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Marked Gingival Overgrowth Protruding from the Oral Cavity Due to Sodium Valproate
Mami Uegami1, Hiroaki Ito1, Tadashi Shiohama2
1Department of Pediatrics, Kameda Medical Center, 929 Higashi-cho, Kamogawa-shi 296-8602, Chiba, Japan.
Abstract:
Drug-induced gingival overgrowth is associated with various systemic diseases, including epilepsy. Among antiepileptic medications, phenytoin is commonly reported to cause this condition. In contrast, sodium valproate (VPA), another widely used antiepileptic drug, rarely induces gingival overgrowth. This difference in side effects highlights the variability in drug-induced oral complications among different antiepileptic medications. This case study presents a patient who developed significant gingival overgrowth after using VPA for over 10 years. The study aims to identify VPA as the causative agent and observe changes during long-term administration and after dose reduction. Our findings demonstrate that even long-standing gingival overgrowth can improve rapidly following discontinuation of the causative medication, providing valuable insights for managing similar cases in the future.
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