The awareness in the medical community about this possible side effect of nifedipine is less when compared to the effects of phenytoin and. Phenytoin is one of the most common drugs associated with gingival overgrowth. A critical insight into case reports from over two decades pramod samudrala, vijay kumar chava, tanguturi sri chandana, rachakonda suresh department of periodontology, narayana dental college and hospital, nellore, andhra pradesh, india. By knowing the existence of common and rare presentations of gingival enlargement, one can keep a broad view when formulating a differential diagnosis of localized isolated, discrete, regional. Plaque induced inflammation appears to be a general stimulating effect regardless of the mechanism of gingival enlargement. Pdf drug induced gingival enlargement researchgate. Gingival overgrowth is asymptomatic, except in the presence of poor oral hygiene and dental plaque because patients may develop bleeding with. Gingival enlargements generalised pocket dentistry. The accepted current terms for this condition are gingival enlargement and gingival overgrowth. View and download powerpoint presentations on gingival inflammation stages ppt.
Go is evident in almost half of the patients receiving pht therapy. Mouth breathing, hormonal alterations should be treated. Cyclosporine a and amlodipine induced gingival overgrowth. An increase in size of the gingiva is a common feature of gingival disease. Druginduced gingival overgrowth is frequently associated with three particular drugs.
In recent years,flap surgery have been used more often to treat gingival enlargement than gingivectomy. Druginduced gingival overgrowth is a condition caused by side effects of treatment with one of three types of drugs. Definition increase in size of gingiva or gingival overgrowth. The incidence of gingival enlargement with amlodipine was reported to be much lesser than nifedepine, however. Gingival enlargement or overgrowth go is a common complication of the anticonvulsant drug phenytoin pht. View and download powerpoint presentations on gingivitis ppt. Treatment can be in the form of allowing for spontaneous resolution once the etiology is removed, instituting proper dental hygiene, nonsurgical treatment, andor surgical treatment. They commonly present as bulbous interdental gingival, diffuse swelling of gingival. The expression and the severity of this tissuespecific condition are influenced by a variety of factors, mainly drug and periodontal variables.
These are strictly clinical descriptive terms and they avoid the erroneous pathologic connotations of terms of terms used in the past, such as hypertrophic and gingival hyperplasia. Gingival enlargement ge is a condition in which the size of the gingiva increases in response to inflammation, systemic disease, or certain medications including anticonvulsants, calciumchannel blockers, and immunosuppressants. Medically induced gingival hyperplasia mayo clinic proceedings. A patients diagnosis and treatment rely on proper classification of gingival. As gingival enlargement develops, it affects the normal oral hygiene practice and may interfere with masticatory functions. The extent of gingival enlargements were defined as either localized or generalized. Drug induced gingival enlargement can be treated by changing the drug or decreasing the dose of drug. To get the facts on exactly how to eliminate your uterine fibroids from the root 100% naturally and permanently and achieve lasting freedom from pcos related symptoms without spending your hardearned money on drugs and over the counters. Introduction gingival enlargement is a common feature of gingival disease and may be caused by fibrous overgrowth or gingival inflammation or a combination of two. Prescription of calcium channel blockers is relatively common, making it difficult to determine the true incidence of druginduced gingival enlargement. Gingival overgrowth is a major and frequent unwanted effect accompanying the chronic usage of antihypertensive, anticonvulsant, and immunosuppressant drugs. Gingival enlargement is known side effect of certain medications like anticonvulsants, calcium channel blockers and immunosuppressant. Gingival gum enlargement, also known as gingival hyperplasia or hypertrophy, is an abnormal overgrowth of gingival tissues.
Dental plaqueinduced gingival diseases classification of gingival diseases is a significant part of an intraoral examination. Both genetically and pharmacologically induced forms of gingival enlargement exist. Drug induced gingival overgrowth digo statpearls ncbi. Gingival enlargement is an increase in the size of the gingiva gums. Tissue biopsy should be carried out in case the presentation of the. Nonsurgical management of nifedipine induced gingival. Gingival enlargement and its treatment authorstream. Severity and scoring of gingival recession scoring of the gingival recessions at the buccal aspect according to the classification of miller 1985 revealed that class i recessions were the most prevalent, yet its frequency was gradually decreased as age increased. The effective and predictable management of gingival overgrowth requires correct diagnosis and consideration of aetiological factors, as discussed in part 1. Regardl ess of its cause, gingival enlar gement can cause problems in controlling pl aque, chewing, teething, speech and aesthetics 1. Gingival enlargement during puberty has all the clinical features associated with chronic inflammatory gingival disease. However due to their varied presentations, the diagnosis of these entities becomes challenging for the clinician. Pgo may vary from mild to severe and does not seem to be dose dependant.
