What is gingival hyperplasia
Sarah Rodriguez
Published Mar 28, 2026
Gingival (Gum) enlargement, also known as gingival hyperplasia or hypertrophy, is an abnormal overgrowth of gingival tissues.
What can cause gingival hyperplasia?
Gingival hyperplasia can occur as a direct result of inflammation. The inflammation is often caused by plaque buildup on the teeth from food, bacteria, and poor hygiene practices. The inflammation can make the gums tender and red, and it can trigger bleeding.
What are the drugs causing gingival hyperplasia?
Drug-induced gingival overgrowth is a side effect associated principally with 3 types of drugs: anticonvulsant (phenytoin), immunosuppressant (cyclosporine A), and various calcium channel blockers (nifedipine, verapamil, diltiazem).
What does gingival hyperplasia look like?
Gingival hyperplasia, also referred to as gingival enlargement, is the overgrowth of gum tissue around your teeth. The affected gum tissue often becomes inflamed, which is a symptom of gingivitis (mild gum disease). Your gums may be red, soft, shiny, and bleed easily when brushing or flossing.How do you treat gingival hyperplasia at home?
- Brush your teeth at least twice a day. …
- Opt for an electric toothbrush to maximize your cleaning potential.
- Make sure your toothbrush has soft or extra-soft bristles.
- Replace your toothbrush every three months.
- Floss daily.
- Use a natural mouthwash.
- Visit your dentist at least once a year.
Is gingival hyperplasia common?
It is a common feature of gingival disease. Gingival enlargement can be caused by a number of factors, including inflammatory conditions and the side effects of certain medications. The treatment is based on the cause.
How do you get rid of gingival hyperplasia?
- Removal of bacterial plaque by thorough tooth brushing and flossing.
- Antiseptic mouthwashes such as chlorhexidine.
- Ultrasonic treatments.
- Courses of antibiotics to reduce oral bacterial load (e.g. erythromycin or azithromycin)
Does an Epulis have to be removed?
Fibromatous epulis: Surgical resection is recommended. Ossifying epulis: Surgical removal is also recommended. However, this kind of epulis can be difficult to fully remove due to the possibility of bony attachment. Cryosurgery and laser treatments are sometimes recommended as a means of removal.Is gingival hyperplasia contagious?
In rare cases, further tests such as blood studies or a biopsy may be necessary to determine the exact cause of your gingival enlargement. Q: Is gingival enlargement contagious? A: No, these conditions are not infectious. You did not catch it from anyone and cannot pass it on.
What do gums look like with gum disease?Unhealthy Gums. If you have healthy gums, they will look firm and pink. Some signs of unhealthy gums include redness and swelling, gums that bleed when you brush or floss your teeth, and gums that appear to be pulling away from the teeth.
Article first time published onHow phenytoin causes gum hyperplasia?
Phenytoin has been shown to induce gingival overgrowth by its interaction with a subpopulation of sensitive fibroblasts. Cyclosporine has been suggested to affect the metabolic function of fibroblast (eg, collagen synthesis, breakdown).
Do dentist cut gums?
Your dentist uses a scalpel or laser tool to cut away pieces of gum tissue. This is called soft tissue incision. During the procedure, your dentist will likely keep a suction tool in your mouth to remove excess saliva.
Does salt water help gums?
Salt is a natural disinfectant that helps with gum disease in a few ways: It removes loose debris and cleans the teeth and gums. Reduces inflammation and swelling and soothes the gums. It helps to get rid of decay and plaques.
What toothpaste is best for gingivitis?
- Help with gingivitis.
- Freshens breath with cool mint flavor.
- Helps with tender and bleeding gums.
- Contains 0.454% fluoride.
How can I make my gums healthy again?
- Brush the teeth properly. Share on Pinterest Brushing the teeth twice a day with fluoride toothpaste can help keep gums healthy. …
- Choose the right toothpaste. …
- Floss daily. …
- Rinse your mouth out with care. …
- Use mouthwash. …
- Get regular dental checkups. …
- Stop smoking.
Can your gums grow back?
The bottom line. Receding gums are a common condition. Even with good oral hygiene habits, aging and genetics can still cause gum loss. While your gum tissue can’t grow back, there are many treatment options that can help stop or slow down the process.
