Case #38:

Case profile:

Patient: Adult male.

Case record:

Chief Complaint: The patient requests treatment of a soft tissue enlargement of the gingiva. The lesion has been present two weeks and is progressively increasing in size. It is nonpainful and bleeds easily. The patient states that brushing his teeth or eating rough food makes the lesion bleed.   Medical History: The patient states that he smokes cigarettes, half a pack per day.   Dental History: No abnormalities are identified.   Clinical Findings: The lesion is a well-circumscribed, 0.5 x 1.0 cm, erythematous soft tissue enlargement on the gingiva lingual to the maxillary central incisors. The lesion bleeds easily during gentle probing. The lesion is compressible and nontender to palpation. It is fixed to the surface mucosa and underlying structures. The surface is smooth, but there is an area of ulceration covered by a fibrin clot. The lesion blanches upon pressure. Radiographs reveal no associated bony abnormalities. Lymphadenopathy is not present.

Images:

Soft Tissue Enlargement of the Gingiva LG