Tissue Engineering in Regenerative Dental Therapy

Tissue engineering is amongst the latest exciting technologies having impacted the field of dentistry. Initially considered as a futuristic approach, tissue engineering is now being successfully applied in regenerative surgery. This article reviews the important determinants of tissue engineering and how they contribute to the improvement of wound healing and surgical outcomes in the oral region. Furthermore, we shall address the clinical applications of engineering involving oral and maxillofacial surgical and periodontal procedures along with other concepts that are still in experimental phase of development. This knowledge will aid the surgical and engineering researchers to comprehend the collaboration between these fields leading to extounding dental applications and to ever-continuing man-made miracles in the field of human science

Interdisciplinary approach to enhance the esthetics of maxillary anterior region using soft- and hard-tissue ridge augmentation in conjunction with a fixed partial prosthesis

Favorable esthetics is one of the most important treatment outcomes in dentistry, and to achieve this, interdisciplinary approaches are often required. Ridge deficiencies can be corrected for both, soft- and hard-tissue discrepancies. To overcome such defects, not only a variety of prosthetic options are at our disposal but also several periodontal plastic surgical techniques are available as well. Various techniques have been described and revised, over the year to correct ridge defects. For enhancing soft-tissue contours in the anterior region, the subepithelial connective tissue graft is the treatment of choice. A combination of alloplastic bone graft in adjunct to connective tissue graft optimizes ridge augmentation and minimizes defects. The present case report describes the use of vascular interpositional connective tissue graft in combination with alloplastic bone graft for correction of Seibert's Class III ridge deficiency followed by a fixed partial prosthesis to achieve a better esthetic outcome

Management of a Two-rooted Maxillary Central Incisor Using Cone-beam Computed Tomography: Importance of Three-dimensional Imaging

We report a rare case of a two-rooted maxillary central incisor, stressing the importance of three-dimensional imaging in treatment planning and conservative approach of management. Endodontic treatment of this central incisor was carried out with a successful outcome

Management of massive peripheral ossifying fibroma using diode laser

Peripheral ossifying fibroma (POF) represents a non-neoplastic, reactive lesion of gingiva. The precise etiopathogenesis of POF is unclear; however, it is suggested to originate from the connective tissue of periodontal ligament. This lesion predominantly occurs in the maxillary anterior region. The standard treatment protocol involves surgical excision followed by the biopsy of lesion. The reactive nature and unpredictable course attribute to a high recurrence rate of the lesion; hence, proper postoperative monitoring and follow-up of the lesion are necessary. The present case was surgically managed using diode laser and did not show any sign of recurrence during the follow-up period of 6 months. Minimum intraoperative bleeding and postoperative pain, ease of operation, and patient's acceptance enable laser-assisted growth excision as a better treatment modality to other conventional surgical procedures, thus offering diode laser as a viable and effective treatment alternative in the management of massive overgrowth

A Rare Case of Plasma Cell Gingivitis with Cheilitis

Background. Plasma cell gingivitis (PCG) is a rare condition of the gingiva, characterized histopathologically by infiltration of plasma cells in connective tissue. Hypersensitivity reaction due to antigen is considered as primary etiological factor. Case Presentation. The present case is of an 18-year-old male patient suffering from gingival enlargement along with cheilitis. Histopathological and immunohistochemistry of tissue revealed lesion as plasma cell gingivitis. After gingivectomy, the follow up of the patient was done for 8 months. Gradual reduction of lip swelling was observed after gingivectomy during subsequent visits. Conclusion. Early diagnosis is essential as plasma cell gingivitis has similar pathologic changes seen clinically as in leukemia, multiple myeloma, discoid lupus erythematosus, atrophic lichen planus, desquamative gingivitis, or cicatricial pemphigoid which must be differentiated through hematologic examination

Regular oral screening and vigilance: can it be a potential lifesaver?

Acute myeloid leukemia (AML) is a malignant neoplasm of myeloid series defined by the presence of immature blast cells (<30%) in peripheral circulation. Oral manifestations are the potential indicators of systemic health and disease. Oral cavity is the frequently and early involved sites in AML. Gingival overgrowth due to leukemia is one such condition encountered by periodontists. Hence, understanding, identifying, and correlating oral manifestations with systemic diseases are the ultimate responsibility of every dental clinician because of its lethal and unpredictable course. In the present case, we are discussing an undiagnosed case of AML who presented to us with oral complaints

Evaluation and comparison of oral & periodontal health status in post-menopausal females with and without xerostomia: An observational study

Background &amp; Objective - Menopause is the permanent cessation of menstrual periods, whether occurs naturally or induced by surgery, chemotherapy, or radiation. It is accompanied by hormonal changes, predominantly decrease in estrogen and androgen levels. Females experience varying oral symptoms that may result from endocrine disturbances, multiple vitamin and mineral deficiencies and psychological dynamics during their menopausal years. Main oral symptoms associated during menopause include xerostomia, burning mouth and altered taste perception. Xerostomia leads to change in salivary pH thereby increasing the risk for oral diseases including periodontal diseases. Saliva contributes to maintenance of the oral pH by neutralizing acids from food and beverages, as well as from bacterial activity, thereby reducing the risk of periodontal disease. After menopause, reduced salivary flow rate and low pH may make females prone to oral health problems. Hence, the main goal of this study is toevaluate and compare the periodontal health status in post-menopausal females with and without xerostomia. Methodology-A total of 204 post-menopausal have been observed and their oral &amp; periodontal status data was analyzed &amp; interpreted.Result &amp; Conclusion- Post-menopausal females with xerostomia were observed to have poor oral hygiene and severe periodontitis in comparison to non- xerostomia group.&nbsp

Evaluation and Comparison of Oral & Periodontal Health Status in Post-menopausal Females with and Without Xerostomia: an Observational Study

Background &amp; Objective - Menopause is the permanent cessation of menstrual periods, whether occurs naturally or induced by surgery, chemotherapy, or radiation. It is accompanied by hormonal changes, predominantly decrease in estrogen and androgen levels. Females experience varying oral symptoms that may result from endocrine disturbances, multiple vitamin and mineral deficiencies and psychological dynamics during their menopausal years. Main oral symptoms associated during menopause include xerostomia, burning mouth and altered taste perception. Xerostomia leads to change in salivary pH thereby increasing the risk for oral diseases including periodontal diseases. Saliva contributes to maintenance of the oral pH by neutralizing acids from food and beverages, as well as from bacterial activity, thereby reducing the risk of periodontal disease. After menopause, reduced salivary flow rate and low pH may make females prone to oral health problems. Hence, the main goal of this study is toevaluate and compare the periodontal health status in post-menopausal females with and without xerostomia. Methodology-A total of 204 post-menopausal have been observed and their oral &amp; periodontal status data was analyzed &amp; interpreted.Result &amp; Conclusion- Post-menopausal females with xerostomia were observed to have poor oral hygiene and severe periodontitis in comparison to non- xerostomia group.&nbsp