Radiographically there may be slight resorption of interdental septal bone. The terms pregnancy tumor and pregnancy gingivitis are used when a single PG or several of them occur during pregnancy, especially on the second or third trimester. Some authors have proposed that the lesions associated to pregnancy are related to hormonal changes and that they have a different histological appearance. Extension to the maxillary sinus should be investigated if the lesion is in a maxillary tooth socket. Biopsy will reveal marked neo-capillary proliferation and superimposed inflammatory infiltrate in a fibrous connective tissue stroma.
Surgical excision is the treatment of choice.
In the highly vascular stage PG is prone to recur with an alarmingly rapid growth. Markedly fibrous PG are less likely to recur. Pregnancy tumors that persists should be removed after delivery. Plaque and tartar control is indicated in all cases. Note the redness of the surface.