is quite challenging.
Is orthodontic treatment for occlusion covered by health insurance? It seems quite expensive!
Could the swelling of my upper and lower lips be related to my malocclusion, especially since I often use my lower lip to bite off food (like noodles)? I would appreciate your help in answering these questions.
Thank you!

maddog, 40~49 year old female. Ask Date: 2014/12/08

Dr. Huang Zhicheng reply Dentistry


Dear Maddog:
Hello, individuals with a retruded mandible may be classified as having Class II malocclusion.
As you described, difficulty in chewing is often accompanied by an anterior open bite issue, where the lower lip assists in cutting food.
This can easily lead to injury of the inner mucosa of the lower lip, and even damage to the small salivary ducts within the mucosa, resulting in obstructed saliva release and the formation of a swelling, as you mentioned, with a diameter of half a centimeter.
It is advisable to consult an oral surgeon or an endocrinologist when the swelling occurs to determine if there are any underlying issues.
Orthodontic treatment is covered by health insurance.

Wishing you safety and health,
Dr.
Huang Chih-Cheng
Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2014/12/08

More Info


Dear Patient,
Thank you for your inquiry regarding your persistent lip swelling and dental alignment issues. It sounds like you are experiencing a complex set of symptoms that may require a multidisciplinary approach to diagnosis and treatment.

Understanding Lip Swelling
The swelling of your lips, along with the presence of small yellowish bumps and dryness, can be indicative of several conditions. These symptoms may be related to allergic reactions, infections, or dermatological issues. Given that you have already consulted with an ENT specialist and an oral surgeon without resolution, it may be beneficial to see a dermatologist. They can evaluate your skin and mucosal surfaces for conditions such as angular cheilitis, which can cause cracks at the corners of the mouth, or other dermatological conditions that could lead to swelling and discomfort.

The half-centimeter swelling inside your lower lip, especially with a yellow point that resembles pus, raises concerns for a possible mucocele or an infection. A mucocele is a cyst that can form when a salivary gland duct is blocked, leading to fluid accumulation. If it is painful and shows signs of infection, it may require drainage or surgical intervention. It is crucial to have this evaluated by a healthcare professional who can perform a thorough examination and possibly imaging studies to rule out more serious conditions, including malignancies.


Dental Alignment Issues
Regarding your dental alignment, it is not uncommon for individuals to experience difficulties with occlusion (the way teeth come together) that can lead to compensatory behaviors, such as using the lip to assist in biting food. This can create additional strain on the lips and surrounding tissues, potentially exacerbating your swelling and discomfort.
Malocclusion can lead to various problems, including jaw pain, tooth wear, and even changes in facial aesthetics over time. If your lower jaw appears to be receding, this could be a sign of a more significant orthodontic issue that may require treatment. Orthodontic treatment can help realign your teeth and improve your bite, which may alleviate some of the stress on your lips and surrounding tissues.


Insurance Coverage for Orthodontics
Regarding your question about insurance coverage for orthodontic treatment, this can vary significantly based on your specific insurance plan. Many plans do provide some level of coverage for orthodontic treatment, especially if it is deemed medically necessary. It would be advisable to contact your insurance provider directly to inquire about your specific coverage options. Additionally, consulting with an orthodontist can provide you with a treatment plan and cost estimate, which can be helpful when discussing coverage with your insurance.


Conclusion
In summary, I recommend the following steps:
1. Consult a Dermatologist: For your lip swelling and the lesion inside your lip, a dermatologist can provide a more specialized evaluation and treatment options.


2. Visit an Orthodontist: For your dental alignment issues, an orthodontist can assess your bite and discuss potential treatment options, including whether your insurance may cover the costs.

3. Monitor Symptoms: Keep track of any changes in your symptoms, including the size of the swelling or any new symptoms that may arise, and report these to your healthcare providers.

Your health and comfort are paramount, and I encourage you to seek the appropriate specialists to address these concerns comprehensively. Thank you for reaching out, and I hope you find relief soon.

Best regards.

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