Gingival enlargements in children are a relatively common finding and are usually the result of a reactive response to local irritation or trauma. An enlargement may represent a variation of normal anatomic structures, inflammation, cysts, developmental anomalies and neoplasm. Within these lesions is a group of reactive hyperplasias, which develop in response to a chronic, recurring tissue injury that stimulates an exuberant or excessive tissue repair response. A case report of a 6–year–old boy who presented with pyogenic granuloma and was successfully treated is presented.