How to treat gingivoma?

Overview of diseases

Gingivoma comes from the connective tissue of periodontal ligament and alveolar process of jaw, and has no unique structure of tumor, so it is not a real tumor. However, gingivoma has the appearance and biological behavior of tumor.

Etiology and pathology

Gingival tumor is a proliferation formed by mechanical stimulation and chronic inflammatory stimulation, and it is also related to endocrine. For example, women are prone to develop gum tumors during pregnancy, and then they will shrink or stop growing after delivery. According to the different pathological structures, gingivoma can be divided into three types: granuloma type, fibrous type and vascular type. Granulomatous gingival tumor is mainly composed of granulation tissue, with red or pink surface and easy bleeding. Fibrous gingivoma contains more fibrous tissues and fibroblasts, and its surface is smooth, and its color is not much different from that of normal gums, so it is not easy to bleed. Vascular gingivoma contains a large number of blood vessels and is prone to bleeding, such as pregnancy gingivoma.

clinical picture

Gingivoma is more common in women and young adults. Gingivoma mostly occurs in the gingival papilla on the labial and buccal side, especially in the bicuspid area. The masses are limited, different in size, round or oval, and sometimes lobulated. Some tumors are pedicled, such as polyps, while others are sessile and have a wide base. Tumors generally grow slowly, but they increase rapidly during pregnancy. When the tumor grows up, it can cover part of the tooth surface and alveolar process, and tooth indentation can be seen on the surface, which is easy to be bitten and infected. When the tumor grows up, it can destroy the alveolar bone wall and lead to tooth loosening and displacement.

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Diagnosis and differentiation

(1) is more common in young adults, especially in the labial, buccal and gingival areas of front teeth.

(2) Fibromatous gingival tumor: It is a real tumor, starting from the gingival papilla and growing outward. It is lobulated, smooth in surface, hard and gray, and it is not easy to bleed. Most of them are not big, and a few of them can increase the coverage of the occlusal surface of teeth, affect chewing and cause traumatic ulcers.

(3) Granulomatous tumor service: It is related to local stimulation such as gingival teeth, residual crowns, residual roots, bad dentures and dental calculus. Inflammatory granulation tissue hyperplasia appears in the gums, which are soft, red and easy to bleed.

(4) Hemangiomatous gingival tumor: It is related to endocrine, and it is more common in pregnant women. It's called pregnancy calcaneus, which is soft and easy to bleed. It develops rapidly during pregnancy and can subside after delivery.

(5) Gingivoma should be differentiated from gingival cancer.

(1) Surgical resection should include the extraction of alveolar process and affected teeth, otherwise it will easily lead to recurrence.

(2) Removal of bad dentures, residual roots and crowns and other local stimulating factors.

(3) The gingival tumor during pregnancy can be surgically removed if it does not subside after delivery.

treat cordially

(1) Surgical resection should include the extraction of alveolar process and affected teeth, otherwise it will easily lead to recurrence.

(2) Removal of bad dentures, residual roots and crowns and other local stimulating factors.

(3) The gingival tumor during pregnancy can be surgically removed if it does not subside after delivery.