Gingival diseases include a group of complex entities which are caused by various etiologic factors. Every condition displays a characteristic set of signs and symptoms. However, these may overlap in different conditions and may be further complicated by the presence of dental plaque, presence of other local etiologic factors and their severity. In the present case series, two young female patients reported with swelling and bleeding from the gums in the mandibular anterior region, which, on examination was found to be associated with ill-constructed prosthesis in Case 1 and mild crowding and plaque accumulation in Case 2. Both cases responded well to Phase I therapy which included thorough scaling and root planing and oral hygiene maintenance instructions. However, surgical treatment was indicated for the enlargement that persisted following Phase I therapy. Internal bevel incision gingivectomy procedure was performed. One month follow up revealed no recurrence. In conclusion, it can be said that, although gingival enlargement can be effectively treated by surgical and non surgical methods and their combination. However, not one method exists that prevents recurrence of the condition and long term follow is necessary.