Gingival overgrowth in paediatric cardiac transplant patients: a study of 19 patients aged between 2 and 19 years

作者: L. Y. LOWRY , R. R. WELBURY , R. A. SEYMOUR , P. J. WATERHOUSE , J. R. L. HAMILTON

DOI: 10.1111/J.1365-263X.1995.TB00182.X

关键词: Paediatric patientsTransplant patientMedicineTransplantationSignificant differenceGynecology

摘要: Summary. It is well established that both cyclosporin and nifedipine are associated with gingival overgrowth. However, there little information on the prevalence of this undesirable effect in paediatric patients. The present study investigated overgrowth 19 cardiac transplant patients aged 2 years 8 months to 16 3 (1.5–8.5 post-transplant) related such changes variables daily dosage, trough blood concentration dosage. Ten showed clinically significant nine relatively minor overgrowth; was no difference between two groups respect age, length time post-transplant, whole or intake nifedipine. expression therefore did not relate any drug variable group subjects. Resume. Hypertrophic gingivale chez les enfants transplantes cardiaques: etude de âges a ans Il est connu que la cyclosporine et sont associes l'hypertrophie gingivale. Mais peu d'informations disponibles sur cet effet indesirable pediatriques. L'etude porte cardiaques ans mois (1 an demi apres transplant) enregistre variations nifepidine dans le sang par des analyses sanguines quotidiennes. Dix patient avaient une hypertrophic clinquement significative neuf relativement mineure; il n'y avait pas entre deux groupes rapport l'âge l'anciennete du transplant, dose cyclosporine, en sanguin prise nifepidine. L'hypertrophie n'etait donc avec aucune medica-menteuses ce groupe patients. Zusammenfassung. Uebermassiges gingvales Wachstum bei padiatrischen Patienten mit Herztransplantation, eine Studie von zwischen und Jahren Es ist bekannt, dass die Medikamente Cyclosporin Nifedipine ein ubermassiges der Gingiva verursachen aber es wenig bekannt uber Hautigkeit dieser unerwunschten. Nebenwirkung Patienten. Diese untersuchte diese im Alter Jahre Monate bis 1/2 nach Transplantation). Man bezog Aenderungen zu den verschiedenen Cyclosporin-Tagesdosen, Blutkonzentration Tagesdosen Nifedipine. Bei 10 fand main 1 klinisches, signifikantes, ubermassiges. Gingivawachstum restlichen 9 nur geringes Wachstum. keinen signifikanten Unterschied beiden Gruppen bezuglich Alters, Zeitspanne seit Transplantation, Cyclosporin-Dosierung, oder Nifedipine-Einnahme. Dementsprechend wurde keine Beziehung gefunden Gingivaveranderung irgendeiner medikamentusen Variabilitat Probanten Gruppe. Resumen. Hiperplasia ninos con cardiacos: estudion anos Parece claro ciclosporina y nifedipina se asocia crecimiento o hiperplasia exagerada. Hay poca informacion sobre prevalencia este efecto indeseable pacientes pediatricos. El presente estudio investigo hipertrofia pediatricos transplante cardiaco edades anos meses relata los cambios segun dosis diaria ciclosporina. mostraron sobrecrecimiento clinico relativamanete menor. No hubo diferencias significativas grupos respecto edad, tiempo post-transplante, ciclosporina, concentracion sangre nifedipina. Los gingivales tuvieron correlacion nicnguan las estudiadas grupo sujetos.

参考文章(15)
G H Gilbert, T M Hassell, Phenytoin sensitivity of fibroblasts as the basis for susceptibility to gingival enlargement. American Journal of Pathology. ,vol. 112, pp. 218- 223 ,(1983)
D Adams, G Davies, Gingival hyperplasia associated with cyclosporin A. A report of two cases British Dental Journal. ,vol. 157, pp. 89- 90 ,(1984) , 10.1038/SJ.BDJ.4805426
J. M. Thomason, R. A. Seymour, N. Rice, The prevalence and severity of cyclosporin and nifedipine‐induced gingival overgrowth Journal of Clinical Periodontology. ,vol. 20, pp. 37- 40 ,(1993) , 10.1111/J.1600-051X.1993.TB01757.X
T.D. Daley, G.P. Wysocki, Colin Day, Clinical and pharmacologic correlations in cyclosporine-induced gingival hyperplasia. Oral Surgery, Oral Medicine, Oral Pathology. ,vol. 62, pp. 417- 421 ,(1986) , 10.1016/0030-4220(86)90291-4
S. Barclay, J. M. Thomason, J. R. Idle, R. A. Seymour, The incidence and severity of nifedipine‐induced gingival overgrowth Journal of Clinical Periodontology. ,vol. 19, pp. 311- 314 ,(1992) , 10.1111/J.1600-051X.1992.TB00650.X
J Feehally, J Walls, N Mistry, T Horsburgh, J Taylor, P S Veitch, P R Bell, Does nifedipine ameliorate cyclosporin A nephrotoxicity BMJ. ,vol. 295, pp. 310- 310 ,(1987) , 10.1136/BMJ.295.6593.310
R. A. Seymour, D. G. Smith, D. N. Turnbull, The effects of phenytoin and sodium valproate on the periodontal health of adult epileptic patients. Journal of Clinical Periodontology. ,vol. 12, pp. 413- 419 ,(1985) , 10.1111/J.1600-051X.1985.TB01377.X
R. A. Seymour, D. J. Jacobs, Cyclosporin and the gingival tissues Journal of Clinical Periodontology. ,vol. 19, pp. 1- 11 ,(1992) , 10.1111/J.1600-051X.1992.TB01140.X
Thomas M. Hassell, Arthur F. Hefti, Drug-induced gingival overgrowth: old problem, new problem. Critical Reviews in Oral Biology & Medicine. ,vol. 2, pp. 103- 137 ,(1991) , 10.1177/10454411910020010201