A unique case of Late onset Combined gingival enlargement and its Management

Abstract

Gingival enlargement is a pathological condition affecting not only the function but also hampers the aesthetics of the patient. The aetiology of the enlargement could range from purely inflammatory disease to having a combination of causes. Drug-induced gingival enlargements pertain to those enlargements that occur on the administration of one of the following groups of drugs i.e., antihypertensives, anticonvulsants, and immunosuppressive drugs. Not all patients taking the drug show signs of enlargement but most patients who are impacted by the drug do so in the first few months of drug administration. Here is a unique case of drug-induced gingival enlargement where the patient turned symptomatic about 3 years after drug usage probably triggered by local factors hence emphasizing the need for good oral hygiene in such patients.