Round Bumps on Oral Mucosa: Causes and Concerns - Dentistry

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There are round protrusions on the oral mucosa?


Two days ago, I suddenly noticed a round protrusion on the inside of my mouth.
When I press it with my fingers, I can clearly feel that it is spherical and movable.
It feels smooth and round when I touch it with my tongue, and it is neither painful nor itchy.
I would like to know what this could be.
Thank you.

Chong, 40~49 year old female. Ask Date: 2016/03/17

Dr. Zeng Guanghui reply Dentistry


The above situation may be due to inflammation caused by irritation of the oral mucosa, or it could be inflammation of the minor salivary glands in the oral mucosa.
It is recommended to consult a dentist for further examination.

Reply Date: 2016/03/17

More Info


The sudden appearance of a round bump on the oral mucosa can be concerning, especially when it is described as a movable, spherical mass that is not painful or itchy. Based on your description, there are several potential causes for this type of oral lesion, and understanding these can help alleviate your concerns.

1. Mucocele: One of the most common causes of a round bump in the oral cavity is a mucocele. This is a cyst-like lesion that occurs when a salivary gland duct is blocked or damaged, leading to the accumulation of saliva. Mucoceles are typically painless, soft, and can be easily moved when touched. They often appear on the inner lips, cheeks, or the floor of the mouth. While they can resolve on their own, persistent mucoceles may require surgical removal.

2. Fibroma: Another possibility is a fibroma, which is a benign tumor made up of connective tissue. These lesions are usually firm, smooth, and can be movable. Fibromas are often caused by chronic irritation, such as from biting the cheek or from dental appliances. They are generally painless and may require excision if they become bothersome.

3. Lipoma: A lipoma is a benign tumor composed of fatty tissue. These are soft, movable, and usually painless. While lipomas can occur in various parts of the body, they can also appear in the oral cavity. They typically do not require treatment unless they cause discomfort or cosmetic concerns.

4. Infection or Abscess: Although you mentioned that the bump is not painful, it is still important to consider the possibility of an infection or abscess. Sometimes, an abscess can form in the oral cavity due to bacterial infection, leading to localized swelling. If the bump were to become painful, red, or warm, it would be crucial to seek medical attention.

5. Oral Cancers: While less common, it is essential to be aware that any new growth in the oral cavity should be evaluated to rule out malignancy, especially if it persists or changes in appearance. Oral cancers can sometimes present as painless lumps or bumps.

Given that the bump is not causing any pain or discomfort, it may not be an immediate cause for concern. However, it is advisable to monitor the lesion for any changes in size, color, or sensation. If the bump persists for more than two weeks, changes in characteristics, or if you develop any additional symptoms (such as pain, difficulty swallowing, or changes in taste), it would be prudent to consult a healthcare professional, preferably an oral surgeon or a dentist. They can perform a thorough examination and may recommend imaging studies or a biopsy if necessary to determine the exact nature of the bump.

In summary, while the round bump you described could be a benign condition such as a mucocele or fibroma, it is essential to keep an eye on it and seek professional advice if it does not resolve or if you have any concerns. Regular dental check-ups can also help in the early detection of any oral health issues.

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