Inflammatory lesions in gingiva resulting from chronic irritation, commonly caused by plaque accumulation, calculus, or ill-fitting dental prostheses are often observed among population who fail to attend to it immediately resulting in tooth loss. This case report presents a 43-year-old female with localized gingival overgrowth in the left maxillary anterior region. The lesion was firm, non-tender with periodontal attachment loss. Scaling and root planing, followed later by surgical excision of the tissue overgrowth was performed. Histopathological analysis confirmed fibroepithelial hyperplasia with features of early peripheral ossifying fibroma. Postoperative healing was uneventful, with no signs of recurrence at four weeks. Patient was placed on maintenance protocol. Proper diagnosis and histopathological evaluation are essential to differentiate reactive hyperplasia from neoplastic lesions. Management involves eliminating etiologic factors and surgical removal to prevent recurrence. Regular follow-up and oral hygiene maintenance play a crucial role in long-term success. This case highlights the importance of early intervention and comprehensive periodontal care in managing reactive gingival overgrowths.
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