Treatment of drug-induced gingival overgrowth by full-mouth disinfection: A non-surgical approach
Identifieur interne : 000267 ( Main/Merge ); précédent : 000266; suivant : 000268Treatment of drug-induced gingival overgrowth by full-mouth disinfection: A non-surgical approach
Auteurs : Aena Jain Pundir ; Siddharth Pundir ; R. K. Yeltiwar ; Sana Farista ; V. Gopinath ; T. S. SrinivasSource :
- Journal of Indian Society of Periodontology [ 0972-124X ] ; 2014.
Abstract
Drug-induced gingival overgrowth is a common finding in the modern era. These gingival overgrowths are usually treated by various modalities namely substitution of drugs, surgical, and non-surgical treatment. The recent concept mainly involves full-mouth scaling and root planing (the entire dentition in two visits within 24 hours, i.e., two consecutive days) followed by chair side mouth rinsing by the patient with a 0.2% chlorhexidine solution for 2 minutes and brushing the tongue of the patient with 1% chlorhexidine gel. This is followed by an additional subgingival irrigation (three times, repeated within 10 minutes) of all pockets with a 1% chlorhexidine gel.
Twenty patients between the ages of 20 and 50 years with drug-induced gingival overgrowth were treated using the full-mouth disinfection approach. The patients were evaluated at 3 months and 6 months after therapy. The data obtained for plaque index, bleeding on probing index, probing pocket depth, and gingival overgrowth scores were tabulated and compared statistically using the one sample unpaired
Statistically significant difference (
All clinical parameters improved significantly after therapy without the need of further surgical treatment.
Full-mouth disinfection might be a beneficial treatment concept in patients with drug-induced gingival overgrowth, thus decreasing the need for surgical therapy.
Url:
DOI: 10.4103/0972-124X.134567
PubMed: 25024543
PubMed Central: 4095622
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Yeltiwar</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Farista, Sana" sort="Farista, Sana" uniqKey="Farista S" first="Sana" last="Farista">Sana Farista</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Gopinath, V" sort="Gopinath, V" uniqKey="Gopinath V" first="V." last="Gopinath">V. Gopinath</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Srinivas, T S" sort="Srinivas, T S" uniqKey="Srinivas T" first="T. S." last="Srinivas">T. S. Srinivas</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25024543</idno><idno type="pmc">4095622</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4095622</idno><idno type="RBID">PMC:4095622</idno><idno type="doi">10.4103/0972-124X.134567</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000652</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000652</idno><idno type="wicri:Area/Pmc/Curation">000652</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000652</idno><idno type="wicri:Area/Pmc/Checkpoint">000022</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000022</idno><idno type="wicri:Area/Ncbi/Merge">000F65</idno><idno type="wicri:Area/Ncbi/Curation">000F65</idno><idno type="wicri:Area/Ncbi/Checkpoint">000F65</idno><idno type="wicri:doubleKey">0972-124X:2014:Pundir A:treatment:of:drug</idno><idno type="wicri:Area/Main/Merge">000267</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Treatment of drug-induced gingival overgrowth by full-mouth disinfection: A non-surgical approach</title><author><name sortKey="Pundir, Aena Jain" sort="Pundir, Aena Jain" uniqKey="Pundir A" first="Aena Jain" last="Pundir">Aena Jain Pundir</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Pundir, Siddharth" sort="Pundir, Siddharth" uniqKey="Pundir S" first="Siddharth" last="Pundir">Siddharth Pundir</name><affiliation><nlm:aff id="aff2"><italic>Department of Oral Pathology, Rungta College of Dental Sciences and Research, Bhilai, Chhattisgarh, India</italic></nlm:aff></affiliation></author><author><name sortKey="Yeltiwar, R K" sort="Yeltiwar, R K" uniqKey="Yeltiwar R" first="R. K." last="Yeltiwar">R. K. Yeltiwar</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Farista, Sana" sort="Farista, Sana" uniqKey="Farista S" first="Sana" last="Farista">Sana Farista</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Gopinath, V" sort="Gopinath, V" uniqKey="Gopinath V" first="V." last="Gopinath">V. Gopinath</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Srinivas, T S" sort="Srinivas, T S" uniqKey="Srinivas T" first="T. S." last="Srinivas">T. S. Srinivas</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Indian Society of Periodontology</title><idno type="ISSN">0972-124X</idno><idno type="eISSN">0975-1580</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>Drug-induced gingival overgrowth is a common finding in the modern era. These gingival overgrowths are usually treated by various modalities namely substitution of drugs, surgical, and non-surgical treatment. The recent concept mainly involves full-mouth scaling and root planing (the entire dentition in two visits within 24 hours, i.e., two consecutive days) followed by chair side mouth rinsing by the patient with a 0.2% chlorhexidine solution for 2 minutes and brushing the tongue of the patient with 1% chlorhexidine gel. This is followed by an additional subgingival irrigation (three times, repeated within 10 minutes) of all pockets with a 1% chlorhexidine gel.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>Twenty patients between the ages of 20 and 50 years with drug-induced gingival overgrowth were treated using the full-mouth disinfection approach. The patients were evaluated at 3 months and 6 months after therapy. The data obtained for plaque index, bleeding on probing index, probing pocket depth, and gingival overgrowth scores were tabulated and compared statistically using the one sample unpaired <italic>t</italic> test.</p></sec><sec id="st3"><title>Statistical Analysis:</title><p>Statistically significant difference (<italic>P</italic> < 0.05) was found in PI GBI, PPD, and GO score between baseline, 3 months, and 6 months.</p></sec><sec id="st4"><title>Results:</title><p>All clinical parameters improved significantly after therapy without the need of further surgical treatment.</p></sec><sec id="st5"><title>Conclusions:</title><p>Full-mouth disinfection might be a beneficial treatment concept in patients with drug-induced gingival overgrowth, thus decreasing the need for surgical therapy.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Academy, Report" uniqKey="Academy R">Report 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