Case #39:

Case profile:

Patient: Adult woman

Case record:

Chief Complaint: Patient requests treatment of a soft tissue enlargement of the gingiva. The patient has been aware of the enlargement for five months, during which time it has slowly increased in size. It does not bleed and is nonpainful except when traumatized while eating. The lesion has never been treated. Medical History: The patient states that she smokes occasionally. Dental History: The last time the patient received dental treatment was eight or nine months ago. Clinical Findings: The lesion is a well-circumscribed, 0.8 x 1.0 cm soft tissue enlargement labial and distal to tooth #27. It is firm, nontender, has a smooth surface, and is fixed to surface mucosa and underlying structures. The lesion has a normal mucosal color and does not blanch. Radiographs reveal no bony abnormalities in the area. All teeth in the area test vital to electrical and thermal stimulation. The lesion does not bleed during examination. There are no palpable lymph nodes, other palpable masses, or areas of tenderness.

Images:

Soft Tissue Enlargement of the GingivaLG