We observed that as the extent of periodontal destruction increases, MMP-1 concentration increases and TIMP-1 concentration decreases in GCF. When chronic periodontitis patients were treated by scaling and root planing (SRP), the average MMP-1 concentrations decreased and TIMP-1 concentrations increased in GCF.

If the clinical recordings are appropriately standardized, then noninvasive radiographic methods can be used to evaluate the papilla length with good accuracy.

The presence of adequate ridge width is an important prerequisite for implant placement. Reconstruction of the alveolar ridge can be done through various bone augmentation procedures. Autogenous bone grafts are being used for ridge augmentation for a long time and are still considered the gold standard for jaw reconstruction. Intraoral autogenous bone grafts from sites such as mandibular symphysis and ramus offer various advantages over the extraoral sites.This case report describes the use of an autogenous block graft from mandibular symphysis for a ridge augmentation procedure in the maxillary anterior region followed by delayed implant placement. Six months postoperative clinical and radiographic examination revealed significant increase width of the ridge and appropriate implant placement with satisfactory esthetic and functional results.

Background: Chronic periodontitis is a multifactorial disease which is influenced by a variety of risk factors including psychosocial factors such as depression and stress that are known to affect the immune system thereby affecting the periodontal tissue. Aim: The aim of this study was to evaluate the association between periodontal parameters and depression. Materials and Methods: 35 patients with periodontitis as test group and 35 periodontally healthy patients as control group were included. Oral hygiene index and Community periodontal index of treatment needs was measured for all cases. Depression levels were assessed by Beck's depression inventory. Results: All the parameters were statistically significant in test group as compared to control group. Beck's depression inventory showed that periodontal patients had a significantly higher total depression score than control group. Conclusion:This study reveals that there is a positive correlation between the severity of periodontal disease and the severity of depression in patients.