Clinical examination revealed a non-tender, bright-red pedunculated mass which arose from the buccal interdental papilla between teeth #19 and #20. (Figure 1) The mass tended to bleed easily upon manipulation. Generalized marginal gingivitis was seen throughout the mouth.
A bitewing radiograph revealed slight bone loss at the crest of the alveolar bone between #19 and #20. (Figure 2) However, no obvious intrabony lesion was observed.
Additional Clinical History
During the review of the patient’s medical history, she stated she currently was five months pregnant.
Because the large size of the lesion was creating problems with eating and speaking, it was decided to excise the mass and submit it to the Oral Pathology Laboratory. Microscopic examination showed an ulcerated mass of granulation tissue that was covered by a thick fibrinopurulent membrane. (Figure 3)