Healthy teeth and gums make a person feel confident and fit. As people go about their daily routines and with different eating and drinking habits, the tooth enamel turns yellowish or gets stained. Polishing traditionally has been associated with the prophylaxis procedure in most dental practices, which patients know and expect. However, with overzealous use of polishing procedure, there is wearing of the superficial tooth structure. This would lead to more accumulation of local deposits. Also, it takes a long time for the formation of the fluoride-rich layer of the tooth again. Hence, now-a-days, polishing is not advised as a part of routine oral prophylaxis procedure but is done selectively based on the patients’ need. The article here, gives an insight on the different aspects of the polishing process along with the different methods and agents used for the same.
T he traumatic fibroma is a commonly seen intraoral overgrowth that occurs following tissue injury. Most common etiological factors include plaque, calculus, overhanging restorations, habits such as lip biting, and injury from the broken teeth [1,2]. They occur more frequently in the third and fourth decades with twice the frequency of occurrence in women as compared to men [1,3]. The most common site of occurrence is buccal mucosa along the plane of occlusion. Other sites include mandibular labial mucosa, gingiva, tongue, and palate [1,3]. Clinically, they appear as a sessile or pedunculated mass. The lesion may appear pale or similar to the surrounding mucosa. The outer surface may appear smooth and whitish due to hyperkeratosis or may be ulcerated due to repetitive trauma. The lesion is usually asymptomatic and does not have any risk of malignancy [4,5]. The recurrence rate is very low and it occurs due to incomplete elimination of the etiological factors [5].The conventional treatment modality includes surgical excision using scalpel blades, electrocautery, and cryosurgery. These methods, however, have many disadvantages such as excessive bleeding, need of suturing, scarring in the region of excision, postsurgical pain, swelling, and delayed wound healing [6,7]. To overcome these difficulties, the "Diode Laser" has emerged as a minimally invasive tool. Lasers have been used in dentistry since 1999 [8]. The diode laser is a solid-state semiconductor consisting of Gallium, Arsenide, Aluminium, and Indium. It has been found to be superior to conventional surgical methods in terms of ease of handling, pain control, less chairside time, and low cost. This case series highlights the benefits of using a diode laser as a minimally invasive tool for excision of intraoral fibromas. CASE SERIES Case 1A 21-year-old male patient reported to the department of periodontology with a chief complaint of growth on the left side of the tip of the tongue. The past medical and dental histories were not relevant. On examination, the patient's blood pressure was 120/90 mm Hg, pulse rate was 60/min, respiratory rate was 18/min, and the patient was afebrile with a temperature of 37.8°C. The solitary growth was seen approximately 4 months ago. It was initially small in size but had increased gradually to the present size (5 mm × 5 mm). The growth was firm, non-tender, and palepink with an intact surface and sessile base (Fig. 1a). The local lymph nodes were not palpable. Based on the clinical findings, a diagnosis of fibroma was made.
Introduction: Deep bite malocclusionis one of the most damaging malocclusion. A traumatic bite can aggravate and perpetuate periodontal disease in patients with poor oral hygiene. Aim: To report three cases with different periodontal lesions in patients with deep bite. Case Description: This paper illustrates three cases of Ackerlys class III traumatic bite patients presenting with range of periodontal lesions like localized gingival enlargement, localized periodontitis, tooth mobility and tooth exfoliation in maxillary and mandibular anterior region. Conclusion: Excessive functional stress may accentuate inflammatory changes in the periodontium and thus enhance the destructive bacterial processes. Clinical Significance: Traumatic deep overbite complicated with periodontal problems is a challenge for a clinical practitioner. A meticulous and comprehensive approach to periodontal and occlusal examination, etiological factors, diagnosis and treatment planning is essential for better treatment results.
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