Non‐infective Swellings: Cysts, Tumours and Ranulas

Suter, Valerie G. A.; Bornstein, Michael M. (2019). Non‐infective Swellings: Cysts, Tumours and Ranulas. In: Management of Dental Emergencies in Children and Adolescents (pp. 233-244). John Wiley & Sons Ltd.

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Introduction
Swellings can appear extraorally, intraorally or
in combination. If infectious origins have been
excluded, non‐infectious swellings can be
caused by either benign or malign processes.
Benign processes are far more common in
children, but it is important to identify the
rare malignant entities without delay. Besides
a structured clinical examination, further
diagnostic tools can be applied, and clinicians
have to decide which are the most appropriate
for the situation at hand. Radiographic imaging
representing hard or soft tissues can help
identify the origin and nature of a swelling.
Probe aspiration may help identify the fluid
content and differentiate a swelling from a
solid tumour. Incisional or excisional biopsies
are further options for diagnosis and treatment
planning, and may even be performed
simultaneously with therapy.

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