Periodontology is a fast evolving field where newer insights into existing concepts are changing the face of the traditional periodontal treatment. Constant research is taking place so as to develop a number of newer avenues in the treatment of the periodontal diseases. However, the protocol of management of periodontal diseases in the setup of general dental practice has undergone little change over the last decade. So, a survey was carried out among 100 general dental practitioners by means of a questionnaire to identify the current status of periodontal treatment in dental clinics, the protocol of maintenance therapy, and the general awareness of the dental profession toward periodontal care.

This case report presents a female patient whose chief complaint was of mobile and palatally drifted upper left central incisor which led to malalignment of upper anterior teeth. Orthodontic treatment of upper left central incisor was done with the help of ‘Z’ spring for the alignment of the upper anterior teeth. It was followed by splinting of upper anterior teeth to improve the stability and masticatory comfort. Regenerative periodontal surgery with Decalcified freeze dried bone allograft was done in relation to upper left central incisor.

Etiopathogenesis of oral submucous fibrosis (OSF) is been studied for long time and still a fully satisfactory explanation is not obtained. Areca nut is the main etiological factor which is consumed as pan masala, gutka, mawa, and betel quid. It will interfere with the collegen synthesis and degradation causing the fibrosis. Several other etiological agents such as chilli and nutritional deficiency have been studied. Furthermore, the genetic susceptibility and autoimmune nature of disease have been postulated by some others. Current evidence also implicates collagen-related genes in the susceptibility and pathogenesis of OSF.