Gingival Hyperplasia: Why Gums Enlarge
Gum enlargement may result from plaque inflammation, medicines, inherited conditions, hormonal changes, or a local lesion.
The short answer
Gum enlargement can result from plaque inflammation, medicines, inherited conditions, hormonal changes, or a local lesion, and the cause requires an oral examination.

What does gingival enlargement look like around teeth?
Gingival enlargement is an increase in the visible gum tissue around teeth, sometimes called gingival overgrowth or hyperplasia. Plaque can make the tissue swollen and fibrous, while medicines such as some anticonvulsants, immunosuppressants, and blood-pressure drugs can produce a different pattern.
How can you clean safely around enlarged gums?
Brush carefully around the enlarged margins and clean between teeth without cutting or picking the tissue. Make a complete list of medicines and supplements, and do not stop a prescribed medicine without the prescriber's advice.
When should enlarged gum tissue be examined?
Seek dental care for tissue that grows, bleeds, covers teeth, makes eating or cleaning difficult, or appears as one distinct lump. Rapid growth, ulceration, fever, or facial swelling needs prompt assessment.
Which tests may explain why the gums are enlarged?
Ask which pattern is present, whether plaque control or a medicine review is involved, and whether periodontal measurements, radiographs, blood tests, or a biopsy are appropriate.
Frequently asked questions
Can this problem have more than one cause?
Yes. An examination distinguishes tooth, gum, bite, medication, and general-health causes that can look similar.
What will the dentist check?
The dentist will inspect the area, test nearby teeth and gums, and use imaging or other tests when the findings require them.
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Who wrote this page
This library is published by Dental Nation, a licensed dental group practising in the United Arab Emirates. Pages are written and overseen by the same clinical team that treats patients in our clinics, and are held to a fixed editorial standard for safety and accuracy.
This page is patient education, not medical advice, and cannot replace an examination. Anything urgent — facial swelling, trauma, uncontrolled bleeding or severe pain — needs a dentist or emergency care now.
