The purpose of this study was to describe the medical treatment of a recurrent case of oral granuloma gravidarum (OGG) and its subsequent follow-up. Poor oral hygiene and hormonal variables can lead to the development of OGG, a benign tumor that frequently occurs during pregnancy. Primary healthcare providers, such as doctors and nurses, must diagnose and treat it, with possible referral to a dentist. However, there is a substantial possibility of relapse with this lesion, which can lead to issues including bleeding gums, difficulty with oral hygiene, pain, and difficulty eating. A young woman in her early 20s sought care for an OGG that manifested in the same proximal maxillary gingival area during each of her pregnancies. The patient had this recurrent tumor form 4 times in 2 years, despite surgical excisions, and reported having trouble maintaining good dental hygiene due to orthodontic treatment. Preventing gingival inflammation and OGG recurrence calls for diligent oral hygiene and ongoing education from healthcare experts. Except in the presence of exacerbating conditions like orthodontic treatment and mouth breathing, this tumor typically disappears on its own after delivery. However, surgery may be necessary when OGG gets in the way of eating, speaking, and other essential oral functions, surgery may be required.