Lip Bumps: Causes and When to Seek Dental Advice - Dentistry

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A small bump has appeared on the lip?


Hello Doctor: Last week, I noticed a small indentation on my lip (confirmed that it was a depression).
Yesterday, it felt better and was no longer painful.
However, today I found that the area has turned into a small raised bump, with a tiny needle-like projection on top.
It is neither painful nor itchy, just a feeling of having a foreign object.
Could you please advise me on what this might be? Thank you.

Jiao lü, 30~39 year old female. Ask Date: 2015/12/01

Dr. Zeng Guanghui reply Dentistry


The above condition may be caused by minor sialadenitis of the oral mucosa leading to small blisters, or it could be due to inflammatory hyperplasia of the oral mucosa.
It is recommended to consult a dentist for further evaluation and treatment.

Reply Date: 2015/12/01

More Info


When it comes to lip bumps or any unusual growths in the oral cavity, it's essential to consider various potential causes. Based on your description of a small hole that later turned into a bump with a needle-like protrusion, there are several possibilities to consider.

Firstly, the bump could be a mucocele, which is a common benign cyst that occurs when a salivary gland duct is blocked or damaged, leading to the accumulation of mucus. Mucoceles often appear as painless, fluid-filled bumps and can occur on the lips, inside the cheeks, or on the floor of the mouth. They can sometimes resolve on their own, but if they persist or cause discomfort, a dental professional may need to remove them.

Another possibility is a fibroma, which is a benign tumor made up of connective tissue. Fibromas can develop in response to irritation or trauma, such as biting your lip or using dental appliances. They are usually firm, painless, and may appear as a small bump.

Additionally, the bump could be related to oral herpes or other viral infections, which can cause lesions or bumps on the lips. If you have a history of cold sores, this could be a consideration. However, herpes lesions typically present with pain, itching, or burning sensations, which you mentioned are absent in your case.

Given that you noted a "needle-like" protrusion, it could also be a keratinized lesion, such as a keratoacanthoma, which is a type of skin tumor that can appear on the lips. These lesions can sometimes be mistaken for other conditions and may require a biopsy for definitive diagnosis.

In terms of when to seek dental advice, it is advisable to consult a dentist or oral surgeon if:
1. The bump persists for more than two weeks without improvement.

2. You notice any changes in size, color, or texture.

3. You experience any pain, discomfort, or other symptoms such as swelling or bleeding.

4. The bump interferes with eating, speaking, or oral hygiene.

A dental professional can perform a thorough examination, possibly including imaging or a biopsy, to determine the exact nature of the bump and recommend appropriate treatment. It's important not to attempt to self-diagnose or treat oral lesions, as this can lead to complications or mismanagement of the condition.

In summary, while there are several benign explanations for the bump on your lip, monitoring its behavior and seeking professional evaluation if it does not resolve or changes in any way is the best course of action. Regular dental check-ups can also help in early detection and management of oral health issues, ensuring that any potential problems are addressed promptly.

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