Oral Pathology

Lumps and Swellings

Lumps and Swellings of maxillofacial Region

Lumps in the mouth by main location

Gingiva

• Abscesses
• Amyloidosis
• Chronic gingivitis
• Chronic granuloma (Crohn’s disease, orofacial granulomatosis, sarcoidosis)
• Cysts
Drugs:
–   Phenytoin
–  Cyclosporine
–  Calcium channel blockers
• Exostoses
• Fibrous epulis
• Giant cell tumour
• Hereditary gingival fibromatosis
• Hyperplastic gingivitis
• Hypoplasminogenaemia
• Neoplasm (carcinoma, leukaemia, lymphoma, Kaposi’s sarcoma, midline lethal granuloma, Wegener’s
granulomatosis)
• Pregnancy
• Pyogenic granuloma
• Scurvy

Buccal

• Angioma
• Chronic granuloma (Crohn’s disease, orofacial granulomatosis, sarcoidosis)
• Fibrous lump
• Mucocele
• Neoplasm (carcinoma, lymphoma, salivary gland neoplasm, Kaposi’s sarcoma)

Palate

• Dental abscess
• Neoplasm (carcinoma, lymphoma, salivary gland neoplasm, Kaposi’s sarcoma)
• Papilloma
• Torus palatinus
• Unerupted teeth
• Others

Tongue

• Amyloidosis
• Angioma or lymphangioma
• Fibrous lump
• Granular cell tumour
• Haematoma
• Neoplasm (carcinoma, lymphoma, Kaposi’s sarcoma, salivary tumour)
• Papillitis
• Others

Lumps and Swellings

Carcinoma causing gingival swelling

Lumps and Swellings

Haemangioma

Lumps and Swellings

Papilloma causing palatal swelling

Lumps and Swellings

Salivary Gland tumour causing palatal swelling

More comprehensive table of conditions that may present as oral lumps or swellings

Normal

• Pterygoid hamulus
• Parotid papillae
• Foliate papillae
• Unerupted teeth

Developmental

• Haemangioma
• Lymphangioma
• Maxillary and mandibular tori
• Hereditary gingival fibromatosis
• von Recklinghausen’s neurofibromatosis

Cystic

• Eruption cysts
• Developmental cysts
• Cysts of infective origin

Inflammatory

• Abscess
• Pyogenic granuloma
• Crohn’s disease
• Orofacial granulomatosis
• Sarcoidosis
• Wegener’s granulomatosis
• Infections
• Insect bites
• Others

Traumatic

• Haematoma
• Epulis
• Epithelial polyp
• Denture granulomas

Hormonal

• Pregnancy epulis/gingivitis
• Oral contraceptive (pill gingivitis)
• Brown tumour of hyperparathyroidism

Drugs

• Phenytoin
• Ciclosporin
• Calcium channel blockers

Neoplasms

• Benign (and warts)
• Malignant

Fibro-osseous lesions

• Fibrous dysplasia
• Paget’s disease

Deposits

• Amyloidosis
• Hypoplasminogenaemia (fibrin deposits)
• Other deposits