J Interdiscip Dentistry
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CASE REPORT
Year : 2019  |  Volume : 9  |  Issue : 1  |  Page : 44-47

Interdisciplinary approach in the management of medically compromised patient with drug-induced gingival enlargement


1 Department of Dentistry, Gulbarga Institute of Medical Sciences, Gulbarga, Karnataka, India
2 Department of Periodontics, AME'S Dental College and Research Centre, Raichur, Karnataka, India

Correspondence Address:
Archana Devanoorkar
Department of Dentistry, Gulbarga Institute of Medical Sciences, Gulbarga, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jid.jid_68_17

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Drug-induced gingival overgrowth (DIGO) is one of the most common side effects of three important groups of drugs such as anticonvulsants, calcium channel blockers, and immunosuppressants. Calcium channel blockers are the important group of drugs in the management of cardiovascular diseases; however, they are associated with certain side effects such as DIGO in susceptible individuals. Nifedipine is the frequently involved drug; however, there are few cases of amlodipine-induced gingival enlargement as well. The case reported here is a 55-year-old medically compromised male patient on polypharmacy. Based on the clinical, radiographic investigations and medical history, he was diagnosed as having drug-induced gingival enlargement with chronic generalized periodontitis. The case was managed by nonsurgical periodontal therapy alone in addition to interdisciplinary approach and strict supportive periodontal therapy, which resulted in complete resolution of the gingival enlargement with restoration of normal gingival health.


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