▪Can only be confirmed by determined by biopsy which is not always done.

▪Not always clear whether it is hyperplasia or hypertrophy.

▪Gingival enlargement is preferred terminology.

Causes

▪Vincent’s angina, Scurvy

▪Sodium Valproate, Nifedipine, Ciclosporin

▪Pregnancy, Oral contraceptive pill

▪Acute Myeloid leukaemia (M5) – may regress after treatment.

Clinical

▪May be bleeding enlarged gums

▪Anaemia – ? AML

▪Known epilepsy

Management

▪Specialist review of medications as appropriate

▪Good dental care

Reference:Textbook of periodontology shantipriya Reddy