An enlargement and proliferation of the attached gingival tissue. The cause is often chronic inflammation as a response to bacteria in plaque that accumulates on the tooth and gingival surface; sometimes there is a familial pre-disposition such as in Great Danes and Boxers; or from drug therapy, such as cyclosprin or diphenytoin. The excess gingiva forms a pseudo-pocket that results in further plaque accumulation and resulting inflammation. It is non-neoplastic, but should be biopsied to rule out neoplasia which may mimic the syndrome. Treatment aims to reduce the periodontal pocket and restore normal sulcus depth.
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