case_images: PMC3414006_01
case_images: Exophytic growth seen covered with a white pseudomembrane.
case_images: CRIM.DENTISTRY2012-975358.001.jpg
case_images: PMC3414006_01_CRIM.DENTISTRY2012-975358.001.jpg
case_images: fig1
case_images: It is well defined, firm, nontender and covered with white pseudomembrane (Figure 1).
case_images: Blackish discoloration of the entire mandibular gingiva.
case_images: CRIM.DENTISTRY2012-975358.002.jpg
case_images: PMC3414006_01_CRIM.DENTISTRY2012-975358.002.jpg
case_images: fig2
case_images: Mandibular marginal and attached gingiva was black in color especially on the labial/buccal aspect (Figure 2).
case_images: Orthopantomogram showing horizontal bone loss in relation to mandibular incisors and rarefaction in the surrounding bone.
case_images: CRIM.DENTISTRY2012-975358.003.jpg
case_images: PMC3414006_01_CRIM.DENTISTRY2012-975358.003.jpg
case_images: fig3
case_images: There was generalized rarefaction in the adjoining bone altering the normal trabecular pattern (Figure 3).
case_images: Blow mouth axial CT scan showing enhanced growth.
case_images: CRIM.DENTISTRY2012-975358.004.jpg
case_images: PMC3414006_01_CRIM.DENTISTRY2012-975358.004.jpg
case_images: fig4
case_images: Computed tomogram (CT) showed 2.3 x 4.4 cm sized enhancing lesion extending from right mandibular lateral incisor upto the left second premolar lingually (Figure 4).
case_images: Erosion of the anterior cortex of the left body of mandible seen on the axial CT scan bone window.
case_images: CRIM.DENTISTRY2012-975358.005.jpg
case_images: PMC3414006_01_CRIM.DENTISTRY2012-975358.005.jpg
case_images: fig5
case_images: There was erosion of the anterior cortex of the left body of mandible to the symphyseal region (Figure 5).
case_images: PMC3414006_02
case_images: A black exophytic growth was seen on the right side of the hard palate with satellite lesions.
case_images: CRIM.DENTISTRY2012-975358.006.jpg
case_images: PMC3414006_02_CRIM.DENTISTRY2012-975358.006.jpg
case_images: fig6
case_images: On intraoral examination, a black exophytic growth was seen on the right side of the hard palate (Figure 6).
case_images: Buccal extension of the lesion involving the gingiva between the maxillary right first and second molars.
case_images: CRIM.DENTISTRY2012-975358.007.jpg
case_images: PMC3414006_02_CRIM.DENTISTRY2012-975358.007.jpg
case_images: fig7
case_images: The lesion extended onto the buccal aspect involving the gingiva between the maxillary right first and second molars (Figure 7).
case_images: Orthopantomogram showing destruction of interdental bone between maxillary right first and second molars, disruption of the corticated border of the floor of right maxillary sinus.
case_images: CRIM.DENTISTRY2012-975358.008.jpg
case_images: PMC3414006_02_CRIM.DENTISTRY2012-975358.008.jpg
case_images: fig8
case_images: The periodontal ligament space in relation to all the right maxillary molars and second premolar was widened (Figure 8).
case_images: Axial CT scan showing ill-defined enhancing soft tissue mass on right side of hard palate extending posteriorly upto the soft palate.
case_images: CRIM.DENTISTRY2012-975358.009.jpg
case_images: PMC3414006_02_CRIM.DENTISTRY2012-975358.009.jpg
case_images: fig9
case_images: There was no evidence of erosion or sclerosis of bone due to the soft tissue mass (Figures 9 and 10).
case_images: Coronal CT scan at the level of the maxillary right first molar showing bone destruction around the tooth.
case_images: CRIM.DENTISTRY2012-975358.010.jpg
case_images: PMC3414006_02_CRIM.DENTISTRY2012-975358.010.jpg
case_images: fig10
case_images: There was no evidence of erosion or sclerosis of bone due to the soft tissue mass (Figures 9 and 10).
case_images: Histopathology slide showing spindle-shaped melanocytes.
case_images: CRIM.DENTISTRY2012-975358.011.jpg
case_images: PMC3414006_02_CRIM.DENTISTRY2012-975358.011.jpg
case_images: fig11
case_images: Few mitotic figures were also seen (Figure 11).