White sponge nevus (WSN) is an interesting hereditary oral mucosal disorder that commonly manifests as bilaterally symmetrical, thickened white, corrugated or velvety, diffuse plaques that predominantly affects the buccal mucosa. The lesions may develop at birth or later in childhood or adolescence. Because it is asymptomatic and benign, WSN requires no treatment. Recognition of this disorder is important due to its potential confusion with other lesions that may be found in the oral cavity. Emphasis should be given to the early and correct diagnosis of this disorder to avoid unnecessary treatment. This report presents three affected members of a single family.
Benign gingival overgrowths are not uncommon in the oral cavity. Reactive lesions and neoplasms comprise the spectrum of local proliferations that occur in the gingiva. Similarity in the clinical features of these diverse lesions further compound the dilemma in arriving at a proper clinical diagnosis. Giant cell fibroma (GCF) is one such interesting lesion that may clinically mimic a fibroma or a papilloma that can only be diagnosed after histopathological examination from its unique and characteristic features. In this paper, the first case of GCF in an 18-year-old northeastern Indian of Mongoloid origin is reported for its rarity.
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