Assessment and Removal of Benign Soft Tissue Growths
Fibroepithelial polyps are common benign growths within the mouth, usually arising as a response to chronic irritation or minor trauma.
While typically harmless, they often require assessment and removal to confirm the diagnosis and prevent recurrence.
What Is a Fibroepithelial Polyp?
A fibroepithelial polyp is a benign overgrowth of fibrous tissue.
It typically presents as:
- A small, smooth lump
- Pink or similar in colour to surrounding tissue
- Firm or slightly soft in consistency
- Slow-growing and painless
They most commonly occur on:
- The inner cheek
- The tongue
- The lips
- The gum
Why Do They Develop?
These polyps are usually reactive lesions, meaning they develop in response to ongoing irritation.
Common causes include:
- Repeated biting or trauma
- Sharp tooth edges or restorations
- Ill-fitting dental appliances
- Chronic friction within the mouth
They represent a local tissue response, rather than a true tumour.
When to Seek Assessment
Although benign, any lump in the mouth should be assessed—particularly if:
- It persists for several weeks
- It increases in size
- It is repeatedly traumatised
- The diagnosis is uncertain
Other conditions can appear similar, including lesions that require further investigation.
Diagnosis
Diagnosis is based on:
- Clinical examination
- Assessment of contributing factors
- Histological analysis following removal
Definitive diagnosis is usually confirmed after excision, ensuring no other pathology is present.
Treatment
Surgical Excision
- The polyp is removed under local anaesthetic
- The base of the lesion is excised to reduce recurrence
- The site is closed or allowed to heal depending on location
Removal is usually straightforward and performed as an outpatient procedure.
Recovery
Recovery is typically uncomplicated.
- Mild discomfort for a few days
- Rapid healing within the mouth
- Return to normal function within a short period
Outcomes
Excision of fibroepithelial polyps is highly effective.
Patients can expect:
- Complete removal of the lesion
- Low recurrence when the cause is addressed
- Minimal long-term impact
Risks and Considerations
Potential risks include:
- Minor bleeding or infection (uncommon)
- Recurrence if irritation persists
- Temporary discomfort
These are generally minimal with appropriate technique.
When to Seek Advice
Any persistent lump in the mouth should be assessed—even if it appears minor.
Early evaluation allows for:
- Simple treatment
- Confirmation of diagnosis
- Peace of mind
Consultation
A consultation allows assessment of the lesion and planning of appropriate management.
Book a Consultation
For assessment and treatment of oral polyps in London, arrange a consultation to discuss your options.