Effective Flap Surgery for Drug-Induced Gingival Enlargement: A Clinical Case Report | ||||
| Egyptian Journal of Oral and Maxillofacial Surgery | ||||
| Volume 16, Issue 3, July 2025, Page 147-152 PDF (342.4 K) | ||||
| Document Type: Case Report | ||||
| DOI: 10.21608/omx.2025.360455.1278 | ||||
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| Authors | ||||
Joyeeta Sardar1; Jagriti Lahiri 2
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| 1Department of Dentistry, Calcutta national Medical College and Hospital, Beniapukur, 32 Gorachand Road, Kolkata, West Bengal-700014, India | ||||
| 2Department of Dentistry, Calcutta National Medical College and Hospital , Gorachand Rd., Beniapukur, Kolkata, West Bengal, India. | ||||
| Abstract | ||||
| Drug-induced gingival hyperplasia (DIGH) is a well-documented side effect of certain medications, particularly calcium channel blockers like amlodipine. It is characterized by excessive growth of gingival tissues, which can compromise oral hygiene, aesthetics, speech, and overall quality of life. This case report details the clinical presentation and surgical management of a 55-year-old female patient who developed DIGH after use of amlodipine and atenolol for hypertension . Clinical examination revealed gingival swelling with rolled-out margins, grade one mobility of the lower anterior teeth and persistent periodontal pockets[1].The patient presented with generalized gingival enlargement in both maxillary and mandibular arches, bleeding gums, halitosis, and grade one mobility of lower anterior teeth. Initial management involved full-mouth ultrasonic scaling, Amoxicillin (500 mg) with Potassium Clavulanate (125 mg), Metronidazole (400 mg), 2% Chlorhexidine mouthwash, and Vantej toothpaste to reduce inflammation and bacterial burden. Definitive treatment required flap surgery, performed under aseptic conditions using internal bevel, crevicular, and interdental incisions to excise excess tissue, remove granulation, and reposition the gingival flaps. Postoperative care included strict oral hygiene and follow-ups.At 15 days, bleeding and halitosis resolved, and tooth mobility stabilized. Complete recovery was observed at 30 days, underscoring the effectiveness of multidisciplinary care and patient compliance in managing drug-induced gingival hyperplasia. | ||||
| Keywords | ||||
| Periodontal surgery; Gingival enlargement treatment; Hypertension medication side effects; Oral health management | ||||
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