Deficiencies in the alveolar ridges cause multiple problems in achieving aesthetic and functional outcome of implant therapy and are commonly restored by using onlay graft from intraoral source. Careful assessment of the recipient as well as the donor site using cone beam computed tomography (CBCT) is a prerequisite to ideal treatment planning. This paper highlights the critical role of CBCT in planning a successful rehabilitation of traumatised deficient anterior maxillary alveolar ridge using autogenous block graft from mandibular symphysis, followed by implant placement. A 21-year-old male reported with missing right maxillary lateral incisor due to traumatic avulsion 6 months back. A concavity was found on the labial aspect of edentulous area. Serial transplanar images on CBCT revealed gross irregular radiolucency in place of labial cortical plate. Using CBCT, size of the required block was estimated, and mandibular symphyseal area was evaluated for the feasibility of harvesting a graft of suitable dimension. Onlay block graft was harvested from mandibular symphysis and placed at the edentulous site to augment the alveolar ridge. Implants were placed 5 months later and loaded successfully after osseointegration. After 1 year of followup, implant-based prosthesis is working well, without any complications.

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Inflammatory external root resorption is one of the major complications after traumatic dental injury. In this case report, we describe treatment of a maxillary central incisor affected by severe, perforating external root resorption. An 18-year-old patient presented with a previously traumatized, root-filled maxillary central incisor associated with pain and sinus tract. Radiographic examination revealed periradicular lesion involving pathologic resorption of the apical region of the root and lateral root surface both mesially and distally. After removal of the root canal filling, the tooth was disinfected with intracanal triple antibiotic paste for 2 weeks. The antibiotic dressing was then removed, and the entire root canal was filled with mineral trioxide aggregate. The endodontic access cavity was restored with composite resin. After 18 months, significant osseous healing of the periradicular region and lateral periodontium had occurred with arrest of external root resorption, and no clinical symptoms were apparent.

Introduction: Fibroma is a benign tumor that is composed of fibrous connective tissue (CT) and is also known as irritation or traumatic fibroma. It represents a reactive hyperplasia of fibrous CT in response to local irritation or trauma. The aim of the present case report is to evaluate the treatment outcome of two cases of fibroma of the tongue after excision with an erbium, chromium:yttrium‐scandium‐gallium‐garnet (Er,Cr:YSGG) laser. Case Presentation: Two patients presented with the chief complaint of growth on the dorsal surface of the tongue, which was causing constant irritation as well as esthetic concerns. After examination, the growths were excised with an Er,Cr:YSGG laser in non‐contact mode at a power setting of 1.5 W, 20 Hz frequency and with a spray of 9% water and 13% air. This resulted in less blood in the operating field and minimal patient discomfort. No sutures were used; instead, a laser bandage was applied. The healing was uneventful and patients did not require postoperative analgesics. The histopathologic report confirmed the presurgical diagnosis. No relapse was observed at the 1‐year follow‐up. Conclusions: The Er,Cr:YSGG laser works at cellular levels and promotes tissue repair by photo modulation. It causes negligible bleeding and postoperative discomfort with minimal need of local anesthesia and better patient compliance. Therefore, the Er,Cr:YSGG laser may be considered a patient‐ and clinician‐friendly tool.

Gingival enlargement is a clinical condition that has been widely studied. Usually, it is related to specific local or systemic factors. However, it is difficult sometimes to find out a definite etiology, and treatment has to be done according to presenting clinical features. This article presents an unusual case of gingival enlargement that occurred after pregnancy without any clear underlying etiology. A female aged 31 years reported with gingival enlargement and mobility of teeth during lactation period. Gingival enlargement had started 2 months after child birth. All female sex hormones were found to be within normal limits. Karyotyping was also found to be normal, without any genetic alteration. Radiographic analysis revealed generalized severe crestal bone loss. After phase I periodontal therapy, enlargement was managed surgically under local anaesthesia. On histological examination of excised specimen, tissue was found to be hyperplastic. Although a definite etiology could not be ascertained, the treatment was successful and there has been no recurrence after one year post-treatment interval.