Oral Mucocele (Oral Cysts)
An oral mucocele or mucus extravasation cyst is a small saliva-filled sac that develops in the mouth, usually on the inside of the lower lip. Most are harmless, but some may require surgical removal.
What are oral mucoceles?
An oral mucocele, or mucus extravasation cyst, is a saliva-filled sac that can develop on the skin inside your mouth.
Most oral mucoceles are harmless and are usually painless, but they can be irritating as they cause a small bump in your mouth. Occasionally, they will go away on their own, but if they’re large or painful they can be treated by a maxillofacial specialist.
Oral mucoceles are common and most often affect people under 30 years old, but anyone can develop them.
More information
An oral mucocele is a soft, dome-shaped bump in your mouth, which can vary in size from 1 millimetre to 2 centimetres wide. They contain saliva, which gives them a clear or bluish colour.
Most oral mucoceles won’t cause pain, but larger ones can be uncomfortable or irritating, especially if they interfere with your speech, chewing or swallowing.
Oral mucoceles most commonly develop on the inner part of your lower lip, but similarly to mouth ulcers, they can also affect your inner cheeks, gums, tongue, roof of your mouth and the floor of your mouth. They can also develop around tongue or lip piercings.
Mucoceles on the upper or lower lip, inside the cheeks and bottom side of the tongue are usually caused by lip or cheek sucking, accidental biting, rubbing on a sharp tooth, or tongue thrusting.
Mucoceles commonly arise when a minor salivary gland is traumatised by biting the lip or cheeks. The damaged saliva gland continues to secrete saliva, but it can no longer pass through the salivary gland duct into the mouth, and the saliva builds up under the skin instead. Sometimes they burst, and you may notice a salty taste in your mouth. After bursting, they usually reform.
A mucocele under the tongue arising from damage to the sublingual salivary gland is known as a ranula. There are several minimally invasive, gland-preserving treatments for a ranula.
In most cases, a maxillofacial specialist will be able to diagnose an oral mucocele or a ranula by examining your mouth.
If there is any doubt, your specialist may conduct some tests such as a biopsy, ultrasound or MRI scan.
While oral cysts cannot always be prevented, the following steps can help reduce their likelihood:
avoid biting or sucking your lip or cheek to minimise trauma to minor salivary glands
smooth or protect any sharp teeth or dental appliances, such as brace,s that may rub against soft tissue
practise gentle oral habits and hygiene
if you have an oral piercing, keep it properly aligned and maintained to avoid repeated irritation or injury
seek advice if you notice any persistent lump or bump forming in your mouth
Most oral mucoceles are harmless and may resolve on their own, but certain outcomes can occur if they persist or are improperly treated, such as:
recurrent cyst formation
infection
discomfort or interference with speech, chewing, or swallowing
At Welbeck, our maxillofacial specialists are experts in their field and are dedicated to providing world-class care to every patient.
With access to colleagues across other specialities, our consultants are also able to refer within the Welbeck ecosystem if needed to ensure you receive the best possible treatment as quickly as possible, all under one roof.
All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.
Get in touch today to book an appointment. Your health is important to us, so we strive to offer same-day appointments whenever possible.
Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.
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Frequently asked questions
While surgical removal, including the affected gland, usually means the cyst won’t come back in the same place, new mucoceles may appear if you continue habits like lip or cheek chewing. Gentle awareness of these triggers and avoiding repetitive irritation can help reduce the risk of recurrence.
In certain cases, yes. Your consultant may offer treatments such as minimally invasive marsupialisation (creating a small opening to drain and flatten the cyst) or laser therapies. While these options may ease discomfort and healing time, your specialist can advise on whether they are suitable depending on the cyst’s size, location, and your personal preference.
Typically, mucoceles are harmless, but they may feel tender if accidentally pressed during brushing or dental treatment. Let your dentist or hygienist know if you have one, and they’ll take care to work gently around the area to avoid discomfort.
You can reduce irritation by keeping your mouth clean with a gentle, alcohol-free mouthwash or warm salt-water rinse. Avoid hot or spicy foods that might aggravate the area, and resist the urge to poke or squeeze it—this helps minimise discomfort and the risk of infection until professional treatment is possible.
