A rare case of gingival overgrowth in primary pulmonary hypertension

Primary Pulmonary Hypertension (PPH) is a life-threatening disease. Vasodilator drug have been used as a treatment but their efficacy is uncertain, a new treatment strategy using high dose of calcium channel blockers as one of the drug used. Nifidipine is one such drug of the family of calcium channel blockers that induced gingival overgrowth. Drug induced gingival overgrowth remains a significant problem for periodontologist. The pathogenesis of drug induced gingival overgrowth is uncertain and various risk factors and etiological agents like age, sex drug dose and duration, genetic factor and local factors. Management of such condition where it interferes with esthetic, function and occlusion includes non surgical or surgical intervention. This case report highlights the management of one such case of patient with primary pulmonary hypertension at dental office.