Phenytoin-Induced Gingival Overgrowth Management with Periodontal Treatment
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Dental Journal |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402015000100039 |
Resumo: | Phenytoin-induced gingival overgrowth (PIGO) is a common complication of the continuous use of medications. This paper presents a case of PIGO hindering oral function and compromising oral hygiene and aesthetics, which was treated with a combination of nonsurgical and surgical periodontal therapies. A 39-year-old male patient was referred for dental treatment with several complaints, especially upper and lower gingival overgrowth that hindered speech and swallowing. Generalized deep probing pockets and bone loss were detected. Diagnosis of gingival overgrowth associated with phenytoin and chronic periodontitis was established. The treatment plan consisted of conservative therapy with education on oral health, motivation and meticulous oral hygiene instruction in combination with scaling and root planing. During the revaluation period, a marked reduction in the clinical parameters was noted, particularly probing pocket depth reduction. Surgical therapy for removal of gingival overgrowth was also performed to achieve pocket reduction. Supportive periodontal therapy was proposed and the patient is currently under follow-up for 4 years. Management of PIGO may be obtained by the use of periodontal procedures combined with good oral hygiene and periodontal supportive care. |
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Brazilian Dental Journal |
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Phenytoin-Induced Gingival Overgrowth Management with Periodontal Treatmentphenytoingingival hyperplasiaperiodontal therapyplaque controlscaling and root planing.Phenytoin-induced gingival overgrowth (PIGO) is a common complication of the continuous use of medications. This paper presents a case of PIGO hindering oral function and compromising oral hygiene and aesthetics, which was treated with a combination of nonsurgical and surgical periodontal therapies. A 39-year-old male patient was referred for dental treatment with several complaints, especially upper and lower gingival overgrowth that hindered speech and swallowing. Generalized deep probing pockets and bone loss were detected. Diagnosis of gingival overgrowth associated with phenytoin and chronic periodontitis was established. The treatment plan consisted of conservative therapy with education on oral health, motivation and meticulous oral hygiene instruction in combination with scaling and root planing. During the revaluation period, a marked reduction in the clinical parameters was noted, particularly probing pocket depth reduction. Surgical therapy for removal of gingival overgrowth was also performed to achieve pocket reduction. Supportive periodontal therapy was proposed and the patient is currently under follow-up for 4 years. Management of PIGO may be obtained by the use of periodontal procedures combined with good oral hygiene and periodontal supportive care.Fundação Odontológica de Ribeirão Preto2015-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402015000100039Brazilian Dental Journal v.26 n.1 2015reponame:Brazilian Dental Journalinstname:Fundação Odontológica de Ribeirão Preto (FUNORP)instacron:FUNORP10.1590/0103-6440201300029info:eu-repo/semantics/openAccessGurgel,Bruno César de VasconcelosMorais,Carlos Roberto Batista deRocha-Neto,Pedro Carlos daDantas,Euler MacielPinto,Leão PereiraCosta,Antonio de Lisboa Lopeseng2015-02-06T00:00:00Zoai:scielo:S0103-64402015000100039Revistahttps://www.scielo.br/j/bdj/https://old.scielo.br/oai/scielo-oai.phpbdj@forp.usp.br||sergio@fosjc.unesp.br1806-47600103-6440opendoar:2015-02-06T00:00Brazilian Dental Journal - Fundação Odontológica de Ribeirão Preto (FUNORP)false |
dc.title.none.fl_str_mv |
Phenytoin-Induced Gingival Overgrowth Management with Periodontal Treatment |
title |
Phenytoin-Induced Gingival Overgrowth Management with Periodontal Treatment |
spellingShingle |
Phenytoin-Induced Gingival Overgrowth Management with Periodontal Treatment Gurgel,Bruno César de Vasconcelos phenytoin gingival hyperplasia periodontal therapy plaque control scaling and root planing. |
title_short |
Phenytoin-Induced Gingival Overgrowth Management with Periodontal Treatment |
title_full |
Phenytoin-Induced Gingival Overgrowth Management with Periodontal Treatment |
title_fullStr |
Phenytoin-Induced Gingival Overgrowth Management with Periodontal Treatment |
title_full_unstemmed |
Phenytoin-Induced Gingival Overgrowth Management with Periodontal Treatment |
title_sort |
Phenytoin-Induced Gingival Overgrowth Management with Periodontal Treatment |
author |
Gurgel,Bruno César de Vasconcelos |
author_facet |
Gurgel,Bruno César de Vasconcelos Morais,Carlos Roberto Batista de Rocha-Neto,Pedro Carlos da Dantas,Euler Maciel Pinto,Leão Pereira Costa,Antonio de Lisboa Lopes |
author_role |
author |
author2 |
Morais,Carlos Roberto Batista de Rocha-Neto,Pedro Carlos da Dantas,Euler Maciel Pinto,Leão Pereira Costa,Antonio de Lisboa Lopes |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Gurgel,Bruno César de Vasconcelos Morais,Carlos Roberto Batista de Rocha-Neto,Pedro Carlos da Dantas,Euler Maciel Pinto,Leão Pereira Costa,Antonio de Lisboa Lopes |
dc.subject.por.fl_str_mv |
phenytoin gingival hyperplasia periodontal therapy plaque control scaling and root planing. |
topic |
phenytoin gingival hyperplasia periodontal therapy plaque control scaling and root planing. |
description |
Phenytoin-induced gingival overgrowth (PIGO) is a common complication of the continuous use of medications. This paper presents a case of PIGO hindering oral function and compromising oral hygiene and aesthetics, which was treated with a combination of nonsurgical and surgical periodontal therapies. A 39-year-old male patient was referred for dental treatment with several complaints, especially upper and lower gingival overgrowth that hindered speech and swallowing. Generalized deep probing pockets and bone loss were detected. Diagnosis of gingival overgrowth associated with phenytoin and chronic periodontitis was established. The treatment plan consisted of conservative therapy with education on oral health, motivation and meticulous oral hygiene instruction in combination with scaling and root planing. During the revaluation period, a marked reduction in the clinical parameters was noted, particularly probing pocket depth reduction. Surgical therapy for removal of gingival overgrowth was also performed to achieve pocket reduction. Supportive periodontal therapy was proposed and the patient is currently under follow-up for 4 years. Management of PIGO may be obtained by the use of periodontal procedures combined with good oral hygiene and periodontal supportive care. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402015000100039 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402015000100039 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0103-6440201300029 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Fundação Odontológica de Ribeirão Preto |
publisher.none.fl_str_mv |
Fundação Odontológica de Ribeirão Preto |
dc.source.none.fl_str_mv |
Brazilian Dental Journal v.26 n.1 2015 reponame:Brazilian Dental Journal instname:Fundação Odontológica de Ribeirão Preto (FUNORP) instacron:FUNORP |
instname_str |
Fundação Odontológica de Ribeirão Preto (FUNORP) |
instacron_str |
FUNORP |
institution |
FUNORP |
reponame_str |
Brazilian Dental Journal |
collection |
Brazilian Dental Journal |
repository.name.fl_str_mv |
Brazilian Dental Journal - Fundação Odontológica de Ribeirão Preto (FUNORP) |
repository.mail.fl_str_mv |
bdj@forp.usp.br||sergio@fosjc.unesp.br |
_version_ |
1754204093477289984 |