Rebuilding Confident Smile by Restoring the Pink Component by Zucchellie’s Technique in Multiple Gingival Recession

Background:Gingival recession in anterior teeth results in a smile that is likely to be perceived as unaesthetic. It is defined as the location of marginal tissue, apical to cementoenamel junction with exposure of root surface. The most common reason for recession in the adult individual is the loss of periodontal support due to plaque-associated conditions. Abnormal tooth morphology, faulty restorations, and traumatic oral hygiene practices may also negatively influence the position of the interdental soft tissues. Numerous surgical techniques have been proposed for gingival recession correction. Zucchelli modified coronally advanced flap is the technique which avoids vertical releasing incisions. It has advantage of adequate coronal advancement, good anchorage, ample blood supply to the surgical interdental papilla and no unaesthetic scars along incision lines. This case report demonstrates multiple recession coverage in maxillary anterior buccal segment by Zucchelli’s technique of coronally advanced flap.

Treatment of multiple gingival recessions adopting modified tunnel subepithelial connective tissue graft technique.

Gingival recession related to periodontal disease or developmental problems can result in root sensitivity, root caries, and esthetically unacceptable root exposures. In the past, multiple surgical procedures have been proposed to obtain root coverage on exposed buccal root surfaces. There has been great interest in the treatment of gingival recession defects, especially with subepithelial connective‑tissue grafting (SCTG). Recent advances have focused on SCTG by the tunnel technique. This article highlights the esthetic results obtained by adopting a modification of the tunnel technique using a single vertical incision along with autologous SCTG in the management of multiple adjacent Miller Class‑II gingival recessions. A single vertical incision was used along with tunnel preparation for the facile placement of SCTG into the prepared tunnel. After 6 months of follow‑up, the clinical condition was stable with satisfactory root coverage outcome. An excellent esthetical outcome was achieved and the patient was satisfied with the result.

Comparative evaluation of different strengths of electrical current in the management of dentinal hypersensitivity.

Background : Dentinal hypersensitivity is a commonly occurring but less understood and poorly managed problem of the teeth. Iontophoresis is a technique wherein desensitizing agents can be transferred under electrical pressure into the tooth structure to manage hypersensitivity. Aim : The purpose of present study is to compare the effect of different strengths of electrical current used for varying lengths of time, keeping the electrical dosage constant with the iontophoretic unit in the management of dentinal hypersensitivity. Materials and Methods : This study was conducted among the patients attending the Periodontal Department of the Government Dental College and Hospital, Patiala, Punjab, specifically complaining of tooth hypersensitivity. The Verbal Rating Scale (VRS) was used to record scores pre-, during, and post-treatment. Ten percent SrCl2 solution was applied with an iontophoretic unit. Three applications were performed at weekly intervals, up to the second week, using the same electric current dosage. The data compiled was statistically analyzed. Results : A remarkable reduction in dentinal hypersensitivity to both air blast and cold water stimuli was noted at the end of two months after iontophoresis with each current group / method, namely, I (0.25 mA for 4 minutes), II (0.5 mA for 2 minutes), and III (1 mA for 1 minute). However, the differences in effectiveness / improvement within the three current groups during the entire duration of the study were found to be statistically insignificant. Conclusion : Within the limits of this study, it could be implied that for relieving hypersensitivity, iontophoresis for all three current groups was almost equally effective, and it was found that repeated applications (up to three) gave good relief. Iontophoresis was found to be effective and safe.

Age estimation from eruption of permanent teeth.

This study was conducted on 578 individuals and eruption of various permanent teeth was noted in age group from 4 years to 25 years. Correlation of sex with the eruption of teeth was also noted and was found statistically that there was no significant difference in this. Eruption of teeth was compared between the two jaws and also the two sides of the jaws.

Age estimation from eruption of temporary teeth.

Teeth are very important indicators in medico-legal cases as they help in identification and age estimation in the living as well as in the dead because they resist putrefaction and are constant in their appearance. 126 children up to the age of 33 months were studied for the time of eruption of their teeth. It was studied in correlation with age, sex, socio-economic status, nutritional status and halves. From the findings it was concluded that there was a delayed pattern of eruption and teeth appeared earlier in the females and in the lower jaw.