IADR Abstract Archives
Non-Surgical Periodontal Treatment of Amlodipine-Induced Excessive Gingival Growth: a Case Report
Objectives: Drug-induced gingival enlargement is proportional to the inflammation caused by poor oral hygiene. In this case report, gingival enlargement due to the use of the antihypertensive drug amlodipine, which is a Ca channel blocker derivative, is presented. In the anamnesis of a 56-year-old female patient who applied to our clinic with the complaints of swollen and bleeding gingival enlargement, mobility, pain in chewing and discomfort, it was learned that she had been using 10 mg of amlodipine daily for 6 years due to hypertension. In clinical examination, it was determined that the patient had poor oral hygiene and the presence of gingival growth.
Methods: In the treatment of the patient, it was first replaced with the hypertension drug alternative with the cardiology consultation. The patient was given the first session of dental surface cleaning, polishing, oral hygiene training, and a %0.2 concentration of chlorhexidine mouthwash was prescribed. In the ongoing sessions, root surface straightening procedures were repeated in areas with pockets deeper than 3mm, and oral hygiene motivation was provided. Regression in gingival growth was observed in each session.
Results: With the change of medication, the growth of the gums completely regressed in the 1 st year follow-up after the non-surgical periodontal treatment, no bleeding was observed on probing, and plaque control was achieved. The patient gained a habit of oral hygiene and left our clinic satisfied.
Conclusions: In cases of gingival enlargement due to the use of amlodipine, change of the drug, tooth surface cleaning, root surface straightening, plaque control, oral hygiene motivation and regular patient follow-up play a key role in the treatment of these diseases. It should be kept in mind that plaque control, oral hygiene motivation and regular and frequent patient follow-up are important for the permenant clinical improvement achieved.
Methods: In the treatment of the patient, it was first replaced with the hypertension drug alternative with the cardiology consultation. The patient was given the first session of dental surface cleaning, polishing, oral hygiene training, and a %0.2 concentration of chlorhexidine mouthwash was prescribed. In the ongoing sessions, root surface straightening procedures were repeated in areas with pockets deeper than 3mm, and oral hygiene motivation was provided. Regression in gingival growth was observed in each session.
Results: With the change of medication, the growth of the gums completely regressed in the 1 st year follow-up after the non-surgical periodontal treatment, no bleeding was observed on probing, and plaque control was achieved. The patient gained a habit of oral hygiene and left our clinic satisfied.
Conclusions: In cases of gingival enlargement due to the use of amlodipine, change of the drug, tooth surface cleaning, root surface straightening, plaque control, oral hygiene motivation and regular patient follow-up play a key role in the treatment of these diseases. It should be kept in mind that plaque control, oral hygiene motivation and regular and frequent patient follow-up are important for the permenant clinical improvement achieved.