Peripheral Giant Cell Granuloma - A Case Report.

Peripheral giant cell granuloma (PGCG) is a non-neoplastic lesion representing a local hyperplastic reaction. It is a tumorlike pathologic condition arising on the buccal or lingual attached gingival or alveolar mucosa and the crest of the edentulous alveolar ridge, of uncertain etiology; it is probably a reactive lesion caused by chronic local irritants or trauma rather than a true neoplasm. PGCG is thought to originate from elements of the periodontal ligament or from the periosteum. Clinically, it appears as a sessile or broadly pedunculated, bluish to purple-red, fleshy or firm swelling with a frequently ulcerated surface. It may be difficult to distinguish PGCG from pyogenic granuloma and peripheral odontogenic tumors. The clinical appearance of all these lesions is similar, the definitive diagnosis with histological examination is mandatory. Treatment of choice is surgical excision with total removal of the base of the lesion This case aims to present a case of PGCG in 11 year old girl in which surgical resection of the lesion was done to restore functions and esthetics.

Science Regarding Dental Unit Water Lines (DUWL): A Review.

Water is used as a Coolant and irrigant for various dental procedures. This water that flows through the Dental Unit Water Line (DUWL) should be free of contamination. The microorganisms contaminating the dental unit supplies is different from those which contaminate the drinking water. This article reviews the different provisions to be made in the water pipeline systems to prevent contamination.

An alternative treatment approach for a supernumerary tooth fused to a Mandibular second molar: a case report.

Since abnormal tooth morphology can predispose to caries and periodontal disease, careful management of fused teeth is essential. This paper reports a rare case of a fused molar and supernumerary tooth and describes its management. Caries was removed from the tooth under local anesthesia. The pulp chamber of the supernumerary tooth was exposed and the root canal of the supernumerary tooth was prepared using the step back technique and copious irrigation with H2O2. Obturation using the lateral condensation technique with gutta-percha and AH26 sealer was subsequently performed and final restoration was accomplished with composite resin.

Endodontic enigma : mandibular second premolar with three root canals: a case report.

Location and thorough instrumentation of all the canals in the root of a diseased tooth normally ensure success of the endodontic therapy. Present case was referred for endodontic therapy of mandibular second premolar. Clinical and radiographic examination revealed inadequate root canal filling. Three canals were located. Endodontic therapy was performed under aseptic conditions.