Localized gingival enlargement—a diagnostic dilemma

Gingival enlargement is a well-documented and extensively researched condition in the field of dentistry but the diagnosis of this condition is complicated by a variety of inter-related factors in its etiology and progression. Hence, the identification of these factors and precise diagnosis forms the key to proper treatment planning. A case report of a 42-year-old man is illustrated with a localized gingival enlargement in the posterior right mandibular region, which posed quite a challenge in the diagnosis and treatment.