Lamotrigine-Induced Gingival Enlargement: An Older Problem Due to a Newer Drug - A Rare Case Report

Introduction: Gingival enlargement (GE) due to anti-epileptic drugs (AEDs) shows a high prevalence rate. However, lamotrigine, a newer AED, has not shown to induce GE. The present case report describes a rare case of GE in a patient with epilepsy under lamotrigine therapy for the past 3 years. Case Presentation: In this report, successful management of lamotrigine-influenced GE in a 24-year old patient with epilepsy by gingivectomy followed by stringent oral hygiene protocol is presented. Conclusion: The present case report suggests that, even this newer AED can cause GE and the oral hygiene status of the patients could be an important triggering factor.