A 49-year-old African-American woman was referred to the University of North Carolina (UNC)–Chapel Hill Oral and Maxillofacial Surgery (OMFS) clinic for evaluation and treatment of an enlargement of the anterior mandible. The patient was aware of the lesion for “a long time” but stated it began notably increasing in size over the past 5 years. She denied paresthesia, pain, and mobile or shifting teeth. Her mother, who was present at the appointment, reported a recent change in her daughter's speech.