J Dent Rehabil Appl Sci.  2017 Mar;33(1):34-41. 10.14368/jdras.2017.33.1.34.

Spontaneous teeth migration after periodontal treatment in the patients with drug-induced gingival enlargement

• Choi YK
• Jung KH
• Kim SY
• Jeon HM
• Choi J
• Lee JY
• Joo JY
• Kwon EY

• KMID: 2377057
• DOI: http://doi.org/10.14368/jdras.2017.33.1.34

Abstract

Anticonvulsants, calcium channel blockers and immunosuppressants are representative drugs related with gingival enlargement. Clinical signs and symptoms caused by drug-induced gingival enlargment frequently appear within 1 to 3 months after medication. At initial stage, it is limited to attached gingiva but may extend coronally and interfere with esthetics, mastication and speech. Interproximal spaces are common beginning area and pathologic teeth migration could be occurred by the lesion. Withdrawal or substitution of medication would be the most effective treatment of drug-induced gingival enlargement. However, periodontal treatment and further supportive periodontal therapy should be provided where change in medication is impossible. The present study reports the cases which show the resolution of inflammation with spontaneous teeth migration without change in medication. In all cases discussed in this report could be efficiently managed with proper periodontal treatment and further supportive periodontal therapy.

Keyword

gingival overgrowth; periodontal diseases

MeSH Terms

Anticonvulsants
Calcium Channel Blockers
Esthetics
Gingiva
Gingival Overgrowth
Humans
Immunosuppressive Agents
Inflammation
Mastication
Periodontal Diseases
Tooth*
Anticonvulsants
Calcium Channel Blockers
Immunosuppressive Agents

Figure

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  Fig. 1 Pretreatment clinical view of case 1. Note the gingival overgrowth and pathologic tooth movement.

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  Fig. 2 Pretreatment radiograph of case 1. Generalized horizontal bone loss and calculus deposit were found.

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  Fig. 3 Posttreatment of case 1. After scaling and root planing, gingival overgrowth was subsided at upper anterior area but remained at lower anterior area.

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  Fig. 4 Posttreatment at 6 month of case 1. Note the remission of gingival overgrowth and improvement of oral hygiene.

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  Fig. 5 Posttreatment at 1 year of case 1. Note no relapse of gingival overgrowth and maintenance of gingival health. Pathologic tooth movement was corrected spontaneously and further orthodontic treatment was recommended.

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  Fig. 6 Pretreatment clinical view of case 2. Note the gingival overgrowth and erythema.

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  Fig. 7 Pretreatment radiograph of case 2. Generalized horizontal alveolar bone loss and multiple teeth missing were found.

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  Fig. 8 Posttreatment of case 2. After scaling and root planing, gingival overgrowth was remained at lower anterior and right molar area.

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  Fig. 9 Posttreatment at 6 month of case 2. Note the remission of gingival overgrowth and improvement of oral hygiene.

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  Fig. 10 Posttreatment at 1 year of case 2. Note no relapse of gingival overgrowth and maintenance of gingival health. Pathologic tooth movement was corrected spontaneously.

Reference

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