Periodontal management of severe periodontitis and generalized gingival enlargement in a patient with chronic renal failure

Gingival enlargement is a common periodontal pathology seen in medically compromised patients. Although it is not the disease itself, certain medications used to treat these chronic diseases are known to precipitate the gingival enlargement. Periodontitis (PD) and gingival enlargement have been repo...

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Main Authors: Jaiti Uppal, Himanshu Trivedi, Narinder Dev Gupta, Afshan Bey
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Indian Society of Periodontology
Subjects:
Online Access:http://www.jisponline.com/article.asp?issn=0972-124X;year=2020;volume=24;issue=3;spage=284;epage=288;aulast=Uppal
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author Jaiti Uppal
Himanshu Trivedi
Narinder Dev Gupta
Afshan Bey
author_facet Jaiti Uppal
Himanshu Trivedi
Narinder Dev Gupta
Afshan Bey
author_sort Jaiti Uppal
collection DOAJ
description Gingival enlargement is a common periodontal pathology seen in medically compromised patients. Although it is not the disease itself, certain medications used to treat these chronic diseases are known to precipitate the gingival enlargement. Periodontitis (PD) and gingival enlargement have been reported increasingly in patients with chronic renal failure. Severe enlargement is detrimental to esthetics and function while having a negative impact on the overall oral health-related quality of life. Treatment of such cases requires comprehensive periodontal management by a specialist, keeping in mind the medically compromised state of the patient. This report presents a case of severe PD with generalized gingival enlargement in a 45-year-old male who was a known case of Stage 4 chronic kidney disease, obstructive uropathy, and hypertension. Gingival enlargement was managed by gingivectomy and gingivoplasty. Six months' follow-up showed no sign of recurrence.
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spelling doaj.art-128fa29118754ab59ebf847273084d7f2022-12-22T01:09:02ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X2020-01-0124328428810.4103/jisp.jisp_194_19Periodontal management of severe periodontitis and generalized gingival enlargement in a patient with chronic renal failureJaiti UppalHimanshu TrivediNarinder Dev GuptaAfshan BeyGingival enlargement is a common periodontal pathology seen in medically compromised patients. Although it is not the disease itself, certain medications used to treat these chronic diseases are known to precipitate the gingival enlargement. Periodontitis (PD) and gingival enlargement have been reported increasingly in patients with chronic renal failure. Severe enlargement is detrimental to esthetics and function while having a negative impact on the overall oral health-related quality of life. Treatment of such cases requires comprehensive periodontal management by a specialist, keeping in mind the medically compromised state of the patient. This report presents a case of severe PD with generalized gingival enlargement in a 45-year-old male who was a known case of Stage 4 chronic kidney disease, obstructive uropathy, and hypertension. Gingival enlargement was managed by gingivectomy and gingivoplasty. Six months' follow-up showed no sign of recurrence.http://www.jisponline.com/article.asp?issn=0972-124X;year=2020;volume=24;issue=3;spage=284;epage=288;aulast=Uppalchronic kidney diseasegingival enlargementhypertensionnifedipineobstructive uropathy
spellingShingle Jaiti Uppal
Himanshu Trivedi
Narinder Dev Gupta
Afshan Bey
Periodontal management of severe periodontitis and generalized gingival enlargement in a patient with chronic renal failure
Journal of Indian Society of Periodontology
chronic kidney disease
gingival enlargement
hypertension
nifedipine
obstructive uropathy
title Periodontal management of severe periodontitis and generalized gingival enlargement in a patient with chronic renal failure
title_full Periodontal management of severe periodontitis and generalized gingival enlargement in a patient with chronic renal failure
title_fullStr Periodontal management of severe periodontitis and generalized gingival enlargement in a patient with chronic renal failure
title_full_unstemmed Periodontal management of severe periodontitis and generalized gingival enlargement in a patient with chronic renal failure
title_short Periodontal management of severe periodontitis and generalized gingival enlargement in a patient with chronic renal failure
title_sort periodontal management of severe periodontitis and generalized gingival enlargement in a patient with chronic renal failure
topic chronic kidney disease
gingival enlargement
hypertension
nifedipine
obstructive uropathy
url http://www.jisponline.com/article.asp?issn=0972-124X;year=2020;volume=24;issue=3;spage=284;epage=288;aulast=Uppal
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AT himanshutrivedi periodontalmanagementofsevereperiodontitisandgeneralizedgingivalenlargementinapatientwithchronicrenalfailure
AT narinderdevgupta periodontalmanagementofsevereperiodontitisandgeneralizedgingivalenlargementinapatientwithchronicrenalfailure
AT afshanbey periodontalmanagementofsevereperiodontitisandgeneralizedgingivalenlargementinapatientwithchronicrenalfailure