Until recently, periodontal therapy was predominantly focused on establishing biologically and functionally stable periodontium. The presence of mucogingival problems and gingival recession around anterior teeth exemplifies a situation in which a treatment modality that addresses not only biological and functional but also esthetic demands are required from the periodontist. The advent of procedure such as subepithelial connective tissue graft in the mid-1980s and its various modifications thereafter, have led to improved and more predictable outcomes of root coverage. Thus, the present day clinicians have become more capable of addressing the esthetic demands of their patients. This case report shows the usage of subepithelial connective tissue graft for root coverage of upper right first premolar, which shows successful root coverage with a stable result. The technique used here created a healthy, functional and esthetic gingival unit that appeared resistant to further breakdown at a 6-month follow-up.

Until recently, periodontal therapy was predominantly focused on establishing biologically and functionally stable periodontium. The presence of mucogingival problems and gingival recession around anterior teeth exemplifies a situation in which a treatment modality that addresses not only biological and functional but also esthetic demands are required from the periodontist. The advent of procedure such as subepithelial connective tissue graft in the mid-1980s and its various modifications thereafter, have led to improved and more predictable outcomes of root coverage. Thus, the present day clinicians have become more capable of addressing the esthetic demands of their patients. This case report shows the usage of subepithelial connective tissue graft for root coverage of upper right first premolar, which shows successful root coverage with a stable result. The technique used here created a healthy, functional and esthetic gingival unit that appeared resistant to further breakdown at a 6-month follow-up.

Introduction: Chronic Periodontitis is an infectious disease resulting in inflammation within the supporting tissues of the teeth leading to progressive attachment and bone loss. Biochemical mediators in oral fluids like saliva and gingival crevicular fluid (GCF) are highly beneficial in the determination of current periodontal status. Aim & objective: A comparative evaluation of GCF and salivary sclerostin levels in chronic periodontitis patients with or without type 2 diabetes mellitus Methodology: A total of 36 subjects in the age group of 30-60 years were categorised into three groups. Group I (Healthy individuals) Group II (chronic periodontitis patients) and Group III (chronic periodontitis patients with type 2 diabetes mellitus). During the first visit the clinical parameters like Plaque index, Gingival index, Probing pocket depth and Clinical attachment level were recorded. On the subsequent day GCF and saliva samples were collected and subjected for laboratory analysis using ELISA kit. Results were tabulated and subjected to statistical analysis. Results & Discussion: The differences of Sclerostin levels in Saliva between the groups were not statistically significant (P = 0.089). The differences of Sclerostin levels in GCF between the groups were highly statistically significant (P =0.000). Conclusion: Sclerostin levels are a promising diagnostic and prognostic biomarker in periodontal diseases.