Mechanized scaling for plaque removal is a routine procedure in the practice of periodontics. Though it appears innocuous by itself, there are retinues of hazards associated with it on various organ systems in the body. Some of these unwanted effects and measures to avoid or ameliorate the same are elaborated here. Exposure to ultrasonic scaling is inevitable before any other treatment procedure. Aerosol contamination, vibrational hazards, thermal effects on the dental pulp, altered vascular dynamics, disruption in electromagnetic device, diminished hearing and dental unit waterline contamination are some of the probable off-shoots a patient has to bear. Uses of barrier devices, proper attention to usage of equipment, protection for ear and water treatment are few of solutions for the same. Though documented evidence for the existence of all effects is lacking, it is never the less significant for the overall safety of the patient. A conscientious clinician should therefore inculcate the available steps to overcome the hazards of ultrasonic scaling.

Biofilm formation in DUWLs is inevitable with the subsequent release of part of microbiota into the otherwise sterile dental settings. These consequences can be quite serious on clinicians and dental patients. Though conventional measures in water decontamination have been partly successful, the quest for more foolproof methods has led to the use of latest technology, i.e., nanotechnology. The most practical option has to be chosen based on the ease of their usage.

Introduction: Osteoporosis a common metabolic disorder in postmenopausal women, with characteristic loss of bone mass, is associated with periodontitis and tooth loss according to the vast accumulating evidence. This association needs further perusal which was addressed in the following study.

Intrabony defects can be treated by various approaches. Use of GTR along with bone grafts is said to enhance the outcome. The periosteum has been claimed to increase the regeneration. The egg-shell-derived nano hydroxyapatite (EnHA) has shown a scope as alloplastic graft. Thus, the following study was undertaken to combine the periosteal pedicle along with EnHA for the treatment of intrabony defects under magnification to achieve optimal bone regeneration. A total of 21 patients, having intrabony defects with ≥6 mm probing depth (PD) and two or three wall defects as detected on CBCT, satisfying inclusion criteria were enrolled. The sites were randomly allocated as Group A, B and C (n = 7). The following parameters, defect density and defect fill in CBCT (at baseline and 6 months), PPD, RAL, Plaque index (PI), Gingival index (GI) and Gingival Bleeding Index (GBI) were recorded at baseline, 1, 3 and 6 months. p < 0.05 is considered as statistically significant. Bone density and bone fill values were found to be much higher in pedicle with EnHA and EnHA alone group and the values showed statistically significant results. The current clinical research showed that periosteal pedicle along with EnHA and EnHA as stand-alone therapy gave superior results compared to OFD alone, which is an innovative and feasible treatment option.

Introduction: Ridge augmentation has attained a key role in implant placement to recreate the natural contour of the hard and soft tissues that may have been lost as a consequence of extraction. Ridge augmentation procedures require bone to be regenerated outside the existing bony walls or housing and are therefore often considered to be one of the most challenging surgical procedures.

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Background: Local drug delivery to gingival sulcus avoids adverse effects seen with systemic therapy and there is very little information to substantiate the additive effect of the drugs, the current study makes an attempt in same regard. Aim:The objective of this study was to compare the local application of ornidazole and chlorhexidine gel (Clorni TM gel) as an adjunct to scaling and polishing, with scaling and polishing alone.Materials and methods: 33 patients meeting inclusion criteria were randomly allocated to treatment groups by computerized randomly selection method. Indices were recorded at baseline at their first visit. Supragingival and subgingival scaling and polishing was performed using hand and ultrasonic instruments. The patients were evaluated clinically by using the gingival index, plaque index and modified sulcus bleeding index. On test side, Clorni TM gel was applied subgingivally after nonsurgical periodontal therapy. On the control side, no intervention was done following subgingival scaling and polishing. Patients were recalled at 7 th day for subsequent administration of gel on the same site and followed up at 21 st day and 3 months to compare the gingival condition by using the indices.Results: All subjects showed significant improvement over 3 months recall period, irrespective of test or controls. Statistical significance (p˂ 0.05) was observed at 7 days and 21 days for test group for the gingival index and at 21 days for the plaque index and modified sulcus bleeding index. Conclusion:The topical gel when used as an adjunct to scaling and polishing had significant results.

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