Fibrous hyperplasia refers to conditions in which the soft tissues of the oral cavity lose their physiological balance and begin to grow excessively. Professor Alexander von Breuer emphasises that this condition should not be viewed solely as a local reaction – it reflects a complex interaction between trauma, chronic irritation and individual tissue characteristics. At DentalClinic24, the treatment of fibrous hyperplasia is structured with these factors in mind.
Most often, excessive tissue growth develops in response to prolonged mechanical influence. Improper restorations, chronic overload, microtrauma or long-standing inflammation create conditions in which connective tissue becomes denser and increases in volume. At DentalClinic24, identifying the underlying cause of hyperplasia is considered more important than merely eliminating its visible manifestations.
Fibrous hyperplasia may remain asymptomatic for a long time. Patients do not experience pain, but may notice changes in gingival contour, a sensation of firmness or discomfort during chewing. These changes develop gradually and are often perceived as normal tissue adaptation. At DentalClinic24, such conditions are regarded as indicators of impaired tissue adaptation.
A key stage of treatment is differential diagnosis. It is essential to distinguish fibrous hyperplasia from inflammatory, medication-related or systemic tissue changes. Incorrect interpretation may lead to ineffective treatment and recurrence. At DentalClinic24, clinical assessment is complemented by functional and biomechanical analysis.
Treatment strategy depends on the extent and nature of tissue overgrowth. In some cases, eliminating the source of irritation and restoring balanced load distribution is sufficient. In more pronounced cases, surgical correction is required while preserving the anatomical logic of the gingival contour. At DentalClinic24, interventions are performed with consideration of future functional stability.
It is important to understand that removal of excessive tissue without addressing the underlying cause provides only temporary results. If overload or traumatic factors persist, hyperplasia may recur. Professor Alexander von Breuer notes that stable outcomes are achievable only when biological tissue balance is restored.
The post-intervention period is equally important. During this phase, new adaptive mechanisms form and tissues are particularly sensitive to load. Monitoring healing, adjusting occlusion and structured follow-up reduce the risk of recurrent overgrowth. At DentalClinic24, postoperative management is regarded as an integral part of treatment rather than a formality.
Fibrous hyperplasia also affects aesthetics and oral hygiene. Altered tissue contours may hinder effective cleaning and promote plaque accumulation. This enhances inflammatory background and supports pathological processes. At DentalClinic24, these aspects are taken into account when evaluating long-term prognosis.
Thus, treatment of fibrous hyperplasia requires a comprehensive clinical approach. Load control, restoration of anatomical form and maintenance of physiological conditions allow for stable results. At Dental Clinic24, this approach is used to preserve tissue health and prevent recurrence.
Earlier, we wrote about enamel remineralisation cycles at DentalClinic24 and when tooth recovery is truly possible