Management of Oral Contraceptive Induced Gingival Enlargement: A Clinical Case Report

Pooja Challapalli, Shivlal Vishnoi, Gaurav Bakutra, Priyadarshini Nadig, Sakshi Shah, Meghna Gohil

Abstract: In dentistry, drug induced gingival enlargement is one of the most unwanted effects of any systemic medications. Over the years, immunosuppresants, calcium channel blockers and anti convulsants have been known to be the cause behind the enlargement. Hormonal contraceptive pills too have shown positive correlation with drug induced gingival enlargement. Hormones are specific regulatory molecules that affect the host of body functions. Sex steroid hormones like estrogen and progesterone have an effect on the periodontium. Oral contraceptives that contain estrogen and/or progesterone can cause gingival enlargement. This article?s purpose is to present a clinical case of oral contraceptive induced gingival enlargement managed with surgical periodontal therapy.

Keywords: Oral Contraceptives, Gingival Enlargement, Surgical Management, Ethinylestradiol, Levonorgestrel