Comprehensive Management of a Patient with Drug Induced Gingival Overgrowth and Metabolic Syndrome
Periodontitis and metabolic syndrome demonstrate a bidirectional relationship complicated by multiple risk factors. Gingival overgrowth (GO) is a manifestation of exaggerated inflammatory response of the gingivae in response to biofilm and varying local and systemic risk factors which inclu...
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| Format: | Article |
| Language: | English |
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International Dental Educationists’ Association (IDEA)
2021-12-01
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| Series: | Journal of Multidisciplinary Dental Research |
| Online Access: | https://jmdr-idea.com/articles/comprehensive-management-of-a-patient-with-drug-induced-gingival-overgrowth-and-metabolic-syndrome |
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| author | B M C A Bandaranayake A Tilakaratne |
| author_facet | B M C A Bandaranayake A Tilakaratne |
| author_sort | B M C A Bandaranayake |
| collection | DOAJ |
| description | Periodontitis and metabolic syndrome demonstrate a bidirectional relationship complicated by multiple risk factors. Gingival overgrowth (GO) is a manifestation of exaggerated inflammatory response of the gingivae in response to biofilm and varying local and systemic risk factors which include medications such as antihypertentive medication- nifedipine. A patient with multiple dental care needs with GO, complicated by systemic risk factors would invariably benefit from multidisciplinary approach for care. A 57-year-old female was diagnosed with chronic periodontitis, nifedipine-induced GO and metabolic syndrome. Management encompassed initial nonsurgical periodontal therapy, where the patient was educated and guided towards better plaque control, following which, scaling, root debridement, and surgical therapy (gingivectomy and excisional new attachment procedure) were carried out. Along with periodontal therapy, she was also managed through restorative phase where a successful outcome was achieved. She was then followed-up with maintenance care, and nifedipine was substituted with captopril by the Physician to facilitate maintenance. Keywords: Metabolic syndrome, Gingivectomy, Drug-induced gingival overgrowth, Periodontitis, Excisional new attachment procedure |
| format | Article |
| id | doaj-art-9bd8790af0074be6882df0f006e3e9a3 |
| institution | DOAJ |
| issn | 2277-3525 2582-7901 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | International Dental Educationists’ Association (IDEA) |
| record_format | Article |
| series | Journal of Multidisciplinary Dental Research |
| spelling | doaj-art-9bd8790af0074be6882df0f006e3e9a32025-08-20T02:51:35ZengInternational Dental Educationists’ Association (IDEA)Journal of Multidisciplinary Dental Research2277-35252582-79012021-12-0172555910.38138/JMDR/v7i2.1.6.2Comprehensive Management of a Patient with Drug Induced Gingival Overgrowth and Metabolic SyndromeB M C A BandaranayakeA Tilakaratne Periodontitis and metabolic syndrome demonstrate a bidirectional relationship complicated by multiple risk factors. Gingival overgrowth (GO) is a manifestation of exaggerated inflammatory response of the gingivae in response to biofilm and varying local and systemic risk factors which include medications such as antihypertentive medication- nifedipine. A patient with multiple dental care needs with GO, complicated by systemic risk factors would invariably benefit from multidisciplinary approach for care. A 57-year-old female was diagnosed with chronic periodontitis, nifedipine-induced GO and metabolic syndrome. Management encompassed initial nonsurgical periodontal therapy, where the patient was educated and guided towards better plaque control, following which, scaling, root debridement, and surgical therapy (gingivectomy and excisional new attachment procedure) were carried out. Along with periodontal therapy, she was also managed through restorative phase where a successful outcome was achieved. She was then followed-up with maintenance care, and nifedipine was substituted with captopril by the Physician to facilitate maintenance. Keywords: Metabolic syndrome, Gingivectomy, Drug-induced gingival overgrowth, Periodontitis, Excisional new attachment procedurehttps://jmdr-idea.com/articles/comprehensive-management-of-a-patient-with-drug-induced-gingival-overgrowth-and-metabolic-syndrome |
| spellingShingle | B M C A Bandaranayake A Tilakaratne Comprehensive Management of a Patient with Drug Induced Gingival Overgrowth and Metabolic Syndrome Journal of Multidisciplinary Dental Research |
| title | Comprehensive Management of a Patient with Drug Induced Gingival Overgrowth and Metabolic Syndrome |
| title_full | Comprehensive Management of a Patient with Drug Induced Gingival Overgrowth and Metabolic Syndrome |
| title_fullStr | Comprehensive Management of a Patient with Drug Induced Gingival Overgrowth and Metabolic Syndrome |
| title_full_unstemmed | Comprehensive Management of a Patient with Drug Induced Gingival Overgrowth and Metabolic Syndrome |
| title_short | Comprehensive Management of a Patient with Drug Induced Gingival Overgrowth and Metabolic Syndrome |
| title_sort | comprehensive management of a patient with drug induced gingival overgrowth and metabolic syndrome |
| url | https://jmdr-idea.com/articles/comprehensive-management-of-a-patient-with-drug-induced-gingival-overgrowth-and-metabolic-syndrome |
| work_keys_str_mv | AT bmcabandaranayake comprehensivemanagementofapatientwithdruginducedgingivalovergrowthandmetabolicsyndrome AT atilakaratne comprehensivemanagementofapatientwithdruginducedgingivalovergrowthandmetabolicsyndrome |