Publication:
Prevalence and Severity of Gingival Enlargement Among Antihypertensive Drug Users: A cross-sectional study

creativeworkseries.issn1812-2027
dc.contributor.authorKafle, S
dc.contributor.authorShrestha, E
dc.contributor.authorDhital, BM
dc.date.accessioned2026-01-14T06:02:32Z
dc.date.available2026-01-14T06:02:32Z
dc.date.issued2024
dc.descriptionKafle S,1 Shrestha E,1 Dhital BM2 1Department of Periodontology and Oral Implantology 2Department of Cardiology Chitwan Medical College and Teaching Hospital Bharatpur, Chitwan, Nepal
dc.description.abstractABSTRACT Background Drug-induced gingival enlargement is a well-known consequence of the administration of some antihypertensive drugs, including angiotensin-converting enzyme inhibitors, beta-blockers, and calcium channel blockers. Objective To determine the prevalence and severity of antihypertensive drug-induced gingival enlargement and to assess the probable risk factors associated with gingival enlargement. Method A hospital-based cross-sectional study was conducted in patients attending the Outpatient Department of Periodontology and Oral Implantology, Chitwan Medical College and Teaching Hospital, Bharatpur, Chitwan, Nepal, from July 2023 to May 2024. A total of 246 patients of both genders taking antihypertensive medications for a variable period and meeting all inclusion criteria were selected for the presence of gingival enlargement and classified by severity. Descriptive analysis was performed in the Statistical Package for the Social Sciences (SPSS, v.23.0.) using the chi-square test. Result A total of 210 (85.36%) subjects taking antihypertensive drugs appeared to have gingival enlargement. Among them, 86 (40.95%), 69 (32.86%) and 55 (26.19%) were taking calcium channel blockers, β-blockers and angiotensin-converting enzyme inhibitors, respectively. Regarding its severity, a marked severity was observed in patients taking calcium channel blockers followed by angiotensin converting enzyme inhibitors and beta-blockers accounting for 51 (56.0%), 19 (29.7%) and 13 (14.3%), respectively. Conclusion Patients taking antihypertensive medications are at high risk for gingival enlargement, and inflammation is considered an important cofactor for the expression of this effect. KEY WORDS Antihypertensive drugs, Drug-induced gingival enlargement, Prevalence, Severity
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4244
dc.language.isoen_US
dc.publisherKathmandu University
dc.subjectAntihypertensive drugs
dc.subjectDrug-induced gingival enlargement
dc.subjectPrevalence
dc.subjectSeverity
dc.titlePrevalence and Severity of Gingival Enlargement Among Antihypertensive Drug Users: A cross-sectional study
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage384
oaire.citation.startPage379
relation.isJournalIssueOfPublicatione11bafba-6525-4c58-88d9-4eff4919cf29
relation.isJournalIssueOfPublication.latestForDiscoverye11bafba-6525-4c58-88d9-4eff4919cf29
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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