Sublingual Gland Bumps: Causes and Concerns - Dentistry

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Sublingual gland mass


Hello, I am 22 years old, have a normal lifestyle, do not smoke or drink.
Over a month ago, I discovered a raised lesion on the submandibular gland, specifically on the right side of the sublingual salivary duct, about the size of a small red bean.
It is not very visible when I open my mouth wide, appears to be the same color as the surrounding tissue, which is pink.
It feels smooth to the touch with my tongue, and the lesion is slightly hard, with no signs of change.
Do I have a medical condition? This is quite alarming.

Qi, 20~29 year old female. Ask Date: 2015/11/19

Dr. Zeng Guanghui reply Dentistry


The above situation may indicate inflammation of the salivary glands located under the tongue or the presence of stones blocking the salivary gland ducts.
It is recommended to consult a dentist for further diagnosis and treatment.

Reply Date: 2015/11/19

More Info


Understanding bumps in the sublingual gland area can be concerning, especially for someone who is otherwise healthy and has no significant lifestyle risk factors. At the age of 22, it is important to consider various potential causes for the bump you have described.
The sublingual glands are located beneath the tongue and are responsible for producing saliva. A bump in this area can arise from several conditions, some benign and others that may require further evaluation. Here are some common causes of sublingual bumps:
1. Sialolithiasis (Salivary Stones): This is one of the most common causes of swelling in the salivary glands. Salivary stones can form when minerals in saliva crystallize, blocking the duct of the gland. This can lead to swelling, pain, and sometimes infection. If the stone is small, it may pass on its own, but larger stones may require medical intervention.

2. Mucocele: A mucocele is a cyst that forms when a salivary gland duct is blocked or damaged, leading to the accumulation of mucus. Mucoceles are typically painless and can vary in size. They often resolve on their own, but persistent or bothersome mucoceles may need to be surgically removed.

3. Infections: Viral or bacterial infections can lead to inflammation of the salivary glands, known as sialadenitis. This condition can cause swelling, pain, and sometimes fever. If you experience additional symptoms such as pain or fever, it would be wise to consult a healthcare provider.

4. Benign Tumors: While less common, benign tumors such as pleomorphic adenomas can occur in the salivary glands. These tumors are usually slow-growing and may not cause significant symptoms initially. However, they can become larger over time and may require surgical removal.

5. Malignant Tumors: Although rare, it is important to consider the possibility of a malignant tumor, especially if the bump changes in size, shape, or color, or if you experience other concerning symptoms.
Given that the bump you described is small, smooth, and has not changed, it is likely benign, but it is essential to monitor it. Here are some steps you can take:
- Observation: Keep an eye on the bump for any changes in size, color, or texture. Note any new symptoms such as pain, swelling, or difficulty swallowing.

- Consultation: It is advisable to see a healthcare provider, preferably an ENT specialist or a dentist, who can perform a thorough examination and may recommend imaging studies, such as an ultrasound or MRI, to assess the bump further.

- Biopsy: If there is any concern about the nature of the bump, a biopsy may be performed to rule out any serious conditions.

In conclusion, while the bump in your sublingual gland area may be benign, it is essential to seek professional evaluation to ensure proper diagnosis and management. Early intervention can help alleviate concerns and address any underlying issues effectively. Remember, being proactive about your health is always a good approach.

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