Management of Amlodipine Induced Gingival Overgrowth by Non Surgical Periodontal Therapy-A Case Report

Gingival enlargement is a common feature of gingival disease and represents an over exuberant response to a variety of local and systemic condition. It has been associated with an increasing number of medications such as calcium channel blockers, anticonvulsants and immunosuppressants. Gingival overgrowth can cause aesthetic disfigurement, speech disturbances and difficulty in mastication. The management of drug induced gingival overgrowth is a challenge for the periodontist, mainly due to decreased knowledge of its pathogenesis, difficulties in selection of proper treatment protocol and recurrence of the enlargement. This case report discusses the importance of non-surgical periodontal therapy (scaling and root planing along with drug replacement) in the management of amlodipine induced gingival overgrowth.