List of Lumps and Swellings in the Oro-Facial 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

 

Carcinoma causing gingival swelling

Haemangioma

Papilloma causing palatal swelling

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