前歯部にみられた歯肉増殖症の2例 : アムロジピン歯肉増殖症と特発性歯肉増殖症

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This report describes two cases of gingival overgrowth which occurred around the anterior teeth. Two adult patients visited the Department of Periodontics for investigation and treatment of their gingival overgrowth. Case 1 : A 73-year-old female was receiving amlodipine for treatment of hypertension. A remarkable inflammation and overgrowth in the periodontal tissues was observed around the upper and lower anterior teeth. Histochemically, the epithelium was elongated and inflammatory cells were ubiquitously infiltrated in the connective tissue. An increase of collagen fibers was observed with the accumulation of fibroblasts. The initial treatment was successfully carried out, followed by flap operation with osteoplasty. After completing all the treatments, no gingival overgrowth was seen. Case 2 : A 34-year-old female with no systemic disease had an esthetical problem in the gingival tissues around the upper left central incisor. The gingival overgrowth was seen in the gingiva ranging from distal to mesial interdental papilla. Histochemical findings showed its cell-rich fibrous connective tissue, but no inflammatory changes were seen in either epithelial or subepithelial tissues. The gingivectomy was performed and the overgrowth vanished. Fortunately, both patients recovered healthy periodontal tissues without gingival overgrowth. It should be noted that dentists are expected to understand and solve true worries behind the chief complaint from each patient.
2005-12-20

前歯部にみられた歯肉増殖症の2例 : アムロジピン歯肉増殖症と特発性歯肉増殖症

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