A solitary, red, papillary–verrucous lesion on the mandibular alveolar mucosa

Abstract

CLINICAL PRESENTATION A 60-year-old Caucasian male was referred by his dentist for diagnosis and management of an asymptomatic lesion, incidentally discovered during a routine dental examination. According to the patient, this was his first dental visit after more than 5 years. His medical history was significant for iron deficiency anemia; he had been smoking 10 cigarettes per day for about 42 years. Clinical examination revealed a round, well-circumscribed, red, plaque-like lesion with a papillaryÀverrucous surface on the alveolar ridge distally to the decayed root of the mandibular right first premolar, measuring 0.8 £ 0.5 cm (Figure 1). It was nontender on palpation, and the patient did not report pain or other neurologic symptoms in the area. There were numerous dental and periodontal problems, but the rest of the oral mucosa was normal. Cone beam computed tomography (CBCT), requested by his dentist for the preoperative planning of oral implant rehabilitation, did not reveal any bone abnormality in the area of concern (Figure 2, arrow).

Unusual localized gingival redness: a case report

“…Erythroplakia is usually not associated with habits and could not be ruled out in this case ( 6 ). Considering a positive family history of malignancy, associated pain, and increased bleeding tendency of the lesion, OSCC can also be considered in this case ( 1 , 7 ). Furthermore, apart from erythroplakia and OSCC, granulomatous conditions, such as tuberculosis ( 8 ), sarcoidosis ( 9 ), Wegner's granulomatosis ( 10 ), and deep fungal infections ( 11 ), can present similarly and can be ruled out with further investigation.…”