Mucous cysts (Mucoceles): Symptoms, causes, treatment and preventions.

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Mucous cysts (Mucoceles)

• Symptoms causes treatment prevention

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Introduction to Mucous Cysts

• Those who have a habit of biting their lips may
  find that a small bluish bump has developed
  inside their mouth. It might disappear on its own
  or it might linger. A mucous cyst is a painless,
  thin sac on the inner surface of the lips. It
  contains clear fluid. 
• Mucous cysts, also known as mucoceles, are quite
  common in the general population, normally
  appearing on the lower lip. Most of the cases of
  mucoceles are seen in individuals under the age
  of 30. They are painless but can be bothersome
  because you are not so aware of the bumps in your
  mouth. 
• Mucous cysts are harmless. If left untreated,
  however, they can organize and form a permanent
  bump on the inner surface of the lip. They are
  called ranula when on the floor of the mouth, and
  epulis when on the gums. 

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Causes of Mucous Cysts

• Mucous cysts or mucoceles occur as a result of
  blockage or trauma to the minor salivary glands
  in the mouth. Once the duct of the salivary gland
  becomes blocked for any reason, it leads to an
  accumulation of a substance called sialomucin,
  which eventually builds and forms a tense cyst.
  The most common cause of a mucocele is trauma to
  the lower lip, likely from lip biting. They
  present as painless, blue swellings, typically on
  the lower lip, but can also occur on the upper
  lip, tongue and inside of the cheek. 

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Symptoms of Mucous Cysts

• A thin, fluid-filled sac appears on the inside of
  the lip. The sac is bluish and clear. It is
  painless, but bothersome. The sac can also occur
  on the tongue, palate, inside the cheeks, the
  floor of the mouth, or around tongue or lip
  piercings. 

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Treatment of Mucous Cysts

• Mucous cysts, because of their benign nature,
  generally do not require treatment. In about half
  of cases, the cysts will resolve on their own
  within one to two weeks. In some instances
  however, treatment is sought, mainly because the
  cyst becomes bothersome, interferes with normal
  mastication or is recurrently traumatized. If
  treatment is desired, there are several options,
  all of which should be performed in the office by
  a dentist. Commonly, mucous cysts can be
  treated with simple incision with a medium bore
  needle into the cyst followed by drainage of the
  fluid. Mostly, this simple approach leads to
  complete resolution. For those cysts that
  persist, treatment typically involves injection
  of lidocaine into the area followed by excision
  of the upper portion of the cyst to allow the
  contents to drain. 

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Prevention of Mucous Cysts

• Unless surgically removed by a dentist, the
  recurrence rate of mucoceles tends to be quite
  high. The most important thing one can do to
  prevent these cysts from forming is to refrain
  from biting the lip, and, should one arise, see a
  qualified dentist.

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