Fordyce Granules

Description:
Fordyce granules appear as flat or elevated yellow plaques just beneath the mucosal surface. The most common site is buccal mucosa although they may be found anywhere in oral mucosa. Development of the oral glands parallels those of the skin, reaching maximum numbers at puberty. Eighty percent of the population are affected. The number of granules is quite variable. Fig. 1 illustrated a large number of granules on buccal mucosa.

Etiology:
They are normal sebaceous glands and considering they are found in approximately 80% of the population, should be considered normal anatomic structures.

Differential Diagnosis:
The clinical
appearance is characteristic

Prognosis:
Good

Treatment:
No treatment is required for Fordyce granules, except for cosmetic removal of labial lesions. Inflamed glands can be treated topically with clindamycin. When surgically excised, recurrence does not occur. Neoplastic transformation is very rare but has been reported.
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:: World Of Dentistry :: TEAM