Gingival Veneers: A Case Series for Treatment of Multiple Gingival Recession and Black Triangles

Abstract: Gingival and periodonta

Early Loading of Single-Piece Implant for Partially Edentulous Posterior Arch: A Prospective One-Year Case Report

Implant therapy is now well established, and there is an increasing need for shorter rehabilitation time. Original prerequisites of osseointegration have been reassessed to satisfy continuously increasing patient's expectation of reduced treatment time, improved esthetics, and increased comfort. Shorter healing time may be appropriate in some circumstances, and examples of early loading have been reported in animal and human studies. However, to date there are insufficient data to determine a universally acceptable opinion on early loading of implants for single-tooth replacement. This case report involves early loading, combined with construction of a restoration, inserted directly after 6 weeks of implant surgery and followup of one year

Surgical treatment option for amlodipine infl uenced gingival overgrowth in the hypertensive patient

Drug-influenced gingival overgrowth (DIGO) is an important clinical fi nding. A number of local and systemic factors such as plaque, hormonal changes, drug ingestion, heredity can cause or infl uence gingival overgrowth. Some anticonvulsants, immuno-suppressivedrugs and calcium channel blockers (CCBs) are known to cause gingival overgrowths in certain patients. Amlodipine which belongs to group of CCBs may induce gingival overgrowth in case of underlying infl ammatory component. A 38-year-old hypertensive female patient on amlodipine (10 mg/day, single dose orally) since 8 months, soughtdental attention because of the resultant gingival overgrowth. Clinical examination, medical history, and histological assessment further helped to formulate a diagnosis of DIGO. Six weeks after Phase I therapy and drug substitution, undisplaced fl ap surgery was performed. The patient’s gingiva seemed to be normal at 6 months follow-up visit, with no signs of recurrence

Comparison of bacterial contamination and antibacterial efficacy in bristles of charcoal toothbrushes versus noncharcoal toothbrushes: A microbiological study

Background: Charcoal toothbrushes have been marketed widely claiming lesser bacterial contamination owing to the presence of activated charcoal. Aim and Objective: The aim of this study was to evaluate the bacterial contamination and antimicrobial efficacy of charcoal bristles compared to noncharcoal bristles in used toothbrushes. Materials and Methods: A total of 50 patients met inclusion criteria which were given standard brushing instructions on the use of a charcoal toothbrush and were asked to return the used brushes after 1 week of usage. After a washout period of 1-week, the participants were then provided with noncharcoal toothbrush and given similar brushing instructions to both groups and were instructed to return the brush after another week of usage. Bristles of the used toothbrushes were sectioned and placed in a 5 ml of saline, and 0.1 ml was inoculated on blood agar plates, which were then placed in a gas pack jar for anaerobic culture. Colony forming units (CFU) were measured after 48 h of incubation. To evaluate the antibacterial efficacy of charcoal bristles, the zone of inhibition was evaluated for charcoal versus noncharcoal after 24 h of incubation. Data collected were analyzed using a paired sample t-test. Results: The mean CFU count for noncharcoal bristles was almost double that of charcoal bristles. About 10 mm of the zone of inhibition was found around charcoal bristles as compared to 3 mm for noncharcoal bristles. Conclusion: This study shows the statistically significant difference in bacterial counts between bristle types and lower CFUs in the charcoal bristles compared with noncharcoal bristles, after 1 week of use. The zone of inhibition that was found around charcoal tooth bristles supported the antimicrobial properties of the charcoal toothbrush