Gingivectomy Treatment for Gingival Enlargement Due to Side Effects of Amlodipine: A Case Report

Introduction: Gingival enlargement due to drug side effects is one of the complaints in the oral cavity. Amlodipine consumed by hypertensive patients can trigger gingival enlargement. The management is gingivectomy therapy which aims to reduce gingival enlargement to produce good aesthetics and prevent further periodontal abnormalities.
History and Clinical Findings: A 47-year-old woman came to the Periodontia Department of the Teaching Dental and Oral Hospital with complaints of swollen and enlarged maxillary and mandibular gums and frequent bleeding. General examination showed that the patient had hypertension and was taking amlodipine since 10 years ago. Intraoral examination showed gingival enlargement in the anterior region of the upper and lower jaw.
Case Management: Case management includes initial therapy and then referred to the internist specialist for replacement of hypertension drugs and surgical treatment which includes anesthesia, determination of bleeding points, excision using a Kirkland knife, removal of gingiva using an orban knife, then scaling and root planing then applying periodontal packs. Patients were given Dental Health Education and control after 1 week and 3 months post-treatment.
Discussion : Gingival enlargement due to side effects of amplodipine is a disorder that often causes changes in the shape of the gingiva which clinically looks larger than normal. Amplodipine is a drug that is often used in patients with a history of hypertension and belongs to the Calcium Channel Blocker class. Conclusion: Hypertensive patients who take long-term amlodipine drugs cause gingival enlargement and can be treated with gingivectomy and provide patient satisfaction.