Non-surgical periodontal treatment for drug-influenced gingival enlargement: a four-year follow-up case report
Int. j interdiscip. dent. (Print)
;
14(2): 184-186, ago. 2021. ilus
Article
Dans Anglais
| LILACS
| ID: biblio-1385212
ABSTRACT
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.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Hyperplasie gingivale
/
Anticonvulsivants
Type d'étude:
Guide de pratique
Limites du sujet:
Adulte
/
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Int. j interdiscip. dent. (Print)
Thème du journal:
Medicina Cl¡nica
/
Odontologia
/
Patologia
Année:
2021
Type:
Article
Pays d'affiliation:
Brésil
/
Chili
Institution/Pays d'affiliation:
Catholic University of Pelotas/BR
/
Federal University of Pelotas/BR
/
University of Chile/CL
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