J Korean Acad Periodontol.  2009 Mar;39(1):103-108. 10.5051/jkape.2009.39.1.103.

The effect of non-surgical treatment in gingival enlargement

• Kim SJ
• Lee JK
• Um HS
• Chang BS

• KMID: 1783522
• DOI: http://doi.org/10.5051/jkape.2009.39.1.103

Abstract

PURPOSE: It is well recognized that gingival enlargement is induced by unwanted effect associated with three major drugs/drug groups - phenytoin, cyclosporine, and the calcium channel blockers. The present case report describes the effect and limitation of non-surgical treatment in gingival enlargement cases.
MATERIALS AND METHODS
Three cases included 2 drug-influenced gingival enlargement patients and a idiopathic gingival fibromatosis patient. For the drug-influenced gingival enlargement patients, the medication was replaced with other medication. And then, all the patients were treated non-surgically.
RESULTS
Drug-influenced gingival enlargements had been reduced after non-surgical treatment and the results were well-maintained. In the idiopathic gingival fibromatosis case, non-surgical treatment resulted in only limited reduction of gingival enlargement, and surgical periodontal treatment was unavoidable.
CONCLUSION
These case reports indicated that non-surgical periodontal treatment with change in medication was effective in the treatment of drug-influenced gingival enlargements. Non-surgical approach can be considered as the primary management to reduce the gingival enlargement. If non-surgical treatment encounters a limitation, surgical treatment should be considered

Keyword

gingival enlargement; overgrowth; nifedipine; non-surgical treatment

MeSH Terms

Calcium Channel Blockers
Cyclosporine
Fibromatosis, Gingival
Humans
Nifedipine
Phenytoin
Calcium Channel Blockers
Cyclosporine
Nifedipine
Phenytoin

Figure

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  Figure 1 Clinical view of pretreatment.

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  Figure 2 Radiographic findings of pretreatment.

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  Figure 3 2 weeks after change in medication.

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  Figure 4 6 months after scaling and root planing.

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  Figure 5 Clinical view of pretreatment.

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  Figure 6 Radiographic findings of pretreatment.

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  Figure 7 3 months after scaling and root planing.

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  Figure 8 Clinical view of pretreatment.

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  Figure 9 Radiographic findings of pretreatment.

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  Figure 10 1 month after scaling and root planing.

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  Figure 11 Gingivectomy and gingivoplasty.

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  Figure 12 3 weeks after gingivectomy and gingivoplasy.

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