Phenytoin Induced Gingival Enlargement and Its Management- A Case Report

Authors

  • Pragya Singh
  • Nitin Tomar
  • Mayur Kaushik
  • Sameer Ahmad

DOI:

https://doi.org/10.37506/mlu.v22i2.3238

Keywords:

Drugs, Gingival enlargement, Electrosurgery, Surgical approach

Abstract

Background: Gingival enlargement is associated with multiple factors including congenital
diseases, hormonal disturbances, poor oral hygiene condition, inflammation, neoplastic
conditions, and adverse drug reactions including anticonvulsants, calcium channel blockers,
and immunosuppressants. This can have a deleterious effect on the quality of life and also on
high oral bacterial load caused by plaque-retentive areas. Method: Various treatment modalities
include both surgical (gingivectomy, periodontal flap, electrosurgery, and laser excision) and
nonsurgical approaches (oral hygiene measures, oral prophylaxis, discontinuation of the drug, or
the replacement of the drug with other alternative). Conclusion: Surgical intervention is required
when non-surgical treatment fails to resolve the problem. Proper maintenance phase should be
followed for better esthetic outcome along with drug replacement.

Author Biographies

Pragya Singh

Department of Periodontology, Subharti Dental College and Hospital, Meerut, UP

Nitin Tomar

Department of Periodontology, Subharti Dental College and Hospital, Meerut, UP

Mayur Kaushik

Department of Periodontology, Subharti Dental College and Hospital, Meerut, UP

Sameer Ahmad

Department of Periodontology, Subharti Dental College and Hospital, Meerut, UP

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Published

2022-04-16

How to Cite

Pragya Singh, Nitin Tomar, Mayur Kaushik, & Sameer Ahmad. (2022). Phenytoin Induced Gingival Enlargement and Its Management- A Case Report. Medico Legal Update, 22(2), 112–116. https://doi.org/10.37506/mlu.v22i2.3238

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