Fibrous dysplasia (FD) is a condition characterized by excessive proliferation of bone forming mesenchymal cells which can affect one bone (monostotic type) or multiple bones (polyostotic type). It is predominantly noticed in adolescents and young adults. Fibrous dysplasia affecting the jaws is an uncommon condition. The most commonly affected facial bone is the maxilla, with facial asymmetry being the chief complaint. The lesion in many instances is confused with ossifying fibroma (OF). Diagnosis of these two lesions has to be done based on clinical, radiographic, and microscopic findings. Here, we present a case of fibrous dysplasia of maxilla in a nine-year-old boy mimicking juvenile ossifying fibroma.

Lesions are named erythroleukoplakia, leukoerythroplakia or speckled leukoplakia when both red and white areas are associated with a lesion. Speckled leukoplakia even though is rare, has the highest malignant potential among the various types of leukoplakia, so timely diagnosis is required for the early detection and proper management of the lesion. The etiology of erythroleukoplakia may be related to smoking, alcohol¬ism, microorganisms, and other agents so the dental practitioner performing the oral examination should be aware of the habits of the patients. Because of its high malignant potential, periodic monitoring of these patients and cessation of the associated risk factors are essential measures in such cases. Keywords: Buccal mucosa; Toluidine blue; Speckled Case PresentationA 55 year old medically fit male patient came to the Dental Outpatient department with a chief complaint of whitish area in relation to left and right inside of the cheek since 3 years. There were no abnormalities detected extraorally. On intraoral examination, Erythematous patch with white specks were seen on left ( Figure 1A) and right buccal mucosa ( Figure 1B) measuring around 5 cmx3 cm in diameter, extending anteriorly from commisure of the lip and extending 5 cm posteriorly till second molar region. Superiorly, 3 cm above vestibule to 0.5 cm above vestibule inferiorly. Lesions were irregular in shape, surrounding areas appeared normal. On palpation the lesions were nontender, hard in consistency, non scrapable and did not bleed. So considering the patient history and clinical findings, speckled leukoplakia irt left and right bucccal mucosa. Investigations such as Toluidine blue stain and incision biopsy were carried out. Toluidine blue stain did not show retentive areas on both the buccal mucosa. Incision biopsy specimen showed epithelium and connective tissue, epithelium was of various thicknesses and was hyperkeratinized with mild dysplatic changes. Based on history, clinical examinations and investigations, a final diagnosis of speckled leukoplakia in relation to left and right bucccal mucosa was given. DiscussionWHO defines leukoplakia as a whitish patch or plaque that cannot be characterized, clinically or pathologically, as any other disease and which is not associated with any other physical or chemical causative agent except the use of tobacco [1].The World Health Organization (WHO) employs the term Speckled Leukoplakia (SL) to describe the presence of both white and red patches on the oral mucosa [2]. The two main clinical types of leukoplakia are homogeneous and nonhomogeneous leukoplakia. Speckled leukoplakia falls under the category of non-homogenous leukoplakia.Etiological factors involved are alcohol use and smoking, diets lacking antioxidants (such as vitamins C, E, and beta-carotenes), occupational exposure to carcinogens, viral infections, and genetic and hereditary factors. Smoking of tobacco was found to be Case Report

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Squamous papillomas are common lesions of the oral mucosa related to human papilloma virus even though the controversy regarding its pathogenesis still exists. It most often occurs on the tongue and the hard palate. It is important to diagnose it correctly as it may mimic malignant lesions. Here we present a case of oral squamous cell papilloma and its review.

The traumatic bone cyst is an intraosseous cavity related to the jawbones and is devoid of epithelial tissue and has been reported in the literature under a variety of names. It is a rare pathology affecting the mandible more than the maxilla. Its onset occurs mainly during the first two decades of life, irrespective of sex with an excellent prognosis.