Hyperplasia

• What is gingival hyperplasia?

  Growth of gingivae due to increased cell number
• How can poor oral hygiene lead to gingival hyperplasia?

  It causes inflammation and bleeding on probing
• How do heavy subgingival calculus deposits contribute to gingival hyperplasia?

  They increase bacterial load leading to inflammation
• Which medications can cause gingival hyperplasia?

  Calcium channel blockers and phenytoin
• Why is gingival hyperplasia common in organ transplant patients?

  Due to immunosuppressant medication use
• What systemic conditions can gingival hyperplasia indicate?

  Systemic disease or oral cancer presentation
• How can gingival hyperplasia be related to a patient's age?

  It can indicate pregnancy or menopause
• What symptoms might accompany gingival hyperplasia?

  NUG with bleeding and pain
• Can gingival hyperplasia be hereditary?

  Yes, it may be a hereditary family condition
• How is gingival hyperplasia linked to leukemia?

  It may be linked, requiring full medical history
• What granulomatous disorder can cause gingival hyperplasia?

  Crohn's disease
• How can food hypersensitivity affect gingival health?

  It can cause hypersensitivity reactions leading to hyperplastic gingiva
• What effect can PRFs have on gingival tissue?

  They can cause inflammation
• How does xerostomia contribute to gingival hyperplasia?

  It leads to poor plaque control
• What steps should the dental team take to manage gingival hyperplasia?

  • Detailed patient history: medical, social, family, diet
  • Identify possible causes of GH
  • Contact GP if medication linked to GH
  • Perform intra and extra oral examination
  • Document findings and patient history of GH
• What is the initial step in managing gingival hyperplasia?

  1. Provide oral hygiene instruction (OHI)
  2. Record baseline indices (BI and PI)
  3. Use Modified Bass technique
  4. Perform full mouth periodontal maintenance
  5. Review in 2-3 weeks
• What should be done if PI shows a 20% or 50% reduction?

  Move into step 2 of treatment
• What is the recommended local anesthetic for deep pockets during RSD?

  Lidocaine 2% with 1:80,000 adrenaline
• What are the follow-up steps after initial treatment for gingival hyperplasia?

  • Wait 6-12 weeks for healing
  • Post step 2 review: redo DPC and RSD
  • Suggest periodontal surgery if needed
  • Refer to a periodontal specialist for advanced procedures
  • Consider vitamin D supplements
  • Use pressure devices like night guards
• Who should be made aware of the treatment plan for gingival hyperplasia?

  The general dental practitioner (GDP)