Muccocele Treatment In Children: Case Report
DOI:
https://doi.org/10.30659/medali.8.2.157-161Keywords:
Mucocele, surgical excision, behavioural managementAbstract
Background: Mucoceles are oral mucosal lesions caused by saliva accumulation due to trauma or obstruction of minor salivary glands, which are common in children and adolescents. Successful treatment in pediatric patients depends heavily on consideration of behavioral characteristics and appropriate behavioral management. This case report aims to report the surgical management of mucocele excision in a pediatric patient.
Case Report: A 10-year-old boy came to the RSGM with his mother complaining of a lump on his lower lip that he frequently bit. Anamnesis revealed the lump had appeared one month ago. The child appeared quiet, occasionally looked around, and was able to communicate and accept the doctor's instructions. A history of systemic disease was denied. An intraoral examination of the left inferior labial mucosa revealed a single, reddish-white, approximately 5 mm nodule with clear borders. The diagnosis in this case was a mucocele on the left inferior labial mucosa. The child's behavior was classified as Frankl Classification 3 (Positive). Management is performed through surgical excision using a tell-show-do behavioural management approach, enhanced control, and positive reinforcement. The surgical procedure involves removing the entire cyst and the involved minor salivary glands to prevent recurrence.
Conclusion: Mucocele treatment with surgical excision can be performed on children with Frankl's type 3 (positive) behavior. During treatment, a combination of tell-show-do, enhanced control, and positive reinforcement can be used.
References
Regezi JA, Sciubba J, Jordan RCK. Oral Pathology: Clinical Pathologic Correlations Seventh Edition.; 2017.
Cawson R., Odell E. Cawson’s Essentials of Oral Pathology and Oral Medicine. Elsevier; 2017.
Dean JA, Vinson LAW. McDonald and Avery’s Dentistry for the Child and Adolescent, 10th Ed. Elsevier; 2016. doi:10.1016/b978-0-323-28745-6.01001-2
Woo S-B. Oral Pathology. A Comprehensive Atlas and Text. Vol 53.; 2012.
Neville BW, Damm DD, Allen CM, Chi AC. Oral and Maxillofacial Pathology.; 2016.
Francischetto M de F de M, Gomes FCG, Rocha PL de OM da, et al. Prevalence of oral mucocele in children and adolescents: systematic review and meta-analysis. Res Soc Dev. 2022;11(10):e458111032933. doi:10.33448/rsd-v11i10.32933
Gautam Y, Srivastava M. Mucocele in paediatric patients: A case series with review. Int J Appl Dent Sci. 2018;100(2):100-103. www.oraljournal.com
Langlais RP, Miller CS, Gehrig JS. Color Atlas of Common Oral Diseases.; 2017.
Mehetre V, Ranmare V, Shende A, Gir P. Mucocele - Case Report. Int J Multidiscip Approach Stud. 2022;5(1).
Welbury R, Duggal MS, Hosey MT. Paediatric Dentistry.; 2018.
Bodner L, Manor E, Ph D, Joshua B, Shaco-levy R. Oral Mucoceles in Children — Analysis of 56 New Cases. Pediatr Dermatol. 2015;32(5):647-650. doi:10.1111/pde.12535
Arun M, Ebenezer V, Prakash D. Oral Mucocele- A Review. J Pharm Sci Res. 2023;15(3):600100.
Beniwal N, Kaushik S, Parveen H, Gupta M. Oral Mucocele in Paediatric Dentistry: A Case Report. J Adv Med Dent Sci Res. 2022;10(2):96-98. doi:10.21276/jamdsr
Naik HY, Nigam H, Baloch N, et al. Oral Mucocele : A Case Report. J Med Dent Sci Res. 2022;9(1):8-13.
Choi Y, Byun J, Choi J, Jung J. Identification of predictive variables for the recurrence of oral mucocele. Med Oral Patol Oral Cir Bucal. 2019;24(2):2-6. doi:10.4317/medoral.22690
Gaikwad TV, Maini AP, Sarma A, Das S, Lokhande S, Prasad SR. Sclerotherapy in the Management of Oral Mucocele: A Literature Review. J Int Clin Dent Res Organ. 2022;14:96-100. doi:10.4103/jicdro.jicdro
Chaitanya P, Praveen D, Reddy M. Mucocele on Lower Lip : A Case Series. Indian Dermatol Online J. 2017;8(3):205-207. doi:10.4103/idoj.IDOJ
Nallasivam KU, Sudha BR. Oral mucocele : Review of literature and a case report. J Pharm Bioallied Sci. 2015;7(2):7-9. doi:10.4103/0975-7406.163516
Kaswindiarti S, Sari NDAM, Nurnaini LD, Ropika I. Pemeriksaan, Diagnosis, Dan Rencana Perawatan Kedokteran Gigi Anak. Muhammadiyah University Press; 2025.
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