No abstract

Gingival recession has been defined as the apical shift of gingival margin from its physiologic level (1 to 2 mm coronal to cementoenamel junction) causing pathologic exposure of root surfaces. Mucogingival esthetic surgery is all about treatment of mucogingival esthetic alterations. Mucogingival problems may be caused by gingival recession often in association with noncarious cervical lesion or by root caries or by altered passive eruption. Patient with gingival recession frequently report to dental clinics which could lead to pain or hypersensitivity, esthetic problem, retention of plaque hence inflamed gingiva, root caries, abrasion and fear of tooth loss. Gingival recession can be treated by surgical or non-surgical means. Nonsurgical means includerestorations, crowns, veneers and gingival masks whereas surgical approaches includes various methods of increasing the width of keratinized tissue such as frenectomy in case of high frenal attachment & root coverage procedures. The lateral displaced pedicle flap was first described by Grupe and Warren in 1956. It was used to cover the isolated, denuded root surfaces that have adequate amount of donor tissue adjacent to the recipient site. The vestibular depth must be adequate to laterally slide the pedicle. A case of gingival recession is presented that was managed using LPG technique. This technique was selected because of certain advantagessingle surgical area, preservation of blood supply of flap, the postoperative color being in harmony with surrounding tissue.

Periodontal and endodontic tissue structures are closely related odontogenic, which promotes spread of infection. But the desire of patients to maintain their dentition enforce and encourage the dentist to conserve the tooth. In past tooth with severe bone loss and endodontically compromised, resective surgery was employed but today regenerative therapy has potential to restore lost structure esthetically and functionally. In the clinical case presented in this paper, there was bone loss on the site and successful healing was obtained by doing endodontic treatment and using PRF.

In oral cavity Pregnancy tumour is an exophytic tissue. It occurs after three months of pregnancy because of vascular effects of hormones during pregnancy. Clinically it appears as sessile or pedunculated exophytic mass, having bleeding tendency. It occurs in response to numerous factors like traumatic injury, low grade irritation, or hormonal changes. For its treatment various modalities are used like flash lamp pulsed dye laser, cryosurgery, Nd: YAG laser, intralesional injection of ethanol, corticosteroids, and sodium tetradecyl sulfate sclerotherapy, but still surgical excision is the treatment of preference.