Pemphigus is an autoimmune disease affecting the skin and mucosae. Oral lesions are common and sometimes are the only manifestations of the disease. The clinical presentations of pemphigus might mimic other vesiculobullous lesions of the oral cavity. We report a case of a 60-year-old male patient who complained of erosive lesions in the oral cavity. The lesions were diagnosed as pemphigus based on histopathological examination and immunofluorescence findings. The patient did not respond to topical steroids and low doses of systemic steroids. Since the patient began developing dermatological manifestations, he was administered pulse steroid therapy. He is currently under observation and his clinical signs and symptoms show improvement, although he has developed hyperglycemia as a complication.

Background: Maxillofacial trauma is most common in both developing and developed countries. Descriptive studies from various parts of the world helps us in understanding the patterns of these injuries which in turn help in formulating tailor made prevention strategies for that particular geographic region. Aims and Objectives: The aim of this study is to assess the patterns of maxillofacial fractures treated in IGMC & RI in Puducherry from 2011-2018. The objectives are to find out the type of maxillofacial fractures treated, to estimate the demographic data of maxillofacial fracture victims and to assess the treatment modality used(Closed reduction /open reduction and internal fixation (ORIF). Materials and Methods: Data of surgically treated patients of maxillofacial fractures were retrieved, tabulated and analysed using SPSS software – 24 for descriptive and inferential statistics. Results: The estimated results clearly indicate that males were most commonly affected by maxillofacial trauma. The common age group is 20 to 30 years. The major contributing aetiology for trauma is RTA and the common fracture that was encountered was fracture mandible and the fractures were largely managed by open reduction. Conclusion: The results obtained are expected to greatly contribute for the planning of prevention actions and management in health, assistance practices to victims of facial trauma, epidemiological surveillance and road traffic rules.

Non vital teeth with periapical cysts do not respond to routine root canal therapy alone. Conventional RCT (root canal therapy) should be combined with conservative management of cysts or surgical management. Contemporary options for non-surgical management are repeated intra canal dressing with Ca (OH)2, aspiration and decompression techniques. Repeated intra canal dressing with Ca(OH)2 and Iodoform (Metapex) was advocated in 15 of our patients for a period of eight years from 2011-2019. The healing of the lesions was excellent with respect to bone formation, reestablishment of periodontal ligament and reduction in tooth mobility on follow up of six months to one and a half years. This case series gives insight of successful non-surgical management of periapical cysts. We reiterate the effectiveness of non-surgical management of periapical cysts as it was well observed in our case series. The promising prognosis of non-surgical management of periapical cysts can render the surgical options antediluvian.

Background The overall purpose of this clinical study is to evaluate the effectiveness of bovine-derived collagen in surgical oral mucosal defects. Patients and methodsThe study model included thirty-two patients who underwent surgery for benign and malignant lesions of oral cavity in the Indira Gandhi Medical College and Research Institute, Puducherry, India-from 2012 to 2018. The surgical oral mucosal defects had been reconstructed with a commercially available bovine-derived type I collagen [Surgicoll-Mesh, 0.5 mm thick] membrane. The clinical effectiveness of this collagen membrane was evaluated using parameters like haemostasis, pain, epithelialisation, granulation tissue formation and mouth opening as the functional test parameter. ResultsThe clinical outcome results documented proved that the bovine-derived collagen membrane showed excellent significant results with respect to haemostasis, pain relief, epithelialisation and granulation tissue formation.

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