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Cyclosporine-induced gingival overgrowth-Review.

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Drug-induced gingival overgrowth (DIGO) is a side effect of certain medications. Cyclosporine A (CsA) can cause this condition, particularly in young males, leading to serious oral health issues.

Keywords:
DIGOcalcineurin inhibitorcyclosporinegingival overgrowthgingivectomy

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Area of Science:

  • Oral Medicine
  • Pharmacology
  • Periodontology

Background:

  • Drug-induced gingival overgrowth (DIGO) is an adverse effect of phenytoin, calcium channel blockers, and cyclosporine A (CsA).
  • This condition involves fibrous gingival enlargement, potentially leading to gingivitis, periodontitis, and tooth loss.
  • Consequences include worsening dental caries, pain, difficulty eating, bleeding gums, and halitosis.

Purpose of the Study:

  • To review the literature on cyclosporine A-induced gingival hyperplasia (CiGHO).
  • To discuss the knowns and unknowns of CiGHO's pathomechanism and clinical presentation.

Main Methods:

  • This paper is a review of existing literature on drug-induced gingival overgrowth, with a focus on CsA.

Main Results:

  • CiGHO is more prevalent in male children and adolescents.
  • Poor oral hygiene correlates with increased severity of gingival overgrowth.
  • Tartar and local irritant removal can alleviate symptoms.

Conclusions:

  • Conventional gingivectomy is a treatment option for DIGO.
  • Further research is needed to elucidate the pathomechanism of CsA-induced gingival hyperplasia.