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Sodium valproate induced gingival enlargement with pre-existing chronic periodontitis
Open accessAbstract
Gingival enlargement is a common clinical feature of gingival and periodontal diseases. Currently, more than 20 prescription medications are associated with gingival enlargement. Although the mechanisms of action may be different, the clinical and microscopic appearance of drug-induced gingival enlargement is similar with any drug. Gingival enlargement produces esthetic changes, and clinical symptoms including pain, tenderness, bleeding, speech disturbances, abnormal tooth movement, dental occlusion problems, enhancement of caries development and periodontal disorders. Sodium valproate is considered to produce gingival enlargement, but very rarely. This case report features sodium valproate induced gingival enlargement in a patient with pre-existing chronic periodontitis, who came to the Dental Department, Chinmaya Mission Hospital, Bangalore. The case is special as the patient did not develop the enlargement in spite of taking phenytoin for 1 year and developed enlargement with sodium valproate within 6 months.
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“The risk factors and causative agents that increase the abnormal growth of gingiva include age, genetic factors, drug doses, plaque inflammation, and bacteria [3,9].”
From Sodium Valproate-Induced Gingival Enlargement in a Pediatric Patient: A Case Report With Surgical Intervention (2025) · cites this paper as [9]
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Research works printed but not linked: 10
- [1]Dongari-Bagtzoglou A Drug-Associated Gingival Enlargement J Periodontol 2004 75 1424 31 15562922
- [2]Hallmon WW Rossmann JA The role of drugs in the pathogenesis of gingival overgrowth Periodontol 2000 1999 21 176 10551182
- [3]Seymour RA Thomason JM Ellis JS The pathogenesis of drug-induced gingival overgrowth J Clin Periodontol 1996 23 165 75 8707974
- [5]Brunet L Miranda J Farre M Berini L Mendieta C Gingival enlargement induced by dugs Drug Saf 1996 15 219 31 8879976
- [6]Tan H Gürbüz T Dağsuyu IM Gingival Enlargement in Children Treated With Antiepileptics J Child Neurol 2004 19 958 63 15704870
- [7]Seymour RA Smith DG Turnbull DN The effects of phenytoin and sodium valproate on the periodontal health of adult epileptic patients J Clin Periodontol 1985 12 413 9 3926831
- [8]Armitage GC Develpoment of a classification system for periodontal diseases and conditions Ann Periodontol 1999 4 1 6 10863370
- [9]Seymour RA Effects of medications on the periodontal tissues in health and disease Periodontol 2000 2006 40 120 9 16398689
- [10]Kato T Okahashi N Ohno T Inaba H Kawai S Amano A Effect of phenytoin on collagen accumulation by human gingival fibroblasts exposed to TNF-alpha in vitro Oral Dis 2006 12 156 62 16476037
- [11]Kataoka M Kido J Shinohara Y Nagata T Drug - induced gingival overgrowth – A review Biol Pharm Bull 2005 28 1817 21 16204928
Cited by
Periodontal complications of prescription and recreational drugs
Hughes, F., & Bartold, P. (2018) · Periodontology 2000 · doi:10.1111/prd.12230 · Cited by 25
Drug-induced gingival overgrowth: A critical insight into case reports from over two decades
Samudrala, P., Chava, V., Chandana, T., & Suresh, R. (2016) · Journal of Indian Society of Periodontology · doi:10.4103/jisp.jisp_265_15 · Cited by 24
“Reported cases of gingival enlargements were induced by different drugs; CCBs (50/119 – of which amlodipine-25;[8-28] nifedipine-13;[26,29-40] verapamil-4;[41] felodipine-2;[42,43] nisoldipine-1;[44] manidipine-1;[45] and unspecified CCBs‐4[46]); phenytoin (11/119);[47-57] cyclosporine (31/119);[35,46,58-75] phenobarb…”
BackgroundA clinical evaluation of gingival overgrowth in children on antiepileptic drug therapy
Suneja, B. (2016) · JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH · doi:10.7860/jcdr/2016/16443.7069 · Cited by 14
Drug-Induced Gingival Overgrowth: The Genetic Dimension
Charles, N., Chavan, R., Moon, N., Nalla, S., Mali, J., & Prajapati, A. (2014) · North American Journal of Medicine and Science · doi:10.4103/1947-2714.141651 · Cited by 8
“, anticonvulsants, calcium channel blockers and immunosuppressants.[1] The pharmacologic”
BackgroundThe Management of Drug-Influenced Gingival Enlargement
Zoheir, N., & Hughes, F. (2019) · Primary Dental Journal · doi:10.1308/205016820828463816 · Cited by 7
Metadata
- Authors
- Joshipura, V.
- Corresponding author
- Joshipura, Vaibhavi
- Venue
- Journal of Indian Society of Periodontology
- Published
- 2012
- Volume
- 16
- Issue
- 2
- Pages
- 278
- ISSN
- 0972-124X (ISSN-L)
- PMC
- PMC3459514
- OpenAlex
- W2042863482
- Cited by
- 15
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 6 · 2014: 2
- FWCI
- 1.50
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- Journal of Indian Society of Periodontology (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral and gingival health research
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › General Dentistry › Oral Health Pathology and Treatment
- Keywords
- drug-induced gingival hyperplasia, valproic acid, chronic periodontitis, phenytoin, antiepileptic drugs, gingival hyperplasia
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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