Pooja Bharadwaj

Abstract

Human being is creature that is blessed with a knowledge and curiosity. The human being is recognized by a human body that varies genotypically but is somewhat similar phenotypically. The knowledge gaining of the human being is reflected in the form of speaking ,and this speaking is mainly a function of tongue and teeth. Gums are a structure that surrounds the teeth and in the dental terminology, the gums are called as the gingiva. These gums are of utmost importance both from oral health point of view and from systemic health point of view. In this short communication the importance of gum health and their correlation with oral health and systemic health is emphasized. Keywords: Human, Knowledge, Gums, Systemic health, Oral health

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Abstract

Chronic Periodontitis is defined as the infection and the inflammation of the supporting tissues of the teeth with the progressive loss of attachment. As a result of this inflammation, the immune system gets activated leading to the release of various immunoinflammatory cells which in turn leads to release of cytokines which amplify the immune response leading to the clearance of infection. But if there is a release of cytokines over a longer period of time, it leads to the release of inflammatory mediators and one of such inflammatory mediators, is the matrix metalloproteinase, which leads to degradation of extracellular matrix. Periostat is one of the FDA approval host modulating agent which acts by downregulating the destructive aspect of matrix metalloproteinase and thus upregulate the protective aspect of host response.   Keywords: Chronic Periodontitis, host response, Matrix Metalloproteinases, Periostat, submicrobial dose doxycycline

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Abstract

Smile is the most wonderful gesture of the human being. A Person who is genuinally happy shows his or her pleasure in the form of smile. A beautiful smile for sure enhances individual self confidence. A beautiful smile lies in a harmonial balance between competent lips, size, color, and proper alighnment of teeth and the color of gingival tissues. The normal color of gingival is coral pink as in accordance to British population, and pale pink as in accordance to Indian population. However this gingival pigmentation varies among each and every individual in accordance with the color of the skin, various pigments present in human body like melanin, haemoglobin, carotene. However this melanin when secreted in excess, can lead to brownish, blackish, or bluish discoloration of gingiva, and this discoloration is denoted by the term hyperpigmentation, and the procedure to overcome this hyperpigmentation is called as depigmentation. Present case report is on a 21 years old female whose chief complaint was visual blackish display of gums while smiling. So the procedure depigmentation was done by surgical scalpel by scraping method, and the patient showed better results following two weeks after procedure.   Key Messages: Esthetic dentistry is a recently emerging branch. People now a days are much more concern about the gingival esthetics and smile design, as they want their smile to be beautiful in order to boost up their confidence. . One of the gingival esthetic for which the people are concerned are the hyperpigmented gingiva. Gingival depigmentation is the process to remove this abnormal pigmented gingiva. The clinician must have a knowledge as for which condition, which type of gingival depigmentation technique can be applie so as in order to make the treatment successful.   Keywords: Smile, Gingiva, Hyperpigmentation, Melanin, Depigmentation

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