My gums are swolen and i am on Phenytoin for Epilepsy
Q. Good Evening, Being on medication for Epilepsy for years my teeth and gums are not in very good shape. I have had no seizures for 2 years and i am currently still taking Phenytoin 100mg once a day. My gums are inflammed, teeth pushed forward which can sometimes hurt when brushing. I understand the medication has done this, and know i am at an age and in a professional position i would like to know if i can improve my smile and boost my confidence more. Is there any advice you can share with me? I am also not a very comfortable person when it comes to dentistry too. Many Thanks
A.
Phenytoin is one of a few drugs that cause gums to respond to plaque by producing a tough swollen tissue. The crucial factor is that it is an exagerrated reaction. No plaque, no response to exagerate. Really excellent brushing, regular dental hygeine visits and high volume irrigation ( waterpik type devices ) with 0.02% chlorhexidine ( normal mouthwash strength diluted 1:10 with water.
Sorry you dont like dentists, little and often does seem easier for “reluctant ” patients
Regards
Dr Rob Tennet
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