ISSN : 2663-2187

Management of Amlodipine-Induced Gingival Enlargement With A Conventional Gingivectomy Treatment: Case Report

Main Article Content

Andi Iswan Rahmat1,Febrianty, and Surijana Mappangara
» doi: 10.48047/AFJBS.6.16.2024.3939-3946

Abstract

Introduction: Gingival enlargement defined as overgrowth or increase in size of the gingiva which is generally a multifactorial condition that develops as an interaction between the host and the environment or in response to various stimuli. One of the most common causes is drug- induced gingival enlargement. Almost all cases of drug-induced gingival enlargement are caused by anticonvulsants, immunosuppressants, and calcium channel blockers (CCB). Amlodipine consumed by hypertensive patients can trigger gingival enlargement. The clinical picture of gingival enlargement usually displays enlarged interdental papillae that produce a lobulated or nodular morphology that is normally confined to the attached gingiva and gingival margin and is often found anteriorly. Objective: To discuss the management of gingival enlargement therapy in hypertensive patients taking amlodipine with conventional gingivectomy techniques. Case: A 67-year-old man came to the Hasanuddin University Dental and Oral Teaching Hospital with complaints of swollen gums in the upper and lower jaw accompanied by loose teeth and bleeding easily when brushing his teeth. The swelling appeared 1 year ago and was followed by teeth mobile 6 months ago, there is a bulge around the papilla and gingival margin so that it almost covers the crown, pale in color and painless. The patient has a habit of using a toothpick after eating. The history showed that the patient had a history of high blood pressure and was taking blood pressure medication (amlodipine 5 mg). Case Management: Gingival enlargement treatment begins with initial therapy including; plaque control, Scaling Root Planning (SRP), Dental Health Education (DHE), and referral to an internal medicine specialist. A week after the initial therapy, conventional gingivectomy was performed and tooth 41 was extracted. The control results showed that the gingiva appeared normal with complaints of swelling and bleeding disappearing. Patients are instructed to maintain oral health, avoid using toothpicks. Conclusion: Gingiva enlargement maintenance in patients taking amlodipine with conventional gingivectomy techniques show good results clinically, as well as provide patient satisfaction.

Article Details