Paradental cyst is classified as an inflammatory cyst, and its occurrence in the anterior maxillary region is very rare. Several hypotheses have been put forward on the etiopathogenesis among which the formation of cyst secondary to inflammatory destruction of the periodontium and alveolar bone can be attributed to the present case. A 26-year-old male patient reported with loosened maxillary anterior teeth. After clinical and radiological examination, extraction of teeth #12, #11, #21, and #22 followed with immediate implant placement was planned. During extraction of #21, incidentally, a cyst was noted to be attached to the apices of #21 tooth. Implants were placed at #12, #11, and #22 sites, and socket of #21 was debrided thoroughly, followed by the placement of graft. A histopathological study of the cyst revealed it to be a paradental cyst. The patient was followed up for 6 months, and no recurrence of cystic lesion was noted. When immediate implant placement is being planned, considerations to the periodontal and periapical disease status of the teeth being extracted are crucial to achieve better treatment outcomes.
Aim: To assess the donor site (in the palate) wound healing in free gingival graft (FGG) procedures after the placement of Ora-aid wound dressing. Methods: A total of five patients who underwent treatment for isolated gingival recession with free gingival graft procedure were enrolled for the study. The palatal donor site was covered with Ora-aid instead of the traditional acrylic stent.The various parameters assessed were: thickness of palate, pain using the visual analogue scale (VAS), measurement of size of surgical wound, wound healing assessment, direct visual assessment of oedema, suppuration, haemorrhage and necrosis and patient satisfaction through direct interaction/communication. Thus, the purpose of this case series was an objective observation of the donor site after the placement of Oraaid dressing. Results: All of the enrolled subjects showed significant improvement of the wound healing parameters. No untoward post-operative complications were reported. Conclusion: Ora-aid can contribute to a substantial reduction in patient discomfort and thus can be a substitute for the acrylic stent
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