What should you teach a patient taking Dilantin regarding oral care?

• A. Good Oral Hygiene and Nutrition Are Important
• B. Only Take With Food
• C. Avoid Dental Visits
• D. Brush Teeth Only At Night

Answer: (A)

Gingival overgrowth from phenytoin is a common oral health issue, so the most helpful teaching focuses on keeping the gums clean and well-nourished to prevent or lessen inflammation and swelling. Emphasize a thorough oral hygiene routine: brush with fluoride toothpaste at least twice daily, floss daily, and consider an antiseptic mouthwash if advised by the clinician. Regular dental cleanings and checkups every few months help detect and manage gum changes early. A balanced diet with adequate vitamins and minerals supports gum tissue health, and staying hydrated helps combat dry mouth, which can worsen plaque buildup. If gums become swollen, bleed, or painful, the patient should inform the prescriber or dentist promptly so adjustments to care or therapy can be considered. Avoid focusing on ideas like brushing only at night or skipping dental visits, since those would worsen gum problems.