Gingival elephantiasis with unknown cause, a rare case finding

Gingival fibromatosis is a rare condition which is characterized by slow progressive lesion of the gingiva. It may occur as a localized lesion or may be generalized. Genetic cause has been implicated as its etiology with several genes and mutations and sometimes associated with syndromes or drugs but isolated cases are also reported and their etiology often remains unknown. A rare case study of excessive gingival overgrowth covering both maxilla and mandibular arches with complete presence of fibrous tissues on all the occlusal surfaces of teeth has been discussed. This case can be treated as an isolated finding because of its massive proliferative growth of the tissues leading to severe facial disfigurement and its psychological impact on eight-year-old girl.