Parwani Rajkumar N, Parwani Simran R
Gen Dent. 2013 Sep-Oct;61(6):61-7.
Gingival enlargements may adversely affect speech, mastication, tooth eruption, and esthetics. These enlargements can occur as a result of the administration of certain anticonvulsants, immunosuppressants, and calcium channel blockers. The present case report describes the treatment of a patient with a phenytoin-induced gingival enlargement. A case of gingival enlargement should be treated in a step-wise manner, including consultation with the patient's physician, substitution of the drug, nonsurgical therapy, surgical therapy (if needed), and supportive periodontal therapy after every 3 months. In this case, healing was uneventful, and no recurrences occurred 3 months postoperatively.
牙龈增生可能会对言语、咀嚼、牙齿萌出和美观产生不利影响。这些增生可能是由于使用某些抗惊厥药、免疫抑制剂和钙通道阻滞剂引起的。本病例报告描述了一名苯妥英钠所致牙龈增生患者的治疗情况。牙龈增生病例应采用分步治疗，包括与患者的医生协商、更换药物、非手术治疗、手术治疗（如有需要）以及每3个月进行一次支持性牙周治疗。在本病例中，愈合过程顺利，术后3个月未出现复发。
