IntroductionGingival overgrowth is a clinical manifestation evident in the oral cavity. 1-3 The current terminology for this disease is also known as gingival enlargement, which includes only the clinical description and, to a lesser extent, histological representation. Presenting clinical features include disfiguring enlargement of the interdental papillae leading to a gradual increase in pain and tenderness, which may inhibit chewing and speech. 4 Histologically it can be characterized as hypertrophy, hyperplasia, edema, hyperemia, constitutes inflammatory cells or dense fibrous connective tissue. 3 Depending on location and extent, gingival overgrowth may be localized, generalized, marginal, papillary, diffuse, or discrete. The degree of gingival enlargement can be assessed from Grade 0 to Grade III with increasing severity. This essay aims to outline the causes of generalized gingival overgrowth and subsequently consider its management. Gum overgrowth is well documented for its unwanted effects; This discussion examines the causes of generalized gingival overgrowth and then evaluates methods of managing this problem. Gingival overgrowth may be due to drug-induced 5-10, systemic disease 11, 12 or conditions 2, 13, genetics 14-18, idiopathic origin18, and neoplastic enlargement. 19-21 Drug-Induced The literature has established that drug-induced gingival overgrowth is an important etiology.10 Many patients take medications that have adverse effects on the oral cavity. Gingival overgrowth can be linked to three main classes of drugs based on their therapeutic activity, namely anticonvulsants (mainly phenice), immunosuppressants (mainly cyclosporine), and calcium channel blockers such as nifidipine. 7, 10The beginning of...... middle of the card...... (gas, liquid, solid or semiconductor diode) and the type of medium (example Erbium: yttrium aluminum garnet (Er:YAG )).28Walsh recognizes two significant characteristics of lasers, among which the reduction of intraoperative hemorrhage and the decrease of postoperative pain are more beneficial than conventional methods.28 The use of ND:YAG lasers without anesthesia is possible. 23 Although expensive, lasers provide excellent results in terms of a relatively clean surgical field allowing for a better field of vision for incisions and minimal swelling and scarring. 23, 27 In fact, the recurrence rate reported in laser therapies is significantly lower. In fact, the recurrence of gingival overgrowth is an inevitable challenge for patients and professionals. Recurrence may occur as early as 3-6 months2, despite surgery. Therefore, maintenance and recall are crucial in managing gingival overgrowth.