Lump under lip 1 month post GBR: feedback?

Last Updated: Feb 23, 2017

I did a GBR for a patient 1 month ago site 11,21,22. Everything healed very nicely. This same patient presented yesterday with a pea sized lump in the vestibule at the level of the 12 apex which also approximates the junction of the apical portion of the vertical release incision.It developed very recently and is painful and firm to palpate. I thought it was likely from a necrotic 12 however that tooth tested vital. I have done a number of these graft and have not encountered this before. Any feedback would be appreciated. Thanks.

3 Comments on Lump under lip 1 month post GBR: feedback?

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Sb oms

02/23/2017

Sounds like a mucocele. Send to oral surgeon for evaluation. Do what's best for your patient.

Raul Mena

03/01/2017

It could be a mucoceal, but that is not tipically an area where mucoceal apear. If you had the skills to graduate from dental school or for doing a Gbr, go ahead and remove it yourself . It could be encapsulation of the grafting material or reaction to the suture.

BÃ¼lent ZeytinoÄŸlu

03/02/2017

the pathological mass cannot be a mucocele because a mucocele is a cyst and contains lÄ±quÄ±d usually if not infected not tender and not hard on palpation and often is formed in the diafragma oris.The mass I thÄ±nk is infected GBR material thah migrated from the operation side if you can under AB coverage reenter the region and clean up the mass but to be sure that Ä±t Ä±s benign send the material a patologist.Good Luck

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