Laugier–Hunziker syndrome (LHS) is an acquired, benign pigmentary skin condition involving oral cavity including lower lip in the form of brown black macules 1–5 mm in size, frequently associated with longitudinal melanonychia. There is no underlying systemic abnormality or malignant predisposition associated with LHS, and therefore the prognosis is good. Important differential diagnoses include Peutz Jeghers syndrome and Addison’s disease among other causes of oral and acral pigmentation. Treatment is sought mainly for cosmetic reasons and Q-switched Nd-Yag laser/ Q-switched alexandrite therapy and cryosurgery have been tried with varying success.

Hyaluronic acid is a hygroscopic macromolecule formed by the polymerisation of glucuronic acid and N-acetylglucosamine disaccharide. It is a primary component of the extracellular matrix in various body tissues. Ihe use of topical Hyaluronic acid in the treatment of oral ulcers has been recently reported. This article reviews the mechanism of action, indications and efficacy of topical Hyaluronic acid gel in the management of oral ulcers.

Papillon-Lefèvre Syndrome (PLS) is a rare autosomal recessive disorder first described by two French physicians, Papillon and Lefèvre in 1924. The disorder is characterized by diffuse palmoplantar keratoderma and precocious aggressively progressing periodontitis, leading to the premature loss of deciduous and permanent teeth at a very young age. The cutaneous lesions are usually manifested simultaneously with the intra-oral presentations and include keratotic plaques on the palms and soles varying from mild psoriasiform scaly skin to overt hyperkeratosis. The etiopathogenesis of the syndrome is relatively obscure and immunologic, genetic or possible bacterial etiologies have been proposed. Due to the vast degree of periodontal breakdown involved at such an early age, the dental surgeon is often the first to diagnose the syndrome. This paper presents a clinical presentation a 15 year old male diagnosed with Papillon- Lefèvre Syndrome. Key words:Papillon-Lefèvre Syndrome, palmoplantar keratoderma, rapidly progressing periodontitis.

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Successful rehabilitation of edentulous individuals involves selection and arrangement of artificial teeth in accordance with the patient's original arch form. Various criteria exist for harmonious tooth arrangement but none is accepted universally. Finger and palm prints are unique to an individual and once formed in the sixth week of intra-uterine life, remain constant thereafter. Since dental arches are also formed during the same prenatal period, it is believed that the similar genetic factors may be involved in formation of dental arches and dermal patterns. This study was conducted to identify the association if any between type of dental arch forms and type of dermatoglyphic patterns. If specific dermal characteristics exist in individuals with specific dental arch forms, dermatoglyphic assessment of long standing edentulous subjects may help identify the patients preexisting dental arch form and thus aid in proper tooth arrangement. Ninety dentulous subjects were categorized into three groups on the basis of dental arch form (square, tapering or ovoid) and their finger and palm prints were recorded. The type of fingertip patterns, distribution of palmar patterns, Total Finger Ridge Count and angle atd were assessed. Subjects with square arches demonstrated a significantly high frequency of loops and a large atd angle with palmar patterns being most frequent in I3 region. Subjects with tapering arches showed a high frequency of whorls, a small atd angle and greatest distribution of palmar patterns in I4 region. In ovoid arched subjects, loops were the most common and palmar patterns were mostly observed in I4. Since distinctive dermal patterns were observed in subjects with different dental arch forms, it is believed that dermatoglyphics may be used as a reliable tool for identifying original arch form in edentulous patients.