We study the local H ölder regularity of strong solutions u of second-order uniformly elliptic equations having a gradient term with superquadratic growth γ > 2, and right-hand side in a Lebesgue space L q . When q > N γ−1 γ (N is the dimension of the Euclidean space), we obtain the optimal H ölder continuity exponent α q > γ−2 γ−1 . This allows us to prove some new results of maximal regularity type, which consist in estimating the Hessian matrix of u in L q . Our methods are based on blow-up techniques and a Liouville theorem.