What are the other Names for this Condition? (Also known as/Synonyms)

• RCP (Retrocuspid Papilla)
• Retrocuspid Papule

What is Retrocuspid Papilla? (Definition/Background Information)

• Retrocuspid Papilla (RCP) is a small and benign protrusion of unknown cause, seen on the gums of the lower jaw mostly behind the canine tooth. RCP is a common and asymptomatic condition that is generally noted in young children
• In a vast majority, there is no requirement for treating Retrocuspid Papilla since the condition is usually symptomless and no complications are noted. The prognosis of the condition is typically excellent

Who gets Retrocuspid Papilla? (Age and Sex Distribution)

• Retrocuspid Papilla (RCP) is generally observed in children below age 5; some are seen at birth. It may be present beyond this age group in older children and adults too
• According to medical literature, nearly 75% of the children in this age group presents RCP. About 10% of the cases are known to persist into adulthood
• Both males and females are affected, although a female preference is noted
• Worldwide, there is no racial or ethnic preference observed

What are the Risk Factors for Retrocuspid Papilla? (Predisposing Factors)

• The risk factors for Retrocuspid Papilla are currently not well specified
• The condition is occasionally associated with reactive arthritis

It is important to note that having a risk factor does not mean that one will get the condition. A risk factor increases one’s chances of getting a condition compared to an individual without the risk factors. Some risk factors are more important than others.

Also, not having a risk factor does not mean that an individual will not get the condition. It is always important to discuss the effect of risk factors with your healthcare provider.

What are the Causes of Retrocuspid Papilla? (Etiology)

Presently, the cause of formation of Retrocuspid Papilla is not well-understood.

What are the Signs and Symptoms of Retrocuspid Papilla?

The signs and symptoms of Retrocuspid Papilla may include:

• Presence of an oval to round mass, usually on the lower jaw gums near the canine teeth
• The mass is pink-red in color, soft, and smooth to touch
• The mass may be pedunculated (hanging like a stalk) and 1-3 mm in size
• Jaw bone involvement is not noted
• In most cases, there is no pain or oral discomfort observed, and the condition is typically asymptomatic

How is Retrocuspid Papilla Diagnosed?

A diagnosis of Retrocuspid Papilla may involve the following exams and procedures:

• Physical examination of the individual and medical history evaluation
• Oral cavity examination
• Skin biopsy, if necessary: A skin biopsy is performed and sent to a laboratory for a pathological examination. The pathologist examines the biopsy under a microscope. After putting together clinical findings, special studies on tissues (if needed) and with microscope findings, the pathologist arrives at a definitive diagnosis

Many clinical conditions may have similar signs and symptoms. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis.

What are the possible Complications of Retrocuspid Papilla?

There are typically no significant complications from Retrocuspid Papilla.

How is Retrocuspid Papilla Treated?

The healthcare provider may not recommend any treatment measures for Retrocuspid Papilla, since the condition is benign, asymptomatic, and tends to recede with age.

How can Retrocuspid Papilla be Prevented?

• Presently, there are no preventative guidelines available for Retrocuspid Papilla
• Undertake periodic and regular visits to a dental professional

What is the Prognosis of Retrocuspid Papilla? (Outcomes/Resolutions)

The prognosis of Retrocuspid Papilla is generally excellent since it does not present any significant symptoms or complications.

Additional and Relevant Useful Information for Retrocuspid Papilla:

The following DoveMed website link is a useful resource for additional information:

https://www.dovemed.com/healthy-living/dental-health/