Waiting for self-healing as a primary management strategy for lower lip mucoceles.

Clin Oral Investig

Department of Oral and Maxillofacial Surgery, National Clinical Research Center for Oral Diseases, Peking University School and Hospital of Stomatology, 22 South Zhongguancun Avenue, Haidian District, Beijing, 100081, PR China.

Published: June 2024

AI Article Synopsis

  • Oral mucoceles are bumps that often show up on the lower lip, and people can treat them in different ways, but each treatment has its own risks.
  • This study looked at whether these bumps can heal on their own if people wait instead of getting treatment right away.
  • Out of 30 patients, 80% found that their mucoceles disappeared by themselves after about 3.6 months, and there were no recurrences later, suggesting that waiting to see if they heal might be a good option.

Article Abstract

Objectives: Oral mucoceles are most frequently encountered on the lower lip. A variety of treatment options are currently employed, including surgical excision, pharmacological injections, and laser therapy. However, each of these approaches may introduce risks and potential complications. Clinical practice has demonstrated a potential for self-healing in lower lip mucoceles, making a conservative observational approach more appealing. This research is a prospective study aimed at evaluating the self-healing capacity of lower lip mucoceles.

Methods: In this prospective study, patients with mucoceles were encouraged to intentionally delay medical intervention and to wait for self-healing. Disappearance of the mucocele for at least 3 months was defined as self-healing.

Results: Thirty patients with lower lip mucoceles were included. With no intervention, 24 patients (80%) reported self-healing of lower lip mucoceles. The mean natural duration of the mucoceles was 3.63 (± 4.7; 1-24) months. After self-healing of the mucocele, the patients were followed up for 17.21 (± 9.45; 2-30) months and there were no reported recurrences.

Conclusions: Lower lip mucoceles have a high potential for self-healing and patients may be routinely encouraged to wait for self-healing.

Clinical Relevance: The high self-healing rate observed in this study suggests that a conservative, non-interventional approach might be considered as the first-line management for lower lip mucoceles.

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Source
http://dx.doi.org/10.1007/s00784-024-05766-4DOI Listing

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