MUCOCELE IN A CHILD PATIENT: CASE REPORT

Abstract

The objective of this study was to report a clinical case of a patient diagnosed with mucocele in the lower lip, describing its pathology, identification and treatment. Mucocele occurs on the lower lip, but can also be found on the upper lip, tongue, judial mucosa, and rarely in the retromolar region and palate. It is one of the benign lesions that most affects the oral cavity, usually asymptomatically. They can be confused with ranulae, differing by their location, since the ranulae are located on the floor of the mouth and under the tongue. It manifests clinically with bluish or colorless, translucent and circumscribed coloration. In some cases, there is a spontaneous rupture of the lesion. A seven-year-old female patient presented to the dental clinic complaining of an asymptomatic "small ball on the lower lip". The person in charge reported that the child frequently bit his lips and that he manifested himself three times. After clinical examination, the presence of a traumatized salivary gland in the lower lip was observed. A diagnosis of mucocele was obtained. Due to the complaint of the person in charge of recurrence of this lesion that occurred for the third time, after the diagnosis and planning of the dental surgeon, the excision of the traumatized gland was performed, proceeding to the suture. The child was cooperative in the surgery, performed with local anesthesia, dispensing with general anesthesia. After total excision of the mucocele, the guardian was instructed to instruct the child not to bite the lip anymore, avoiding recurrence of the lesion. The patient returned after 30 days, with no complaint of mucocele recurrence. The case was followed up for six months and there was no recurrence. It was concluded that the topic addressed is of high relevance, so the pediatric dentistry professional must have knowledge of the mucocele for a correct diagnosis and treatment, in addition to guiding the person in charge about the importance of the patient's collaboration for non-recurrence.  

DOI: https://doi.org/10.56238/sevened2025.008-028