Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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Year : 2014  |  Volume : 18  |  Issue : 3  |  Page : 311-315

Treatment of drug-induced gingival overgrowth by full-mouth disinfection: A non-surgical approach

1 Department of Periodontics, Rungta College of Dental Sciences and Research, Bhilai, Chhattisgarh, India
2 Department of Oral Pathology, Rungta College of Dental Sciences and Research, Bhilai, Chhattisgarh, India

Correspondence Address:
Aena Jain Pundir
Department of Periodontics, Rungta College of Dental Sciences and Research, Bhilai, Chhattisgarh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-124X.134567

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Background: 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. Materials and Methods: 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 t test. Statistical Analysis: Statistically significant difference (P < 0.05) was found in PI GBI, PPD, and GO score between baseline, 3 months, and 6 months. Results: All clinical parameters improved significantly after therapy without the need of further surgical treatment. Conclusions: Full-mouth disinfection might be a beneficial treatment concept in patients with drug-induced gingival overgrowth, thus decreasing the need for surgical therapy.

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