Dental Clinic in Duraliler — Kepez, Antalya

Swollen gums are not always a hygiene failure; sometimes the cause is a medicine.

Which drug groups, and how it happens

Three groups are known to be associated: phenytoin used in epilepsy, ciclosporin used after transplantation and in some immune conditions, and calcium channel blockers used for blood pressure and heart disease, of which nifedipine and amlodipine are common examples. Not everyone taking them is affected; individual susceptibility matters. These drugs alter how the connective tissue cells of the gum behave and excess tissue is produced — but crucially the overgrowth is far more pronounced where plaque and inflammation are present. The drug creates the susceptibility; plaque brings it out.

How it is managed

The first step is always to control the inflammation: scaling, removing deposits beneath the enlarged margins and reviewing home care. In many cases this alone brings marked improvement, since inflammation is what enlarges the tissue. Changing or stopping the drug may be considered, but only the prescriber can decide that — stopping it yourself over a gum complaint carries real risk. Where the tissue is bulky enough to block cleaning or cause discomfort, the excess is removed surgically; as the medicine continues afterwards, regular maintenance is what prevents recurrence.

Signs worth noticing

• Gum climbing up over the teeth
• Teeth appearing shorter than before
• Marked swelling of the gum triangles between teeth
• Easy bleeding and tenderness on brushing
• The floss space becoming narrower
• Change in the months after starting a new medicine

Route, booking and emergency arrangements for patients from Duraliler.

Getting here from Duraliler

Duraliler lies in the Kepez district of Antalya; Kepez is one of the central districts, about 6 kilometres from the clinic. We also see patients from neighbouring areas that share the route from Duraliler, such as Yeni Emek, Aktoprak, Ayanoğlu, Çamlıca. You can ask for the location on WhatsApp when travelling from Duraliler.

Appointments for Duraliler

At this distance, splitting treatment into visits is no problem for patients from Duraliler, and attending reviews is easy too. As with patients from Kepez generally, appointments for families from Duraliler can be scheduled consecutively.

Emergencies from Duraliler

Setting out from Duraliler at night is quick; come without delay in an emergency, and calling as you leave means preparation is done in advance. For patients coming from Dental Clinic in Duraliler, the clinic is open 24/7 and in an emergency the order is set by severity rather than arrival time. For spreading facial swelling, difficulty swallowing or breathing, or toothache with fever, go to the nearest emergency department.

Discolouration is not a single phenomenon. Stains arriving from outside and changes arising from within the tooth form by different routes and are treated in entirely different ways.

Extrinsic staining

These adhere to the thin film on the enamel surface and can be removed mechanically:

• Colour molecules from tea, coffee, cola and red wine
• Tar from cigarettes and other tobacco products
• Long-term use of chlorhexidine mouthwash
• Iron supplements and some rinsing products
• The brown layer that accumulates on tartar

Intrinsic changes

These lie within the structure of the tooth and do not come off with cleaning. Blood products seeping into dentine after trauma can turn a tooth grey-pink; death of the pulp leads to darkening over time. Certain antibiotics taken in childhood are incorporated during tooth development and leave permanent banded discolouration. Excess fluoride intake produces a white or brown mottled appearance.

The change that comes with age

Over time enamel thins and wears while dentine thickens. The result is a yellower, less translucent tooth. This is a natural process rather than a disease and responds well to whitening. Where wear is accelerated — by acid erosion or clenching — the colour change also becomes obvious earlier.