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Phenytoin hyperplasia occurring in relation to titanium implants: a clinical report
1USC School of Dentistry, Los Angeles 90089-0641.
The International Journal of Oral & Maxillofacial Implants
|January 1, 1994
Summary
Dilantin sodium (phenytoin) can cause gingival hyperplasia. This case report shows it can also affect tissues around titanium implants, but removal and hygiene reinforcement prevented recurrence.
Area of Science:
- Dentistry
- Periodontology
- Biomaterials Science
Background:
- Dilantin sodium (phenytoin) is an anticonvulsant with known gingival hyperplasia side effects.
- Gingival hyperplasia has been linked to poor oral hygiene in patients with complete dentures.
- Titanium implants are a common dental restoration method.
Observation:
- A patient taking Dilantin sodium for epilepsy developed tissue hyperplasia around their titanium implants.
- The hyperplasia affected the soft tissues surrounding the implant abutments.
- Poor oral hygiene was noted as a contributing factor.
Findings:
- Surgical removal of the hyperplastic tissue was performed.
- Reinforcement of oral hygiene practices was emphasized to the patient.
- No recurrence of tissue enlargement was observed after one year of follow-up.
Implications:
- Phenytoin-induced gingival hyperplasia can occur in the peri-implant tissues.
- Meticulous oral hygiene is crucial for patients with dental implants taking phenytoin.
- This case highlights the importance of considering medication side effects in peri-implant health management.