A 40-year-old female with unremarkable medical history was examined at our department because of an asymptomatic mucosal alteration on the posterior, right side of the hard palate.
The alteration was red/brown and located near the maxillary tuberosity (Fig.
1).A seemingly uncomplicated punch biopsy was performed, with oral melanin hyperpigmentation as the histological diagnosis.
Treatment consisted of the use of chlorhexidine gel twice daily and paracetamol per os.
Healing was confirmed one month later.
The mucosa at the site of the biopsy was very thin.In retrospect, we would have preferred a scalpel for a thinner and longer biopsy, instead of a circular biopsy punch with a diameter of 5 mm.The Conservative treatment strategy as presented here should be regarded as the primary option.