Gingival hypertrophy or hyperplasia (gum enlargement) may be caused by how the teeth and supporting tissues develop. Some patients may have a genetic propensity for collagen overproduction. Too much of this structural protein can result in the overgrowth of gum tissue. Gingival overgrowth may be triggered by conditions like diabetes and medications like calcium channel blockers, phenytoin derivatives, and cyclosporine used to manage these diseases. In addition to systemic illnesses, oral issues like gum disease and worn teeth may be blamed due to persistent inflammation and tooth length reduction.