title: Ca-channel blocker-induced gingival overgrowth that improved with non-surgical therapy during visiting care: a case report.
abstract: OBJECTIVE
  To present a case of gingival overgrowth during visiting care.
  
  
  BACKGROUND
  Ca-channel blocker-induced gingival overgrowth is a well-known adverse event. However, only limited information on the treatment of calcium-channel blocker-induced gingival overgrowth during visiting care has been reported.
  
  
  METHODS
  The patient was an 88-year-old female living in a nursing home since dementia. She had been taking a calcium-channel blocker and observed gingival overgrowth. Initial therapy was performed and changed the antihypertensive medication from a calcium-channel blocker to an angiotensin converting enzyme inhibitor. After initial therapy, the gingival overgrowth improved significantly. In addition, the defecation rate was improved.
  
  
  CONCLUSIONS
  This case indicated that periodontal therapy is useful even for dementia patients during visiting dental care.
authors.affiliation: Section of Geriatric Dentistry, Department of General Dentistry, Fukuoka Dental College, Fukuoka city, Japan.
authors.forename: Tomotaka
authors.initials: T
authors.lastname: Kato
authors.affiliation: Section of Geriatric Dentistry, Department of General Dentistry, Fukuoka Dental College, Fukuoka city, Japan.
authors.forename: Hiroya
authors.initials: H
authors.lastname: Takiuchi
authors.affiliation: Section of Geriatric Dentistry, Department of General Dentistry, Fukuoka Dental College, Fukuoka city, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Yamaguchi
authors.affiliation: Section of Geriatric Dentistry, Department of General Dentistry, Fukuoka Dental College, Fukuoka city, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Naito
mesh_terms: D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use; D002121:Calcium Channel Blockers / Q000009:adverse effects* / Q000627:therapeutic use; D003646:Debridement / Q000379:methods; D000075222:Essential Hypertension; D005260:Female; D019214:Gingival Overgrowth / Q000139:chemically induced* / Q000628:therapy*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D009543:Nifedipine / Q000009:adverse effects* / Q000627:therapeutic use; D009910:Oral Hygiene
chemical_list: D000959:Antihypertensive Agents; D002121:Calcium Channel Blockers; D009543:Nifedipine
keywords: ca-channel blocker; gingival overgrowth; non-surgical therapy; visiting care