Amlodipine Induced Gingival Enlargements: Non Surgical Periodontal Treatment : 2 Cases Report

Year 2024, Volume: 11 Issue: 3, 351 - 355, 23.12.2024

İrem Çolak , Demet Efe , Nurcan Buduneli

https://doi.org/10.15311/selcukdentj.1432957

Abstract

Gingival enlargements; arise due to various reasons such as microbial dental plaque accumulation, trauma, systemic diseases, genetic predisposition, and drug use. One of the medication groups causing drug induced gingival enlargements is the calcium channel blockers commonly used for the treatment of cardiovascular problems such as hypertension, angina pectoris, and cardiac arrhythmia, including amlodipine derivatives. Drug induced gingival enlargements can be controlled by practices such as eliminating local factors, improving oral hygiene, periodontal treatment, and medication modification. This report presents the clinical periodontal findings after initial and non surgical periodontal treatment in two patients who presented to the clinic with complaints of gingival enlargement and had been using amlodipine for a long time.

Keywords

Amlodipine, Calcium Channel Blockers, Drug İnduced Gingival Enlargements, Hypertension

Amlodipin Kullanımına Bağlı Diş Eti Büyümelerinin Cerrahisiz Periodontal Tedavisi: 2 Olgu Sunumu

Abstract

Diş eti büyümeleri; mikrobiyal dental plak birikimi, travma, sistemik hastalıklar, genetik yatkınlık ve ilaç kullanımı gibi çeşitli nedenlerle ortaya çıkmaktadır. İlaca bağlı diş eti büyümelerine neden olan ilaç gruplarından biri de hipertansiyon, anjina pektoris ve kardiyak aritmi gibi kardiyovasküler problemlerin tedavisi için sıklıkla kullanılan kalsiyum kanal blokörü olan amlodipin türevleridir. Amlodipinin kısa süreli ve düşük dozda kullanımının bile diş etlerinde meydana getirdiği büyümeler plak kontrolünün sağlanamaması ve kötü estetik gibi olumsuz etkiler oluşturabilir. Lokal etkenlerin ortadan kaldırılması, ağız bakımının iyileştirilmesi, periodontal tedavi ve ilaç değişikliği gibi uygulamalar ile ilaca bağlı diş eti büyümeleri kontrol altına alınabilmektedir. Bu raporda, diş eti büyümesi şikayetiyle kliniğe başvuran ve uzun süredir amlodipin kullanmakta olan iki hastada başlangıç ve cerrahisiz periodontal tedavi sonrası klinik periodontal bulgular sunulmaktadır.

Keywords

Amlodipin, Hipertansiyon, Kalsiyum Kanal Blokörü, İlaca bağlı diş eti büyümesi

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