Management of Phenytoin Induced Gingival Enlargement
Phenytoin Induced Gingival Enlargement
Keywords:
Phenytoin, Gingival Enlargment, General AnesthesiaAbstract
Drug induced gingival enlargement is a proliferative fibrous lesion of the gingival tissue that causes aesthetic & functional problem .It is classified as a dental plaque induced gingival disease, as an evidence suggest that existing gingival inflammation may be necessary for development of enlargement & that proper plaque control can lessen its severity or recurrence.Currently there are over almost 20 medications including anticonvulsants , calcium channels blockers & immunosupressants are associated with gingival overgrowth. A team approach involving periodontist, physician & anesthetist is a crucial step in successful management of such cases. This case report addresses the diagnosis & treatment of a case of drug induced gingival enlargement in a 12 year old female child. It was a known case of epilepsy with mental retardation and & on Phenytoin since last 4 years & has never taken any dental treatment .The patient presented with generalized diffuse gingival enlargement in both maxilla & mandible arches involving buccal/ labial & lingual/palatal surfaces. Gingivectomy was carried in all 4 quadrants under G.A
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