Context:Supernumerary teeth or hyperdontia is an additional tooth, teeth or tooth like structures that either have erupted or remain unerupted in addition to the 20 deciduous and 32 permanent teeth. Supernumerary teeth may occur in isolation or as part of a syndrome or developmental abnormality.Aims:A retrospective study was conducted to analyze the prevalence of supernumerary teeth in a group of South Indian nonsyndromic population.Settings and Design:A total of 2400 radiographs were examined for the presence of supernumerary teeth.Subjects and Methods:All the radiographs were examined for the presence of supernumerary teeth, their location, morphology, and number.Statistical Analysis Used:Cross-tabulation using statistical analysis software (SPSS version 16).Results:The study results showed the prevalence to be 1.2% with 44.83% of them having single supernumerary teeth. Their prevalence was more in males and the maxillary posterior region was the most common location.Conclusions:Knowledge about the supernumerary teeth is important for dental clinicians as they are relatively common but are detected as an incidental finding in a radiograph. A routine screening panoramic radiograph is mandatory for every patient to prevent the possible complications associated with it.

Oral allergy syndrome (OAS) is an allergic reaction in the oral cavity subsequent to the consumption of food such as fruits, nuts, and vegetables. It occurs mainly due to homology of proteins of pollen to the proteins of fruits and vegetables. In OAS, the immune system produces antibodies that are directed against the proteins of pollen and structurally similar proteins in food, hence, resulting in allergic symptoms limited mainly to the oral cavity. In this review, we have summarized the etiopathogenesis, clinical features, diagnosis, and management of OAS as an update for stomatologists.

Central giant cell granuloma (CGCG) was classified as rarely aggressive idiopathic benign intraosseous lesion that occurs mostly exclusively in the jaws. It occurs most frequently in young women. It is usually slow growing and non neoplastic lesion which exhibits a spectrum of clinical behavior ranging from non aggressive to aggressive variants. The striking feature of this case is its aggressive nature and presence of this lesion in the anterior part of maxilla which considers being a rare finding as the lesion commonly occurs in the mandibular region anterior to first molar.

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Ossifying fibromas form a part of the spectrum of fibro-osseous lesions of the jaws. They are rare, benign, nonaggressive tumors that are commonly seen in head and neck region. This paper presents the case of a 40-year-old female patient presented with minimal clinical symptoms, diagnosed to be suffering from aggressive form of ossifying fibroma of maxilla involving the maxillary sinus and ethmoid sinus. This paper emphasizes the importance of computed tomography in diagnosing such unapparent aggressive tumors.

Hand, foot and mouth disease, that was once considered a disease of cattle, has been emerging as a common human childhood disease in the last few years. It is a viral disease characterized by a brief febrile illness and typical vesicular rashes. In rare cases, patients may also develop neurological complications. This report describes a case of hand, foot and mouth disease, presented with typical clinical features in the South Indian region. Key words:Hand, foot and mouth disease, viral lesions, blisters.

Diagnosis of self inflicted lesions are challenging as the histories of these lesions tend to be vague and misleading. Our knowledge in this particular pathology is limited mainly because of diagnostic difficulties and lack of solid statistical data.

Objectives: Oral submucous fibrosis is a potentially malignant disorder commonly seen in Asian countries. In this disease, the mucosa becomes stiff and patients have difficulty in mouth opening, thus affecting their quality of life. Recently, practitioners are focusing on herbal derivatives instead of commonly practiced intralesional steroids for the management of this disorder. Hence, we conducted a network metaanalysis of randomized clinical trials on herbal derivatives to identify the most effective treatment for oral submucous fibrosis.Materials and methods: Electronic search for articles published in various journals was undertaken through various search engines till January 2020. 14 articles were selected which had performed randomized control trials of herbal derivatives against control/placebo. Frequentist network meta-analysis was performed using R studio software, and effective treatment ranking was derived. Results:The treatment ranking was generated, and relative to mouth opening, the most effective treatment was lycopene administered along with vitamin E and the second effective drug was aloe vera gel. Conclusion:This network meta-analysis highlights the efficacy of some of the drugs of herbal origin which can be implemented by the practitioners in the management of initial stages of oral submucous fibrosis.