Some medication prescribed in epilepsy treatment, hypertension treatment and some immunosuppressive medication given after transplantation surgeries may result in enlargements in the gingiva.
Treatment of the disease aims to fix the distortion of the soft (gum) and tough (bone) tissues that surround the teeth. In the initial phase of the treatment, mouth hygiene training, a.k.a. tartar removal, (regular brushing, floss/interface brush usage) is aimed to be provided. This treatment, called initial periodontal treatment, can be the single-used treatment in basic gingival infections as well as a preparation for periodontal operations in advanced stages of the disease. Pariodontal operation can differ according to the severity and type of the disease. In cases where the disease is limited only with the gingival, the aim is to eliminate the gingival groove. If the jawbone is affected by the disease, the treatment aims to cure the jawbone in addition to gingival groove elimination. The bone is fixed and if necessary, biomaterials such as bone powder or membrane are applied. The operation starts with local anesthesia and goes on with the lifting of the gingival. After the lift, infected tissues are cleaned, the bone is fixed, bone powder is applied and the wound is stitched, then the tissue is left to heal. Stitches are taken out in 7 to 14 days regarding the type of the treatment. In the first 2 years, 4 times a year, and then twice a year the patient is called out for inspection. If necessary, the dentist can increase the number of inspections.