Hereditary gingival fibromatosis; recurrent, severe enough to close the mouth

Hereditary gingival fibromatosis also referred to as idiopathic gingival hyperplasia, elephantiasis gingivae etc; is a rare hereditary localized or generalized condition, which represents as swelling of gingivae of varied degrees with no apparent cause. Swelling is usually firm, pink and usually no signs of inflammation if oral hygiene is up to fair. Condition may occur solitary or in a syndrome. Recent findings report a defect in the Son of seven less-1 gene on chromose 2p21-p22[HGF1] as a possible cause. This case report presents a severe HGF case, importance of earlier management [as it may unable the patient to close their mouth], possible gravitational role in enlargement of swellings and its proper remedy