Damdoum Marah, Varma Sudhir Rama, Jaber Mohamed A, Nambiar Manjusha
Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman, UAE.
Centre of Medical and Biomedical Allied Health Sciences Research, Ajman University, Ajman, UAE.
Case Rep Dent. 2021 Sep 21;2021:4120148. doi: 10.1155/2021/4120148. eCollection 2021.
The purpose of this case report is to present a rare case of amlodipine-induced gingival overgrowth with a secondary formation of necrotizing ulcerative gingivitis involving the upper and lower arches of a 68-year-old female patient with a chief complaint of "swollen gums and pain on mastication which has been recurring for the past 5 years."
The treatment plan of this case was divided according to quadrants of the mouth. Each week, one quadrant was surgically excised, and the remaining quadrants were observed for any changes. The gingival overgrowths were excised using a 15 blade, and debris/plaque was removed with Gracey curettes.
Although full-mouth exodontia was performed, the patient unfortunately suffered with recurrences in GO. These results are suggestive of idiopathic causes of GO.
Careful examination, physician referrals, and biopsy to rule out any specific anomalies and to assist in proper diagnosis are followed by sequential management of the case results in productive outcomes.
本病例报告旨在呈现一例罕见的氨氯地平引起的牙龈增生病例，该病例继发坏死性溃疡性牙龈炎，累及一名68岁女性患者的上下牙弓，其主要诉求为“牙龈肿胀及咀嚼疼痛，在过去5年中反复出现”。
本病例的治疗方案根据口腔象限进行划分。每周手术切除一个象限，并观察其余象限有无变化。使用15号刀片切除牙龈增生组织，并用格雷斯刮治器清除碎屑/菌斑。
尽管患者接受了全口拔牙，但不幸的是牙龈增生仍复发。这些结果提示牙龈增生存在特发性病因。
仔细检查、医生转诊及活检以排除任何特定异常并协助正确诊断，随后对病例进行序贯管理可产生有效的治疗结果。
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