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Dentistry · Caries and periodontal disease: drug-induced gingival overgrowth
Sample itemWhich drug classically causes gingival overgrowth?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Phenytoin
Phenytoin, nifedipine and ciclosporin cause fibrous gingival overgrowth, worsened by plaque. Oral hygiene and dose adjustment help, and surgery may be needed.
Option by option
A. Lithium
Lithium is not associated with gingival overgrowth.
B. Amoxicillin
Amoxicillin does not cause gingival overgrowth.
C. Phenytoin (correct)
Correct. Phenytoin is the classic cause.
D. Furosemide
Furosemide does not cause gingival overgrowth.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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