The fibrous growth may continue to the point that the teeth may be covered with gum tissue. If there is no gingivitis or periodontitis associated with the overgrowth, the tissue should appear firm and pink. If gingivitis is associated with it, which unfortunately is common, the tissue will appear boggy and red. Generally, the anterior area is affected more severely than the posterior area. Gingival growth is most pronounced during the first year of Dilantin use, and patients under the age of 30 years seem to be more susceptible to this side effect.
Many studies show that plaque build-up is a component of Dilantin gingival hyperplasia.
Therefore, scrupulous oral hygiene is extremely important to help minimize this condition. Treatment to remove enlarged gingival tissue is surgical excision. This surgery must be carefully considered, however, because hyperplasia will quickly recur if careful oral hygiene is not maintained, and the surgical wounds can be somewhat painful. If Dilantin is discontinued, gradual regression of the tissue overgrowth can occur within 1 year. Watch this if baby's meals end with thrown food.