SİKLOSPORİN-A VE AMLODİPİN KULLANIMINA BAĞLI DİŞETİ BÜYÜMESİNİN ND:YAG LAZERLE TEDAVİSİ: OLGU SUNUMU

Year 2014, Volume: 24 Issue: Supplement 8, 18 - 22, 11.02.2015

Gülnihal Doğan , Ebru Sağlam Mehmet Kara Turgut Demir

https://doi.org/10.17567/dfd.67582

Abstract

Organ transplantasyonlarında kullanılan temel bir immünosüpresan olan siklosporin-A (Cs-A) ve antihipertansif amlodipinin kullanımına bağlı oral komplikasyonlar gelişebilmektedir. Bu komplikasyon- ların en yaygın olanlarından biri dişeti büyümeleridir. Bu olgu, böbrek transplantasyonu nedeni ile uzun dönem Cs-A ve amplodipin kullanımı sonucu dişeti büyüme şikayeti gelişen bir hastanın tedavi öncesi ve sonrası klinik durumunu ortaya koymaktadır. Sunulan vakada aşırı büyüyen dişeti dokularında Nd: YAG lazerle yapılan cerrahi işlemi takiben dikkatli plak kontrolü ile dişeti dokusunda yeterli ölçüde iyileşme sağlanmıştır. Cerrahide Nd: YAG lazer kullanımı cerrahi sonrası gelişebilen kanama, ağrı gibi komplikasyonları azaltmıştır.

Keywords

Siklosporin-A, Amlodipin

TREATMENT OF CYCLOSPORIN A AND AMLODIPINE INDUCED GINGIVAL OVERGROWTH WITH ND:YAG LASER ( CASE REPORT)

Abstract

Oral complications may develop due to use of immunosuppresantcyclosporine-A (Cs-A), which is basic drug in organ transplantation, and antihypertensive amlodipine. One of the most common of these complications is gingival overgrowth. This case demonstrates clinical status of a patient before and after the treatment, who has developing gingival overgrowth complaint after long-term use of amlodipine transplantation. In the presented case, sufficient improvement of gingival tissues was provided by careful plaque control following surgical procedures with Nd: YAG laser in excessive gingival overgrowth tissues. Rising complications after surgical operations such as bleeding and pain can decrease by use of Nd: YAG laser

Keywords

Cyclosporine-A, Amlodipine, Gingival Overgrowth, Nd-YAG Laser

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