Abstract
Gingival fibromatosis is usually a hereditary oro-facial condition of unknown etiology. It is characterized by exuberant gingival soft tissue growth from the jaw and is usually idiopathic. We share an interesting case, arising in a 17-year-old Pakistani female, which is possibly the largest reported case due to its enormous size and involvement of both jaws. The lesion was successfully resected followed by dental rehabilitation with removable full dentures to restore form and function of oral cavity and subsequently enhance the quality of life and self-esteem.