Quick Tips to Help Parents recognize the Lumps, Bumps, and Owies in Their Child's Mouth

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Geez, oral health care can be tough! How do you know what's general and what isn't inside a kid's mouth? Here are a few quick tips to recognize the lumps, bumps, and owies. If in doubt, you can always call your friendly pediatric dentist.

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Normal stuff: general oral anatomy is commonly midline or symmetrical. That wee bump behind the front top teeth is called an incisal papilla, if burned on pizza or poked with a chip it can get inflamed but will fast heal. Those fascinating red spots under the tongue are exterior blood vessels called varices, they're fine Mom!

Cold Sores: tasteless cold sores commonly occur exterior the mouth on the lips. They are a recurrence of a viral infection called Herpes Simplex. About 90% of children are exposed to the herpes cold sore virus by age four (look what I brought home from preschool Mom!), and about 50% become chronic carriers. That means, since the herpes virus infects nerve cells that never die, periodically the virus will reappear to form a cold sore. Before a cold sore has crusted over, it sheds virus and in very infective. Luckily a whole house of antiviral medicines can treat the cold sore to limit its size, period and discomfort.

Canker Sores: For otherwise healthy children, canker sores occur on the inside of the mouth on the moveable tissues only. Also named Aphthous ulcers or Ras (recurrent aphthous syndrome), they have a white, dished center with a fascinating red border and are very painful when touched. Oftentimes, parents confuse this lesion for an abscess if settled near the teeth on the gums. In reality, Aphthous ulcers are caused by an over exuberant immune ideas response. That's right, the immune ideas gets mad at some micro trauma, cleans house, and leaves a painful ulcer. Since it's not an infection, the best medicine is recognizing it will go away in about a week and medicating with Tylenol or a topical numbing agent like Orajel. Some adults remember burning them with Silver Nitrate. That's very painful, will leave a scar, and cause mutiny!

Mucocele: Unknown to most of us, the lips are full of minor salivary glands, consisting of a straightforward small gland connect to the oral cavity by a tube duct. Every so often, one of these tubes gets cut, saliva builds up in the gland and a soft bump in the lip occurs. If the gland ruptures, fills again and ruptures again, a scar may form. This produces a hard bump. Kids can precisely not leave these bumps alone and commonly chew on them; some mucoceles can reach the size of marbles! The best medicine is to naturally make a small incision in the inside lip and tease the mucocele out. In a pediatric dentist office, this involves a spot of anesthesia, one stitch and about five minutes. At your oral surgeon or Ent office they start talking about general anesthesia! Remember, children can smell when a doctor is scarred of them!

Popcornoma: This is my beloved oral pathology. A child presents with a swollen gum and wee discoloration. A dental explorer is carefully inserted between tooth and gum to capture and deliver a popcorn husk. The pain abruptly goes away! Somehow, fathers are commonly blamed, don't ask me why.

Many more unusual and always troubling lumps and bumps exist. If you have a head scratcher and need some advice, never hesitate to call. Greg Evans, Dds at Big Grins Pediatric Dentistry in Fort Collins is always ready for a chat.

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