Abstract
Squamous odontogenic tumor (SOT), first described by Pullon et al. in 1975, is an exceptionally rare, locally infiltrative, and benign odontogenic epithelial neoplasm. To the best of our knowledge, English literature has reported only 50 cases till date, with central SOTs being more frequent than peripheral subtypes. A 25-year-old female patient reported with a persistent, asymptomatic, gingival growth with respect to mandibular incisor-canine region recurring for the third time. Surgeries were performed previously but no histopathological evaluation was done. Provisionally, a diagnosis of reactive jaw lesion was made based on the clinical and radiographic features, but on histopathological evaluation, the scenario changed. This case underscores the features of peripheral variant of SOT and the importance of considering it in the differential diagnosis of anterior jaw lesions, especially in atypical demographics such as young females. Early recognition through histopathology and other advanced diagnostic techniques are crucial to avoid the misdiagnosis and ensure the optimal outcomes.