Gingival overgrowth in partially edentulous ridges in an elderly female patient with epilepsy: a case report
Identifieur interne : 005845 ( Istex/Corpus ); précédent : 005844; suivant : 005846Gingival overgrowth in partially edentulous ridges in an elderly female patient with epilepsy: a case report
Auteurs : Kunaal Dhingra ; Shobha PrakashSource :
- Gerodontology [ 0734-0664 ] ; 2012-06.
English descriptors
- KwdEn :
- Alveolar ridge, Anticonvulsant, Anticonvulsant drug therapy, Broblasts, Case report, Case reports, Clin periodontol, Combination therapy, Dental sciences, Dentulous arch, Denture, Edentulous, Edentulous patients, Edentulous ridge, Edentulous ridges, Edentulous spaces, Epilepsy, Full mouth extraction, Gerodontology, Gerodontology society, Gingival, Gingival enlargement, Gingival hyperplasia, Gingival overgrowth, Gingival overgrowth lesions, Histological, Histological picture, Hyperplasia, Intraoral examination, John wiley sons gerodontology, Karnataka, Lower arches, Oral cavity, Other hand, Overgrowth, Periodontal, Periodontal disease, Periodontal involvement, Periodontol, Phenobarbital, Phenobarbital drugs, Phenytoin, Possible hypothesis, Present case, Rete ridges, Sodium valproate, Surgical excision, Tooth extraction.
- Teeft :
- Alveolar ridge, Anticonvulsant, Anticonvulsant drug therapy, Broblasts, Case report, Case reports, Clin periodontol, Combination therapy, Dental sciences, Dentulous arch, Denture, Edentulous, Edentulous patients, Edentulous ridge, Edentulous ridges, Edentulous spaces, Epilepsy, Full mouth extraction, Gerodontology, Gerodontology society, Gingival, Gingival enlargement, Gingival hyperplasia, Gingival overgrowth, Gingival overgrowth lesions, Histological, Histological picture, Hyperplasia, Intraoral examination, John wiley sons gerodontology, Karnataka, Lower arches, Oral cavity, Other hand, Overgrowth, Periodontal, Periodontal disease, Periodontal involvement, Periodontol, Phenobarbital, Phenobarbital drugs, Phenytoin, Possible hypothesis, Present case, Rete ridges, Sodium valproate, Surgical excision, Tooth extraction.
Abstract
doi: 10.1111/j.1741‐2358.2012.00624.x
Url:
DOI: 10.1111/j.1741-2358.2012.00624.x
Links to Exploration step
ISTEX:B1228A8C955C63C5C87B5A2587B0D19AF4D74C11Le document en format XML
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Its occurrence in both dentate and edentulous regions of oral cavity is poorly understood.</p><p><hi rend="bold">Objectives: </hi> This report highlights clinical and histological description, aetiology and management of gingival overgrowth in a partially edentulous (non‐denture wearer) 60‐year‐old female patient with epilepsy on phenytoin and phenobarbital drugs from past 7 years.</p><p><hi rend="bold">Materials and methods: </hi> Patient’s intraoral examination revealed lobulated and fibrotic consistency gingival overgrowth around teeth and on partially edentulous ridges of upper and lower arches along with generalised tooth mobility. Under medical consultation, full mouth extraction, surgical excision of overgrowth followed by complete denture rehabilitation and replacement of combination drugs with sodium valproate were accomplished.</p><p><hi rend="bold">Results: </hi> Histologically, the lesion showed fibro‐epithelial hyperplasia. Clinical results after 6 months demonstrated almost complete resolution of gingival overgrowth.</p><p><hi rend="bold">Conclusion: </hi> The findings of present case suggest that gingival overgrowth can occur even in partially edentulous ridges (not exposed to denture wear) that could be due to persistence of gingival overgrowth, which may not resolve completely following tooth extraction or occurs because of incorporation of specific subpopulation of gingival fibroblasts in alveolar ridge mucosa.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">gingival overgrowth</term><term xml:id="k2">epilepsy</term><term xml:id="k3">partially edentulous</term><term xml:id="k4">phenytoin</term><term xml:id="k5">phenobarbital</term></keywords><keywords rend="tocHeading1"><term>Case Reports</term></keywords><keywords rend="articleCategory"><term>Case report</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/B1228A8C955C63C5C87B5A2587B0D19AF4D74C11/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1741-2358</doi><issn type="print">0734-0664</issn><issn type="electronic">1741-2358</issn><idGroup><id type="product" value="GER"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="GERODONTOLOGY">Gerodontology</title></titleGroup></publicationMeta><publicationMeta