Oral focal mucinosis (OFM) is an uncommon soft tissue lesion of unknown aetiology. Clinically, it is most commonly found on the gingiva and presents as a painless, sessile or pedunculated mass that is the same colour as surrounding mucosa. Histologically, it is characterized by focal myxoid degeneration of connective tissue. OFM occurs predominantly in adults during the fourth and fifth decade of life, although it has been reported infrequently in children and adolescents. Diagnosis relies on histological analysis and treatment involves complete surgical excision. Recurrence is unreported. This case report describes the clinical and histological presentation and subsequent management of OFM in an adolescent female patient.