Shilpi Gangwar

Abstract

In this study, we evaluate the relationship between rheumatoid arthritis (RA) and chronic periodontitis on the basis of clinical attachment present and severity of attachment loss in both the cases. First of all Diagnosis of rheumatoid arthritis and chronic periodontitis was performed, thereafter bacterial DNA extraction from blood serum sample and subgingival dental plaque of each group through PCR and later DNA purification through Spin protocol was performed, oligonucleotide primer was used to detect t.forcythia and PCR amplification was done to detect T. Denticola for both the groups. PBDNA was detected in both SGP and serum samples of both the groups. In SGP samples, Tannerella forsythia was more frequently detected as compared to serum samples of both the groups. In result theclinical attachment Level (CAL) was observed to be higher in RA group as compared to CP group. Comparison of CAL according to severity was also observed in both the groups which suggested that RA group has mild periodontitis as compared to CP group in which moderate to severe periodontitis was seen, Detection of periodontal bacterial DNA by PCR assay PBDNA was detected in both SGP and serum samples. In SGP samples, Tannerella forsythia was more frequently detected as compared to serum samples of both the groups. So these are two common chronic inflammatory diseases with a similar host-mediated pathogenesis. Current evidence suggests that an association exists between periodontitis and RA. Well-designed multicenter longitudinal clinical trials and studies with sufficient sample sizes are needed to ascertain the relationship between these two diseases and whether periodontal treatment can reduce the severity of RA or prevent its onset.   Keywords: Chronic periodontitis, Rheumatoid arthritis, Tannerella forsythia, Porphyromonas gingivalis.

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Abstract

Objective: Efficacy of platysma flap in terms of esthetics, function (mouth opening) & postoperative compliance of the patient. Materials and Methods: Eight cases are included, seven men and one women, 40 - 50 years old, after resection of fibrous bands. All of them were reconstructed with a platysmaflap. Results: No local complications occurred with this technique. Overall aesthetic and functional results were acceptable in all the patients. Of 8 patients, six had no postoperative complications. The remaining two developed venous congestion, with limited skin loss. All flaps remained viable. Conclusion: The platysma flap is a good method to reconstruct buccal mucosa after resection of bands in oral submucous fibrosis. It is a versatile, portable, and thin flap, is easy to perform with a primary closure of the donor site. Keywords: Oral submucous fibrosis, Platysma myocutaneous flap (PMF), intraoral reconstruction

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Introduction: Peripheral ossifying fibroma is a reactive lesion arising from periodontal cells in response to local irritation with females in second decade of their life are more affected and with maxillary anterior region predilection. Clinical appearance with erythmatous or pink in colour with large lesions are generally smooth. Lesion usually not exceed 1.5 cm. Underlying bone sometimes shows loacalized bone erosion. Treatment usually involves exicision of the lesion with histopathological examination. Chances of recurrence after complete removal is higher. Case Report: 19 year old female patient came with complain of swelling of gingiva at 43 44 region with clinical examination reveal 1cm × 1cm lesion with pink in colour and smooth surface and radiographic examination showing localized bone loss. After complete phase 1 therapy, exision of the lesion was performed and excised lesion was tranferd in 10% formalin for histopathological examination immediately. Hyperplastic stratified parakeratinized epithelium with connective tissue stroma havind osteocytes and osteoblasts and cementum like material lead to diagnosis of Peripheral Ossifying Fibroma(POF). Discussion: POF is a third most common gingival reactive lesion. Histopathological and clinical examination require to confirms the diagnosis. Keywords: Reactive lesion, Periodontal cells, Gingival, Excision

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