This study depicts the effects of ETS on gingival melanin pigmentation.

The aim of this study is to compare the periodontal status and quantify Porphyromonas gingivalis (Pg) and Prevotella intermedia (Pi) from plaque samples of both gestational diabetic mellitus (GDM) and non diabetic pregnant women. Materials and methods Sixty first time pregnant women were selected after adjusting for age, duration of pregnancy and educational status. They were then categorized into gestational diabetic women (GDM) (Group A) and healthy pregnant women (non GDM) (Group B). Periodontal examination was done by assessing gingival index, periodontal disease index and probing depth. Microbial analysis on sub-gingival plaque was performed using polymerase chain reaction (PCR). Statistical analysis was done by student t test, chi square test and Fischer exact test. Results Group A showed higher gingival index, probing depth and periodontal disease index scores than group B at p < 0.001. Pg was detected in 80% of group A and 40% of group B. Amongst these; it was measured over 2.0 × 10 4 in 33% of group A, while in the group B it never scored more than 1.0 × 10 4. While Pi were also detected in 73% of group A women and 40% Group B women but quantification showed Pi > 2.0 × 10 4 in more number of group A women. Conclusion This study showed that there is significant association between the severity of periodontal disease and increased levels of Pg and Pi in gestational diabetic women.

Introduction: Fibrolipoma, a histologic variant of lipoma, mostly affects the buccal mucosa and causes functional and cosmetic disabilities. Oral lipomas are benign and rarely seen in the oral cavity. Fibrolipoma of the oral cavity has also been infrequently reported. This report presents a rare case of intraoral fibrolipoma detected on the right buccal mucosa. The lesion was removed using electrosurgery (ES).Case Presentation: A 40-year-old female patient presented with a chief complaint of a painless growth on the right buccal mucosa causing irritation when opening and closing the mouth. Provisionally diagnosed as irritational fibroma, the growth was excised using ES under local anesthesia. No sutures were placed, and the bleeding was controlled in the intermittent coagulation mode. The histopathologic report revealed the lesion to be a fibrolipoma. Healing was uneventful, and no recurrence was observed for a period of 1 year.Conclusions: Compared with scalpel surgery, ES requires more expertise, but the advantages counter the technical complexities. Minimal bleeding and postoperative discomfort and good patient compliance were observed in this case. Therefore, ES may be considered as a patient-and clinician-friendly tool, although a long-term comparative assessment with scalpel surgery is recommended to establish its effectiveness. Clin Adv Periodontics 2014;4:162-166.

Lipoma, a benign tumour of adipose tissue, is one of the most common benign neoplasms of the body. However, its occurrence in oral cavity is relatively rare. It accounts for 1 to 4% of benign neoplasms of the oral cavity, affecting predominantly buccal mucosa, floor of mouth and tongue. They have been known to grow to sufficiently large sizes causing problems in mastication and speech. The usual lesion consists of a well-circumscribed, lobulated mass of mature fat cells wherein sometimes, the covering mucosa may become ulcerated presenting difficulty in its diagnosis. Herein, we are presenting a case of intra-oral lipoma affecting right anterior buccal mucosa in a 31 year old female patient. Excisional biopsy was performed and histopathological examination revealed proliferation of mature adipocytes arranged in lobules and separated by numerous fibrous septa. After a 3 month follow-up, the patient did not reveal any signs of recurrence. The clinical and histopathological findings are discussed in detail and literature is reviewed.