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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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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. |
first_indexed | 2024-12-11T11:25:01Z |
format | Article |
id | doaj.art-128fa29118754ab59ebf847273084d7f |
institution | Directory Open Access Journal |
issn | 0972-124X |
language | English |
last_indexed | 2024-12-11T11:25:01Z |
publishDate | 2020-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Indian Society of Periodontology |
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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