Triveni M G, Rudrakshi C, Mehta D S
Departments of Periodontology and Implantology, Bapuji Dental College and Hospital, Davangere, Karnataka, India.
J Indian Soc Periodontol. 2009 Sep;13(3):160-3. doi: 10.4103/0972-124X.60231.
Gingival overgrowth represents an over-exuberant response to a variety of local and systemic conditions. Certain anticonvulsants, immuno-suppressive drugs and a number of calcium channel blockers have been shown to produce similar gingival overgrowths in certain susceptible patients. Amlodipine is a comparatively new calcium channel blocker and has been used with increasing frequency in the management of hypertension and angina. Although amlodipine is considered as a safe drug, very rarely it may induce gingival overgrowth also. A rare case of amlodipine-induced gingival overgrowth has been reported herein in a 50-year-old female patient. The treatment aspect included Phase-1 therapy, substitution of the drug, the surgical excision and the maintenance and supportive therapy resulting in excellent clinical outcome.
牙龈增生是对多种局部和全身状况的过度反应。某些抗惊厥药、免疫抑制药物以及一些钙通道阻滞剂已被证明在某些易感患者中会产生类似的牙龈增生。氨氯地平是一种相对较新的钙通道阻滞剂,在高血压和心绞痛的治疗中使用频率越来越高。尽管氨氯地平被认为是一种安全的药物,但它也极少可能诱发牙龈增生。本文报道了一例50岁女性患者因氨氯地平引起牙龈增生的罕见病例。治疗方面包括第一阶段治疗、药物替代、手术切除以及维持和支持治疗,取得了良好的临床效果。