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Antihypertensive drugs in the calcium channel blocker group are extensively used in elderly patients. Gingival enlargement associated with Nifedipine was first reported in 1980's and is very rarely reported to be associated with Amlodipine and Felodipine. The mechanism through which these medications trigger a connective tissue response are still poorly understood. The most effective treatment of drug induced gingival overgrowth is withdrawl or substitution of medication combined with meticulous oral hygiene, plaque control, and removal of local irritants. When these measures fails to resolve the enlargement, surgical intervention is recommended. This case reports a rare case of Amlodipine induced gingival enlargement. The patient was successfully managed by drug substitution and nonsurgical periodontal terapy.

Introduction:Dental aesthetic plays an important role in overall facial representation of a person. A smile enhances expression of a person. A perfect harmony of size, form, and po sition of the teeth and their relation with alveolar bone and gingival tissue have important role in creating a pleasing smile. Excessive gingival melanin pigmentation can give brownish to blackish colour to gingival.Case report: This case report highlights a case of hyperpigmentation gingiva with midline diastema which was treated by gingival depigmentation using the scalpel technique with frenectomy and cosmetic filling. Conclusion:The appearance of 'black gum' especially in high smile line person gives unaesthetic smile. The demand for cosmetic therapy is commonly in people with pigmented gingiva.

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