Non-surgical periodontal treatment for drug-influenced gingival enlargement: a four-year follow-up case report
ABSTRACT: Drug-influenced gingival enlargement is considered to be an important side effect related to the use of some medications and often produces important esthetic changes for patients, as well as clinical symptoms such as pain, bleeding, abnormal tooth movement and occlusion problems. Anticonv...
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| Lenguaje: | English |
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Sociedad de Periodoncia de Chile
2021
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oai:scielo:S2452-558820210002001842021-10-05Non-surgical periodontal treatment for drug-influenced gingival enlargement: a four-year follow-up case reportSrynczyk-da Silva,FernandaHisse-Gomes,GiovaneRilling-Nova Cruz,Luis EduardoAitken-Saavedra,Juan PabloMartos,Josué Drug-influenced gingival enlargement Anticonvulsant Periodontal treatment ABSTRACT: Drug-influenced gingival enlargement is considered to be an important side effect related to the use of some medications and often produces important esthetic changes for patients, as well as clinical symptoms such as pain, bleeding, abnormal tooth movement and occlusion problems. Anticonvulsants, immunosuppressants and antihypertensive drugs have been reported as the main inducers of these periodontal disorders. This case report describes the 4-year clinical follow-up of a young patient with a history of excessive gingival enlargement as a consequence of drug therapy for epilepsy (phenytoin and phenobarbital); the nonsurgical periodontal treatment of the excessive gingival enlargement was associated with the replacement of the patient’s epilepsy medications with valproic acid. We conclude that intensive mechanical control of bacterial biofilms, instruction on oral hygiene guidelines and behaviors and the substitution of alternative anticonvulsant medications are the best way to control the drug-influenced gingival enlargement.info:eu-repo/semantics/openAccessSociedad de Periodoncia de ChileSociedad de Implantología Oral de ChileSociedad de Prótesis y Rehabilitación Oral de ChileSociedad Chilena de Odontopediatría y Sociedad de Ortodoncia de Chile International journal of interdisciplinary dentistry v.14 n.2 20212021-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S2452-55882021000200184en10.4067/S2452-55882021000200184 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
English |
| topic |
Drug-influenced gingival enlargement Anticonvulsant Periodontal treatment |
| spellingShingle |
Drug-influenced gingival enlargement Anticonvulsant Periodontal treatment Srynczyk-da Silva,Fernanda Hisse-Gomes,Giovane Rilling-Nova Cruz,Luis Eduardo Aitken-Saavedra,Juan Pablo Martos,Josué Non-surgical periodontal treatment for drug-influenced gingival enlargement: a four-year follow-up case report |
| description |
ABSTRACT: Drug-influenced gingival enlargement is considered to be an important side effect related to the use of some medications and often produces important esthetic changes for patients, as well as clinical symptoms such as pain, bleeding, abnormal tooth movement and occlusion problems. Anticonvulsants, immunosuppressants and antihypertensive drugs have been reported as the main inducers of these periodontal disorders. This case report describes the 4-year clinical follow-up of a young patient with a history of excessive gingival enlargement as a consequence of drug therapy for epilepsy (phenytoin and phenobarbital); the nonsurgical periodontal treatment of the excessive gingival enlargement was associated with the replacement of the patient’s epilepsy medications with valproic acid. We conclude that intensive mechanical control of bacterial biofilms, instruction on oral hygiene guidelines and behaviors and the substitution of alternative anticonvulsant medications are the best way to control the drug-influenced gingival enlargement. |
| author |
Srynczyk-da Silva,Fernanda Hisse-Gomes,Giovane Rilling-Nova Cruz,Luis Eduardo Aitken-Saavedra,Juan Pablo Martos,Josué |
| author_facet |
Srynczyk-da Silva,Fernanda Hisse-Gomes,Giovane Rilling-Nova Cruz,Luis Eduardo Aitken-Saavedra,Juan Pablo Martos,Josué |
| author_sort |
Srynczyk-da Silva,Fernanda |
| title |
Non-surgical periodontal treatment for drug-influenced gingival enlargement: a four-year follow-up case report |
| title_short |
Non-surgical periodontal treatment for drug-influenced gingival enlargement: a four-year follow-up case report |
| title_full |
Non-surgical periodontal treatment for drug-influenced gingival enlargement: a four-year follow-up case report |
| title_fullStr |
Non-surgical periodontal treatment for drug-influenced gingival enlargement: a four-year follow-up case report |
| title_full_unstemmed |
Non-surgical periodontal treatment for drug-influenced gingival enlargement: a four-year follow-up case report |
| title_sort |
non-surgical periodontal treatment for drug-influenced gingival enlargement: a four-year follow-up case report |
| publisher |
Sociedad de Periodoncia de Chile |
| publishDate |
2021 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S2452-55882021000200184 |
| work_keys_str_mv |
AT srynczykdasilvafernanda nonsurgicalperiodontaltreatmentfordruginfluencedgingivalenlargementafouryearfollowupcasereport AT hissegomesgiovane nonsurgicalperiodontaltreatmentfordruginfluencedgingivalenlargementafouryearfollowupcasereport AT rillingnovacruzluiseduardo nonsurgicalperiodontaltreatmentfordruginfluencedgingivalenlargementafouryearfollowupcasereport AT aitkensaavedrajuanpablo nonsurgicalperiodontaltreatmentfordruginfluencedgingivalenlargementafouryearfollowupcasereport AT martosjosue nonsurgicalperiodontaltreatmentfordruginfluencedgingivalenlargementafouryearfollowupcasereport |
| _version_ |
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