For a 13-year-old boy with enlarged gingivae history of Dilantin sodium, what is the recommended treatment?

The recommended treatment for a 13-year-old boy with enlarged gingivae due to a history of taking Dilantin sodium involves addressing the gingival overgrowth through oral prophylaxis and gingivoplasty.

Oral prophylaxis serves to thoroughly clean the teeth and gums, removing plaque and calculus that may have accumulated and exacerbated the condition of the gingivae. This step is crucial because maintaining good oral hygiene is essential for controlling any gingival inflammation and preventing further enlargement.

Gingivoplasty is a surgical procedure that reshapes the gingival tissue. In cases of gingival overgrowth, especially triggered by medication like Dilantin, this approach helps to restore the normal contour and appearance of the gums. It not only enhances aesthetics but also improves functionality, making it easier for the patient to maintain oral hygiene.

Discontinuing the medication could be considered; however, this is typically not the first step in managing gingival hyperplasia because it is essential to weigh the benefits of the medication for seizure control against the side effects of gingival enlargement. Topical application of fluoride would not address the underlying issue of hyperplasia and might be more useful in preventing decay rather than resolving gingival overgrowth.

Therefore, the combined approach of oral prophylaxis and ging