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In clinical periodontics, gingival hypertrophy is a common clinical manifestation. Various unpleasant stimuli, such as offending medicines, hormones, plaque, and nutritional inadequacies, cause the gingiva to respond. The importance of early diagnosis and treatment cannot be overstated. In order to arrive at a solid diagnosis, a physician must be cautious while diagnosing these illnesses and ensure that all differential diagnoses are ruled out. This review of the literature focuses on the clinical manifestations of several forms of gingival enlargements.