History of the present illness

This 12-year-old white female was referred to the oral surgeon in October 2011 for the evaluation of a purplish-red and smooth surfaced nodule in the anterior maxillary vestibule (Figure 1). This growth is of three to four week duration. It was an isolated and symptomatic lesion and the associated teeth are vital. The area is radiographically normal with no bone resorption.

Figure 1 This photograph was taken at first presentation where a small, dome shaped and smooth surfaced, purplish-red swelling is identified buccal to tooth #6.