Cyclosporin-induced gingival overgrowth: correlation with dental plaque scores, gingivitis scores, and cyclosporin levels in serum and saliva

Oral Surg Oral Med Oral Pathol. 1987 Sep;64(3):293-7. doi: 10.1016/0030-4220(87)90007-7.

Abstract

Gingival overgrowth, dental plaque, and gingivitis were assessed by means of standardized semiquantitative indices in thirty renal transplant patients undergoing immunosuppression with cyclosporin-A (Cy-A). Radioimmunoassay techniques were used to determine Cy-A in serum samples and in parotid, submandibular, and whole saliva samples from each patient. A significant positive correlation was found between gingival overgrowth scores and both dental plaque and gingivitis scores. A significant positive correlation was found between whole-saliva Cy-A and both plaque and gingival overgrowth scores. No such correlation was found when parotid Cy-A or submandibular Cy-A was considered. This was attributed to differences in saliva-collection methods, and a possible role of dental plaque as a local reservoir of Cy-A is proposed.

MeSH terms

  • Adult
  • Cyclosporins / adverse effects
  • Cyclosporins / analysis*
  • Cyclosporins / blood
  • Dental Plaque / diagnosis*
  • Dental Plaque Index
  • Female
  • Gingival Hyperplasia / chemically induced*
  • Gingivitis / diagnosis*
  • Humans
  • Male
  • Middle Aged
  • Periodontal Index
  • Saliva / analysis*

Substances

  • Cyclosporins