Neurocysticercosis (NCC) is an endemic zoonoses affecting nervous system caused due to the ingestion of Taenia solium’s eggs. It is known to be the primary cause of preventable epilepsy which is treated with anti-epileptic drug (AED) therapy and most commonly phenytoin. With the chronic use of phenytoin comes its side effect of gingival overgrowth (GO) side by side. In this case report we have discussed the non-surgical management of the GO as the medical condition of the patient was a relative contraindication for surgical intervention with thorough phase I therapy and drug substitution with levatiracetam. The follow up after 3 months showed marked improvement in patient’s condition and encourages dental professionals to rely more and more on such a non-invasive treatment line, wherever feasible, in future.

Keywords: Gingival Overgrowth; Neurocysticercosis; Phenytoin.