History of the present illness

This is a 61-year-old white female who had a slowly and progressively enlarging gingival swelling over the last six months (Figure 1 & 2). It involved the right retromolar pad area, the buccal gingiva of tooth #31 and the right posterior vestibule. The swelling was mostly in the right retromolar pad area (Figure 1). The patient complained of soreness in the area. It was pink to red in color and was focally ulcerated and lobular. It was described clinically to be around 2.5 cm in size. There was no evidence of underlying bone involvement (Figure 3). The patient's past medical history is negative for smoking.

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.