Hereditary gingival fibromatosis is characterized by varying degrees of attached gingival hyperplasia effecting family members. Patients' gingiva might present pink, firm, fibrous consistency with smooth to stippled surfaces. This condition results in both esthetic and functional problems, such as diastemas, malposition of teeth, prolonged retention of primary dentition, delayed eruption of permanent teeth, prominent lips, and open lip posture. Periodontal surgery for gingivoplasty might help to improve esthetic and masticatory function. However, the timing of intervention is usually delayed until permanent dentition stage because the recurrence rate is high during teeth eruption. This case report presents the dental managements and treatment considerations of a 10-year-old boy with hereditary gingival fibromatosis.