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Pendyala, Gowri
- Phenytoin Induced Gingival overgrowth - a Case Report
Authors
1 Department of Periodontology, Rural Dental College, Loni, Maharashtra, IN
2 Department of Pedodontics & Preventive Dentistry, Rural Dental College, Loni, Maharashtra, IN
3 Department of Periodontics, A. B.Shetty Memorial Institute of Dental Sciences, Mangalore, IN
4 Depatrment of Periodontics, Rural Dental College, Loni, Maharashtra, IN
Source
Medico-Legal Update, Vol 13, No 1 (2013), Pagination: 149-154Abstract
Gingival overgrowth is a rare disorder characterized by the proliferative fibrous over growth of the gingival tissue. It usually develops as an isolated disorder but can be a feature of a syndrome. Anticonvulsants, immune-suppressant drugs and calcium channel blockers have been known to produce similar gingival overgrowths in susceptible patients.
Phenytoin, an anti epileptic has been frequently used in the management of all forms of epilepsy except petit-mal. The potential of phenytoin to induce gingival hyperplasia has been well-established.
This article documents a severe gingival enlargement in a patient under anti-epileptic therapy and provides a rational model for its clinical management.
A case of 15 year old male is reported who presented a generalized severe gingival overgrowth, involving the maxillary and mandibular arches and covering all teeth. Treatment included phase 1 therapy, substitution of the drug, and surgical excision of the excessive gingival tissue, maintenance and supportive therapy resulting in excellent clinical outcome. Post surgical follow up demonstrated no recurrence.
Keywords
Phenytoin, Antiepileptic, Gingival Over Growth, GingivectomyReferences
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- Relationship of Palatoradicular Groove and Localized Periodontitis: Three Case Reports
Authors
1 Department of Periodontics, Rural Dental College, Loni, Maharashtra, IN
2 Department of Pedodontics, Rural Dental College, Loni, Maharashtra, IN
3 Department of Oral medicine, diagnosis and Radiology, Rural dental College, Loni, Maharashtra, IN
4 Aurangabad, Maharashtra, IN
Source
Medico-Legal Update, Vol 13, No 1 (2013), Pagination: 174-179Abstract
The clinical significance of Palatoradicular Groove (PRG) is related to the incidence of localized periodontitis with or without pulpal pathosis, depending on the depth, extent and complexity of the groove. This report describes the various treatment modalities in the management of chronic localized periodontitis associated with PRG on maxillary lateral incisors. From eliminating the groove to placement of bone graft and platelet rich fibrin in the osseous defect, resulted in an uneventful healing and the tooth continued to serve well.Keywords
Palatoradicular Groove, Lateral Incisors, Platelet Rich FibrinReferences
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