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Several cases of elastofibromatous lesion affecting the oral mucosa have been reported. Clinically, these lesions may appear as small exophytic lesions or less often as white lesions. Therefore, fibrous hyperplasia and leukoplakia are not uncommonly considered in clinical differential diagnosis. Microscopically, elastic and fibrous connective tissue deposition is seen. Rarely, elastofibromatous changes can be detected when assessing intraoral lesions, including cysts, salivary gland neoplasms, and epithelial dysplasia. Here we report two oral lesions showing elastofibromatous changes, expanding their clinicopathological spectrum. The first case was a 46‐year‐old man with a history of asymptomatic nodular lesion on the palate 1 year ago, diagnosed as giant cell fibroma with elastofibromatous changes. The second case was a 79‐year‐old woman who presented a pigmented and mildly symptomatic lesion on the mandibular alveolar mucosa several months ago, diagnosed as amalgam tattoo associated with elastofibromatous changes. [ABSTRACT FROM AUTHOR]

Amalgam tattoo is a type of pigmentation that appears in the mouth due to small particles of dental amalgam becoming embedded in the soft tissues. Dental work such as placement or removal of silver fillings is the most common cause of amalgam tattoo, and it is more commonly found in people with a high number of fillings. The tattoo is usually asymptomatic and discovered during routine dental examinations. Treatment is generally not necessary, but if a patient is concerned about the appearance of the tattoo, there are a few options for removal. The histopathological picture of an amalgam tattoo typically shows the presence of small, dark granules or particles of dental amalgam within the soft tissues of the oral cavity. A proper clinical and histopathological evaluation is necessary to accurately diagnose and distinguish an amalgam tattoo from other more serious conditions. The radiographic image of an amalgam tattoo may show a radiopaque object in the soft tissues of the oral cavity. It can occur due to various factors, including dental procedures, trauma, overloading of amalgam fillings, and poor oral hygiene. [ABSTRACT FROM AUTHOR]