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. 2013:2013:387453.
doi: 10.1155/2013/387453. Epub 2013 May 29.

Laser-Assisted Periodontal Management of Drug-Induced Gingival Overgrowth under General Anesthesia: A Viable Option

Tupili Muralikrishna  1 , Butchibabu Kalakonda, Sumanth Gunupati, Pradeep Koppolu
Affiliations

Laser-Assisted Periodontal Management of Drug-Induced Gingival Overgrowth under General Anesthesia: A Viable Option

Tupili Muralikrishna et al. Case Rep Dent. 2013.

Abstract

Gingival overgrowth/hyperplasia can be attributed to several causes, but drug-induced gingival overgrowth/hyperplasia arises secondarily to prolonged use of antihypertensive drugs, anticonvulsants and immunosuppressants. The management is complex in nature considering the multitude of factors involved such as substitution of drug strict plaque control along with excision of the tissue to be performed under local anesthesia as outpatient. In the recent times, the patient's psychological fear of the treatment with the use of surgical blade and multiple visits has developed the concept of single visit treatment under general anesthesia incorporating a laser as viable option. The present case highlights the new method of management of gingival overgrowth.

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Figures

Figure 1
Figure 1
Intraoral photograph of amlodipine-induced gingival overgrowth.
Figure 2
Figure 2
Excision of the enlargement for biopsy with a Nd:YAG laser.
Figure 3
Figure 3
Laser settings for excision of the tissue.
Figure 4
Figure 4
Excised specimen sent for histopathological examination.
Figure 5
Figure 5
Histopathological view of the excised specimen shows stratified squamous epithelium with proliferating rete ridges; connective tissue showing abundant plump and proliferating fibroblasts that are spindle shaped forming a network. Few endothelial lined blood vessels are also observed (H&E, 10x).
Figure 6
Figure 6
Excised tissue after gingivectomy.
Figure 7
Figure 7
Patient at the end of the surgery and after the pack placement.
Figure 8
Figure 8
Postoperative view depicting uneventful healing.
See this image and copyright information in PMC

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