Is there a role for herbal medicine in the treatment and management of periodontal disease?

Periodontal disease is an inflammatory condition of the tissues of the periodontium that affects up to 90% of the world’s population. Emerging antibiotic and antimicrobial resistance in oral biofilms has sparked off an increased interest in the potential of medicinal plants to treat periodontal pathologies. The last decade has seen a surge in numbers of in vitro and in vivo studies on herbs traditionally used for their anti-bacterial properties in ethno-pharmacological applications. This review paper assesses the current status and role of medicinal plants in the treatment and management of periodontal disease

Treatment of a large periradicular defect using guided tissue regeneration: A case report of 2 years follow-up and surgical re-entry

Periradicular (PR) bone defects are common sequelae of chronic endodontic lesions. Sometimes, conventional root canal therapy is not adequate for complete resolution of the lesion. PR surgeries may be warranted in such selected cases. PR surgery provides a ready access for the removal of pathologic tissue from the periapical region, assisting in healing. Recently, the regeneration of the destroyed PR tissues has gained more attention rather than repair. In order to promote regeneration after apical surgery, the principle of guided tissue regeneration (GTR) has proved to be useful. This case presents the management of a large PR lesion in a 42-year-old male subject. The PR lesion associated with 21, 11 and 12 was treated using GTR membrane, fixated with titanium minipins. The case was followed up for 2 years radiographically, and a surgical re-entry confirmed the re-establishment of the lost labial plate. Thus, the principle of GTR may immensely improve the clinical outcome and prognosis of an endodontically involved tooth with a large PR defect