Yonsei Med J.  2004 Apr;45(2):337-340.

Phenytoin-Induced Gingival Overgrowth in Un-Cooperated Epilepsy Patients

Affiliations
  • 1Department of Periodontology, University of Cumhuriyet, Faculty of Dentistry Sivas, Turkey. imarak@cumhuriyet.edu.tr
  • 2Department of Family Medicine, University of Cumhuriyet, Faculty of Medicine Sivas, Turkey.

Abstract

Phenytoin-induced gingival overgrowth is a well-known and frequently reported gingival lesion, which was first detected in 1939. However, there are conflicts in the literature about the agents which affect the severity of the lesion. Un-cooperative dental patients are one of the most unsuccessfully treated periodontal patient groups because of the difficulty in maintaining their oral hygiene. This case report consists of two cases with the same characteristics: phenytoin usage, comprehension and speech defects and poor oral hygiene, but each case differs in the duration of the phenytoin therapy. Both of the cases received scaling, root planning and a gingivectomy.

Keyword

henytoin; gingival overgrowth; co-operation defects

MeSH Terms

Adult
Anticonvulsants/*adverse effects
Epilepsy/*drug therapy
Gingival Overgrowth/*chemically induced
Human
Male
Oral Hygiene
Patient Compliance
Phenytoin/*adverse effects
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