Clinical and Radiographic Findings

The patient reported a slowly enlarging pink-red, focally ulcerated and lobular swelling of the posterior vestibule, the buccal gingiva of tooth #31 and the right retromolar pad area (Figure 1 & 2). The lesion was of six months' duration and was described as 2.5 cm in size. It was mildly painful and was progressively getting larger. There was no evidence of bone resorption or tooth displacement as demonstrated in (Figure 3).

Figure 1 Photograph is taken at first clinical presentation demonstrating a large, sessile, exophytic, focally red and ulcerated swelling of the right posterior mandibular vestibule, buccal gingiva of tooth #31 and the right retromolar pad area.

Figure 2 Photograph is taken at first clinical presentation demonstrating a large, sessile, exophytic, focally red and ulcerated swelling mostly of the right retromolar pad area.

Figure 3 Panoramic view taken at first clinical presentation demonstrating normal bone and no evidence of tooth displacement or bone resorption in the right posterior mandible.