Drug-induced gingival overgrowth: A critical insight into case reports from over two decades

Drug-induced gingival overgrowth (DIGO) is a well-recognized adverse effect of certain systemic medications. Calcium channel blockers, anticonvulsants, and immunosuppressants are frequently implicated drugs in the etiology of DIGO. Drug variables, plaque-induced inflammation, and genetic factors are...

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Main Authors: Pramod Samudrala, Vijay Kumar Chava, Tanguturi Sri Chandana, Rachakonda Suresh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Journal of Indian Society of Periodontology
Subjects:
Online Access:http://www.jisponline.com/article.asp?issn=0972-124X;year=2016;volume=20;issue=5;spage=496;epage=502;aulast=Samudrala
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author Pramod Samudrala
Vijay Kumar Chava
Tanguturi Sri Chandana
Rachakonda Suresh
author_facet Pramod Samudrala
Vijay Kumar Chava
Tanguturi Sri Chandana
Rachakonda Suresh
author_sort Pramod Samudrala
collection DOAJ
description Drug-induced gingival overgrowth (DIGO) is a well-recognized adverse effect of certain systemic medications. Calcium channel blockers, anticonvulsants, and immunosuppressants are frequently implicated drugs in the etiology of DIGO. Drug variables, plaque-induced inflammation, and genetic factors are the three important factors in the expression of gingival changes after systemic medication use. Careful clinical examination and thorough history taking form the basis for diagnosis of DIGO. Histopathological examination is often neglected; however, it is an important aid that helps in differential diagnosis. Cessation or change of drug and meticulous plaque control often leads to regression of the lesion, which however might need surgical correction for optimal maintenance of gingival health. The purpose of the present article is to review case reports and case series published in the last two decades and to assimilate and compile the information for clinical applications such as diagnosis and therapeutic management of DIGO.
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spelling doaj.art-901234b347834cc0aaa573fa7bc9b35e2022-12-21T18:39:45ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X2016-01-0120549650210.4103/jisp.jisp_265_15Drug-induced gingival overgrowth: A critical insight into case reports from over two decadesPramod SamudralaVijay Kumar ChavaTanguturi Sri ChandanaRachakonda SureshDrug-induced gingival overgrowth (DIGO) is a well-recognized adverse effect of certain systemic medications. Calcium channel blockers, anticonvulsants, and immunosuppressants are frequently implicated drugs in the etiology of DIGO. Drug variables, plaque-induced inflammation, and genetic factors are the three important factors in the expression of gingival changes after systemic medication use. Careful clinical examination and thorough history taking form the basis for diagnosis of DIGO. Histopathological examination is often neglected; however, it is an important aid that helps in differential diagnosis. Cessation or change of drug and meticulous plaque control often leads to regression of the lesion, which however might need surgical correction for optimal maintenance of gingival health. The purpose of the present article is to review case reports and case series published in the last two decades and to assimilate and compile the information for clinical applications such as diagnosis and therapeutic management of DIGO.http://www.jisponline.com/article.asp?issn=0972-124X;year=2016;volume=20;issue=5;spage=496;epage=502;aulast=SamudralaAnticonvulsantscalcium channel blockersdental plaquedrug-induced gingival overgrowthgenetic factorsimmunosuppressantsoral hygiene
spellingShingle Pramod Samudrala
Vijay Kumar Chava
Tanguturi Sri Chandana
Rachakonda Suresh
Drug-induced gingival overgrowth: A critical insight into case reports from over two decades
Journal of Indian Society of Periodontology
Anticonvulsants
calcium channel blockers
dental plaque
drug-induced gingival overgrowth
genetic factors
immunosuppressants
oral hygiene
title Drug-induced gingival overgrowth: A critical insight into case reports from over two decades
title_full Drug-induced gingival overgrowth: A critical insight into case reports from over two decades
title_fullStr Drug-induced gingival overgrowth: A critical insight into case reports from over two decades
title_full_unstemmed Drug-induced gingival overgrowth: A critical insight into case reports from over two decades
title_short Drug-induced gingival overgrowth: A critical insight into case reports from over two decades
title_sort drug induced gingival overgrowth a critical insight into case reports from over two decades
topic Anticonvulsants
calcium channel blockers
dental plaque
drug-induced gingival overgrowth
genetic factors
immunosuppressants
oral hygiene
url http://www.jisponline.com/article.asp?issn=0972-124X;year=2016;volume=20;issue=5;spage=496;epage=502;aulast=Samudrala
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AT tanguturisrichandana druginducedgingivalovergrowthacriticalinsightintocasereportsfromovertwodecades
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