title: Combined treatment for a combined enlargement.
abstract: Calcium channel blockers are widely used in medical practice for the management of hypertension and in the prophylaxis of angina. Gingival overgrowth is now a recognized unwanted effect associated with many of calcium channel blockers. This can have a significant effect on the quality of life as well as increasing the oral bacterial load by generating plaque retention sites. Amlodipine, a third generation calcium channel blockers has been shown to promote gingival overgrowth, although reported in very limited cases. The management of gingival overgrowth seems to be directed at controlling gingival inflammation through a good oral hygiene regimen. However, in severe cases, surgical excision is the most preferred method of treatment, followed by rigorous oral hygiene procedures. This case report describes the management of gingival overgrowth in a hypertensive patient taking amlodipine.
authors.affiliation: Department of Dental, Unit II, Consultant Periodontist, GSBS Medical Trust, Mumbai, Maharashtra, India.
authors.forename: Avneesh
authors.initials: A
authors.lastname: Tejnani
authors.affiliation: Department of Oral and Maxillofacial Surgery, MGM Dental College, Navi Mumbai, Maharashtra, India.
authors.forename: Adil
authors.initials: A
authors.lastname: Gandevivala
authors.affiliation: Department of Plastic Surgery, House officer, KEM Hospital, Maharashtra, India.
authors.forename: Devang
authors.initials: D
authors.lastname: Bhanushali
authors.affiliation: Department of Periodontology, Late Shri Yashwantrao Chavan Memorial Medical and Rural Development Foundation's Dental College, Ahmednagar, Maharashtra, India.
authors.forename: Sonal
authors.initials: S
authors.lastname: Gourkhede
keywords: Calcium channel blocker; drug-induced; gingival overgrowth; management