Diode Laser Therapy for Drug Induced Gingival Enlaregement: A CaseReport

Dr. Tarika Sharma; Dr. Deepak Sharma; Dr. Shanta Negi; Dr. Vinay Kumar Bhardwaj; Dr. Bhawna Singh1

1

Publication Date: 2024/07/02

Abstract: Background: Calcium channel blockers (CCBs) are frequently prescribed for treating cardiovascular conditions. Amlodipine, a third-generation CCB, is known to cause gingival enlargement in some patients. This case report discusses the diagnosis and management of gingival enlargement induced by amlodipine in a patient with hypertension.  Methods: Phase-1 non-surgical periodontal therapy combined with diode laser gingivectomy and gingivoplasty was performed for conservative management of the enlargement.  Results: Favorable clinical outcome was observed with excellent gingival healing and more aesthetic gingival morphology.  Conclusion: Treatment of drug induced gingival enlargement with diode laser proved to be moreeffective and resulted in faster healing and mild discomfort.

Keywords: No Keywords Available

DOI: https://doi.org/10.38124/ijisrt/IJISRT24JUN225

PDF: https://ijirst.demo4.arinfotech.co/assets/upload/files/IJISRT24JUN225.pdf

REFERENCES

  1. Brown RS, Arany PR. Mechanism of drug‐induced gingival overgrowth revisited: a unifying hypothesis. Oral diseases. 2015 Jan;21(1):e51-61.
  2. Liu Y, Peng Q, Liu B, Wang Z, Cao Q. Er, Cr: YSGG Laser Therapy for Drug-Induced Gingival Overgrowth: A Report of Two Case Series. Frontiers in Surgery. 2022;9.
  3. Seymour RA, Thomason JM, Ellis JS. The pathogenesis of drug‐induced gingival overgrowth. Journal of clinical periodontology. 1996 Mar;23(3):165-75.
  4. Livada R, Shiloah J. Calcium channel blocker-induced gingival enlargement. Journal of human hypertension. 2014 Jan;28(1):10-4.
  5. Mavrogiannis M, Ellis JS, Thomason JM, Seymour RA. The management of drug‐induced gingival overgrowth. Journal of clinical periodontology. 2006 Jun;33(6):434-9.
  6. Madi M, Shetty SR, Babu SG, Achalli S. Amlodipine-induced gingival hyperplasia–a case report and review. The West Indian Medical Journal. 2015 Jun;64(3):279.
  7. Saleem M, Deepa D. Management of amlodipine-induced gingival enlargement by diode laser. Journal of Current Research in Scientific Medicine. 2016 Jan 1;2(1):49.
  8. Seymour RA, Ellis JS, Thomason JM, Monkman S, Idle JR. Amlodipine‐induced gingival overgrowth. Journal of clinical periodontology. 1994 Apr;21(4):281-3.
  9. Jorgensen MG. Prevalence of amlodipine‐related gingival hyperplasia. Journal of periodontology. 1997 Jul;68(7):676-8.
  10. Lafzi A, Farahani RM, Shoja MA. Amlodipine-induced gingival hyperplasia. Medicina Oral, Patología Oral y Cirugía Bucal (Internet). 2006 Dec;11(6):480-2.
  11. De Oliveira Guaré R, Costa SC, Baeder F, De Souza Merli LA, Dos Santos MT. Drug‐
  12. induced gingival enlargement: Biofilm control and surgical therapy with galliu aluminum–arsenide (GaAlAs) diode laser—A 2‐year follow‐up. Special Care in Dentistry. 2010 Mar;30(2):46-5.