A 47-year-old man presents to the clinic with the chief complaint of having a swelling noted in his mouth with some drainage. His medical history is non-contributory, but he does mention taking allergy medications due to recent sinusitis and suspected nasal obstruction. Clinical examination reveals a firm swelling on the patient’s palate that crosses the midline. There is a small sinus tract of drainage noted behind the central incisors. Upon routine vitality testing, all teeth test vital. Oral radiographs reveal a “heart-shaped” lesion in the anterior maxilla. Which of the following is the most likely etiology of this lesion?

1.Developmental, arising from normal tissue
2.Neoplastic, arising from the surrounding bone
3.Reactive, arising from bacteria found around the tooth
4.Traumatic, likely caused from recent trauma to the area

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