Juvenile spongiotic gingival hyperplasia is a benign lesion, first described by Darling and cols. in 2007, there are several etiopathogenic factors proposed. It is characterized by being in the anterior attached gingiva of the maxilla, clinically it is observed as macular or elevated, with a papillary, granular, or smooth surface, bright red in color, and its presentation can be localized or generalized. It is an asymptomatic entity and is not associated with biofilm-induced inflammation. We present two female patients (17 and 10 years old) with relevant and unprecedented medical history respectively, who presented multifocal lesions of bright red color, painless of velvety texture of soft consistency in the maxilla and jaw in which a conservative therapeutic setting and basic periodontal therapy, observation and controls were performed, did not show regression of the lesions after 6 months of observation. It is important for the dentist to recognize this entity and to make the different differential diagnoses, as these could be clinically very coincidental, to carry out an optimal treatment strategy.
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