Nifedipine induced gingival enlargement in an edentulous patient: a case report with one year follow up.

Shaik Mohammed Asif, Naheeda Shaik, Bhavna Barthunia, Sultan Mohammed Kaleem, M Zakirulla, Mohammed Zahir Kota, Fawaz Abdul Hamid Baig

Journal: BMC oral health 2019;18(1):227

PMID: 30587167

Abstract

BACKGROUND

Gingival enlargement due to calcium channel blockers is a common complaint reported by patients. It can be localized or generalized and can range from mild to severe, affecting patients appearance and function. Nifedipine induced gingival enlargement is noticed only in 10 % of patients and very few cases of Nifedipine induced gingival enlargement in an edentulous patient have been documented in the literature.

CASE PRESENTATION

Here in, we report a case of gingival enlargement in a 70 year old hypertensive edentulous patient who was on low dose Nifedipine therapy. Patient wanted complete dentures. We planned to excise the overgrowth and followed up for 1 year.

CONCLUSION

Nifedipine induced gingival enlargement noticed only in 10 % of patients. Hence, there is a need for physicians and dentist to make a coordinated treatment plan and practice care while prescribing these drugs which are associated with gingival overgrowth.

Address: Department of Diagnostic Sciences and Oral biology , College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia. [email protected].; Department of Periodontology, Mamata Dental College, Khammam, India.; Department of Oral Medicine and Radiology, Daswani Dental College and Research Hospital, Kota, Rajasthan, India.; Department of Diagnostic Sciences and Oral Biology, College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia.; Department of Pediatric Dentistry and Orthodontic Sciences, College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia.; Department of Oral and Maxillofacial Surgery, College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia.
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