“…While cyclosporin A was found to increase glycosaminoglycan secretion by fibroblasts (Newell and Irwin, 1997), and nifedipine and phenytoin increased heparan levels (Saito et al, 1996), other studies failed to report any differences in vivo (Romanos et al, 1992(Romanos et al, , 1993Rocha et al, 2000;Martins et al, 2003). Several studies demonstrate that these drugs inhibit gingival fibroblast extracellular matrix production and/or cell proliferation in vitro (Modéer et al, 1982Salo et al, 1990;Stabellini et al, 1991;McKevitt and Irwin, 1995;Redlich et al, 1997). These findings are inconsistent with the in vivo characteristics of drug-induced gingival overgrowth.…”