The effect of non-surgical treatment in gingival enlargement.
10.5051/jkape.2009.39.1.103
- Author:
Sang Jun KIM
1
;
Jae Kwan LEE
;
Heung Sik UM
;
Beom Seok CHANG
Author Information
1. Department of Periodontology, School of Dentistry, Kangnung National University, Korea. dentist@kangnung.ac.kr
- Publication Type:Original Article
- Keywords:
gingival enlargement;
overgrowth;
nifedipine;
non-surgical treatment
- MeSH:
Calcium Channel Blockers;
Cyclosporine;
Fibromatosis, Gingival;
Humans;
Nifedipine;
Phenytoin
- From:The Journal of the Korean Academy of Periodontology
2009;39(1):103-108
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: It is well recognized that gingival enlargement is induced by unwanted effect associated with three major drugs/drug groups - phenytoin, cyclosporine, and the calcium channel blockers. The present case report describes the effect and limitation of non-surgical treatment in gingival enlargement cases. MATERIALS AND METHODS: Three cases included 2 drug-influenced gingival enlargement patients and a idiopathic gingival fibromatosis patient. For the drug-influenced gingival enlargement patients, the medication was replaced with other medication. And then, all the patients were treated non-surgically. RESULTS: Drug-influenced gingival enlargements had been reduced after non-surgical treatment and the results were well-maintained. In the idiopathic gingival fibromatosis case, non-surgical treatment resulted in only limited reduction of gingival enlargement, and surgical periodontal treatment was unavoidable. CONCLUSION: These case reports indicated that non-surgical periodontal treatment with change in medication was effective in the treatment of drug-influenced gingival enlargements. Non-surgical approach can be considered as the primary management to reduce the gingival enlargement. If non-surgical treatment encounters a limitation, surgical treatment should be considered
