Periodontal findings in a patient with Dimorphic anaemia

Dimorphic anaemia can present itself with deficiency of more than one nutrients. The blood picture shows the presence of morphologically different red blood cells. The cause of dimorphic anaemia has to be established in order to systematically manage the patient. Combined deficiency of iron and folic acid more commonly lead to dimorphic anaemia with clinical features of both forms of anaemia. The aim of this paper is to report a rare finding of periodontal involvement in a patient with dimorphic anaemia

Dilemma in diagnosis of Mucocutaneous disorders

Lichen Planus and Pemphigoids are autoimmune mucocutaneousdisorders which involve mucosa and skin. These non-plaque relateddiseases also affect the gingiva. A Periodontist may be called uponto diagnose and treat these disorders either alone or as a part of atreatment team. Diagnosis of these disorders on clinical groundsalone is impossible; a full history, general and oral examinations,and biopsy with routine histologic examination are required.However, to reach a definitive diagnosis biopsy with immunologictechniques; Direct and Indirect Immunofluorescence are nowinvariably required. In spite of using these recent advances it isdifficult to come to a definitive diagnosis in each case. Thetechnique sensitiveness and cost of these methods are alsodeterrents in the way.This paper reports a case of mucocutaneous disorder, definitivediagnosis of which, could not be established even after employingDirect and indirect Immunofluorescence technique.KEYWORDS: Mucocutaneous, Lichen Planus , Pemphigoi

Evaluation of an innovative radiographic technique - parallel profile radiography - to determine the dimensions of dentogingival unit

Background: Maintenance of gingival health is a key factor for longevity of the teeth as well as of restorations. The physiologic dentogingival unit (DGU), which is composed of the epithelial and connective tissue attachments of the gingiva, functions as a barrier against microbial entry into the periodontium. Invasion of this space triggers inflammation and causes periodontal destruction. Despite the clinical relevance of the determination of the length and width of the DGU, there is no standardized technique. The length of the DGU can be either determined by histologic preparations or by transgingival probing. Although width can also be assessed by transgingival probing or with an ultrasound device, they are either invasive or expensive Aims: This study sought to evaluate an innovative radiographic exploration technique - parallel profile radiography - for measuring the dimensions of the DGU on the labial surfaces of anterior teeth. Materials and Methods: Two radiographs were made using the long-cone parallel technique in ten individuals, one in frontal projection, while the second radiograph was a parallel profile radiograph obtained from a lateral position. The length and width of the DGU was measured using computer software. Transgingival probing (trans-sulcular) was done for these same patients and length of the DGU was measured. The values obtained by the two methods were compared. Pearson product correlation coefficient was calculated to examine the agreement between the values obtained by PPRx and transgingival probing. Results: The mean biologic width by the parallel profile radiography (PPRx) technique was 1.72 mm (range 0.94-2.11 mm), while the mean thickness of the gingiva was 1.38 mm (range 0.92-1.77 mm). The mean biologic width by trans-gingival probing was 1.6 mm (range 0.8-2.2mm). Pearson product correlation coefficient (r) for the above values was 0.914; thus, a high degree of agreement exists between the PPRx and TGP techniques. Conclusions: We conclude that the biologic width of the DGU in humans can be measured with the PPRx technique. The values obtained agree with the values obtained by transgingival probing, a technique considered standard so far. Thus, the PPRx technique offers a simple, concise, noninvasive, and reproducible method that can be used in the clinical setup to measure both the length and thickness of the DGU with accuracy

Case series Peer reVieWeD | OPeN aCCess International Journal of Case Reports and Images (IJCRI) Single step root coverage with modified bridge flap technique: A pilot study

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties. Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. IJCRI publishes Revie

Exostosis: A donor site for autograft

This article reports the utilization of exostosis as a source of autogenous bone for the treatment of osseous defects. A patient presented with an exostosis on the mandibular lingual region on the right side of the jaw. Exostosis was surgically removed using a chisel and mallet. The autograft thus obtained was used to treat a shallow osseous crater between 46 and 47. New bone formation was noticed at the grafted site 6 months after grafting. Bone formed in the grafted areas showed comparable clinical features to those of native bone