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KMID : 1004520170330010034
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Journal of Dental Rehabilitation and Applied Science
2017 Volume.33 No. 1 p.34 ~ p.41
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Spontaneous teeth migration after periodontal treatment in the patients with drug-induced gingival enlargement
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Choi Yoon-Kyung
Jung Kyoung-Hwa
Kim So-Yeun
Jeon Hye-Mi
Choi Jeom-Il
Lee Ju-Youn
Joo Ji-Young
Kwon Eun-Young
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Abstract
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Anticonvulsants, calcium channel blockers and immunosuppressants are representative drugs related with gingival enlargement. Clinical signs and symptoms caused by drug-induced gingival enlargment frequently appear within 1 to 3 months after medication. At initial stage, it is limited to attached gingiva but may extend coronally and interfere with esthetics, mastication and speech. Interproximal spaces are common beginning area and pathologic teeth migration could be occurred by the lesion. Withdrawal or substitution of medication would be the most effective treatment of drug-induced gingival enlargement. However, periodontal treatment and further supportive periodontal therapy should be provided where change in medication is impossible. The present study reports the cases which show the resolution of inflammation with spontaneous teeth migration without change in medication. In all cases discussed in this report could be efficiently managed with proper periodontal treatment and further supportive periodontal therapy.
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KEYWORD
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gingival overgrowth, periodontal diseases
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