Drug-induced gingival enlargement: biofilm control and surgical therapy with gallium-aluminum-arsenide (GaAlAs) diode laser-A 2-year follow-up.
Drug-induced gingival enlargement has been reported in patients treated with various types of anticonvulsant drugs, and is generally associated with the presence of plaque, gingival inflammation, and a genetic predisposition. Effective treatment includes daily oral hygiene and periodic professional prophylaxis. However, in some patients, surgical removal of the gingival tissue overgrowth becomes necessary. The patient in this case report was mentally impaired and had severe drug-induced gingival enlargement. This report describes the initial protocol, the gingivectomy, and a 2-year follow-up. A diode laser was used as an effective and safe method to remove the patient's overgrown gingival tissue.
de Oliveira Guaré
Renata
R
Discipline of Dentistry, Persons with Disabilities Division, Post-Graduate Professor, Universidade Cruzeiro do Sul, São Paulo, Brazil. renataguare@uol.com.br
Costa
Soraya Carvalho
SC
Baeder
Fernando
F
de Souza Merli
Luiz Antonio
LA
Dos Santos
Maria Teresa Botti Rodrigues
MT
D000927:Anticonvulsants / Q000009:adverse effects / Q000627:therapeutic use; D018441:Biofilms; D003728:Dental Calculus / Q000628:therapy; D003730:Dental Care for Persons with Disabilities; D003773:Dental Plaque / Q000628:therapy; D004827:Epilepsy / Q000188:drug therapy; D005351:Fibromatosis, Gingival / Q000139:chemically induced / Q000601:surgery; D005500:Follow-Up Studies; D019214:Gingival Overgrowth / Q000139:chemically induced* / Q000601:surgery; D005890:Gingivectomy / Q000379:methods*; D006801:Humans; D053685:Laser Therapy; D054023:Lasers, Semiconductor / Q000627:therapeutic use*; D008297:Male; D009910:Oral Hygiene; D019989:Persons with Intellectual Disabilities; D055815:Young Adult
D000927:Anticonvulsants