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Gingival enlargement is a bizarre condition causing aesthetic, functional, psychological and masticatory problems in oral cavity. Gingival enlargement has been associated with a variety of factors, including medications, inflammation and systemic disorders. Recent periodontal studies have suggested a mild to moderate association between periodontal disease and thyroid disorders due to altered gingival microcirculation compromising the first line of defence which may result in gingival hyperplasia. This case report is an unusual presentation of gingival fibromatosis in a 20 year old girl. The gingival hyperplasia and associated clinical features alerted us to the possibility of altered functioning of the thyroid gland. Subsequent investigations revealed subclinical hypothyroidism. This case report emphasizes, yet again the adage/saying that ‘the oral cavity is the mirror to the body!’

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Gingival recession is characterizedbythe apical migration of gingival tissue margin apical to cement-enamel junction. These defects give rise to both functional and esthetic challenges. Therefore, looking for a satisfactory outcome, several techniques have been proposed for the same.The purpose of this case report was to clinically evaluate the use of coronally advanced flap (CAF) to cover labial gingival recession defect.

BACKGROUND Almost 47 % of the population over the age group of 30 is affected by chronic periodontitis. Although the first and gold standard therapy in periodontal treatment is scaling and root planing (SRP), which is a non-surgical approach towards treatment, yet another therapy for the treatment of chronic periodontitis is to irradiate the periodontal pockets with laser. The purpose of this study was to confirm as to whether the use of diode laser (800 – 980 nm) as adjunct to scaling and root planning (SRP) improved the results of conventional mechanotherapy in the treatment of chronic periodontitis patients. METHODS In this study we designed our groups in such a way that 40 patients (20 males and 20 females) with two deepest nonadjacent pockets ≥ 5mm in two different quadrants were selected. In this study each treatment group belonged to a separate quadrant of the mouth. One group was allotted to SRP group while the second one was allotted to SRP + Diode Laser group. Clinical parameters like (Probing Pocket Depth (PPD), Clinical Attachment Level (CAL), Bleeding on Probing (BOP) in chronic periodontitis patients were measured and evaluated at baseline, after 1 month and after 3 months of the treatment. Statistical analysis was also done intra group and inter group. RESULTS From this we infer that PPD was significantly reduced in SRP and SRP + Diode laser groups from baseline and post 1 month (P < 0.001), between baseline and post 3 months (P < 0.001) and between 1 month and 3 months (P < 0.001). There was also significant improvement in CAL in SRP and SRP + Diode Laser groups from baseline and post 1 month (P < 0.0001), between baseline and post 3 months (P < 0.0001) and between 1 month and 3 months (P < 0.0001). BOP also reduced in SRP and SRP + Diode Laser group from baseline. When SRP and SRP + Diode laser groups were compared they showed non statistically significant results but individually both the groups showed statistically significant results. CONCLUSIONS The results of the present study indicate that, comparison of SRP alone group which is a conventional method with SRP as adjunct to Diode laser group i.e., a non-surgical approach showed improvement of CAL and also reduction in PPD and BOP for the treatment of chronic periodontitis patients. KEY WORDS Periodontitis, Laser, Scaling and Root Planing, Adjunct Therapy, Diode Laser

Vaccinium macrocarpon (cranberry) is a native fruit of northern America. It is a small evergreen shrub which grown in cooler climate of different parts of world. It is an abundant source of Vitamin and Minerals. It has potent health benefits which include its anti adhering property, anti oxidant property, UTI, gastrointestinal system, anti tumor effect as well as in oral diseases. It is more biocompatible and less noxious which makes it more potent therapeutic agent. This review is formed for displaying cranberry as a natural weapon against the medical and oral disease.