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.

Supplement the Base to Complement the Crown: Localized Ridge Augmentation using Connective Tissue Graft.

Interdisciplinary approach should be contemplated as a long term solution for esthetic and functional dental rehabilitation of patients. To obtain longevity of treatment, the therapeutic decisions must be based on a strong periodontal foundation. To prevent unacceptable esthetic deformities due to lost oral tissues, a plethora of treatment modalities are available, to augment the alveolar ridge, and to improve the esthetic outcome of the final prosthesis. Prior to the replacement of missing teeth, esthetic, and physiologic corrections of edentulous areas are critical pre‑requisites. This article describes a surgical procedure to enhance a localized buccal ridge defect and create an emergence profile in relation to the maxillary left central incisor region, prior to the construction of a fixed partial denture using a connective tissue graft.

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.