Abstract
Introduction Generalized gingival enlargement can arise from various causes. It may be hereditary, as seen in hereditary gingival fibromatosis (HGF), occur in association with syndromic conditions, or result from the side effects of certain systemic medications like phenytoin, cyclosporin, and nifedipine.This report discusses a case involving a 13-year-old girl who exhibited severe gingival overgrowth affecting both the maxillary and mandibular arches, leading to substantial coverage of nearly all her teeth. The differential diagnosis considered included drug-induced enlargement as well as idiopathic gingival fibromatosis. Methods To address the excess gingival tissue, a conventional flap surgery alongside osteoplasty was performed. Due to the generalized nature of the enlargement, the surgery was conducted quadrant by quadrant. Result The postoperative recovery was smooth, and the patient showed significant improvement in appearance. Follow-up evaluations over two years post-surgery indicated that the gingival condition remained stable.Conclusion Idiopathic gingival fibromatosis, although rare, is marked by significant gingival overgrowth. Surgical resection not only enhances aesthetics but also improves functionality. While recurrence of the condition is common, it may be managed or delayed through careful monitoring and scheduled follow-up appointments.