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
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Hiperplasia Gengival
/
Anticonvulsivantes
Tipo de estudo:
Guia de Prática Clínica
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Int. j interdiscip. dent. (Print)
Assunto da revista:
Medicina Cl¡nica
/
Odontologia
/
Patologia
Ano de publicação:
2021
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Chile
Instituição/País de afiliação:
Catholic University of Pelotas/BR
/
Federal University of Pelotas/BR
/
University of Chile/CL
Similares
MEDLINE
...
LILACS
LIS