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
em En
| LILACS
| ID: biblio-1385212
Biblioteca responsável:
CL1.1
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.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Hiperplasia Gengival
/
Anticonvulsivantes
Tipo de estudo:
Guideline
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Int. j interdiscip. dent. (Print)
Assunto da revista:
Medicina Cl¡nica
/
Odontologia
/
Patologia
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Brasil
/
Chile
País de publicação:
CHILE
/
CL