For pregnancy granuloma management, which option is not a recommended approach?

• A. Antibiotic therapy
• B. Reassurance and improved oral hygiene
• C. Dental scaling and cleaning
• D. Excision

Answer: (A)

In pregnancy granuloma, the goal is to reduce local irritation and inflammation rather than treat with antibiotics. This lesion is a hormonally influenced, vascular overgrowth driven by plaque and gingival irritation, not a bacterial infection that needs systemic antibiotics.

Therefore, reassuring the patient and emphasizing excellent oral hygiene is key. Meticulous plaque control helps lessen inflammatory stimuli, and dental scaling and cleaning remove calculus and plaque that fuel irritation, which often allows the lesion to shrink or resolve as pregnancy progresses. Excision is an option if the lesion persists, bleeds easily, or causes esthetic or functional problems, usually considered after pregnancy or when truly necessary.

Antibiotic therapy isn’t part of the standard management because it doesn’t address the underlying inflammatory overgrowth and carries unnecessary risks during pregnancy.