Drug-induced Gingival Overgrowth Related to Sirolimus and Felodipine
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¹Ú¿¬Á¤ ( Park Youn-Jung ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
ÀÌÁÖÈñ ( Lee Joo-Hee ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
±è¿µ°Ç ( Kim Young-Gun ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
±ÇÁ¤½Â ( Kwon Jeong-Seung ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
¾ÈÇüÁØ ( Ahn Hyung-Joon ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
ÃÖÁ¾ÈÆ ( Choi Jong-Hoon ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
KMID : 1101020170420010020
Abstract
Drug-induced gingival overgrowth (DIGO) is an adverse drug reaction mainly described withthree types of commonly prescribed drugs, namely, calcium channel blockers (CCBs) (nifedipine,diltiazem, and verapamil), anti-convulsants (phenytoin), and immunosuppressive agents (cyclosporine). Numerous reports have associated gingival overgrowth with the newer generationof immunosuppressive agents (tacrolimus, sirolimus, and everolimus), and CCBs (amlodipine,felodipine, nicardipine, and manidipine). Especially, patients concomitantly medicated with animmunosuppressive agent and CCB have a higher DIGO chance. Dentists need to be aware ofdrugs that induce gingival overgrowth, the possibility of DIGO, and risk factors, and also preventthe progression of DIGO by early detection of DIGO, consultation about the drug change,and the maintenance of strict dental hygiene regimes.
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Calcium channel blockers; Gingival overgrowth; Immunosuppressive agents
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