Nonsurgical management of nifedipine induced gingival. Originally published in veterinary practice news, october 2016 download as a pdf gingival hyperplasia and hypertrophy are histologic terms used often to describe the clinical appearance of gingival enlargement, an increase in the size or thickness of the gingiva. The incidence of gingival enlargement with amlodipine was reported to be much lesser than nifedepine, however. Gingival enlargement or overgrowth is a common disease of gingiva. Periodontal management of cyclosporin ainduced gingival. View and download powerpoint presentations on gingival inflammation stages ppt. Definition increase in size of gingiva or gingival overgrowth. The effective and predictable management of gingival overgrowth requires correct diagnosis and consideration of aetiological factors, as discussed in part 1. The accepted current terms for this condition are gingival enlargement and gingival overgrowth.
View and download powerpoint presentations on gingivitis ppt. Idiopathic gingival enlargement is a proliferative fibrous lesion of the gingival tissue that causes esthetic and functional problems. An increase in size of the gingiva is a common feature of gingival disease. Abvp and elizabeth mcmorran, drmedvet for the education center. Chronic inflammatory gingival enlargement associated with.
Phenytoin is one of the most common drugs associated with gingival overgrowth. However, rare genetic conditions can result in gingival. By knowing the existence of common and rare presentations of gingival enlargement, one can keep a broad view when formulating a differential diagnosis of localized isolated, discrete, regional. Gums affected by this condition are often tender, soft, red, and bleed easily. Ppt gingival curettage powerpoint presentation free to download id. Regardl ess of its cause, gingival enlar gement can cause problems in controlling pl aque, chewing, teething, speech and aesthetics 1. Cyclosporine a and amlodipine induced gingival overgrowth. Phenytoininduced severe gingival overgrowth in a child. There was more gingival enlargement in the patients taking diltiazem compared with controls. Learn the shocking truth about uterine fibroids, drugs and surgeries. Oral health wa dementia training study centre tuesday 22nd june 2010. Tissue biopsy should be carried out in case the presentation of the.
Pdf drug induced gingival enlargement researchgate. Gingival enlargement is known side effect of certain medications like anticonvulsants, calcium channel blockers and immunosuppressant. There are several causes of gingival enlargement and they can be grouped into four categories. Find powerpoint presentations and slides using the power of, find free presentations research about gingivitis ppt. In recent years,flap surgery have been used more often to treat gingival enlargement than gingivectomy. Prescription of calcium channel blockers is relatively common, making it difficult to determine the true incidence of druginduced gingival enlargement. Drug induced gingival overgrowth digo statpearls ncbi. Top causes of gingival enlargement and treatment options.
The extent of gingival enlargements were defined as either localized or generalized. Severity and scoring of gingival recession scoring of the gingival recessions at the buccal aspect according to the classification of miller 1985 revealed that class i recessions were the most prevalent, yet its frequency was gradually decreased as age increased. Gingival enlargement is an increase in the size of the gingiva gums. Gingival enlargement has been studied in 46 patients taking diltiazem n 32 or verapamil n 14 compared with 49 cardiovascular controls who had never taken them 24 c. The awareness in the medical community about this possible side effect of nifedipine is less when compared to the effects of phenytoin and. Gingival enlargement is one of the frequent features of gingival diseases. Phtinduced gingival overgrowth pgo is more common in children than in adults and affects both males and females equally.
Global dental consumables market growth, insights 202020 big market research, global dental consumables market size, share, trends, application, forecast, demand, analysis, research, report, opportunities, segmentation, 20 2020. To get the facts on exactly how to eliminate your uterine fibroids from the root 100% naturally and permanently and achieve lasting freedom from pcos related symptoms without spending your hardearned money on drugs and over the counters. Severe gingival enlargement can be treated by gingivectomy. Gingival enlargement or overgrowth go is a common complication of the anticonvulsant drug phenytoin pht. Go is evident in almost half of the patients receiving pht therapy. Gingival enlargement can be induced by three main causes stemming from 1 inflammation, 2 medication, and 3 systemic disease. Gingival enlargement can be caused by a number of factors, including inflammatory conditions and the side effects of certain medications. Gingival enlargement during puberty has all the clinical features associated with chronic inflammatory gingival disease.
Mouth breathing, hormonal alterations should be treated. They commonly present as bulbous interdental gingival, diffuse swelling of gingival. A patients diagnosis and treatment rely on proper classification of gingival. Gingival overgrowth is asymptomatic, except in the presence of poor oral hygiene and dental plaque because patients may develop bleeding with. Dental plaqueinduced gingival diseases classification of gingival diseases is a significant part of an intraoral examination.
