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Combined treatment approach to gingival overgrowth due to drug therapy
Author(s) -
Darbar Ulpee R.,
Hopper Colin,
Speight Paul M.,
Newman Hubert N.
Publication year - 1996
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/j.1600-051x.1996.tb00515.x
Subject(s) - gingivectomy , medicine , vascularity , carbon dioxide laser , soft tissue , surgery , splints , drug , splint (medicine) , dentistry , laser surgery , orthodontics , laser , physics , optics , psychiatry
A case of severe gingival overgrowth associated with combined drug therapy of cyclosporin A and nifedipine is reported. The frequently increased vas‐cularity of the gingival tissues in such cases often causes problems with bleeding both during and after surgery. Acrylic suckdown splints have been used postoperatively to assist haemostasis, however, these can interfere with function and cause discomfort. This report describes a combined treatment approach using conventional gingivectomy and carbon dioxide laser for the removal of the hypertrophic soft tissue. The benefits of such combined treatment include reduced bleeding during surgery with consequent reduced operating time and rapid post‐operative haemostasis, thus eliminating the need for a splint.