No abstract

Introduction-Mouthwashes are often prescribed in dentistry for prevention and treatment of several oral conditions. Chlorhexidine gluconate mouthwash has earned eponym of gold standard to treat and/or prevent periodontal disease. In the recent times naturally occurring products are used on a large scale. Objective-The aim of this study is to compare the anti-gingivitis and antiplaque efficacy of herbal mouthwash (Hiora) with allopathic mouthwash (Chlorhexidine). Methodology-A total of 20 patients aged between 18 to 50 years, with gingivitis was selected for this study. After baseline scaling, 10 patients were advised to use 0.2% chlorhexidine mouthwash twice daily in 1:1 dilution and other 10 patients used Hiora mouthwash twice daily. Plaque index, gingival index, bleeding on probing was recorded at baseline and after 21 days. Result-There were no statistically significant differences between the two groups with regard to the clinical parameters. Herbal mouth rinses may be as effective as chlorhexidine as chemical antiplaque agents with fewer side effects Conclusion-Herbal mouth rinses may be as effective as chlorhexidine as chemical anti-plaque agents with fewer side effects. However, alternative study designs using larger sample sizes and longer duration are needed to further reiterate its benefits.

Periapical cyst is an inflammatory odontogenic cyst of endodontic origin. It presents either as an epithelium lined closed pathological cavity (then it is called periapical true cyst) or the epithelium lined cavity is continuous with the root canal of the affected tooth (periapical pocket cyst). The treatment of choice for the majority of the periapical cysts is conventional root canal treatment. However large, true cysts respond less favorably to non-surgical treatment. We present a case of a 20 years old female patient who had a swelling in the upper lip region. A provisional diagnosis of periapical cyst was arrived at considering the clinical and radiographic features. Intra-operatively, the cyst was continuous with the root canal. Histopathological examination was done.