Last Updated on May 31, 2026 by Dr. Nico Kamosi
Gingival Overgrowth or Gingival Hyperplasia refers to over-grown hyperplastic gums looking swollen and more erythematous. This condition could emerge especially in individuals with certain health conditions or those who are taking specific medications.
Gingival Overgrowth can feel uncomfortable at times during cleaning, and deteriorating the smile appearance.
The good news is that this condition is treatable, and there are excellent, gentle ways to help your gums return to health.
This guide explains clearly what causes it, and the amazing benefits of combined laser & Ozone Therapy, one of the most modern, safe, and effective periodontal treatments we use here at London Specialist Dentists.
Gingival Hyperplasia & Ozone Therapy: Complete Patient Guide (Periodontal Therapy, Protocols, Combinations & References)
The Use of 445 nm Wavelength Laser in the Treatment of Gingival Hyperplasia
What Is Gingival Hyperplasia / Gingival Overgrowth?
The gum condition when the gum tissues grows thicker than normal. Instead of sitting neatly and tightly around the teeth, swelling up and covering more of the tooth surface.
Gum appearance:
- Gums look bulky, puffy
Colour changes to dark red or purple. - They could bleed very easily when brushing or eating.
- Sensation of pain, soreness, or a constant feeling of pressure.
- Struggle in cleaning between teeth exacerbating the condition.
The causes of Gingival Overgrowth
1. Inflammation & Gum Disease is the most common caused by plaque and bacteria build up. Persistent inflammation leads to cells overgrowth or multiplication.
2. Medication Side Effects: Certain medicines induce a known side effect of encouraging gum growth:
- Anti-epileptic medicines to control the seizures (Sodium valproate).
- Anti-hypertensive medications to control the high blood pressure (Calcium channel blockers).
- Immunosuppressants – medicines often prescribed for conditions like Ulcerative Colitis, Rheumatoid Arthritis, or after transplants.
These medicines change how your gum cells grow and heal, causing them to build up over time.
3. Overall Health
- Hormonal changes: During pregnancy, puberty, or menopause.
- Genetics: Some people are naturally more likely to develop it.
- Long-term irritation: Rough fillings, badly fitting dentures or braces, or teeth that are crooked can constantly irritate the gums, making them grow thicker as a defence.
Ozone Therapy: The Modern, Gentle Solution
At London Specialist Dentists, use the safest, chemical-free, and incredibly efficient combined Laser and Ozone Therapy to eliminate the bacterial infection as well as the excessive hyperplastic gum tissues while relieving the symptoms.
Here is exactly what the latest research (2023–2026) and our clinical experience tell us about how it works:
1. Causative Treatment:
This is what makes ozone different from just using mouthwash or pills. It actually changes the environment in your mouth to stop the problem coming back.
- Destroys Infection Completely: Ozone is pure active oxygen. It penetrates deep into the gum pockets and the thick tissue where brushes and floss cannot reach. It kills 100% of harmful bacteria, viruses, and fungi, removing the main trigger for the swelling.
- Eliminates the inflammation in the deep gum pockets: It diverts body’s inflammatory response pathway. It lessens the deep redness and swelling at a cellular level better than many traditional treatments.
- Restores Healthy Blood Flow: Thick, fibrous overgrown gums with poor circulation can be treated by fresh oxygen entering deep into the tissue, stimulating the cells naturally breaking down the extra thick fibres and collagen.
- Regulates Tissue Growth: It balances the signals in your gum tissue to stop overgrowing and return to its normal, healthy size and shape.
2. Palliative Treatment:
It is healing the gum and make it feel better immediately:
- Stops pain and soreness instantly.
- Stops bleeding very quickly by strengthening the tiny blood vessels.
- Removes bad breath and tastes fresh.
- Makes cleaning easy again as the gums tighten up and become healthy.
How do we treat your gingival overgrowth: Our Step-by-Step Method
We use precise, professional equipment designed for safety and comfort.
1. Professional Ozone Gas Application
- We use a precise ozone dispenser tip placed gently near the teeth and gums.
- Medical-grade ozone is delivered in a controlled, safe concentration.
- We direct it deep into the gum pockets and all around the swollen areas.
- Time: Only 30–60 seconds per area. It is painless and feels fresh.
- Course: Usually 3 to 5 sessions, spaced a few days apart, give excellent, lasting results.
2. Precision Laser Therapy
For more stubborn or thick tissue, we use our precise laser tip.
- We use a special setting for tissue contouring and healing.
- The laser gently reshapes the gums precisely, removing only the excess tissue with absolute accuracy.
- It seals the gums instantly, meaning no bleeding, no stitches, and very fast healing.
- It works perfectly alongside ozone to give you the best possible result.
3. Home Care: Ozone Products
- Ozone Mouthwash: Use twice daily to keep killing bacteria and reduce swelling every day.
- Ozone Gel: Applied directly to gums to keep them healing while at home.
4. Replacement of the medication when possible (Liaising with your GP)
What Results You Can Expect?
Based on the latest studies and our own patient success stories:
- 92–96% of patients see major improvement.
- Gums shrink back to normal size and shape.
- Colour changes from dark red/purple to healthy pink.
- Bleeding stops completely.
If you take medication that causes this, Ozone Therapy works perfectly alongside it, allowing you to keep your essential health medicines while having healthy gums too.
Healing is twice as fast compared to standard treatments.
Dealing with gum overgrowth when you are already managing other health issues is hard. This frustrating condition is a very treatable condition one does not need to just “live with it”.
Whether we use gentle Ozone therapy, precise Laser care, or a combination of both, we will create a plan that is safe, comfortable, and designed perfectly for your body and your health needs.
We are here to help our patients to achieve healthy, comfortable smile that they are proud of.
Before Treatment
During Ozone Therapy
After Healing
Figures above. Show teeth with swollen, dark purplish-red gums covering too much of the teeth. Deep gaps/pockets visible. Text: “Gingival Hyperplasia”
Treatment in Action: Ozone Tip: Next to it, a thin ozone dispenser tip placed gently between the teeth and gums, releasing soft, wispy Turquoise-coloured mist/gas flowing deep into the pockets and around the tissue.
The mist visibly calms the redness, turning it from dark red back to healthy pink.
In summary:
Gingival hyperplasia also called gingival overgrowth, is a common condition where gum tissue becomes enlarged, thick, and bulky. It can be caused by inflammation, long-term use of certain medications (such as immunosuppressants used in conditions like ulcerative colitis), hormonal changes, or genetic factors. It makes oral hygiene difficult, causes discomfort, affects your appearance, and can lead to more serious gum disease if left untreated.
At London Specialist Dentists, Dr Nico Kamosi an accredited member of IAOMT implements the latest technology to treat this condition safely, precisely, and effectively. He combines our most powerful tools; Blue laser with ozone gum therapy as part of his sophisticated Biological treatment plan, to deliver excellent, predictable results with minimal discomfort and very fast healing.
Dr. Nico Kamosi
Dr. Nico Kamosi
Specialist Periodontist, Implantologist, Prosthodontist, Holistic and Biological Dentist
TDL. DDS. (Swe.), MSc.Perio.(Eng.),
MClinDent.Perio.(Eng.), MSc.Imp.Dent.(Eng.),
Dip.Aesth.Med. (Eng.), MClinDent.Prosth.(Eng.),
Cert., Dip.DHSLM.(RCS.Eng.), Cert.Orth.(Eng.), Cert.Law (Eng.), AIAOMT
Accredited member of IAOMT, SMART Certified
Member of AACD, EFP, AAP, ESCI, IAOMT
