Hemangiomas that cause facial esthetic concern include those that occur mainly on maxillary lip. The lesion may be unilateral but may affect contralateral side due to high tissue elasticity, especially when involvement of the vestibule is present. Vascular proliferation in this region may occur between muscle fibers of orbicularis Oris muscle and may not be associated with any pain. This article presents a case of intramuscular hemangioma in a young male adult patient who had reported with carious involvement of mandibular molar. The swelling was associated with maxillary lip and had slowly grown in size over a period of  three years. Definitive diagnosis was done after an incisional biopsy was evaluated for pathological evaluation. Patients normal masticatory and functions of speech were not impaired by the presence of the swelling. The patient received a crown in relation to the endodontic treated tooth, while after confirming the benign nature of the swelling, the patient did not turn up for surgical removal of the swelling.

Keywords:  hemangioma, vascular malformations, fibroma, neurillemoma, benign, tumour.

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Jacob John H

Assistant Professor, Department of Prosthodontics, CIIDSRC, KUHS, India