Mucocele or mucus extravasation cyst is a common oral cavity lesion, involving minor salivary glands, and results from duct rupture or obliteration, causing glandular contents (mucinous) to be released subepithelially. The incidence is high, with 2.5 lesions per 1,000 individuals. Indeed, mucoceles are the most common minor salivary gland disorder, and represent the second most frequent benign soft tissue tumors of the oral cavity, following irritative fibromas. Trauma, parafunctional behavior, lip chewing, and other etiological factors may contribute to a permanent bump in the region of incidence if left untreated. These are non-neoplastic cystic lesions of the major and minor salivary glands caused by mucus accumulation. Children are the most often affected by these lesions. Various treatment modalities for mucocele have been advocated, with lasers being the most recent and innovative. In the current case report, a diode laser was used to remove a mucocele on the lower lip, with benefits of less pain, bleeding, recurrence, and greater patient compliance. While these lesions are usually treated with local surgical excision, in our case, to prevent intra-operative surgical complications, such as bleeding and edema, and to facilitate faster healing, excision was performed using a diode laser with a wavelength of 940 nm. After achieving hemostasis, the excised tissue was sent for histopathological examination, which confirmed our diagnosis of that lesion as mucus extravasation cyst or mucocele.
Aim:The present study aimed to evaluate the efficacy of oil pulling therapy using virgin coconut oil (VCO) in reducing S. mutans counts, plaque, and gingival indices, and to compare it with the gold standard chlorhexidine. Materials and methods: Twenty subjects (study) using VCO and 20 subjects using chlorhexidine (control) visiting the outpatient department of periodontics in the institute were chosen for the study. The gingival and plaque indices (baseline) in both groups were recorded following which unstimulated whole saliva samples were collected by spit method and sent for microbial count. They were then provided either of the VCO/mouthwash to swish once daily. Three weeks post-intervention, the recording of indices was repeated for both groups along with the microbial count. Results:The mean values of gingival and plaque indices pre-and post-intervention showed a statistically significant reduction in the control population compared with the study group, while there was no statistically significant reduction in the bacterial count seen. The difference in the scores of plaque index pre-and post-intervention was more in control group while the difference in the gingival index was similar in both groups, but statistically insignificant. Conclusion: Virgin coconut oil may not be as effective as chlorhexidine in reducing plaque while it may be as effective as chlorhexidine in reducing gingival index. Clinical significance: In comparison with newer chemical oral hygiene aids, coconut oil could still be used as a traditional adjuvant to reduce gingivitis in addition to routine brushing.
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