Phenytoin induced gingival overgrowth is a drug induced type of gum hyperplasia, usually seen in patient’s with epileptic disorder on Phenytoin. It is estimated that about 30 to 50% of patients taking phenytoin develop significant gingival alterations either localised or generalized² within 6 months of therapy. It causes difficulties in swallowing, speech and mastication, delayed dentition and recurrent infections. Delayed milestones, paediatric age group and fragile gingival tissue all pose challenge to anaesthesiologist. We report successful management of a child posted for gingivectomy under general anaesthesia.
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Pandey et al. (2024) studied this question.
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