Ppt gingival curettage powerpoint presentation free to. Due to the unaesthetic appearance of the overgrown gingiva, treatment becomes inevitable. Gingival enlargement can be caused by a number of factors, including inflammatory conditions and the side effects of certain medications. The causative factors may range from inflammation due to local factors to conditioned enlargement and neoplastic enlargements. Abvp and elizabeth mcmorran, drmedvet for the education center.
Chronic inflammatory gingival enlargement associated with. This is strictly a clinical description of the condition and avoids the erroneous pathologic connotations of terms used in the past such as hypertrophic gingivitis or gingival hyperplasia. Find powerpoint presentations and slides using the power of, find free presentations research about gingival inflammation stages ppt. To be considered a gingival enlargement resulting from medications, the size. Gingival enlargement or overgrowth is a common disease of gingiva.
Ppt gingival curettage powerpoint presentation free to download id. There was more gingival enlargement in the patients taking diltiazem compared with controls. However, rare genetic conditions can result in gingival. A case of a 19yearold male presenting with maxillary and mandibular chronic inflammatory gingival enlargement associated with prolonged orthodontic therapy is reported here. Gums affected by this condition are often tender, soft, red, and bleed easily. Periodontal management of phenytoin induced gingival. Gingival enlargement, also synonymous with the terms gingival hyperplasia or hypertrophy, is defined as an abnormal overgrowth of gingival tissues. Idiopathic gingival enlargement is a proliferative fibrous lesion of the gingival tissue that causes esthetic and functional problems. The adobe flash plugin is needed to view this content. Gingival enlargement is one of the frequent features of gingival diseases. Among calcium channel blockers, nifedipine, a first generation calcium channel blocker causes gingival overgrowth in about 20% of patients, whereas the incidence of amlodipine, a. Originally published in veterinary practice news, october 2016 download as a pdf gingival hyperplasia and hypertrophy are histologic terms used often to describe the clinical appearance of gingival enlargement, an increase in the size or thickness of the gingiva.
The differential diagnosis of gingival hyperplasia includes calcium channel blockers, cyclosporine, familial gingival fibromatosis, gingivitis, leukemia, phenytoin, scurvy, trench mouth, valproic acid. Phenytoininduced severe gingival overgrowth in a child. The dental consumables are the products used by patients for the treatment of dental disorders such as tooth restoration, problems associated with. There are several causes of gingival enlargement and they can be grouped into four categories. Plasma levels and dose of the drug have been suggested to be the. Severe druginduced gingival enlargement and periodontitis. The most common form of enlargement is due to plaqueinduced in. Phtinduced gingival overgrowth pgo is more common in children than in adults and affects both males and females equally. Druginduced gingival hyperplasia clinical presentation.
It is a surgical procedure in which excess gingival tissue is removed. The present case report describes a successful management of phenytoin induced gingival enlargement in year old female by combined surgical and nonsurgical approach. Ppt gingival swellings differential diagnosis amer. Such increased volume of gingiva may compromise normal oral functions, aesthetics in addition. The enlargement can be inflammatory,fibrotic or a combination of both. Severe gingival enlargement can be treated by gingivectomy. Gingival hyperplasia is an overgrowth of gum tissue around the teeth. Gingival enlargement the currently accepted terminology for an increase in the size of the gingiva, is a common feature of gingival disease.
It is the degree of enlargement and the tendency to develop massive recurrence in the presence of relatively scant plaque deposits that distinguish pubertal gingival enlargement from. Periodontal management of cyclosporin ainduced gingival. Gingival enlargement can be induced by three main causes stemming from 1 inflammation, 2 medication, and 3 systemic disease. Syndromes with gingival enlargement hereditary gingival fibromatosis may be associated with intellectual disabilities may be sporadic in occurrence or an ad or ar trait. Tag archive gingival hyperplasia ppt dental health tips.
Unusual clinical presentation of generalised gingival. This chapter aims to provide an overview of the causes, features and management of generalised gingival swellings, which involve the free andor attached gingiva and may also extend to the nonkeratinised lining oral mucosa. Most commonly, gingival overgrowth is a plaqueinduced inflammatory process, which can be modified by systemic disease or medications. This case report addresses the diagnosis and treatment of a case of idiopathic gingival enlargement in a yearold female. Remove this presentation flag as inappropriate i dont like this i like this remember as a favorite. Top causes of gingival enlargement and treatment options. Global dental consumables market growth, insights 202020 big market research, global dental consumables market size, share, trends, application, forecast, demand, analysis, research, report, opportunities, segmentation, 20 2020. Gingival hyperplasia associated with syndrome needs both. Gingival overgrowth leads to inflammation within the gums and periodontium and can. Gingival enlargements free download as powerpoint presentation. Learn the shocking truth about uterine fibroids, drugs and surgeries. These are strictly clinical descriptive terms, and they avoid the erroneous pathologic connotations of terms used in the past, such as hypertrophic gingivitis and gingival hyperplasia.