Combined treatment approach to gingival overgrowth due to drug therapy.
A case of severe gingival overgrowth associated with combined drug therapy of cyclosporin A and nifedipine is reported. The frequently increased vascularity of the gingival tissues in such cases often causes problems with bleeding both during and after surgery. Acrylic suckdown splints have been used postoperatively to assist haemostasis; however, these can interfere with function and cause discomfort. This report describes a combined treatment approach using conventional gingivectomy and carbon dioxide laser for the removal of the hypertrophic soft tissue. The benefits of such combined treatment include reduced bleeding during surgery with consequent reduced operating time and rapid post-operative haemostasis, thus eliminating the need for a splint.
Department of Periodontology, Eastman Dental Institute & Hospital, London, UK.
U R
UR
Darbar
C
C
Hopper
P M
PM
Speight
H N
HN
Newman
D016063:Blood Loss, Surgical / Q000517:prevention & control; D002121:Calcium Channel Blockers / Q000009:adverse effects*; D002245:Carbon Dioxide; D016572:Cyclosporine / Q000009:adverse effects*; D005884:Gingival Hemorrhage / Q000517:prevention & control; D005885:Gingival Hyperplasia / Q000139:chemically induced / Q000601:surgery; D005886:Gingival Hypertrophy / Q000139:chemically induced / Q000601:surgery; D019214:Gingival Overgrowth / Q000139:chemically induced / Q000601:surgery*; D005890:Gingivectomy / Q000379:methods; D016027:Heart Transplantation; D006488:Hemostasis, Surgical / Q000295:instrumentation; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects*; D017075:Laser Coagulation / Q000379:methods; D008297:Male; D008875:Middle Aged; D009543:Nifedipine / Q000009:adverse effects*; D013165:Splints / Q000009:adverse effects
D002121:Calcium Channel Blockers; D007166:Immunosuppressive Agents; D002245:Carbon Dioxide; D016572:Cyclosporine; D009543:Nifedipine