Oral Cysts: Causes, Symptoms, and When to See a Doctor - Dentistry

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Oral issues?


I have a bump on my lower lip that resembles a blister.
It feels transparent inside, but it doesn't hurt, and it has been present for two to three months.
What could this be, and which type of doctor should I see for a consultation?

Amei, 20~29 year old female. Ask Date: 2016/02/26

Dr. Zeng Guanghui reply Dentistry


It may be inflammation of the minor salivary glands in the mucosa of the lower lip, or an obstruction in saliva secretion, leading to saliva accumulation in the minor salivary glands.
It is recommended to consult an oral surgeon for further diagnosis and treatment.

Reply Date: 2016/02/26

More Info


Oral cysts are fluid-filled sacs that can develop in various areas of the mouth, including the lips, gums, and other soft tissues. They can be caused by a variety of factors, including infections, blockages of salivary glands, or even trauma to the area. In your case, the presence of a transparent, painless bump on your lower lip that has persisted for two to three months could be indicative of 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. Mucocele: As mentioned, this is often caused by trauma or blockage of a salivary gland duct. It typically appears as a painless, fluid-filled bump and can vary in size.

2. Dental Cysts: These can form at the root of a tooth, often due to infection or the presence of a non-vital tooth. They may not always be painful initially.

3. Epidermoid Cysts: These are benign cysts that can occur in the oral cavity and are usually painless.

4. Other Causes: Other types of cysts, such as those associated with certain systemic conditions or infections, can also occur.


Symptoms
- Painless Bump: The most common symptom is the presence of a bump or swelling in the oral cavity.

- Color Changes: The cyst may appear bluish or translucent, depending on its contents.

- Size Variation: Cysts can fluctuate in size and may change with activities such as eating or speaking.

- No Pain or Discomfort: Many cysts are asymptomatic, meaning they do not cause pain or discomfort.


When to See a Doctor
It is advisable to see a healthcare professional if:
- The cyst persists for more than two weeks without improvement.

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

- You experience any pain, swelling, or other symptoms that may suggest infection (such as fever or drainage).

- You have concerns about the nature of the cyst, especially if it is affecting your ability to eat, speak, or maintain oral hygiene.


Which Doctor to Consult
For an oral cyst, you should consider visiting:
- Dentist: A general dentist can evaluate the cyst and determine if it requires further investigation or treatment.

- Oral Surgeon: If the cyst is large, persistent, or causing other issues, an oral surgeon may need to be involved for potential removal or biopsy.

- Oral Medicine Specialist: If the cyst is suspected to be part of a systemic condition or if there are other complex oral health issues, an oral medicine specialist may be appropriate.


Conclusion
In summary, while the cyst you describe may be benign, it is essential to monitor it closely and seek professional evaluation to rule out any serious conditions. Early diagnosis and treatment can prevent complications and ensure your oral health remains intact. If you have any further questions or concerns, do not hesitate to reach out to a dental professional for personalized advice and care.

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