A dentist, father, old car enthusiast, education advocate, photographer and some more. My cases shown on Dental Soul can be used in your study club or classroom discussions only if they are shown as web pages from Dental Soul.
Gingival overgrowth can be influenced by medications such as Cyclosporin-A, calcium channel blocking high blood pressure medications and phenytoin.
This case shows a severe overgrowth. The patient was in her early 50’s and has been taking Cyclosporin-A since her kidney transplant many years ago. She reported that her “gums were fine” until she came under a lot stress and quit brushing teeth.” Her statement seems to support the idea that the medication itself does not cause gingival overgrowth. How these medications influence gingival overgrowth can be found elsewhere.
When the patient presented, she was in quite a bit of pain not only because of the inflammation but also the soft tissues were grown over the occlusal plane and were traumatized every time the patient talked or chewed on something.
The patient received bolus steroid via IV as recommended by her physician just before the gingivectomy. I used a few #15 blade to remove the overgrown tissue, and placed perio pack (Coe Pack) to help protect the denuded surgery area.
It is hard to believe that she had these teeth underneath the overgrown tissues. She still needed a lot of help with her plaque control.
Loading ...
Do you think she will be able to maintain the gingival overgrowth under check?
The key to success is good plaque control.
Her issue here is more than the physical ability but willingness. Her stressful life requires some psychological counseling. I hope she is doing OK.
Plaque control is everything when it comes to controlling any kind of perio issue. Thanks for the case.