Oral mucosa is affected by various papillary lesions. Any oral lesion raises concern because of its clinical appearance. This case report describes the management of an 8-year-old girl with an exophytic papillary growth on the palatal aspect of 64. The lesion clinically resembled an oral squamous papilloma but did not show any signs of a virally infected lesion histopathologic ally or on immunohistochemistry analysis which was unique with this case. Clinical Relevance: The lesion clinically resembled an oral squamous papilloma but ON further investigation a final diagnosis of fibro epithelial hyperplasia was made. Hence to come to a definitive diagnosis we cannot rely only on the clinical manifestation of the lesion and further investigations are very important