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BackgroundGingival enlargement due to calcium channel blockers is a common complaint reported by patients. It can be localized or generalized and can range from mild to severe, affecting patients appearance and function. Nifedipine induced gingival enlargement is noticed only in 10 % of patients and very few cases of Nifedipine induced gingival enlargement in an edentulous patient have been documented in the literature.Case presentationHere in, we report a case of gingival enlargement in a 70 year old hypertensive edentulous patient who was on low dose Nifedipine therapy. Patient wanted complete dentures. We planned to excise the overgrowth and followed up for 1 year.ConclusionNifedipine induced gingival enlargement noticed only in 10 % of patients. Hence, there is a need for physicians and dentist to make a coordinated treatment plan and practice care while prescribing these drugs which are associated with gingival overgrowth.

Objectives: Ultrasonography is a radiologic technique in which deep structures of the body are visualized by recording the reflections (echoes) of ultrasonic waves directed into the tissues. For many years, Ultrasonography has played a major role as a diagnostic tool in various medical fields. Only recently has it been used for maxillofacial imaging. It has still not found its place as a routine diagnostic aid in this field. The objectives of this study are  To assess the role and efficacy of Ultrasonography in the diagnosis of swellings of head & neck region  To establish the efficacy of Ultrasonography as a first line diagnostic tool in the diagnosis of swellings of orofacial regions  To assess whether USG can differentiate between inflammatory swellings, benign and malignant neoplasms and cystic swellings Methods: 30 patients with swellings present in the Head & Neck region which includes enlargement of salivary glands, occult lymph node growths, odontogenic fascial space infections, cystic swellings, inflammatory swellings and neoplastic swellings.The patients were selected randomly irrespective of the age, sex, caste, creed and socioeconomic status. All the patients were informed regarding the radiographic and experimental procedures and informed consent was obtained before these procedures. Results: The total 30 subjects were examined clinically to derive at a clinical diagnosis and they were divided into 4 groups based on the type of swelling, consisting of 8 subjects each. The study was conducted to evaluate the efficacy of Ultrasonography in the diagnosis of head and neck swellings.The histopathological diagnosis obtained after definitive treatment procedures or FNAC/ Biopsy sample studies was considered the Final diagnosis against which the efficacy was measured of clinical diagnosis, USG diagnosis. This value was found to be maximum in case of Ultrasonography. Interpretation & conclusion: The results obtained were used to calculate sensitivity, specificity, accuracy and significance of USG diagnosis for being efficacious diagnostic tool for head and neck swellings.

Ectodermal dysplasia (ED) is a rare genetic disease caused by developmental disturbances of embryonic ectoderm derived tissues, organs, and other accessory appendages. The congenital missing of teeth is usually bilateral. Anodontia or hypodontia may be associated with other ectodermal disturbances, such as anhidrosis, asteatosis, hypotrichosis, and salivary glands defects. One such case report of ED is demonstrated here.

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