Severe druginduced gingival enlargement and periodontitis. However due to their varied presentations, the diagnosis of these entities becomes challenging for the clinician. The causative factors may range from inflammation due to local factors to conditioned enlargement and neoplastic enlargements. Druginduced gingival overgrowth is frequently associated with three particular drugs. These are strictly clinical descriptive terms and they avoid the erroneous pathologic connotations of terms of terms used in the past, such as hypertrophic and gingival hyperplasia. Ppt gingival swellings differential diagnosis amer. It is a surgical procedure in which excess gingival tissue is removed. There are a number of causes for this condition, but its often a symptom of poor oral hygiene or a side effect of using. The expression and the severity of this tissuespecific condition are influenced by a variety of factors, mainly drug and periodontal variables. Druginduced gingival hyperplasia clinical presentation. This is strictly a clinical description of the condition and avoids the erroneous pathologic connotations of terms used in the past such as hypertrophic gingivitis or gingival hyperplasia. Plaque induced inflammation appears to be a general stimulating effect regardless of the mechanism of gingival enlargement. As gingival enlargement develops, it affects the normal oral hygiene practice and may interfere with masticatory functions. Gingival enlargement, also synonymous with the terms gingival hyperplasia or hypertrophy, is defined as an abnormal overgrowth of gingival tissues.
A case of a 19yearold male presenting with maxillary and mandibular chronic inflammatory gingival enlargement associated with prolonged orthodontic therapy is reported here. Gingival enlargements generalised pocket dentistry. This case report addresses the diagnosis and treatment of a case of idiopathic gingival enlargement in a yearold female. Treatment can be in the form of allowing for spontaneous resolution once the etiology is removed, instituting proper dental hygiene, nonsurgical treatment, andor surgical treatment. The present case report describes a successful management of phenytoin induced gingival enlargement in year old female by combined surgical and nonsurgical approach. Report gingival enlargement please fill this form, we will try to respond as soon as possible.
Druginduced gingival overgrowth is a condition caused by side effects of treatment with one of three types of drugs. A critical insight into case reports from over two decades pramod samudrala, vijay kumar chava, tanguturi sri chandana, rachakonda suresh department of periodontology, narayana dental college and hospital, nellore, andhra pradesh, india. Unusual clinical presentation of generalised gingival. Drug induced gingival enlargement can be treated by changing the drug or decreasing the dose of drug. Ppt gingival curettage powerpoint presentation free to. Gingival enlargement the currently accepted terminology for an increase in the size of the gingiva, is a common feature of gingival disease. Such increased volume of gingiva may compromise normal oral functions, aesthetics in addition.
Both genetically and pharmacologically induced forms of gingival enlargement exist. Find powerpoint presentations and slides using the power of, find free presentations research about gingival inflammation stages ppt. To be considered a gingival enlargement resulting from medications, the size. Gingival enlargement and its treatment authorstream. The differential diagnosis of gingival hyperplasia includes calcium channel blockers, cyclosporine, familial gingival fibromatosis, gingivitis, leukemia, phenytoin, scurvy, trench mouth, valproic acid.
Due to the unaesthetic appearance of the overgrown gingiva, treatment becomes inevitable. Medically induced gingival hyperplasia mayo clinic proceedings. Gingival enlargement ge is a condition in which the size of the gingiva increases in response to inflammation, systemic disease, or certain medications including anticonvulsants, calciumchannel blockers, and immunosuppressants. Gingival enlargement an overview sciencedirect topics. Gingival gum enlargement, also known as gingival hyperplasia or hypertrophy, is an abnormal overgrowth of gingival tissues. Most commonly, gingival overgrowth is a plaqueinduced inflammatory process, which can be modified by systemic disease or medications. Syndromes with gingival enlargement hereditary gingival fibromatosis may be associated with intellectual disabilities may be sporadic in occurrence or an ad or ar trait. The adobe flash plugin is needed to view this content. Introduction gingival enlargement is a common feature of gingival disease and may be caused by fibrous overgrowth or gingival inflammation or a combination of two. These are strictly clinical descriptive terms, and they avoid the erroneous pathologic connotations of terms used in the past, such as hypertrophic gingivitis and gingival hyperplasia. Gingival overgrowth is a major and frequent unwanted effect accompanying the chronic usage of antihypertensive, anticonvulsant, and immunosuppressant drugs. Plasma levels and dose of the drug have been suggested to be the. The most common form of enlargement is due to plaqueinduced in.
It is the degree of enlargement and the tendency to develop massive recurrence in the presence of relatively scant plaque deposits that distinguish pubertal gingival enlargement from. The dental consumables are the products used by patients for the treatment of dental disorders such as tooth restoration, problems associated with. Gingival hyperplasia is an overgrowth of gum tissue around the teeth. Remove this presentation flag as inappropriate i dont like this i like this remember as a favorite. The enlargement can be inflammatory,fibrotic or a combination of both. Gingival hyperplasia associated with syndrome needs both. Pgo may vary from mild to severe and does not seem to be dose dependant. Among calcium channel blockers, nifedipine, a first generation calcium channel blocker causes gingival overgrowth in about 20% of patients, whereas the incidence of amlodipine, a. Periodontal management of phenytoin induced gingival.
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