History of the present illness

This 10-year-old white male was referred to the oral surgeon for the evaluation of a slowly growing, purple-red, smooth-surfaced and sessile gingival swelling in the anterior maxilla covering teeth #s 5-7 (Figure 1). This growth was of six months' duration but was reported to have suddenly increased in size over the last few weeks. It was isolated and otherwise asymptomatic. The associated teeth were vital and there was no evidence of bone resorption.

Figure 1 This photograph was taken at first presentation where a large, dome-shaped, smooth-surfaced and ulcerated purplish-red swelling is identified buccal to teeth #s 5-7.