Definition
Abnormally enlarged, bulging, protruding, or swollen gums.

Alternative Names
Swollen gums; Gingival swelling

Considerations
Gum swelling is quite common and may involve one or many papillae (the triangular-shaped bits of gum between adjacent teeth).

Occasionally, the gums swell significantly, obscuring the teeth altogether.

Common Causes
infection by a virus or fungus
gingivitis
poorly fitting dentures
sensitivity to toothpaste or mouthwash
side effect of a drug such as Dilantin or phenobarbital
malnutrition
Vitamin C deficiency
pregnancy (1st or 2nd trimester)

Home Care
Improve your nutrition if it is poor.
Avoid gum irritants such as commercial mouthwashes, alcohol, and tobacco. For swollen gums caused by sensitivity to toothpaste or mouthwash, change the toothpaste brand and avoid using mouthwashes.

Use good oral hygiene. See a periodontist (or dentist) at least every 6 months.

For swollen gums caused by reaction to a drug, consult your health care provider about using substitutes. NEVER CHANGE MEDICATIONS WITHOUT CONSULTING YOUR HEALTH CARE PROVIDER.

Call your health care provider if
swelling is severe, persistent, or is accompanied by other unexplained symptoms.
discomfort is associated with swelling

What to expect at your health care provider's office
The medical history will be obtained and a physical examination performed.

Medical history questions documenting bleeding gums in detail may include:
quality
How swollen are the gums?
Can you see the teeth?
Are the gums bleeding?
time pattern
Did the swelling begin recently?
Are they always swollen?
Does the amount of swelling change?
Does it only occur occasionally?
Have you had gum problems before?
oral hygiene habits
How often do you brush?
How often do you floss?
How hard of a toothbrush is used?
How vigorously do you brush?
What are other habits (use of toothpicks or other)?
When was the last time you had the teeth professionally cleaned (at the dentists)?
eating habits
Have you changed your diet?
Do you eat adequate amounts of fruits and vegetables?
Do you take supplemental vitamins?
other
What medications are being taken?
Do you take anticonvulsants such as Dilantin or phenobarbital?
Are you pregnant?
Have you changed mouthwash or tooth paste recently?
What other symptoms are present? Is there:
breath odor
redness of the gums
abnormal color of the teeth
sore throat
pain
The physical examination will include a detailed examination of the mouth, teeth, and gums.

Diagnostic tests that may be performed include blood studies such as a CBC or blood differential.

Intervention:
The patient will be taught proper mouth and gum care. Emotional support and reassurance that the swelling typically resolves with treatment should be offered.

After seeing your health care provider:
If a diagnosis was made by your health care provider related to swollen gums, you may want to note that diagnosis in your personal medical record.