Treatment of drug‐induced gingival enlargement: aesthetic and functional considerations

Camargo, Paulo M.; Melnick, Philip R.; Pirih, Flávia Q.; Lagos, Rodrigo; Takei, Henry H.

doi:10.1034/j.1600-0757.2001.027001131.x

Cited by 67 publications

(71 citation statements)

References 23 publications

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“…7 Gingival enlargement further impedes the maintenance of oral hygiene (thereby resulting in further damage to periodontal tissues), causes aesthetic and functional problems, and has been reported to compromise orthodontic tooth movement. 8,9 In the management of gingival enlargement, meticulous (self-care) oral hygiene is the first line of defense, but motivation to maintain oral hygiene can be inadequate in some patients; thus, this approach has limited success. 10 The use of mouth rinses is a useful adjunctive self-care approach to the management of gingival enlargement, but it, too, relies on patient compliance; in addition, there can be some side effects with long-term use.…”

Section: Introductionmentioning

confidence: 99%

The adjunct effectiveness of diode laser gingivectomy in maintaining periodontal health during orthodontic treatment

Rabie

Wong

et al. 2012

The Angle Orthodontist

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Objective: To evaluate the effectiveness of diode laser gingivectomy as an adjunct to nonsurgical periodontal treatment in the management of periodontal health among patients receiving fixed orthodontic appliance therapy (FOAT). Materials and Methods: Thirty patients undergoing FOAT with gingival enlargement were block randomized into two treatment groups. The test group received diode laser gingivectomy (940-nm diode laser, ezlase, Biolase Technology Inc) as an adjunct to nonsurgical periodontal treatment. The control group received nonsurgical periodontal treatment only. For both groups, five periodontal parameters were assessed at baseline, 1 month, 3 months, and 6 months: Plaque Index, Gingival Index, bleeding on probing, probing pocket depth, and Gingival Overgrowth Index. Intra- and intergroup variations in the periodontal parameters were determined over time. Results: Both groups showed statistically significant improvements in periodontal health over the study period (P < .05). However, significant improvements in periodontal health were evident earlier among the test group subjects (P < .05). The magnitude of improvement in periodontal health compared to baseline was greater in the test group than in the control group for Gingival Overgrowth Index at 1 month (P < .001) and 3 months (P < .05), Gingival Index at 3 months (P < .05) and 6 months (P < .05), and probing pocket depth at 1 month (P < .05). Conclusions: Nonsurgical periodontal management with or without the adjunct use of lasers can be effective in the management of gingival health problems among patients receiving FOAT. The adjunctive use of lasers can produce an earlier and greater improvement in gingival health.

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Section: Introductionmentioning

confidence: 99%

The adjunct effectiveness of diode laser gingivectomy in maintaining periodontal health during orthodontic treatment

Rabie

Wong

et al. 2012

The Angle Orthodontist

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“…Type of surgery is determined by evaluating the extent of the area to be treated, any osseous defects present along with the gingival enlargement, position of the bases of the pocket in relation to the existing mucogingival junction. According to Camargo PM et al [22] the need for flap surgery or gingivectomy can be determined based of certain rules. Gingivectomy is indicated in cases where, small areas (≤6 teeth) presenting with drug-induced gingival enlargement (there is no evidence of attachment loss and therefore no anticipated need to perform osseous surgery).…”

Section: Discussionmentioning

confidence: 99%

Management of Phenytoin Induced Gingival Overgrowth: A Case Report

Rawisandran¹

2013

IOSR-JDMS

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“…[1] Gingival enlargement may generate esthetics, mastication, and speech problem and it may also cause impaired nutrition, reduced oral hygiene maintenance, and increased risk of caries and periodontal diseases. [2] The enlargement is usually generalized throughout the mouth, but it is more severe in the maxillary and mandibular anterior region. It occurs in areas in which teeth are present, not in edentulous spaces.…”

Section: Introductionmentioning

confidence: 99%

Association of drug-induced gingival enlargement (calcium channel blockers) and local factors: Who is the culprit?

Chouksey¹,

Awasthi²,

Rai³

et al. 2017

IDJAR

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Background: Several drugs are used for the management of hypertension. Among these drugs, calcium channel blockers (CCBs) are the most potent and generally used drug. Gingival enlargement is a recognized outcome of the administration of CCBs. Other drugs which cause gingival enlargement are antiepileptic drugs (phenytoin) and immunosuppressants (cyclosporine). The role of bacterial plaque in the overall pathogenesis of drug-induced gingival enlargement is not clear as some studies indicate that plaque is a prerequisite for gingival enlargement, whereas others suggest that the presence of plaque is a result of its accumulation caused by the enlarged gingiva. Aim: The aim of this study is to find the association of local factors with CCBs-induced gingival enlargement. Conclusion:The observations made in this report support that the presence of local factors augments the degree of the gingival enlargement present. Significance: As the prevalence of CCB use is relatively high in the population, especially among patients with cardiovascular disease, it is important that medical professionals are aware of the association between drug-induced gingival enlargement and local factors so that they can emphasize thorough home care and professional cleaning in the treatment of drug-induced gingival enlargement.

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Treatment of drug‐induced gingival enlargement: aesthetic and functional considerations

Cited by 67 publications

References 23 publications

The adjunct effectiveness of diode laser gingivectomy in maintaining periodontal health during orthodontic treatment

The adjunct effectiveness of diode laser gingivectomy in maintaining periodontal health during orthodontic treatment

Management of Phenytoin Induced Gingival Overgrowth: A Case Report

Association of drug-induced gingival enlargement (calcium channel blockers) and local factors: Who is the culprit?

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