Oral Cysts: Causes, Symptoms, and Treatment Options - Dentistry

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Oral lesions?


A white blister approximately 0.3 cm in size has developed on the mucosa of the lower lip.
It feels like a blister but does not appear transparent; instead, it has a white appearance.
It is painless and has been present for nearly three weeks without resolution.
I previously punctured it with a needle, which released a somewhat thick, clear fluid.
Although it has decreased in size, it has not completely resolved.
What could this be, and how should it be treated? Thank you.

sandy, 20~29 year old female. Ask Date: 2015/11/26

Dr. Zeng Guanghui reply Dentistry


The above condition is likely caused by inflammation of the minor salivary glands in the mucosa of the lower lip.
It is recommended to consult a dentist for further diagnosis and treatment, and to evaluate the need for surgical removal.

Reply Date: 2015/11/26

More Info


Oral cysts are fluid-filled sacs that can develop in various parts of the mouth, including the lips, gums, and other oral tissues. They can vary in size and may present as white or translucent bumps. In your case, the cyst on your lower lip, measuring approximately 0.3 cm, appears to be a mucocele, which is a common type of oral cyst that occurs when a salivary gland duct is blocked or damaged, leading to the accumulation of mucus.


Causes of Oral Cysts
1. Trauma or Injury: Often, mucoceles arise from trauma to the lip or mouth, such as biting the lip or other injuries that can damage the salivary glands.

2. Obstruction: Blockage of the salivary gland ducts can lead to fluid accumulation, resulting in cyst formation.

3. Infection: Some cysts may develop as a result of infections in the oral cavity.

4. Other Conditions: Certain systemic conditions or genetic disorders can also lead to the formation of cysts in the oral cavity.


Symptoms
- Appearance: Mucoceles typically appear as soft, dome-shaped swellings that can be white, blue, or translucent.

- Size: They can range from small to larger sizes, and in your case, it is about 0.3 cm.

- Pain: While many mucoceles are painless, they can sometimes cause discomfort, especially if they are located in an area that is frequently irritated.

- Fluid: When punctured, they may release a thick, clear, or slightly cloudy fluid.


Treatment Options
1. Observation: If the cyst is not causing pain or significant discomfort, it may be advisable to monitor it for changes. Many mucoceles resolve on their own over time.


2. Drainage: If the cyst is bothersome, a healthcare provider may recommend draining it. This is typically done in a clinical setting to minimize the risk of infection and ensure proper technique.

3. Surgical Removal: For persistent or recurrent mucoceles, surgical excision may be necessary. This involves removing the cyst along with the affected salivary gland tissue to prevent recurrence.

4. Avoiding Irritation: It is essential to avoid further trauma to the area. This includes refraining from biting the lip or using sharp objects that could irritate the cyst.

5. Oral Hygiene: Maintaining good oral hygiene can help prevent infections that may complicate the cyst.


When to Seek Medical Attention
If the cyst continues to grow, becomes painful, changes in color, or shows signs of infection (such as redness, warmth, or pus), it is crucial to seek medical attention. A healthcare provider may perform a thorough examination and may recommend imaging studies or a biopsy if there is concern about the nature of the cyst.


Conclusion
In summary, the white cyst on your lower lip is likely a mucocele, which is generally benign and often resolves on its own. However, if it persists or causes discomfort, it is advisable to consult with a dentist or oral surgeon for further evaluation and possible treatment options. Regular follow-ups can help ensure that any changes in the cyst are monitored appropriately.

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