AMLODIPIN-INDUCED GINGIVAL OVERGROWTH AND APPLICATION OF ER:YAG LASER IN THE TREATMENT PROTOCOL.

Abstract

Gingival overgrowth (GO) is one of the most important clinical features of gingival pathology. Amlodipine is a comparatively new III generation calcium channels blocker, used for management of cardiovascular disorders. Although it is considered safe, it can also rarely induce GO. A case of severe amlodipine-induced GO, complicated by inflammatory changes due to plaque accumulation is presented in a 54 years old patient. Treatment was performed as follows: drug substitution; initial periodontal therapy - scaling and root planning (reduction of inflammatory component in the gingival tissues); Er:YAG laser-performed gingivectomy and gingivoplasty; maintenance care. The healing process went uneventful and the postoperative results were extremely esthetically and functionally satisfactory.