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Differential diagnosis of intra-oral lesions is challenging and rare lesions are usually neglected. Peripheral (extra-osseous) ameloblastoma is the rarest form of ameloblastoma with high predominance in male. It occurs most commonly in the gingiva. The peak of incidence is above 50 years. The purpose of this report is to describe a case of peripheral ameloblastoma in an 18-year-old female, for more acquaintance with this rare lesion. Differential diagnosis of this lesion is also discussed in detail.