The Management of Amlodipine-induced Gingival Overgrowth Associated to Generalized Chronic Periodontitis- A Case Report

This case report describes the management of an 60 years-old female who presented with generalized chronic periodontitis associated with amlodipine-induced gingival overgrowth. The clinical examination showed generalized edematous gingival tissues, with gingival overgrowth, and presence of bacterial plaque and calculus on the surfaces of the teeth. Patient was a known hypertensive, and she was on medication with amlodipine from past three years. Diagnosis was determined based on history, clinical findings and radiographic examination. With the consent of physician for substitution of amlodipine, treatment consisted of meticulous oral hygiene instruction, scaling, root surface instrumentation, prophylaxis, and daily chlorhexidine mouth rinses. After this stage, periodontal surgery for pockets and excess gingival tissues elimination was performed. The patient has been enrolled in a supportive periodontal maintenance program, and after 3-years, there has been no recurrence.