The most successful method of preventing Dilantin gingival hyperplasia is that of establishing and maintaining sound, conservative periodontal therapy. Treatment in patients in whom discontinuance of Dilantin is not feasible, and in whom other conserv...
The most successful method of preventing Dilantin gingival hyperplasia is that of establishing and maintaining sound, conservative periodontal therapy. Treatment in patients in whom discontinuance of Dilantin is not feasible, and in whom other conservative measures have failed, consists of removal of the hyperplasia by gingivectomy. Routine gingivectomy techniques with external bevel may have delayed healing, postoperative pain, esthetic problems due to incision of keratininzed epithelium. Gingivectomy with internal bevel instead of external bevel, has produced esthetic effect by preservation of attached gingiva width, postoperative pain relief, short healing period by decrease of wound areas.