title: Nonsurgical Management of Phenytoin-induced Gingival Hyperplasia.
abstract: BACKGROUND
  The aim of this report is to present a severe case of phenytoin (PHT)-induced gingival hyperplasia in a Saudi patient.
  
  
  METHODS
  A 12-year-old male epileptic patient, undergoing PHT therapy, was diagnosed clinically with severe gingival hyperplasia. His treatment consisted meticulous oral care and weekly professional prophylaxis. The patient was advised oral folic acid supplementation (0.5 mg/day) and was also recommended 0.2% chlorhexidine gluconate mouthwash twice daily.
  
  
  RESULTS
  There was significant reduction in the hyperplastic tissue within 4 weeks of treatment.
  
  
  CONCLUSIONS
  It is possible to treat PHT-induced gingival hyperplasia non-surgically with intensive dental care, correct oral hygiene and oral folic acid supplements.
authors.affiliation: Assistant Professor, Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia, Phone: +966500655550, e-mail: aljehaniyousef@gmail.com.
authors.forename: Yousef A
authors.initials: YA
authors.lastname: AlJehani
mesh_terms: D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D000927:Anticonvulsants / Q000009:adverse effects*; D002648:Child; D002710:Chlorhexidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D003777:Dental Prophylaxis / Q000379:methods; D019587:Dietary Supplements; D005492:Folic Acid / Q000627:therapeutic use; D005885:Gingival Hyperplasia / Q000139:chemically induced / Q000628:therapy*; D006801:Humans; D008297:Male; D009067:Mouthwashes / Q000627:therapeutic use; D009910:Oral Hygiene / Q000379:methods; D010672:Phenytoin / Q000009:adverse effects*; D014803:Vitamin B Complex / Q000627:therapeutic use
chemical_list: D000891:Anti-Infective Agents, Local; D000927:Anticonvulsants; D009067:Mouthwashes; D014803:Vitamin B Complex; D010672:Phenytoin; D005492:Folic Acid; C010882:chlorhexidine gluconate; D002710:Chlorhexidine
keywords: Gingival hyperplasia; Oral hygiene; Oral prophylaxis; Phenytoin.