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Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program
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Congenital or Other Oral Findings, continued
Bifid Uvula
Bifid uvula can be an isolated finding but is often associated with a congenital submucosal cleft, which may be difficult to appreciate on examination. 

Children with submucosal clefts may develop hypernasal speech. Children with a bifid uvula should be referred for speech therapy and for ENT evaluation if speech concerns arise.

A mucocele is a bluish or translucent cyst resulting from accumulation of mucous from trauma to a minor salivary gland. Mucoceles generally require no treatment and many resolve spontaneously. Fluctuations in size are common. If the lesion is large or uncomfortable, excision may be warranted.

Mucocele: A swelling like a sac due to distension of a hollow organ or cavity with mucus.

A ranula is a larger collection of mucous under the tongue that is unilateral. Unlike mucoceles, ranulas require surgical excision with marsupialization of larger lesions because they are likely to recur.

Eruption Cyst or Hematoma
Eruption cysts develop 1 to 3 weeks prior to tooth eruption as a dome shaped soft tissue lesion overlying the erupting tooth.When mixed with blood, it appears more bluish and is referred to as an eruption hematoma.

No treatment is recommended because the cyst will resolve spontaneously when the tooth completely erupts.

Fast Facts
Submucosal cleft commonly accompanies a bifid uvula.
Spontaneous resolution is expected with a mucocele but not a ranula.

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