Atypical Whitish Gingival Plaque

Key Points

• To identify the most likely diagnosis of atypical whitish gingival plaque given accompanying pigmentation.
• Considered clinical aspects and physical examination findings
• Presented multiple diagnostic options for evaluation
• Most likely diagnoses include oral candidiasis, oral leukoplakia, and idiopathic gingival papillokeratosis.
• Racial melanic pigmentation is noted as a common factor across the diagnoses.