level="part" position="06102"><doi origin="wiley">10.1111/ger.2012.29.issue-2</doi><numberingGroup><numbering type="journalVolume" number="29">29</numbering><numbering type="journalIssue" number="2">2</numbering></numberingGroup><coverDate startDate="2012-06">June 2012</coverDate></publicationMeta><publicationMeta level="unit" type="caseStudy" position="192" status="forIssue"><doi origin="wiley">10.1111/j.1741-2358.2012.00624.x</doi><idGroup><id type="unit" value="GER624"></id></idGroup><countGroup><count type="pageTotal" number="6"></count></countGroup><titleGroup><title type="tocHeading1"><i>Case Reports</i></title><title type="articleCategory"><i>Case report</i></title></titleGroup><copyright>© 2012 The Gerodontology Society and John Wiley & Sons A/S</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.1.6 mode:FullText" date="2012-08-17"></event><event type="publishedOnlineFinalForm" date="2012-05-22"></event><event type="firstOnline" date="2012-05-22"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-26"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst">e1201</numbering><numbering type="pageLast">e1206</numbering></numberingGroup><correspondenceTo>Dr Kunaal Dhingra, Assistant Professor, Department of Periodontics, N.S.V.K Sri Venkateshwara Dental College, Bangalore, Karnataka, India.
Tel.: +91 80 27803522
Fax: +91 80 27828842
E‐mail: <email>kunaaldhingra@yahoo.co.in</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:GER.GER624.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted 4 September 2011</unparsedEditorialHistory><countGroup><count type="figureTotal" number="4"></count><count type="tableTotal" number="0"></count></countGroup><titleGroup><title type="main">Gingival overgrowth in partially edentulous ridges in an elderly female patient with epilepsy: a case report</title><title type="shortAuthors"><i>K. Dhingra, S. Prakash</i></title><title type="short"><i>Gingival overgrowth in partially edentulous ridge</i></title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Kunaal</givenNames><familyName>Dhingra</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Shobha</givenNames><familyName>Prakash</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="IN"><unparsedAffiliation>Assistant Professor, Department of Periodontics, N.S.V.K Sri Venkateshwara Dental College, Bangalore, Karnataka, India</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="IN"><unparsedAffiliation>Professor and Head, Department of Periodontics, College of Dental Sciences, Davangere, Karnataka, India</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">gingival overgrowth</keyword><keyword xml:id="k2">epilepsy</keyword><keyword xml:id="k3">partially edentulous</keyword><keyword xml:id="k4">phenytoin</keyword><keyword xml:id="k5">phenobarbital</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><i>doi: 10.1111/j.1741‐2358.2012.00624.x</i></p><p><b>Gingival overgrowth in partially edentulous ridges in an elderly female patient with epilepsy: a case report</b></p><p><b>Background: </b> Drug‐influenced gingival overgrowth is an unaesthetic overgrowth of gingiva principally associated with intake of drugs like phenytoin, cyclosporin A and nifedipine. Its occurrence in both dentate and edentulous regions of oral cavity is poorly understood.</p><p><b>Objectives: </b> This report highlights clinical and histological description, aetiology and management of gingival overgrowth in a partially edentulous (non‐denture wearer) 60‐year‐old female patient with epilepsy on phenytoin and phenobarbital drugs from past 7 years.</p><p><b>Materials and methods: </b> Patient’s intraoral examination revealed lobulated and fibrotic consistency gingival overgrowth around teeth and on partially edentulous ridges of upper and lower arches along with generalised tooth mobility. Under medical consultation, full mouth extraction, surgical excision of overgrowth followed by complete denture rehabilitation and replacement of combination drugs with sodium valproate were accomplished.</p><p><b>Results: </b> Histologically, the lesion showed fibro‐epithelial hyperplasia. Clinical results after 6 months demonstrated almost complete resolution of gingival overgrowth.</p><p><b>Conclusion: </b> The findings of present case suggest that gingival overgrowth can occur even in partially edentulous ridges (not exposed to denture wear) that could be due to persistence of gingival overgrowth, which may not resolve completely following tooth extraction or occurs because of incorporation of specific subpopulation of gingival fibroblasts in alveolar ridge mucosa.