Hemisection: Split To Benefit - A Case Report.

Infections of periodontal or endodontic origin may result in increased periodontal probing depths with attachment loss adjacent to the root surface, bleeding on probing, suppuration, swelling, tooth mobility, angular bone loss, and pain on percussion. These signs and symptoms may be caused by plaque-associated periodontitis which begins at the margin of the gingiva and proceeds apically or by endodontic infections that enter the periodontal ligament at the apical foramen or through lateral or accessory canals and proceed coronally. The loss of posterior molars as a result of periodontal or endodontic infection leads to migration of teeth, supra-eruption of opposing teeth, loss of supporting alveolar bone and a decrease in masticatory efficiency. The unrestorable teeth can be replaced by removable partial dentures or fixed partial dentures or the recent treatment modality, dental implants. This case report presents one treatment option available to save the molars affected by extensive periodontal lesions, and thereby prevent the undesirable consequences of tooth loss. Hemisection refers to the sectioning of a molar tooth with the removal of an unrestorable root which may be affected by periodontal or endodontic infection or carious lesion. Careful case selection is necessary for long-term success.

Pregnancy Tumor: Case Report of Two Cases.

An oral pyogenic granuloma is a hyperplastic inflammatory lesion commonly associated to local irritation or trauma. Females are more affected than men probably due to the vascular effects of hormones that occur during puberty, pregnancy, and menopause. In pregnancy, the lesions are known as “pregnancy tumor” and tend to occur the more frequently during the second and third trimester. In the oral cavity, histopathological examination is required for diagnosis, since the lesion is clinically indistinguishable from other reactive lesions and, usually, there is no evidence of bone involvement. We present two cases of pregnancy tumor highlighting the need for proper management that occurred in the maxillary gingiva of a 27-year-old and 28-year-old female in the second trimester of pregnancy which was excised after parturition due to its persistence.

Sewing Needle Obturation of Root Canal: A Rare Case Report.

Discovery of a foreign object in the root canal is unusual and rare. Forceful lodgement or impaction of the foreign object in the pulp chamber or root canal is usually accidental. It is seen more often among children with habits of chewing and placing various objects in the oral cavity. Despite new advances and a large understanding about the root canal morphology, retrieval of foreign objects from the root canal is still a challenging procedure to the endodontists. Exposed pulp chamber due to trauma or tooth left open for drainage after root canal access opening are predisposing factors to foreign body lodgement. The impacted foreign objects in root canals may act as a source in causation of discomfort, pain, infection, and swelling. An attempt to retrieve any foreign body from the root canal may increase the chances of its further apical displacement and firm lodgement in the apical third of the root invariably risking the prognosis of the tooth involved. The present case report describes an inadvertently broken sewing needle in the root canal of the permanent maxillary left central incisor with periapical abscess and its successful retrieval by non-surgical orthograde endodontic treatment.

Comparison between Laser, Electrocautery and Scalpel in the Treatment of Drug-Induced Gingival Overgrowth: A Case Report.

Drug-induced gingival overgrowth (DIGO) is a well-recognized, unwanted side-effect associated with three major drug groups - anticonvulsants, immunosuppressants and the calcium channel blockers. The prevalence of this unwanted side effect is 25-80% and is also dependent on other factors such as type of drug, dosage, duration of treatment, genetic predisposition, and patient’s oral hygiene maintenance. Three different treatment modalities viz., scalpel, laser, and electrocautery can be used for treating DIGO. Each method carries its own merits and demerits. In the present case report, these three different treatment modalities are used in the same patient in order to compare their handling properties and effect on initial wound healing. Though scalpel remains to be gold standard treatment, use of laser finds some more advantages over the electrocautery for treatment of DIGO.