Background: Gingiva forms part of the periodontium-supporting structures that cover the alveolar process of jaws and surround the necks of teeth. It is a common site for plaque-induced and non-plaque-induced diseases, which present as neoplastic and non-neoplastic lesions.
Objective: To analyse the frequency distribution of gingival biopsied lesions for past 12 years and classify them as per the classification of periodontal and peri-implant diseases and conditions.
Material and Methods: The present study was conducted on the preserved records of gingival biopsies reported in our department, and all the details were tabulated.
Results: Out of 4468 biopsies, 264 (5.90%) gingival biopsies were obtained, with female dominance. Reactive lesions were the most frequent, followed by inflammatory and immune conditions and lesions (8.33%), neoplasms (4.54%), specific infections (0.37%), and gingival pigmentation (0.37%).
Conclusion: The study findings show high a prevalence of gingival lesions. Implementation of recent classification aids in their better categorisation.