Gingival hyperplasia
Hello Dr.
Lin,
My mother is 84 years old and has developed a granulation tissue at her edentulous gums, as shown in the picture.
It bleeds slightly when pressed and is sometimes a bit painful.
This has been ongoing for three months.
Due to the spread of the pandemic, my elderly mother has not yet received the vaccine, and we are concerned about the risk of infection, which is why we have delayed her dental appointment.
We are planning to take her for vaccination before seeking dental care.
Could you please advise what this issue might be? What could be the cause? Is it safe for her to receive the COVID-19 vaccine? Thank you for your time and response.
yts, 50~59 year old female. Ask Date: 2021/09/20
Dr. Lin Jiayong reply Dentistry
Hello: Based on the photos, it is likely that the issue is caused by the necrosis of the dental nerve inside the metal braces.
It is recommended to return to the original clinic where the braces were placed one week after receiving the vaccine, and have the dentist take X-rays to confirm the actual cause.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/09/20
More Info
Gum granuloma, also known as a pyogenic granuloma, is a benign growth that can occur in the oral cavity, particularly in the gums. It is characterized by an overgrowth of granulation tissue, which is a type of connective tissue that forms during the healing process. In your mother's case, the presence of a granuloma in the area where she has no teeth could be attributed to several factors, including irritation, trauma, or chronic inflammation.
Causes of Gum Granuloma
1. Irritation or Trauma: The absence of teeth can lead to changes in the gum tissue, making it more susceptible to irritation from food particles or dental appliances. If your mother has been using dentures or has had any recent trauma to the gums, this could contribute to the development of a granuloma.
2. Chronic Inflammation: Conditions such as periodontal disease or other inflammatory processes in the mouth can lead to the formation of granulomas.
3. Infection: While gum granulomas are not typically caused by infections, they can occur in response to a localized infection or as a result of a chronic inflammatory response.
Symptoms
The symptoms you describe, such as slight bleeding upon pressure and occasional pain, are consistent with a gum granuloma. These growths can be sensitive and may bleed easily, especially if they are irritated.
Vaccination Concerns
Regarding your concerns about vaccination, it is generally safe for individuals with gum granulomas to receive vaccinations, including the COVID-19 vaccine. However, it is essential to ensure that the granuloma is not infected or symptomatic of a more significant underlying issue. If your mother is experiencing pain or if the granuloma shows signs of infection (such as increased redness, swelling, or pus), it would be prudent to consult a dentist or healthcare provider before proceeding with vaccination.
Recommendations
1. Dental Consultation: It is advisable to have your mother evaluated by a dentist as soon as possible. They can assess the granuloma and determine if any treatment is necessary, such as surgical removal or other interventions.
2. Vaccination Timing: If your mother is scheduled to receive the COVID-19 vaccine, it is generally acceptable to proceed with vaccination. However, if there are any concerns about the granuloma, it may be wise to discuss these with her healthcare provider before vaccination.
3. Oral Hygiene: Encourage good oral hygiene practices, even in the absence of teeth. This includes gentle rinsing with salt water to keep the area clean and reduce irritation.
4. Monitoring: Keep an eye on the granuloma for any changes in size, color, or symptoms. If it worsens or does not improve, seek dental care promptly.
In summary, while gum granulomas are typically benign, it is essential to have them evaluated by a dental professional, especially given your mother's age and the potential for complications. Vaccination can generally proceed, but it is always best to consult with her healthcare provider to ensure her overall health and safety.
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