Clinical and Radiographic Findings

The patient’s parents are not sure when they appeared but state that they have been present for more than three years. They are multiple nodules, the same color as the surrounding mucosa and are present on the upper and lower labial mucosa and bilateral buccal mucosa, more so anterior buccal mucosa, near the commissures. They are reportedly “itchy” and have some “burning sensation”. There is no family history of such lesions.

Figure 1 Photograph taken at first clinical presentation to University of Washington Oral Surgery Clinic. Note the multiple, small, pink, sessile and exophytic nodules on the upper lip and bilateral commissures. They were also present on the lower lip.

Figure 2 Photograph taken at first clinical presentation to University of Washington Oral Surgery Clinic. Note the coalescing multiple, small, pink, sessile and exophytic nodules on the right buccal mucosa. They were present on the left buccal mucosa as well.