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苯妥英钠所致牙龈增生的非手术治疗

Nonsurgical Management of Phenytoin-induced Gingival Hyperplasia.

作者信息

AlJehani Yousef A

机构信息

Assistant Professor, Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia, Phone: +966500655550, e-mail:

出版信息

J Contemp Dent Pract. 2015 Apr 1;16(4):319-21. doi: 10.5005/jp-journals-10024-1683.

Abstract

INTRODUCTION

The aim of this report is to present a severe case of phenytoin (PHT)-induced gingival hyperplasia in a Saudi patient.

MATERIALS AND METHODS

A 12-year-old male epileptic patient, undergoing PHT therapy, was diagnosed clinically with severe gingival hyperplasia. His treatment consisted meticulous oral care and weekly professional prophylaxis. The patient was advised oral folic acid supplementation (0.5 mg/day) and was also recommended 0.2% chlorhexidine gluconate mouthwash twice daily.

RESULTS

There was significant reduction in the hyperplastic tissue within 4 weeks of treatment.

CONCLUSION

It is possible to treat PHT-induced gingival hyperplasia non-surgically with intensive dental care, correct oral hygiene and oral folic acid supplements.

摘要

引言

本报告旨在介绍一名沙特患者中苯妥英钠(PHT)诱发的严重牙龈增生病例。

材料与方法

一名接受PHT治疗的12岁男性癫痫患者经临床诊断为严重牙龈增生。其治疗包括细致的口腔护理和每周的专业预防措施。建议患者口服补充叶酸(0.5毫克/天),并推荐每日使用两次0.2%葡萄糖酸氯己定漱口水。

结果

治疗4周内增生组织显著减少。

结论

通过强化口腔护理、正确的口腔卫生措施和口服叶酸补充剂,非手术治疗PHT诱发的牙龈增生是可行的。

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