Hyperplasia of the gingival tissue can without inflammation occur in response to different medications, and in particular the following: phenytoin cyclosporine nifedipine and other calcium channel blockers The hyperplasia is characterized by a diffuse, relatively avascular, smooth or nodular enlargement of the gingiva that some teeth can almost completely cover. The hypertrophied tissue can often be excised. If possible, the triggering drugs are replaced by others. Thorough oral hygiene can minimize the risk of recurrence. Miss a cancer originating from the gingiva and spread to regional lymph nodes.
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