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丙戊酸钠致小儿牙龈增生:1例手术干预病例报告

Sodium Valproate-Induced Gingival Enlargement in a Pediatric Patient: A Case Report With Surgical Intervention.

作者信息

Varghese Nezy, Rajesh R, Krishnan Darsana, Vasu Sreelakshmi

机构信息

Pediatric and Preventive Dentistry, Indira Gandhi Institute of Dental Sciences, Nellikuzhi, IND.

出版信息

Cureus. 2025 Jun 22;17(6):e86519. doi: 10.7759/cureus.86519. eCollection 2025 Jun.

DOI:10.7759/cureus.86519
PMID:40698209
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12281469/
Abstract

Gingival enlargement occurs secondary to the usage of anti-epileptics. The severity of overgrowth varies among different classes of drugs, with phenytoin having the highest incidence of reported cases, whereas cases associated with sodium valproate are minimal. Factors like drug dose, genetic factors, plaque, gingival inflammation, and periodontal health influence the degree of overgrowth. This case report presents one of the first surgically managed cases of generalized gingival enlargement in a pediatric patient due to chronic usage of sodium valproate.

摘要

牙龈增生继发于抗癫痫药物的使用。不同种类药物导致的增生严重程度各异,苯妥英钠报告病例的发生率最高,而丙戊酸钠相关病例极少。药物剂量、遗传因素、菌斑、牙龈炎症和牙周健康等因素会影响增生程度。本病例报告展示了首例因长期使用丙戊酸钠导致的小儿全身性牙龈增生并接受手术治疗的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/a46570065af3/cureus-0017-00000086519-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/865257676696/cureus-0017-00000086519-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/4a442fa26098/cureus-0017-00000086519-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/7c854de38369/cureus-0017-00000086519-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/fe9f84ff8ece/cureus-0017-00000086519-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/f959bb1ddf40/cureus-0017-00000086519-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/ed28cb5d1801/cureus-0017-00000086519-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/a46570065af3/cureus-0017-00000086519-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/865257676696/cureus-0017-00000086519-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/4a442fa26098/cureus-0017-00000086519-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/7c854de38369/cureus-0017-00000086519-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/fe9f84ff8ece/cureus-0017-00000086519-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/f959bb1ddf40/cureus-0017-00000086519-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/ed28cb5d1801/cureus-0017-00000086519-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b05/12281469/a46570065af3/cureus-0017-00000086519-i07.jpg

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本文引用的文献

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Comparative Evaluation of Plaque Removal Effectiveness of Manual and Chewable Toothbrushes in Children: A Randomized Clinical Trial.儿童手动牙刷与可咀嚼牙刷菌斑清除效果的比较评估:一项随机临床试验
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Dental plaque-induced gingival conditions.
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Phenytoin-induced gingival enlargement.苯妥英钠所致牙龈增生
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Global developmental delay with sodium valproate-induced gingival hyperplasia.全球发育迟缓伴丙戊酸钠诱导的牙龈增生。
BMJ Case Rep. 2014 Jan 22;2014:bcr2013200672. doi: 10.1136/bcr-2013-200672.
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Drug-induced gingival overgrowth: The nemesis of gingiva unravelled.药物性牙龈增生:牙龈病变之谜揭晓。
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Influence of mast cells in drug-induced gingival overgrowth.药物性牙龈增生中 mast cells 的影响。
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