Abstract A case of fibromatosis gingivae has been reported. After two gingivectomies, the condition appears to be recurring. Full-mouth extraction of the deciduous teeth will be envisaged the next time, giving the patient a period of relief before the eruption of the permanent teeth, as in most of the cases reviewed the hyperplasia is associated with the eruption of the permanent dentition. Radiation therapy was considered, but after consultation with the radiation therapy department it was dropped as ineffectual, if not harmful, since such treatment might affect any future surgical procedure on the bone and might possibly harm the development of the jaws.