Management of Phenytoin-Induced Gingival Enlargement: A Case Report.

Gingival enlargement is frequently observed in patients taking certain drugs such as anticonvulsants, immune suppressants, and calcium channel blockers. The effects of these drugs are not only directed at the primary target tissues, but also on secondary target tissues, such as gingival connective tissue, causing clinical, and histopathological aberrations. These aberrations can adversely affect speech, mastication, tooth eruption, and esthetics. Disfiguring gingival overgrowth triggered by these medications often impairs the nutrition and provides access to oral infection, caries, and periodontal disease. The present case report describes the treatment of a patient with a phenytoin induced gingival enlargement.

Papilla Reconstruction: A Case Report.

Smile plays an important role in improving esthetics and radiates health and self-confidence. The perfect smile requires an optimal relationship between the teeth, surrounding oral tissues, and periodontal complex. When a disharmony exists between any of these components, the result is a smile that is likely to be perceived as unaesthetic. Similar is the case with interdental bone loss resulting in increased embrasure spaces, with unaesthetic appearance especially in the anterior maxillary regions. Periodontal papilla reconstruction has proved to be a successful technique and a boon to the patient in such a case to return an esthetic and healthy smile to the patient. We report here a similar case of papilla reconstruction with pre-treatment and post-treatment differences depicted in the esthetics.

Psammomatoid Type Juvenile Ossifying Fibroma of Mandible: A Rare Entity.

Juvenile ossifying fibroma (JOF) is a rare fibro-osseous neoplasm that arises within the craniofacial bones. Two distinct histopathological variants have been described; trabecular JOF and psammomatoid JOF (PsJOF). The later occurs predominantly in craniofacial skeleton and rarely in jaws and more so in mandible (50% of the times than that in maxilla). Here we report a rare case of PsJOF in mandible body ramus region with its unique radiographic characteristics to help the diagnostician approach the diagnosis very closely for this rare entity. The tumor has been present since 1 year with unilocular radiographic appearance; having homogeneous ground-glass appearance with higher imaging, without any focal radio-opacity and inferior alveolar canal was displaced but still intact. Thus these lesions can expand to large sizes even without maturing to its radiopaque stages and without destruction of adjacent vital structures although displacing them.