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Phenytoin‐induced gingival overgrowth

Identifieur interne : 003865 ( Main/Exploration ); précédent : 003864; suivant : 003866

Phenytoin‐induced gingival overgrowth

Auteurs : R. Arya [Inde] ; S. Gulati [Inde]

Source :

RBID : ISTEX:B82011C06326A15C5440C2D14DA3FBBF1513154C

English descriptors

Abstract

Arya R, Gulati S. Phenytoin‐induced gingival overgrowth. 
Acta Neurol Scand: 2012: 125: 149–155. 
© 2011 John Wiley & Sons A/S. Gingival overgrowth is a common adverse effect of therapy with Phenytoin, having important medical and cosmetic implications. Poor periodontal hygiene is an important risk factor for severity of Phenytoin‐induced gingival overgrowth (PIGO), which is a time‐dependent process. There is complex interplay of altered fibroblast biology, connective tissue turnover, inflammatory processes, and growth factors on a background of genetic susceptibility to produce increase in various components of interstitial matrix in PIGO tissue. Treatment options have included change of PHT to another anti‐seizure drug, measures to improve periodontal hygiene and gingivectomy. There is conclusive evidence that folic acid supplementation significantly decreases the incidence of PIGO.

Url:
DOI: 10.1111/j.1600-0404.2011.01535.x


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">Arya R, Gulati S. Phenytoin‐induced gingival overgrowth. 
Acta Neurol Scand: 2012: 125: 149–155. 
© 2011 John Wiley & Sons A/S. Gingival overgrowth is a common adverse effect of therapy with Phenytoin, having important medical and cosmetic implications. Poor periodontal hygiene is an important risk factor for severity of Phenytoin‐induced gingival overgrowth (PIGO), which is a time‐dependent process. There is complex interplay of altered fibroblast biology, connective tissue turnover, inflammatory processes, and growth factors on a background of genetic susceptibility to produce increase in various components of interstitial matrix in PIGO tissue. Treatment options have included change of PHT to another anti‐seizure drug, measures to improve periodontal hygiene and gingivectomy. There is conclusive evidence that folic acid supplementation significantly decreases the incidence of PIGO.</div>
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