Among the vast categorization of gingival lesions and overgrowths, the term “reactive hyperplastic lesions” is used to describe certain pathologies reactionary to underlying systemic conditions, local irritants, or trauma. It is emphasized in the literature that treatment planning for all such pathologies includes surgical excision by one means or another. However, an exception is to be made in cases where adhering to the conventional method can be very difficult but at the same time prove favorable for the patient. The present case report aims to showcase an unusual case of localized inflammatory gingival hyperplasia mimicking a reactive pyogenic granuloma in an 11-year-old boy with cerebral palsy. The management and the outcome miraculously favored the nonsurgical approach in dealing with such a gingival lesion.
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