Aim:The aim of the present study is to evaluate the efficacy of curcumin gel as local drug delivery post-scaling and root planing and its effect on clinical parameters like plaque, gingival scores, pocket depth, and clinical attachment level (CAL). Materials and methods: Ten patients with two sites in the contralateral quadrants having probing pocket depths (PPDs) of ≥5 mm were selected. Full-mouth scaling and root planing (SRP) was performed followed by the application of curcumin gel on a single side. Assessment of plaque index (PI), gingival index (GI), PPD, and CALs were done at the baseline and at the 4th week. Results: The results revealed that there was a statistically significant reduction in PI and probing depth in the test group when compared with the control group. CAL was improved but the results were not statically significant. Conclusion:The local application of curcumin gel when used in conjunction with SRP showed a significant improvement in periodontal parameters and has a beneficial effect in patients with chronic periodontitis. Clinical significance: Curcumin gel as an adjunct to SRP showed a marked improvement in restoring gingival health by an improvement in clinical parameters. It has proven properties like anti-inflammatory, antioxidant, antimicrobial, hepatoprotective, immunostimulant, antiseptic, antimutagenic, and it also accelerates wound healing. It may be a more acceptable and viable option for the common man. Curcumin can be used as an effective alternative local drug delivery agent.

Two most common conditions that can independently lead to tooth mortality are periodontal and pulpal diseases� To maintain the natural dentition and also to restore the lost periodontium are the goal of endodontic and periodontal therapy� There are several reviews in literature where authors have given wide information about the etiology, pathogenesis, classification, diagnosis, and treatment planning, and lot of literature about the recent advances pertaining to aspects of endo-perio lesions are also available, but reviews compiling all major aspects are relatively less and this review aims to brief the etiology, various classifications, diagnosis, and management of endodonticperiodontic lesions� Successful treatment of periodontic-endodontic lesions depends on all contributing lesions being treated� Lesions with combined etiology will require both endodontic and periodontal therapy. Endodontic therapy should be completed first. The clinical experience and acumen of the dentist must be of the highest degree to enable choosing the procedure that will bring healing with the appropriate intervention�

The imbalance between bacterial virulence and host response leads to the destruction of tooth and tooth-supporting structures, leading to most commonly occurring chronic periodontitis and rare, but not uncommon aggressive periodontitis and the dilemma between diagnosis, prognosis, and treatment planning of these two entities have always been a challenge to clinician at least in few situations� Hence, this article aims at reviewing the shared characteristics (similarities) and unique characteristics (dissimilarities) of chronic and aggressive forms