Gingival hyperplasia can be due to various causes; when drug induced it is an adverse result caused by long term anti hypertensive, anticonvulsant or immunosuppressive therapies. Treatment is complicated by the multiple factors involved, like the impossibility of a drug change and the difficulty patients encounter in maintaining an acceptable level of periodontal health due to an insufficient control of bacterial plaque.
This case was treated with SRP and antibiotic therapy, but a high level of tissue inflammation persisted. It was therefore treated with LLLT sessions only, by means of a specifically designed for photobiomodulation diode laser, dual wavelength (904/650nm). A good periodontal health was obtained, and this allowed a correct home oral health care, so as to maintain the result that was obtained.
References
- Muralikrishna T, Kalakonda B, Gunupati S, Koppolu P. Laser-Assisted Periodontal Management of Drug-Induced Gingival Over-growth under General Anesthesia: A Viable Option. Case Rep Dent. 2013;2013:387453. doi: 10.1155/2013/387453. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Padmanabhan S, Dwarakanath CD. Severe gingival enlargement associated with aggressive periodontitis. J Indian Soc Periodontol. 2013 Jan;17(1):115–9. doi: 10.4103/0972-124X.107486. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Subramani T, Rathnavelu V, Alitheen NB. The possible potential therapeutic targets for drug induced gingival overgrowth. Mediators–Inflamm. 2013;2013:63946. doi: 10.1155/2013/639468. [DOI] [PMC free article] [PubMed] [Google Scholar]