Gum hyperplasia is quite common in patients who have been on phenytoin on a long term basis for epilepsy. Following are few causes we need to look for when confronted with gum hyperplasia.
1 Phenytoin , (Phenobarbitone less common)
2 Infections/infalmmation ( Gingivitis )
5 Vitamin C deficiency
6 Drugs – Nifedipine , Amlodipine , Verapamil , Cyclosporine
7 Paraneoplastic disorder