for their help during the entire period of study.

Mouth breathing has been reported to affect gingival health in children. However, studies on the effect of mouth breathing in adult patients are scarce. Objective: To examine the relationship between mouth breathing and gingival condition and to evaluate the distribution of gingival inflammation in young adult mouth breathing patients. Methods: Study groups comprised of participants with mouth breathing (test group) and nose breathing (control group) patients with gingivitis. Both the groups underwent periodontal examination. PI, GI and BOP % sites were recorded and analyzed statistically for the differences in mean values. Results: Mouth breathing patients showed higher full mouth GI and BOP scores. Upper anterior segment in mouth breathing patients showed highest GI and BOP followed by lower anterior segment, lower posterior and upper posterior region. Conclusion: Within the limits of present study, our findings suggest that relative to control group participants, test group i.e. patients with mouth breathing had higher gingival inflammation and bleeding sites in upper anterior region.

Introduction: Creeping attachment, a postoperative migration of gingival marginal tissue in a coronal direction, is best observed in mandibular anterior teeth with narrow recessions. In this case report, recession coverage through creeping attachment is observed in wide gingival recessions (GRs) belonging to Miller Class III cases, when gingival augmentation by free gingival graft (FGG) apical to the recession area was attempted. Case Presentation: Five patients (four males and one female, aged 27 to 30 years) with Miller Class III GRs on both mandibular central incisors, underwent FGG for gingival augmentation. The graft was placed apical to the recession. Clinical parameters were evaluated 1 year after surgery. At the end of 1 year, vestibular deepening with an increase of 3.5 to 5.5 mm of keratinized gingiva was achieved, and root coverage through creeping attachment was noticed in range of 0.4 to 2.8 mm. Conclusion: Partial root coverage through creeping attachment can be anticipated in isolated Miller Class III recession when FGG is done for augmenting the keratinized tissue apical to the GR.

Idiopathic gingival fibromatosisis, a condition of undetermined cause can develop as an isolated disorder, but mostly it is associated with some syndrome. It usually begins at the time of eruption of permanent teeth but can develop with the eruption of deciduous dentition and rarely present at birth. This case report describes an unusual case of non-syndromic generalized idiopathic gingival fibromatosis in a 15-year-old male present since birth. Surgical treatment in the form of ledge and wedge procedure with internal bevel gingivectomy was performed. No recurrence of enlargement was seen after 2 years of follow-up.