Dealing with a Ruptured Salivary Gland Cyst During Pregnancy - Dentistry

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I accidentally bit into a salivary gland cyst?


This afternoon, I went to the municipal hospital to see a dentist and confirmed that the swollen lump on the inside of my lower lip is a "salivary gland cyst." However, since I am 35 weeks pregnant, the doctor advised me to wait until after giving birth to have surgery.
But I just accidentally bit it open! I thought it wouldn't burst (I was too scared of the pain to bite hard), but I unconsciously bit through it, and now there’s blood flowing out, looking slightly yellow and thicker than saliva.
The lump that was there has completely gone down, and I just applied some watermelon frost.
I want to ask the doctor what I should do in this situation! Is there going to be any problem?

Fei Fei, 20~29 year old female. Ask Date: 2015/06/23

Dr. Zhuang Suhui reply Dentistry


Oral cysts may recur, so it is advisable to consult the original dentist first.
If there are no urgent issues, it can be addressed after delivery.

Reply Date: 2015/06/23

More Info


Dealing with a ruptured salivary gland cyst during pregnancy can be concerning, especially at 35 weeks gestation. It’s understandable to feel anxious about the situation, but let’s break down what you’re experiencing and what steps you can take to ensure your health and the health of your baby.

Firstly, a salivary gland cyst, also known as a mucocele, is a fluid-filled sac that can develop in the salivary glands, often due to blockage or trauma. When you accidentally bit into the cyst, it ruptured, allowing the fluid to escape. The fluid you described as being slightly yellow and thicker than saliva is likely the mucous that was contained within the cyst. This is generally not harmful, but it can lead to some discomfort or irritation in the area.

Here are some steps you can take following the rupture:
1. Maintain Oral Hygiene: It’s crucial to keep the area clean to prevent infection. Rinse your mouth gently with warm salt water several times a day. This can help reduce inflammation and promote healing.

2. Avoid Irritation: Try to avoid further irritation to the area. This means being cautious with your diet—steering clear of spicy, acidic, or crunchy foods that might aggravate the site of the rupture.

3. Monitor for Signs of Infection: Keep an eye on the area for any signs of infection, such as increased redness, swelling, pain, or pus. If you notice any of these symptoms, it’s important to contact your healthcare provider.

4. Pain Management: If you experience discomfort, you may consider using over-the-counter pain relief medications that are safe during pregnancy, such as acetaminophen. However, always consult with your doctor before taking any medication.

5. Consult Your Healthcare Provider: Since you are pregnant, it’s advisable to inform your obstetrician or midwife about the incident. They may want to monitor your situation more closely, especially since you are nearing your due date. They can provide specific guidance tailored to your health and pregnancy.

6. Plan for Postpartum Care: After you give birth, you can discuss with your dentist or oral surgeon about the best time to address the cyst. Surgical intervention may be necessary if the cyst reoccurs or if it causes significant discomfort.

In general, a ruptured salivary gland cyst is not likely to cause complications for your pregnancy, especially if you take care of the area and monitor for any signs of infection. However, your healthcare provider will be the best source of advice tailored to your specific situation.

Lastly, it’s important to remember that pregnancy can bring about various changes and challenges, and it’s always best to err on the side of caution. Keeping an open line of communication with your healthcare team will help ensure both your health and the health of your baby during this time.

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