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- Title
Management of Gingival Enlargement Caused by Phenytoin Used in Epilepsy Patients: A Case Report.
- Authors
Djais, Arni Irawaty; Adam, A. Mardiana; Thahir, Hasanuddin; Oktawati, Sri; Gani, Asdar; Supiaty; Yunus, Muliaty; Wulansari, Dwi Putri; Akbar, Fuad Husain; Tope, Vidya Yuniati
- Abstract
Epilepsy is a chronic neurologic disorder characterized by recurrent seizures with or without loss of consciousness. Phenytoin is a drug for patients with symptoms of epilepsy that causes gingival enlargement. A 22-year-old female patient complained of major gingival enlargement on her anterior maxilla. The result of the amnesia revealed that the patient had been consuming phenytoin for 3 years, and the gingival enlargement presented 3 months prior. Surgical and non-surgical treatment were performed in the form of gingivectomy and gingivoplasty followed by drug replacement by a neurologist. Control was done gradually as a maintenance program. The gingiva returned to normal and the patient was satisfied with the result. Gingival enlargement caused by the use of epilepsy drugs, such as phenytoin, cannot be completely removed, but can be minimized by maintaining oral hygiene and consulting a neurologist for drug replacement.
- Subjects
GINGIVAL hyperplasia; PEOPLE with epilepsy; PHENYTOIN; ORAL hygiene; THERAPEUTICS; LOSS of consciousness
- Publication
Journal of International Dental & Medical Research, 2019, Vol 12, Issue 2, p705
- ISSN
1309-100X
- Publication type
Article