Periodontal pathogens and their by-products trigger production of cytokines, acute phase proteins and oxidative stress molecules that impair insulin sensitivity or action. The effect of mechanical treatment alone on metabolic control in diabetes is controversial. The present study compared changes in glycaemic control following full-mouth scaling and root planing (SRP) by measuring glycated haemoglobin (HbA1c) level in 15 chronic periodontitis patients with diabetes. At baseline, periodontal examination, HbA1c evaluation and full-mouth SRP was done. Periodontal examination and HbA1c evaluation were repeated after 3 months. Change in HbA1c levels at 3 months was the primary outcome and changes in clinical parameters were secondary outcomes. Statistically significant improvement in periodontal status and HbA1c levels were seen after a follow up of 3 months following SRP. Periodontal treatment improved clinical measures of chronic periodontitis in patients with diabetes, supporting use of nonsurgical periodontal treatment for lowering HbA1c levels.

Dental prostheses are very complex systems, heterogenous in structure, made up from various materials, with different physical properties. They have to satisfy high stress requirements as well as aesthetic challenges. The failures of dental prostheses lead to functional, aesthetic and phonetic disturbances which finally render the prosthetic treatment inefficient. OCT is a tomography imaging technology capable of producing high-resolution cross-sectional images of the internal architecture of materials and tissues. This includes not only the images of normal and abnormal dental hard tissue structures but also teeth after several treatment methods. It can be used for non-invasive investigations for both in-vivo and in-vitro structural imaging within the oral cavity.DOI: http://dx.doi.org/10.3329/bjms.v13i4.20553Bangladesh Journal of Medical Science Vol.13(4) 2014 p.388-390

The anterior ridge defects present in a patient are very difficult to treat and they require great amount of planning, like removable or fixed prosthesis and options of implant. Here is a article that describes the process of fabrication of Andrew's bridge to treat a class III anterior ridge defect using natural teeth as abutments for its fixed component followed by a removable component. The procedure of fabricating Andrew's bridge was undertaken when a 26 years old patient came to the department of prosthodontia after being operated for the cleft lip and palate. After the patient was treated with this Andrew's bar system, it was evaluated over a long period of time and accordingly it was concluded that the patient had a good adaptability, comfort, pleasing esthetics and phonetics were achieved as desired and can be given in patients where esthetics due to repositioning of teeth creates difficulties.