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KMID : 0363020090390010103
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Journal of Korean Academy of Periodontology
2009 Volume.39 No. 1 p.103 ~ p.108
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The effect of non-surgical treatment in gingival enlargement
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Kim Sang-Jun
Lee Jae-Kwan
Um Heung-Sik
Chang Beom-Seok
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Abstract
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Purpose: It is well recognized that gingival enlargement is induced by unwanted effect associated with three major drugs/drug groups - phenytoin, cyclosporine, and the calcium channel blockers. The present case report describes the effect and limitation of non-surgical treatment in gingival enlargement cases.
Materials and methods: Three cases included 2 drug-influenced gingival enlargement patients and a idiopathic gingival fibromatosis patient. For the drug-influenced gingival enlargement patients, the medication was replaced with other medication. And then, all the patients were treated non-surgically.
Results: Drug-influenced gingival enlargements had been reduced after non-surgical treatment and the results were well-maintained. In the idiopathic gingival fibromatosis case, non-surgical treatment resulted in only limited reduction of gingival enlargement, and surgical periodontal treatment was unavoidable.
Conclusion: These case reports indicated that non-surgical periodontal treatment with change in medication was effective in the treatment of drug-influenced gingival enlargements. Non-surgical approach can be considered as the primary management to reduce the gingival enlargement. If non-surgical treatment encounters a limitation, surgical treatment should be considered.
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KEYWORD
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Gingival enlargement, overgrowth, nifedipine, non-surgical treatment
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