Amlodipine-induced Gingival Enlargement

This lady in her sixties has been on Amlodipine for the management of her hypertension. Swollen and bleeding gums brought her to me about a fortnight ago.

Amlodipine-induced gingivla hyperplasia (Amlodipine is a drug used to treat high blood pressure)

Amlodipine-induced gingivla hyperplasia (Amlodipine is a drug used to treat high blood pressure)

I referred her to physician who changed the medicine. I apprised her about the condition. She felt reassured. I demonstrated proper tooth-brushing technique to her and asked for to use a Gum astringent for a few days.

I advised her to used a Triclosan-containing toothpaste of a popular brand (name withheld due to personal reasons as i dont have a stake in its promotion!). She returned to me yesterday when i took these dental photographs.

She told me that she is feeling relief in gum bleeding. But one needs to understand that using a particular toothpaste and gum astringent (Gum paint) is unable to TREAT such a condition — it can at the most lead to some sort of symptomatic relief -that’s all, as in her case.

Left side view..

Left side view..

Right side view Her proper gum treatment would be full mouth oral prophylaxis (which i have already started) and later on taking care of the enlarged gums by a surgery of gums in which we remove the enlarged gums (‘gingivectomy’). This procedure is undertaken after couple of days of full mouth oral prophylaxis.

There is a problem which stresses the fact that we need to update ourselves with what patients are doing. When she was going, i asked her if she is regularly taking her blood pressure pill now prescribed by her physician. She told me that since she felt uneasy after taking that, she has stopped taking it. She is not taking any medicine now. I counselled her and her husband to go back to physician for his expert advice. They agreed readily.


About drparveenchopra

Dr Parveen Chopra is Masters in Dental Surgery.. with 35 years of experience in dentistry. For trying his hand in health writing, he studied Communication for seven years. He is a blogger since 2007- he enjoys writing in conversational style.
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