Is gingival hyperplasia the same as Epulis?
Gingival hyperplasia is most common in brachycephalic dog breeds and is present in 30% of boxer dogs older than 5 years. Grossly, gingival hyperplasia can be indistinguishable from an epulis (Fig. 7-41). Epulis is a nonspecific term that designates a growth of the gingiva.
Can braces cause gingival hyperplasia?
Occasionally, plaque buildup or gum irritation caused by braces may trigger a condition known as gingival hyperplasia. Gingival hyperplasia is also referred to as gingival enlargement, or hypertrophy. It results from an overgrowth of gum tissue around the teeth.
How much does gingival hyperplasia surgery cost?
The Cost of Fixing Overgrown Gums Laser surgery is one of the main ways to treat gingival hyperplasia. The cost of trimming away overgrown gums for a single tooth can cost between $50 and $350. For multiple front teeth, the gum disease treatment cost is between $1000 and $3000.
What does Epulis look like?
Fibromatous epulis appears on a stalk of tissue, much like a mushroom, or as an unmoving mass. It is usually pink in color and has a non-ulcerated smooth surface. It may appear as an enlargement on the gum tissue near incisor, canine, or premolar teeth.
Is an epulis painful?
This type of epulis is most often painless, but pain may be associated due to secondary trauma, via brushing, flossing or chewing. Diagnosis of a fibrous epulis is based firstly upon clinical features.
Does epulis cause pain?
An epulis may cause movement or even loosening of a dog’s teeth. This can result in mouth pain and having difficulty closing the mouth or chewing.
How quickly does an epulis grow?
Most epulides are slow growing and may be present for several months before detection. There are three main types of epulis, based on their manner of growth and the tissues involved: • The most common types are the fibromatous and ossifying epu- lides.
What is the fastest way to get rid of a gum infection?
- Warm and Cold Compresses. A great and easy way to relieve painful gums is by applying compresses on your gum to relieve your pain. …
- Salt Water Rinses. …
- Hydrogen Peroxide. …
- Tea Bags. …
- Tea Tree Oil. …
- Turmeric Paste. …
- Over-the-Counter Pain Killers. …
- Oral Anaesthetic Gels.
Does gum disease go away?
Gum disease can go away but only with immediate gum disease care. A survey revealed that almost half of all Americans are suffering from a form of gum disease. Once you develop gum disease, it is required that you commence treatment immediately to stop it from escalating.
What foods are good for your gums?
- Fresh Fruits and Vegetables. Fresh fruits and vegetables that are crunchy and full of fiber can help keep teeth clean and healthy, and lower the risk of plaque build up. …
- Milk, Yogurt, Dairy. …
- Water. …
- Sugar Free Gum. …
- Tea. …
- Nuts. …
- Whole Grains.
Is gingival hyperplasia a side effect of phenytoin?
Gingival enlargement is a well-recognized adverse effect and occurs in about 50% of patients receiving phenytoin. [12] As per evidence, drug-induced gingival enlargement may improve by substitution with other anticonvulsant drugs, along with reinforcement of good oral hygiene regimen.
How can you prevent gingival hyperplasia from phenytoin?
Folic acid supplementation prevents gingival hyperplasia in most children started on phenytoin monotherapy. Phenytoin is an excellent and cost-effective antiepileptic drug (AED) that is especially useful in developing countries with limited access to newer AEDs.
Can nifedipine cause gingival hyperplasia?
The principal action of nifedipine is to inhibit the influx of extracellular calcium ions across the membranes of cardiac and vascular smooth muscle cells, without changing serum calcium concentration (1). One of the side effects of this drug is gingival hyperplasia which was first described in 1984 by Lederman (2).
How bad is gum surgery?
The actual gum grafting procedure is painless. This is because a local anesthetic is used to numb the affected area. A periodontist, who is a dental specialist in gum disease and the gums, typically performs this procedure. You may instead feel some movement or pressure as your periodontist performs the procedure.
Why is my gum coming down?
Grinding and clenching your teeth. Clenching or grinding your teeth can put too much force on the teeth, causing gums to recede. Crooked teeth or a misaligned bite. When teeth do not come together evenly, too much force can be placed on the gums and bone, allowing gums to recede.