Medical history Patient reported a medical history of hypertension Medications include: Nifedipine 60mg once daily He has no known drug allergies His family history is unremarkable He denied smoking or any use of recreational drugs and is a social drinker System review There are no bleeding abnormalities, recent weight loss, night sweats or fatigue. Hypertension is well-controlled with current regimen. No extra-oral symmetry and lymphadenopathy were noted. Intra-oral examination Examination revealed generalized, edematous and fibrous gingival overgrowth, with localized areas or erythema.

The overgrowth was so severe that some of the teeth were completely covered by the gingival overgrowth. Oral hygiene is significantly compromised and there is heavy calculus present in the mandibular region. What can be the probable cause for this overgrowth? *This case is from Docplexus Editorial Team…