If the gum enlargement is caused by gum redness and swelling, the swelling can be made to subside through basic periodontal treatment or basic treatment, and surgical periodontal removal is not necessary. If the gums are still in poor shape after basic treatment, they need to be surgically removed to restore them to their normal physiological shape, which is conducive to the physiological self-cleaning effect and usual oral hygiene and health care measures, including tooth brushing. In addition, some more serious gingival hyperplasia, such as after orthodontics, also called orthodontics, the patient’s lower teeth or upper teeth, sometimes occur very obvious enlargement, hyperplasia or some hereditary, familial periodontal disease. In particular, the gums are very obviously red, swollen, and enlarged, and the enlargement is almost covering the entire tooth. It also includes patients who take some medications, such as some epilepsy drugs or antihypertensive drugs, which can also cause significant gum enlargement, in which case it is usually very necessary to restore the normal gum shape by surgical removal after basic periodontal treatment.