Non-surgical Periodontal Management of Nifedipine- Induced Gingival Overgrowth: A Case Report
K. Vijaya Kumar *
Department of Periodontology, Yenepoya Dental College, Mangalore, 575018, India.
H. Tanmayi
Department of Periodontology, Yenepoya Dental College, Mangalore, 575018, India.
Anupama Rao
Department of Periodontology, Yenepoya Dental College, Mangalore, 575018, India.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Gingival overgrowth is a common adverse effect associated with long-term use of antihypertensive, anticonvulsant, and immunosuppressant drugs, influenced by drug-related factors and periodontal status.
Case Presentation: A 40-year-old patient presented with nifedipine-induced gingival enlargement affecting function, aesthetics, and oral hygiene. Nonsurgical periodontal therapy, including scaling, root planing, and oral hygiene reinforcement, was performed without altering medication.
Discussion: Progressive reduction in gingival overgrowth was observed, with complete resolution achieved through meticulous plaque control and regular supportive periodontal therapy, avoiding surgical intervention.
Conclusion: Nonsurgical management can effectively treat drug-induced gingival overgrowth, with long-term stability achievable through consistent maintenance and patient compliance.
Keywords: Gingiva hyperplasia, nifedipine/adverse effects, periodontal pocket, calcium channel blockers, oral hygiene / education, plaque prevention & control