Figure 1327

Photograph of gingival hyperplasia. Gingival hyperplasia occurs in approximately 10% of transplant recipients treated with cyclosporine. Its severity reflects the interaction of effective dental hygiene, cyclosporine dose, and concomitant administration of calcium antagonists (particularly dihydropyridines). This complication does not seem to occur with use of tacrolimus, and complete resolution of gingival hyperplasia has been noted with conversion from cyclosporine-based therapy [25,41].

*Patients without history of diabetes.

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