Background:In the Indian system of medicine (ISM) Triphala is one of the oldest and longest used natural herbal remedy which consist of mixture of equal parts of the Embilica officinalis Gaertn. (Family- Euphorbiaceae), Terminalia Chebula Retz. (Family- Combretaceae) and Terminalia beleria [Gaertn.] Roxb. (Family- Combretaceae). Currently, Triphala is being extensively researched for its various therapeutic effects including its anti-caries, antioxidant, anti-collagenase and anti-microbial activities. This fruit extract is used in various forms in the treatment of periodontitis.Aim:The aim of the present study was to compare the clinical and microbiological benefits of routine scaling and root planing (SRP) with adjunctive use of Triphala (Hiora GA) as local drug delivery agent in the management of periodontitis.Materials and Methods:Thirteen patients diagnosed with chronic periodontitis were included in the present study. The control sites received SRP alone and the test sites received SRP with locally delivered Triphala (Hiora GA). The clinical parameters were evaluated at baseline, 15 days and 1 month. The plaque samples were cultured anaerobically for the keystone-periodontal pathogen Porphyromonas
gingivalis, Fusobacterium
nucleatum and Prevotella
intermedia. The Mann–Whitney U-test and Wilcoxon signed-rank tests were performed to compare the results between the test and control groups.Results:Statistically significant improvement was observed in both groups. Intergroup comparison of prevalence of microorganisms also revealed a statistically significant difference (P = 0.0007) at 15 days and 1 month.Conclusion:Subgingivally delivered Triphala (Hiora GA) as an adjunct to SRP in the treatment of chronic periodontitis has shown anticipative results revealing slow and constant releasing property of Triphala.
Aims: This article addresses the clinical presentation, diagnosis, histological features, and treatment of two cases of fibroma.Background: Fibromas are proliferative fibrous lesions of the gingiva and oral mucosa that may cause esthetic and functional problems. Fibrous hyperplasia and fibroepithelial hyperplasia are histological variants of these nonneoplastic lesions.Case description: Case 1 demonstrated an overgrowth in the lower back tooth region. Case 2 was present at the corner of the lip mucosa. Both the growths were pale in color, sessile, painless, and firm in consistency. Lesions caused discomfort during chewing of food. Thus, both the lesions were excised using diode laser in continuous mode and sent for histopathological assessment.
Conclusion:These lesions are a result of trauma/chronic irritation and arise from cells of oral mucous membrane or periosteum.
Clinical significance:The cases demonstrate the need for proper diagnosis, role of biopsy, and histologic evaluation in the management of these lesions.
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