Necrotizing Ulcerative Gingivitis, a Rare Manifestation as a Sequel of Drug-Induced Gingival Overgrowth: A Case Report

Purpose. The purpose of this case report is to present a rare case of amlodipine-induced gingival overgrowth with a secondary formation of necrotizing ulcerative gingivitis involving the upper and lower arches of a 68-year-old female patient with a chief complaint of “swollen gums and pain on mastic...

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Main Authors: Marah Damdoum, Sudhir Rama Varma, Mohamed A. Jaber, Manjusha Nambiar
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2021/4120148
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author Marah Damdoum
Sudhir Rama Varma
Mohamed A. Jaber
Manjusha Nambiar
author_facet Marah Damdoum
Sudhir Rama Varma
Mohamed A. Jaber
Manjusha Nambiar
author_sort Marah Damdoum
collection DOAJ
description Purpose. The purpose of this case report is to present a rare case of amlodipine-induced gingival overgrowth with a secondary formation of necrotizing ulcerative gingivitis involving the upper and lower arches of a 68-year-old female patient with a chief complaint of “swollen gums and pain on mastication which has been recurring for the past 5 years.” Materials and Methods. The treatment plan of this case was divided according to quadrants of the mouth. Each week, one quadrant was surgically excised, and the remaining quadrants were observed for any changes. The gingival overgrowths were excised using a 15 blade, and debris/plaque was removed with Gracey curettes. Results. Although full-mouth exodontia was performed, the patient unfortunately suffered with recurrences in GO. These results are suggestive of idiopathic causes of GO. Conclusion. Careful examination, physician referrals, and biopsy to rule out any specific anomalies and to assist in proper diagnosis are followed by sequential management of the case results in productive outcomes.
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language English
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series Case Reports in Dentistry
spelling doaj-art-a68e6fdd2a2c4266b501bc3de2075b252025-02-03T01:26:59ZengWileyCase Reports in Dentistry2090-64472090-64552021-01-01202110.1155/2021/41201484120148Necrotizing Ulcerative Gingivitis, a Rare Manifestation as a Sequel of Drug-Induced Gingival Overgrowth: A Case ReportMarah Damdoum0Sudhir Rama Varma1Mohamed A. Jaber2Manjusha Nambiar3Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman, UAEDepartment of Clinical Sciences, College of Dentistry, Ajman University, Ajman, UAEDepartment of Clinical Sciences, College of Dentistry, Ajman University, Ajman, UAEDepartment of Periodontics, Sri Rajiv Gandhi College of Dental Sciences and Hospital, Banguluru, Karnataka State 560032, IndiaPurpose. The purpose of this case report is to present a rare case of amlodipine-induced gingival overgrowth with a secondary formation of necrotizing ulcerative gingivitis involving the upper and lower arches of a 68-year-old female patient with a chief complaint of “swollen gums and pain on mastication which has been recurring for the past 5 years.” Materials and Methods. The treatment plan of this case was divided according to quadrants of the mouth. Each week, one quadrant was surgically excised, and the remaining quadrants were observed for any changes. The gingival overgrowths were excised using a 15 blade, and debris/plaque was removed with Gracey curettes. Results. Although full-mouth exodontia was performed, the patient unfortunately suffered with recurrences in GO. These results are suggestive of idiopathic causes of GO. Conclusion. Careful examination, physician referrals, and biopsy to rule out any specific anomalies and to assist in proper diagnosis are followed by sequential management of the case results in productive outcomes.http://dx.doi.org/10.1155/2021/4120148
spellingShingle Marah Damdoum
Sudhir Rama Varma
Mohamed A. Jaber
Manjusha Nambiar
Necrotizing Ulcerative Gingivitis, a Rare Manifestation as a Sequel of Drug-Induced Gingival Overgrowth: A Case Report
Case Reports in Dentistry
title Necrotizing Ulcerative Gingivitis, a Rare Manifestation as a Sequel of Drug-Induced Gingival Overgrowth: A Case Report
title_full Necrotizing Ulcerative Gingivitis, a Rare Manifestation as a Sequel of Drug-Induced Gingival Overgrowth: A Case Report
title_fullStr Necrotizing Ulcerative Gingivitis, a Rare Manifestation as a Sequel of Drug-Induced Gingival Overgrowth: A Case Report
title_full_unstemmed Necrotizing Ulcerative Gingivitis, a Rare Manifestation as a Sequel of Drug-Induced Gingival Overgrowth: A Case Report
title_short Necrotizing Ulcerative Gingivitis, a Rare Manifestation as a Sequel of Drug-Induced Gingival Overgrowth: A Case Report
title_sort necrotizing ulcerative gingivitis a rare manifestation as a sequel of drug induced gingival overgrowth a case report
url http://dx.doi.org/10.1155/2021/4120148
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