The effects of chronic local irritation have been seen commonly in the form of fibroma or mucocele in children. We report a nine year old girl with the chief complaint of multiple swellings in the lower lip which was diagnosed both clinically and histologically as fibroma and mucocele. Surgical excision was done under local anesthesia with no post-operative complications. To our knowledge there was no other occurrence, either at the same site or at different locations, involving these two lesions in the oral mucosa.
Giant cell fibroma is a form of fibrous tumour affecting the oral mucosa. Its occurrence is relatively rare in paediatric patients. Clinically it is presented as a painless, sessile, or pedunculated growth which is usually confused with other fibrous lesions like irritation fibromas. Here we are presenting a case where a seven-year-old male patient reported with a painless nodular growth in relation to lingual surface of 41 and 42. Considering the size and location of the lesion, excisional biopsy was performed and sent for histopathological analysis which confirmed the lesion as giant cell fibroma.
Aim: To investigate the antimicrobial activity 2% Chlorhexidine gel (CHX), Aloe vera, Propolis, Septilin and Calcium hydroxide [Ca (OH) 2] on Enterococcus faecalis infected root canal dentine at two different depths (200 µm and 400 µm) and three time intervals (day 1, 3 & 5). Methodology: One hundred and eighty extracted human teeth were infected for 21 days with E.faecalis. Samples were divided into six groups. Group I (Saline) (Negative control), Group II (Propolis), Group III (2% CHX), Group IV (Aloe vera), Group V (Calcium hydroxide), Group VI (Septilin). At the end of 1, 3, and 5 days, the remaining vital bacterial population was assessed. Dentine shavings were collected at two depths (200 µm and 400 µm), and total numbers of colony forming units were determined. The values were analysed statistically with oneway analysis of variance followed by Tukey multiple comparison test. The paired t-test was used to check for differences in growth at different time intervals within groups and for differences at the two depths (P < 0.01). Results: The number of colony-forming units was statistically significant in all groups compared to the control group (Saline). Group III (CHX) and Group VI (septilin) (100%) produced better antimicrobial efficacy followed by aloe vera (78.94%), propolis (66.7%), calcium hydroxide (58.5%). There was significant difference between aloe vera and propolis and no significant difference between data at 200 µm and 400 µm. Conclusion: Septilin and Aloe vera were effective against E.faecalis in dentine of extracted teeth.
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