Combined Inflammatory and Drug Induced Gingival Overgrowth in A Patient with Cardiovascular Disease. A Case Report

Oral mucosa is constantly subjected to external and internal stimuli and therefore manifests a spectrum of disease that range from developmental, reactive, and inflammatory to neoplastic. Etiology of gingival overgrowth is multifactorial and is frequently associated with inflammatory changes. Reactive lesions of the gingiva can occur in different forms which includes pyogenic granuloma, focal fibrous hyperplasia, peripheral giant cell granuloma and peripheral ossifying fibroma. The causative etiology of these lesions can be attributed to local irritants such as poor oral hygiene, plaque and calculus, overhanging margins, trauma, dental appliances and medication. This case report describes the management of gingival overgrowth in a hypertensive patient taking amlodipine. The treatment aspect included phase 1 therapy, substitution of the drug, surgical excision and maintenance and supportive therapy.