Proliferative verrucous leukoplakia (PVL) is an uncommon pathological lesion which is defined as a diffuse, white and smooth or papillary or wart-like exophytic growth of oral mucosa showing capricious degrees of epithelial hyperplasia. Initially, the lesion shows focal clinical hyperkeratosis that gradually becomes a comprehensive multifocal disease. In its primary stages, the lesion clinically is bland that it is often diagnosed as frictional hyperkeratosis or hyperplastic candidiasis, but with its descriptive natural features of chronic proliferation, copious occurrences, refractoriness to treatment and high rate of malignant transformation, it can be positively diagnosed as oral proliferative verrucous leukoplakia (OPVL).
Introduction: Cosmetic desires have improved over time and currently, in the modern world, patients not only demand for an assertive smile but also express a desire to save their natural dentition in favour of extraction whenever and wherever possible. Peg lateral, an undersized, tapered, maxillary lateral incisor, not only often presents with periodontal complications but also down-regulates the self-esteem of the patients.
Aim: To restore a fully functional and esthetically pleasant peg lateral.
Methodology: A 17-year old female patient complained of mobility and bleeding from upper front teeth region during brushing since last 6 months. So it was decided to perform thorough scaling and root planing, root canal treatment #12, followed by open flap debridement with alloplastic bone graft placement #12. Surgical area was allowed to heal for 15 days and after that composite build-up of peg lateral was done to give it a proper shape.
Results: Uneventful healing was seen in terms of periodontal consideration. Mobility of teeth #12 was reduced after 4weeks and there was no complaint of bleeding during brushing or mastication.
Conclusion: This case highlights the interdisciplinary approach of root canal treatment, open flap debridement, bone regeneration with composite build-up as an innovative approach providing better results with minimum patient apprehension and long term stability.
A 37 years, old male patient reported with the chief complaint of inability to open mouth since 10-11 months and recently pain and swelling resulting from wisdom teeth of both sides limited the mouth opening severely (<9mm, less than one finger opening) that he could not take solid food properly. After partial relief and mouth opening (12mm) with antibiotic therapy patient was examined and diagnosed as oral submucous fibrosis (OSMF) along with impacted molars in both sides. Treatment was planned with conservative approach consisted of pharmacotherapy and physiotherapy for osmf and surgical removal of impacted third molars of both sides. Mouth opening was improved gradually (>15mm after 3 weeks, >22mm after 6 weeks,>27 mm after 9 weeks).
Bacterial plaque is the principle cause of initiation of gingivitis and periodontitis. Removal of this bacterial plaque is essential for maintainence of healthy periodontium. Conventional methods employed for removal of plaque had certain drawbacks like loss of healthy tooth structure causing increased dentinal hypersensitivity, time-consuming procedure, could cause gingival lacerations and gingival bleeding, need to sharpen the instruments, operator fatigue. The air-powder abrasive system produces desired removal of plaque and other debris, surface smoothness with less operator fatigue and prevent loss of tooth structure thereby decreasing incidence of hypersensitivity and gingival tissue lacerations. Nowadays, powders with different compositions, particle sizes and applications are available. The choice of the abrasive powder depends on the device used, the operator’s choice, the type of deposit to be removed and the medical contraindications. Hence, the newer minimally abrasive air powder polishing system is an effective alternative to conventional oral prophylaxis.
Mucormycosis is an invasive and potentially lethal fungal infection and a rare terminal complication of uncontrolled diabetes and other chronic debilitating diseases. The incidence of disease has increased considerably due to widespread use of antibiotics, steroids and longterm use of humidifiers in corona positive patients. Despite surgical and antifungal treatments the mortality rate is higher than 50% and even higher in immunocompromised patients. The role of dentist is of immense importance because mucormycosis primarily occurs around rhinomaxillary or rhino cerebral areas involving facial tissues, palate, alveolar bone and mandibular bone. The present article briefly reviews pathogenesis, signs and symptoms, risks and complications, diagnosis and the management of the mucormycosis.