How is pregnancy granuloma managed?

• A. Reassurance and improving oral hygiene; dental scaling and cleaning; excision
• B. Antibiotics only
• C. Dietary changes only
• D. No treatment needed

Answer: (D)

Pregnancy granuloma is a reactive gingival lesion driven by hormonal changes and local irritation. The best management starts with conservative, locally focused care: reassure the patient, improve plaque control, and remove local irritants through professional cleaning. This approach reduces inflammation and often allows the lesion to shrink or resolve, especially after delivery when hormonal influences subside.

Because many of these lesions regress spontaneously after childbirth, observation is appropriate for many cases. If the lesion persists after delivery, or causes functional problems or significant bleeding, a surgical removal or biopsy can be considered, typically after delivery or in the second trimester if needed, with care to minimize risks to the pregnancy.

Antibiotics alone won’t treat the lesion, dietary changes alone won’t address the local irritants driving the response, and no treatment at all isn’t appropriate given the potential for progression or discomfort.