A 38-year-old African American male without a significant past medical history presented with an oral mass. He was struck on the mouth by a wrench handle about two prior. Since then he has had a growing mass originating from the gum of his left front upper teeth. He is no longer able to eat solid foods and has to use a straw for all oral intake. The patient denies fevers, chest pain, shortness of breath, and weight loss.
An epulis is a benign growth on the gingiva or alveolar mucosa.
This patient had an ossifying fibroid epulis diagnosed by a computed tomography scan of facial bones and confirmed on pathology. An ossifying fibrous epulis contains bone or calcification and is usually caused by trauma .