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JARMS. 2014; 6(1): 86-89


NON-SURGICAL MANAGEMENT OF AMLODIPINE-INDUCED GINGIVAL ENLARGEMENT IN A RIGHT-SIDED HEMIPARETIC PATIENT WITH BROCAS APHASIA- A CASE REPORT

NEHA JOSHI, VIPIN KUMAR ARORA, KRISHNA KUMAR CHAUBEY, RAJESH KUMAR THAKUR.

Abstract
The common occurrence of gingival enlargement can be either due to the presence of local irritating factors or as a side-effect of some drug orcombination of both. Drug-induced gingival overgrowth has been commonly reported with three groups of systemic medications: immunosuppressants, anticonvulsants and antihypertensives (calcium channel blockers). Though not a very common finding, dihydropyridine group of calcium channel blocker has been more often seen associated with this condition. This article presents a case of amlodipine-induced gingival enlargement in a 55-year old female patient, who was also suffering from hemiparesis and a language disorder,Brocas aphasia, a condition where plaque control became a difficult task. The treatment performed was a non-surgical one beginning with the replacementof the causative drug followed by a rigorous phase-I therapy and regular monitoring of the patient. The results were very satisfying restoring the gingival health and contour without employing any surgical procedure.

Key words: Gingival enlargement, Hemiparesis, Brocas aphasia



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