Background:Local drug delivery agents can effectively deliver the antimicrobial drugs in bactericidal concentration, and have shown improved clinical outcomes when used as an adjunct to mechanical therapy. The aim of this study was to evaluate the efficacy of a xanthan-based chlorhexidine gel versus herbal extracts’ gel as an adjunct to periodontal therapy in the treatment of chronic periodontitis.Materials and Methods:A total of 150 sites, age group of 30-50 years, periodontal pockets measuring 5-8 mm and diagnosed with chronic periodontitis were selected for the study. The selected sites were randomized in five groups: Scaling and root planing (SRP) alone (Group A), SRP + Chlosite gel (Group B), SRP + Herbal gel (Group C), Chlosite gel alone (Group D) and Herbal gel alone (Group E). Clinical parameters such as Plaque Index, Gingival Index, probing pocket depth and clinical attachment level were recorded at baseline and 1- and 3-month intervals.Results:After 3 months, there were statistically significant reductions in all the clinical parameters for Groups B and C compared with Group A. There was no significant reduction in all clinical parameters between Group D and E where no mechanical therapy was performed.Conclusion:The results indicate that the local application of herbal gel can be comparably used as chlorhexidine gel in the treatment of chronic periodontitis as an adjunct to mechanical periodontal therapy.

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The result of this study implies that in hyperdivergent subjects' sagittal maxillary base size was smaller and upper posterior facial height (UPFH) was increased in comparison to hypodivergent and normodivergent subjects. Upper posterior facial height has positive correlation with anterior facial height. Posterior maxillary position in relation to cranial base increases with increase in cranial flexural angle in hypodivergent subjects and vice versa in hyperdivergent subjects. Upper posterior facial height decreases with increase in cranial flexural angle in hypodivergent subjects and vice versa in hyperdivergent subjects.

A 21-year-old female came with a chief complaint of irregularly placed teeth in the upper and the lower front region. She had no medical and dental history. Her intra oral examination revealed mild crowding in relation to upper and lower anteriors and an increased overbite [Table/ Fig-1,2]. She was decided to be treated by a nonextraction approach with a fixed appliance (M.B.T .022 slot). The bonding of the second molars with the " Express prepared buccal tube bonding technique" was carried out because of inability to band the left second mandibular molar and frequent debonding of buccal tubes. We employed this bonding technique to correct the buccal occlusion and establish " Andrews first key to occlusion that is intra arch alignment.Both the mandibular 2nd molars were bonded using this custom technique for a better bond strength and to provide maximum resistance against being dislodged by the force of a higher dimension stainless steel wire as it is a requisite for levelling.The increased surface area and adherence to anatomic details effect the bonding strength of the buccal tubes and ensure minimal breakage due to torsional stress.