Phenytoin Induced Gingival Enlargement and Its Management- A Case Report

This is the authors' abstract. We don't add key points for this paper.

Background: Gingival enlargement is associated with multiple factors including congenitaldiseases, hormonal disturbances, poor oral hygiene condition, inflammation, neoplasticconditions, and adverse drug reactions including anticonvulsants, calcium channel blockers,and immunosuppressants. This can have a deleterious effect on the quality of life and also onhigh oral bacterial load caused by plaque-retentive areas. Method: Various treatment modalitiesinclude both surgical (gingivectomy, periodontal flap, electrosurgery, and laser excision) andnonsurgical approaches (oral hygiene measures, oral prophylaxis, discontinuation of the drug, orthe replacement of the drug with other alternative). Conclusion: Surgical intervention is requiredwhen non-surgical treatment fails to resolve the problem. Proper maintenance phase should befollowed for better esthetic outcome along with drug replacement.