Gum growth to teeth

In life, many people will find that their gums have grown out. When they discover it, the gums have grown on the teeth. When this happens, it is gingival hyperplasia. There are many reasons for gingival hyperplasia, which is mainly related to personal living habits and eating habits. Of course, long-term use of certain medications or illnesses can also cause gingival hyperplasia. When gingival hyperplasia occurs, it must be treated in time.

Causes of gingival hyperplasia: Mouth breathing and nasal diseases often cause mouth breathing, and the oral cavity is stimulated by air for a long time, leading to gingival hyperplasia. Poor oral hygiene due to not brushing teeth for a long time, food residues are retained in the gingival sulcus and form tartar through the action of bacteria. The gums become congested, red, swollen and proliferate, and sometimes bleed with the slightest stimulation, causing inflammatory gingival hyperplasia. Long-term use of drugs such as epilepsy treatment and cardiovascular drugs such as phenytoin sodium and nifedipine can cause gingival hyperplasia. Disordered occlusion, crowding of the front teeth, disordered arrangement, deep overbite and other dental deformities cause the gums to proliferate due to frequent irritation from food. Leukemia Patients with leukemia may develop gingival hyperplasia.

Diagnosis of gingival hyperplasia: The presence of chronic gingivitis plaque and tartar; changes in gingival color and texture: the gums are bright red or dark red, the gingival margin becomes thicker, the gingival papillae are rounded and enlarged, and sometimes they may proliferate in a spherical shape. In a few cases with severe inflammation, gingival erosion or granulation hyperplasia may occur. The gums sometimes have a soft and brittle surface. When probing, there is bleeding in the gingival sulcus, and the bottom of the gingival sulcus should be located at the enamel-cementum junction, with no clinical attachment loss. There was no radiographic evidence of bone resorption at the alveolar crest. Adolescent gingivitis (1) The patient is in adolescence; oral hygiene is fair or poor; the gums are obviously red and swollen, and the gingival papillae are often spherical, shiny and soft. It is easy to bleed with slight stimulation, especially on the labial side of the front teeth. May have bad breath. (2) There may be factors such as malocclusion, orthodontic appliances, and bad habits. The degree of gingival hypertrophy and hyperplasia does not match the degree of local stimulation, that is, the inflammatory response of the gingival tissue is strong. Pregnancy gingivitis (1) Inflammation of the gingival margin and gingival papillae may occur on individual teeth or on the entire gingiva, but is more severe in the anterior teeth area. There are local irritants such as plaque. Generally, there is varying degrees of gingivitis before pregnancy, and obvious symptoms such as bleeding gums when brushing teeth and eating appear 2 to 3 months after pregnancy. (2) Gestational gingival tumors occur in the interdental papilla of a single tooth, usually appearing in the third month of pregnancy. They proliferate rapidly and are bright red or dark purple in color. They are irregular in shape and may be lobed, with or without a pedicle. They are soft and prone to bleeding. Local irritants can usually be found, such as residual roots, tartar, and poor restorations. After delivery, most pregnancy tumors will gradually shrink on their own, but local irritants must be removed for the lesions to completely disappear.

Drug-induced gingival hyperplasia (1) History of systemic diseases and medication. (2) The interdental papillae or gingival margins become hypertrophic and spherical, mulberry-like or lobed, light pink in color, firm and slightly elastic, and in severe cases may interfere with chewing. It is more common in the front teeth area, but can also occur in the gums of the entire mouth. (3) Generally painless, but may be accompanied by severe symptoms of gingivitis such as bad breath, bleeding when brushing teeth, and periodontal abscesses. (4) Due to the compression of hyperplastic gums, teeth become loose and displaced (mostly seen in the upper front teeth). (5) The condition may be aggravated by poor oral hygiene, trauma, caries, poor fillings and orthodontic appliances, etc.

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