Individualized Treatment Plan for Gingival Enlargement: A Case Series

Her medical history revealed epilepsy since the age of 3, controlled with medication (Phenytoin) for the last 19 years.Gingival tissues were pale pink, enlarged, firm, and fibrotic.Generalized bleeding on probing was present.An orthopantomogram of the patient revealed considerable bone loss in the lower posterior regions.Complete hemogram results were under normal limits.A diagnosis of generalized drug-induced gingival enlargement superimposed with chronic periodontitis was made.With the consent of the patient and her physician, complete scaling and root planing was performed, along with a prescription of a 0.2% chlorhexidine mouthwash.After 1 week, the gingival condition improved and the case was subjected to routine oral hygiene with a soft, gentle toothbrush and warm saline gargles.