Phenytoin Induced Gingival Enlargement and Its Management- A Case Report
Keywords:Drugs, Gingival enlargement, Electrosurgery, Surgical approach
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.
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