Gingival enlargement is a frequent characteristic of gingival disease produced by excessive growth of gingival tissues or gingival inflammation or amalgamation of both with a distinctive spot in relevant works and has been linked to numerous factors like inflammation, medications, neoplasia, hormonal disturbances, and heredity. The following case series highlights four cases of gingival enlargement, one being Phenytoin-induced, second Amlodipine induced combined with inflammatory enlargement, third inflammatory gingival enlargement and the fourth being inflammatory gingival enlargement combined with mouth breathing. Management per case is different due to different etiologic factors. Hence, for all the cases first, a non-surgical approach was carried out and depending upon the enlargement resolution further surgical procedures with electrosurgery or gingivectomy were performed. Thus, a proper diagnosis with a thorough treatment plan can lead to effective case management.
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