Gingival (Gum) hyperplasia/hypertrophy

About

Not always clear whether it is hyperplasia or hypertrophyCan only be confirmed by determined by biopsy which is not always doneGingival enlargement is preferred terminology.

Causes

Vincent’s angina, ScurvySodium Valproate, Nifedipine, CiclosporinAcute Myeloid leukaemia (M5) – may regress after treatmentPregnancy, Oral contraceptive pill.

Clinical

May be bleeding enlarged gumsAnaemia – ? AMLKnown epilepsy.

Management

Specialist review of medications as appropriateGood dental care.

Burket’s Oral Medicine by Michael Glick

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