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Treatment Plan

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The treatment plan for the phenytoin‐associated gingival enlargement includes interdisciplinary consultation (to include the primary care physician regarding alternative medication for treatment of epilepsy), oral hygiene instructions, initial phase therapy consisting of supragingival and subgingival scaling with polishing, reevaluation at six weeks, and surgical phase (gingivectomy) if gingival enlargement persists. Routine maintenance therapy should be performed every three months following resolution of the gingival enlargement (G).

Clinical Cases in Periodontics

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