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Gingival overgrowth in partially edentulous ridges in an elderly female patient with epilepsy: a case report</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Gingival overgrowth in partially edentulous ridge</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Gingival overgrowth in partially edentulous ridges in an elderly female patient with epilepsy: a case report</title></titleInfo><name type="personal"><namePart type="given">Kunaal</namePart><namePart type="family">Dhingra</namePart><affiliation>Assistant Professor, Department of Periodontics, N.S.V.K Sri Venkateshwara Dental College, Bangalore, Karnataka, India</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Shobha</namePart><namePart type="family">Prakash</namePart><affiliation>Professor and Head, Department of Periodontics, College of Dental Sciences, Davangere, Karnataka, India</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="case-report" displayLabel="caseStudy" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-29919SZJ-6">case-report</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2012-06</dateIssued><edition>Accepted 4 September 2011</edition><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">4</extent><extent unit="tables">0</extent></physicalDescription><abstract>doi: 10.1111/j.1741‐2358.2012.00624.x</abstract><abstract>Gingival overgrowth in partially edentulous ridges in an elderly female patient with epilepsy: a case report</abstract><abstract>Background: Drug‐influenced gingival overgrowth is an unaesthetic overgrowth of gingiva principally associated with intake of drugs like phenytoin, cyclosporin A and nifedipine. Its occurrence in both dentate and edentulous regions of oral cavity is poorly understood.</abstract><abstract>Objectives: This report highlights clinical and histological description, aetiology and management of gingival overgrowth in a partially edentulous (non‐denture wearer) 60‐year‐old female patient with epilepsy on phenytoin and phenobarbital drugs from past 7 years.</abstract><abstract>Materials and methods: Patient’s intraoral examination revealed lobulated and fibrotic consistency gingival overgrowth around teeth and on partially edentulous ridges of upper and lower arches along with generalised tooth mobility. Under medical consultation, full mouth extraction, surgical excision of overgrowth followed by complete denture rehabilitation and replacement of combination drugs with sodium valproate were accomplished.</abstract><abstract>Results: Histologically, the lesion showed fibro‐epithelial hyperplasia. Clinical results after 6 months demonstrated almost complete resolution of gingival overgrowth.</abstract><abstract>Conclusion: The findings of present case suggest that gingival overgrowth can occur even in partially edentulous ridges (not exposed to denture wear) that could be due to persistence of gingival overgrowth, which may not resolve completely following tooth extraction or occurs because of incorporation of specific subpopulation of gingival fibroblasts in alveolar ridge mucosa.</abstract><subject lang="en"><genre>keywords</genre><topic>gingival overgrowth</topic><topic>epilepsy</topic><topic>partially edentulous</topic><topic>phenytoin</topic><topic>phenobarbital</topic></subject><relatedItem type="host"><titleInfo><title>Gerodontology</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Case report</topic></subject><identifier type="ISSN">0734-0664</identifier><identifier type="eISSN">1741-2358</identifier><identifier type="DOI">10.1111/(ISSN)1741-2358</identifier><identifier type="PublisherID">GER</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>29</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>e1201</start><end>e1206</end><total>6</total></extent></part></relatedItem><identifier type="istex">B1228A8C955C63C5C87B5A2587B0D19AF4D74C11</identifier><identifier type="ark">ark:/67375/WNG-231LHF4K-B</identifier><identifier type="DOI">10.1111/j.1741-2358.2012.00624.x</identifier><identifier type="ArticleID">GER624</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2012 The Gerodontology Society and John Wiley & Sons A/S</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/B1228A8C955C63C5C87B5A2587B0D19AF4D74C11/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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