Keywords
Amlodipine; conservative treatment; gingival enlargement.
Abstract
Amlodipine, a commonly prescribed calcium channel blocker for hypertension, is associated with gingival enlargement, which can lead to aesthetic concerns and difficulty with speech, mastication, and oral hygiene. This condition presents a challenge due to its unclear pathogenesis and the risk of recurrence. This case report highlights the success of a conservative treatment strategy, including scaling and root planing combined with drug substitution, in controlling gingival overgrowth. The intervention led to a noticeable reduction in gingival enlargement, reducing the need for extensive surgical procedures.
References
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2. Arun S, Joshi R, Rana S, Shrestha D, Joshi P, Khadka S. Amlodipine induced Gingival Overgrowth in Patients at a Tertiary Level Hospital of Nepal. J Nepal Soc Perio Oral Implantol. 2018;2:2-5.
3. Levine CB, Fahrbach KR, Frame D, Connelly JE, Estok RP, Stone LR, et al. Effect of amlodipine on systolic blood pressure. Clin Ther. 2003;25(1):35-57.
4. Tejnani A, Gandevivala A, Bhanushali D, Gourkhede S. Combined treatment for a combined enlargement. J Indian Soc Periodontol. 2014;18(4):516-9.
5. Hancock RH, Swan RH. Nifedipine-induced gingival overgrowth. Report of a case treated by controlling plaque. J Clin Periodontol. 1992;19(1):12-4.
6. Ciantar M. Nifedipine-induced gingival overgrowth: remission following non-surgical therapy. Dent Update. 1996;23(9):374-7.
7. Mavrogiannis M, Ellis JS, Thomason JM, Seymour RA. The management of drug-induced gingival overgrowth. J Clin Periodontol. 2006;33(6):434-9.