TY - JOUR A1 - Rao, Anupama A1 - Walvekar, Amit A1 - Rao, Subramaniam A1 - Thomas, Biju T1 - Management of phenytoin induced gingival enlargement associated with cerebral palsy: A challenge to the clinician Y1 - 2013/4/1 JF - International Journal of Health & Allied Sciences JO - Int J Health Allied Sci SP - 126 EP - 129 VL - 2 IS - 2 UR - https://www.ijhas.in/article.asp?issn=2278-344X;year=2013;volume=2;issue=2;spage=126;epage=129;aulast=Rao DO - 10.4103/2278-344X.115690 N2 - Phenytoin, which is the drug of choice for treatment of grandmal, psychomotor seizures associated with cerebral palsy, has serious side effect like gingival enlargement. Drug induced gingival enlargement is not only esthetically disfiguring but often impairs speech, mastication, nutrition and plaque control measures. In addition, poor oral hygiene, lack of motor coordination and muscular limitations in mentally disabled individuals results in increased susceptibility to periodontal disease. The present case report unfolds a complex nature of the management of phenytoin induced gingival enlargement, secondarily complicated by inflammation, and in the cerebral palsy patient. A supportive team work of periodontist, neurophysician, and general anesthetist plays a significant role in maintaining the quality of life in mentally disabled patient. ER -