Traumatic bite induced mucocele: A management approach

Neha Thilak Neha Thilak,Vidya Bhat,Sundeep Hegde K,Sham S Bhat

doi:10.18231/j.ijohd.2020.046

Abstract

Mucocele is defined as the lesion present on the oral mucosa such as lip, cheeks and the floor of the mouth, but mainly appear in the lower lip, that results from the accumulation of mucous secretion. This could be due to trauma and lip biting habits or alteration of minor salivary glands. The present case report highlights the importance of identifying the exact etiology of the mucocele and appropriate management to prevent its recurrence. This case report also advocates the use of diode laser for the treatment of mucocele as it requires minimal anesthesia which reduces apprehension and fear in pediatric patients, causes minimal blood loss and accelerates the healing of the surgical site.

Highlights

Mucocele is termed as cavities that are filled with mucus, which appears mainly in the oral cavity. 1–3 The word mucocele is derived from a Latin word, mucus and cocele which means cavity. 1,4 Trauma to a minor salivary gland duct can be a major causative factor for mucocele which thereby results in pooling in the epithelial tissue.[5]
Reduced healing time of the site. 8. This case reports explains about the traumatic bite induced mucocele which was managed through excision using diode laser to avoid intraoperative complications and to enable better healing, followed by which single tooth anterior crossbite was corrected using z spring with posterior bite plane
Complete excision of mucocele was done using diode lasers which showed uneventful healing in one week follow up, following which crossbite with respect to 11 was corrected using Z spring with posterior bite plane appliance

Summary

Introduction

Mucocele is termed as cavities that are filled with mucus, which appears mainly in the oral cavity. 1–3 The word mucocele is derived from a Latin word, mucus and cocele which means cavity. 1,4 Trauma to a minor salivary gland duct can be a major causative factor for mucocele which thereby results in pooling in the epithelial tissue.[5]. High-intensity lasers have been proven to be more beneficial than conventional surgery as it has many advantages such as prompt hemostasis, minimal blood loss. This case reports explains about the traumatic bite induced mucocele which was managed through excision using diode laser to avoid intraoperative complications and to enable better healing, followed by which single tooth anterior crossbite was corrected using z spring with posterior bite plane. As recurrence is an important factor to be considered in the management of mucocele, identification and elimination of exact etiology plays an important role. This case report highlights on management of mucocele followed by prevention of its recurrence through correction of traumatic bite which was the attributing factor for mucocele in this case

Case Report

Discussion

Findings

Conclusion

Source of Funding