CASE REPORT
A 65-year-old man was referred to the Oral Medicine Department by his
General Dental Practitioner for investigation of a swelling in the
anterior maxilla, which had been present for 6 weeks and associated with
mobility in the upper central incisors. There was no resolution of the
lesion following extraction of the central incisors and three courses of
antibiotics.
The patient’s medical history was significant for HIV which was managed
with a combination antiretroviral and Co-trimoxazole. He was a never
smoker and consumed 10 units of alcohol per week.
Extra orally, there was no lymphadenopathy. On intra oral examination a
firm, nodular, exophytic soft tissue swelling was noted in the upper
anterior maxilla extending to involve the labial sulcus (Figure 1).