16. swelling in the anterior gingivae

From Volume 42, Issue 10, December 2015 | Pages 981-982

Authors

Crispian Scully

CBE, DSc, DChD, DMed (HC), Dhc(multi), MD, PhD, PhD (HC), FMedSci, MDS, MRCS, BSc, FDS RCS, FDS RCPS, FFD RCSI, FDS RCSEd, FRCPath, FHEA

Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK

Articles by Crispian Scully

Dimitrios Malamos

DDS, MSc, PhD, DipOM

Oral Medicine Clinic, National Organization for the Provision of Health Services (IKA), Athens, Greece

Articles by Dimitrios Malamos

Article

A 52-year-old Caucasian woman had complained of a symptomless swelling in her anterior upper left gingivae facially between the central and lateral incisor for about 2 months.

Oral examination revealed a single sessile, round, cystic-like lesion measuring 1.2 x 2.0 cm, which was not tender but fluctuant and with a bluish colour (Figure 1). There was no discharge or communication of the lesion with the periodontium of the adjacent teeth. Although the central and lateral incisor had cervical caries and exogenous stains, they were vital on pulp testing, and radiography did not show osseous involvement.

The lesion was removed under local anaesthesia and consisted of a fibrovascular connective tissue with minimal chronic inflammation and was lined in parts by stratified squamous epithelium.

No recurrence was reported during 18 months follow-up.

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