Gingival hyperplasia

Inflammatory Gingival Hyperplasia
Gingival Hyperplasia from Diltiazem

Background

  • Gingival Hyperplasia/hypertrophy main causes are inflammatory, drug-induced, or systemic

Clinical Features

  • Swollen gums
  • Bright red or purple
  • +/- bleeding and easily bleed with probing
  • Poor oral hygiene

Differential Diagnosis

Management

  • Improve oral hygiene[2]
  • Follow up with dentist, oral medicine, or periodontist
  • Chlorhexidine Gluconate 0.12% for inflammatory causes[3]
  • Stop offending drug
  • Treat systemic problem

Disposition

  • Treated outpatient
    • Periodontal debridement, gingivectomy, laser surgery[4]

See Also

Dental Problems

References

  1. Bharti V et al. Drug-induced gingival overgrowth: The nemesis of gingiva unravelled. Journal of Indian Society of Periodontology. 2013;17(2):182-187. doi:10.4103/0972-124X.113066.
  2. Dahlen G et al. The effect of supragingival plaque control on the subgingival microbiota in subjects with periodontal disease. J Clin Periodontol. 1992;19:802–9.
  3. Pundir AJ et al. Treatment of drug-induced gingival overgrowth by full-mouth disinfection: A non-surgical approach. Journal of Indian Society of Periodontology. 2014;18(3):311-315. doi:10.4103/0972-124X.134567.
  4. Mavrogiannis M et al. The efficacy of three different surgical techniques in the management of drug-induced gingival overgrowth. J Clin Periodontol. 2006;33:677–82.