Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Surgical Treatment of Phenytoin Induced Gingival Hyperplasia : A Report of Case

Phenytoin으로 인한 치은비대증의 치험례

  • Byun, Sang-Kil (Department of Dentistry College of Medicine, Yeungnam University) ;
  • Lee, Hee-Keung (Department of Dentistry College of Medicine, Yeungnam University) ;
  • Jin, Byung-Rho (Department of Dentistry College of Medicine, Yeungnam University) ;
  • Oh, Meung-Chull (Department of Dentistry College of Medicine, Yeungnam University)
  • 변상길 (영남대학교 의과대학 치과학교실) ;
  • 이희경 (영남대학교 의과대학 치과학교실) ;
  • 진병로 (영남대학교 의과대학 치과학교실) ;
  • 오명철 (영남대학교 의과대학 치과학교실)
  • Published : 1986.06.30
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Abstract

Enlargement of the gingiva caused by phenitoin, an anticonvulsant used in the treatment of epilepsy, occurs in some of the patients receiving the drug. Its incidence varies from 3 to 62 percent, with the greater frequencies in younger patients. The hyperplasia is usually generalized throughout the mouth, but is more severe tendency in the maxillary and mandibular anterior regions, 18 year old male patient was admitted to our Department of Dentistry with the complaint of generalized painless gingival swelling. After the consult of the N.M. and laboratory study, the gingivectomy and gingivoplasty was performed. The periodontal pack and tin foil was applied on the attached gingiva to protect a surgical site and bleeding control. We obtained a good result of improved esthetics and function.

저자 등은 8년간 dilantin의 복용으로 상하악간에 전반적인 치은비대증을 나타낸 환자를 치은절제술과 치은성형술을 시행하고 계속적인 치석제거와 치은연하소파술을 시행하여 재발됨이 없이 심미적으로나 기능적으로 만족한 결과를 얻었기 이에 보고하는 바이다.

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