Nifedipine-induced gingival overgrowth: remission following non-surgical therapy

Gingival overgrowth is a well-known side-effect of nifedipine therapy. The altered gingival architecture can be disfiguring, aesthetically displeasing and cause discomfort during mastication. Traditional treatment is based on surgical resection of the overgrown tissue followed by maintenance therapy aimed at achieving a high standard of plaque control. This case report describes the non-surgical management of a patient presenting with nifedipine-induced gingival overgrowth. Establishment and maintenance of a considerably improved standard of plaque control led to complete resolution of the overgrowth without recurrence, even though the medication dose was increased. The possible pathogenesis of nifedipine-induced gingival overgrowth is considered and the all-important role of plaque control emphasized.