Management of Leukemic Gingival Enlargement in the Dental Office

Oral signs are the first signs that appear in various systemic diseases affecting the body. Gingival enlargement can occur due to the accumulation of calculus, hormonal changes, certain medications, and certain malignancies. Leukemia is defined as an abnormal increase in the number of white blood cells inside the bone marrow, and sometimes oral signs will be the first clinical feature to appear in such conditions. Oral care for leukemic patients should be centred on meticulous oral hygiene and trauma prevention. Antibiotics are used to treat secondary infection that occurs due to bacterial, viral, and fungal manifestations. If need for any Periodontal surgeries, then they should be performed only after the patient completes their antineoplastic treatment. The current review article thus focused on collating the leukemic oral manifestations and demystifying the aetiology, mechanism, clinical features, and management of leukemic gingival enlargement.