Lip bumper as a non-invasive treatment for mucocele in pediatric patients: a case series

Authors

DOI:

https://doi.org/10.47990/a1kr5290

Keywords:

lip, mucocele, lip bumper

Abstract

Introduction: A mucocele is a common benign lesion of the oral cavity, particularly affecting children and adolescents, and is typically caused by local trauma to the mucosa. Traditionally, it has been treated surgically; however, this compilation presents pediatric dental cases managed with a modified lip protector. The aim is to describe a non-surgical technique for managing mucoceles, as well as to identify the conditions or factors that may influence its success or failure. Case Reports: Five pediatric cases of mucoceles located on the lower lip were treated using modified lip bumpers. In most instances, the non-surgical treatment led to partial or complete resolution of the lesion. However, in some cases, full resolution was not achieved. Discussion: According to the literature, mucoceles of the minor salivary glands rarely resolve spontaneously. While surgical removal typically offers a favorable prognosis, it often results in long-lasting fibrous scarring. Pediatric patients are frequently apprehensive about undergoing surgery and anesthesia. The use of a modified lip bumper represents a well-tolerated, non-invasive, and effective alternative, particularly in cases involving relatively recent lesions. This approach minimizes discomfort and avoids potential complications. Conclusion: The modified lip bumper proved to be an effective and non-invasive treatment option for oral mucoceles, especially in children and adolescents. The success of this approach appears to depend on both the lesion's characteristics and its duration.

References

1. Dilley DC, Siegel MA, Budnick S. Diagnosing and treating common oral pathologies. Pediatr Clin North Am [Internet]. 1991 [citado 6 de marzo de 2025];38(5):1227–64. Disponible en: https://pubmed.ncbi.nlm.nih.gov/1886744/

2. Velásquez Reyes V, Cuzcano Diaz M, MVelásquez Reyes V. ODONTOLOGÍA SANMARQUINA Artículo originAl. Odontol Sanmarquina [Internet]. 2011;14(2):29–31. Disponible en: www.actaodontologica.com

3. Khandelwal S. Oral mucoceles-Review of the literature [Internet]. Disponible en: https://www.researchgate.net/publication/227426465

4. Choi YJ, Byun JS, Choi JK, Jung JK. Identification of predictive variables for the recurrence of oral mucocele. Med Oral Patol Oral Cir Bucal. 1 de marzo de 2019;24(2):e231–5.

5. Garg N, Khurana P, Vashist A, et al. A clinicopathologic review of 138 cases of mucoceles in a pediatric population. PubMed [Internet]. 2011 [citado 6 de marzo de 2025]; Disponible en: https://pubmed.ncbi.nlm.nih.gov/21842008/

6. Yamasoba T, Tayama N, Syoji M, Fukuta M. Clinicostatistical study of lower lip mucoceles. Head Neck. 1990;12(4):316–20.

7. Luiz AC, Hiraki KRN, Lemos CA, Hirota SK, Migliari DA. Treatment of Painful and Recurrent Oral Mucoceles With a High-Potency Topical Corticosteroid: A Case Report. Journal of Oral and Maxillofacial Surgery. 1 de agosto de 2008;66(8):1737–9.

8. Huang IY, Chen CM, Kao YH, Worthington P. Treatment of Mucocele of the Lower Lip With Carbon Dioxide Laser. Journal of Oral and Maxillofacial Surgery. mayo de 2007;65(5):855–8.

9. Boj JR, Poirier C, Espasa E, Hernandez M, Espanya A. Lower Lip Mucocele Treated With an Erbium Laser.

10. Cabral Neto JA, Virgínio Fernandes T, Queiroga de Castro Gomes D, João Filho T, Vieira Pereira J, Cabral Neto JA, et al. El uso de láser de alta y baja potencia en el tratamiento del mucocele en el labio: Reporte de caso. Revista Estomatológica Herediana [Internet]. 27 de septiembre de 2022 [citado 6 de marzo de 2025];32(3):313–8. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1019-43552022000300313&lng=es&nrm=iso&tlng=en

11. Piazzetta CM, Torres-Pereira C, Amenábar JM. Micro-marsupialization as an alternative treatment for mucocele in pediatric dentistry. Int J Paediatr Dent [Internet]. 1 de septiembre de 2012 [citado 6 de marzo de 2025];22(5):318–23. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-263X.2011.01198.x

12. Yagüe-García J, España-Tost AJ, Berini-Aytés L, Gay-Escoda C, Resident D. e469 Med Oral Patol Oral Cir Bucal. 2009 [citado 6 de marzo de 2025];14(9):469–74. Disponible en: http://www.medicinaoral.com/medoralfree01/v14i9/medoralv14i9p469.pdfhttp://www.medicinaoral.com/

13. Lee HM, Lim HW, Kang HJ, Chae SW, Hwang SJ, Jung KY, et al. Treatment of ranula in pediatric patients with intralesional injection of OK-432. Laryngoscope [Internet]. junio de 2006 [citado 6 de marzo de 2025];116(6):966–9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/16735909/

14. Wendt M, Papatziamos G, Munck-Wikland E, Marklund L. Sclerotherapy of ranulas with OK-432 - a prospective, randomized, double-blinded placebo-controlled study. Acta Otolaryngol [Internet]. 2021;141(5):531–6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33775200/

15. Hall N, Ade-Ajayi N, Brewis C, Roebuck DJ, Kiely EM, Drake DP, et al. Is intralesional injection of OK-432 effective in the treatment of lymphangioma in children? Surgery [Internet]. 1 de marzo de 2003; 133(3):238–42. Disponible en: https://pubmed.ncbi.nlm.nih.gov/12660633/

16. Ramazani N. Different Aspects of General Anesthesia in Pediatric Dentistry: A Review. Iran J Pediatr [Internet]. 1 de abril de 2016; 26(2). Disponible en: https://pubmed.ncbi.nlm.nih.gov/27307962/

17. Sadiq MSK, Maqsood A, Akhter F, Alam MK, Abbasi MS, Minallah S, et al. The Effectiveness of Lasers in Treatment of Oral Mucocele in Pediatric Patients: A Systematic Review. Vol. 15, Materials. MDPI; 2022.

18. Wilson S. Management of child patient behavior: Quality of care, fear and anxiety, and the child patient. J Endod. marzo de 2013;39(3 SUPPL.).

19. Himelfarb M, Britt MC, Flanagan S, Green MA. What factors influence mucocele recurrence? Oral Surg Oral Med Oral Pathol Oral Radiol. 1 de mayo de 2024;137(5):486–92.

20. Sagari SK, Vamsi K, Shah D, Singh V, Patil GB, Saawarn S. Micro-marsupialization: a minimally invasive technique for mucocele in children and adolescents. J Indian Soc Pedod Prev Dent [Internet]. julio de 2012; 30(3):188–91. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23263419/

21. Ashley PF, Williams CECS, Moles DR, Parry J. Sedation versus general anaesthesia for provision of dental treatment to patients younger than 18 years. Cochrane Database of Systematic Reviews. 2015;2015(9).

22. Nucci L, Marra PM, Femiano L, Isola G, Flores-Mir C, Perillo L, et al. Perioral muscle activity changes after Lip Bumper treatment. Eur J Paediatr Dent [Internet]. 2021, 22(2):129–34. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34238003/

Published

2026-03-30

Issue

Section

Case report

How to Cite

Lip bumper as a non-invasive treatment for mucocele in pediatric patients: a case series. (2026). Latin American Pediatric Dentistry Journal, 16. https://doi.org/10.47990/a1kr5290