1993 Volume 35 Issue 6 Pages 496-504
This ultrastructural study of phenytoin-induced gingival overgrowth in rats demonstrates a statistically significant increase in myofibroblasts (18.5 cells/1×104μm2 area; control, 5.7;p<0.01, Wilcoxon test). The increased presence of these cells may be interpreted by either of two mechanisms: 1) phenytoin, along with the promotional influence of inflammation, elicits excessive repair (overgrowth) similar to that of wounds where myofibroblasts play an important role, or 2) this lesion reacts like tumor or other active proliferative conditions where myofibrolasts represent one form of host-tissue response.