Management of drug-induced gingival enlargement

Abstract

Healthy gums are pale pink or pigmented, and wrap tightly around the neck of the teeth. Gingival enlargement is an unwanted adverse effect of some drugs such as cyclosporin, phenytoin and calcium channel antagonists. This can be a cosmetic problem, interfere with eating and speech, impede effective tooth cleaning or force the teeth out of alignment. Gingival enlargement can be managed locally and systemically with a combination of medical and dental treatment. Co-operative teamwork and good communication between the patient, their doctor and their dentist are essential.