Background Tooth extraction commonly leads to loss of residual alveolar ridge, thus compromising the room available for the implant placement. To combat the post-extraction alveolar loss, alveolar ridge preservation is practiced, with the advent of the biomaterial available. The purpose of this study was to assess the efficiency of calcium phosphosilicate biomaterial in alveolar ridge preservation. Twenty patients indicated for extraction were selected followed by socket grafting using calcium phosphosilicate. Implant placement was done 6 months postoperatively during which a core was harvested from the preserved sockets. Clinico-radiographic measurements of hard and soft tissues were taken at baseline and 6 months post-grafting. Results There were no significant changes in the radiographic and soft tissue parameters while significant changes in hard tissue parameters with 1.9 mm ( p = 0.013) gain in mid-buccal aspect and 1.1 mm ( p = 0.019) loss in horizontal bone width were observed. The histomorphometric evaluation depicted the vital bone volume of 54.5 ± 16.76%, non-mineralized tissue 43.50 ± 15.80%, and residual material 2.00 ± 3.37%. Conclusion The implants placed in these preserved ridges presented 100% success rate with acceptable stability after a 1-year follow-up, concluding calcium phosphosilicate is a predictable biomaterial in alveolar ridge preservation.

The quest for predictable clinical solutions to the problem of gingival recession has led to several important surgical advances this past decade. Site preparation for root coverage procedure has evolved from the original surgical dissection of an open vascular bed, used for the placement of an exposed graft overlying the recipient bed, to the coronally advanced flap and tunnel methods used for submerged grafts. The Pouch and Tunnel technique along with the use of a subepithelial connective graft has proven several benefits including early tissue healing, esthetic results and good patient cooperation. This article emphasizes on the effectiveness of using the pouch technique which improves the success rate for treating gingival recession in a series of 3 cases.

Aesthetic medicine has been an area of significant interest since ages, which is slowly but steadily garnering popularity owing to increased patient awareness.The normal color of gingiva is coral pink with oral pigmentation being common among some races and ethnic groups. Melanin is one of the prime pigment responsible for gingival pigmentation and is of great aesthetic concern, especially in patients with high smile line. Periodontal plastic surgeries aim at improving the smile, with depigmentation being one of them. In this case report, evaluation of depigmentation using scalpel surgery and laser technique was done by clinical assessment of re-epithelialization. In this case, a 20year old girl was treated for depigmentation using split mouth surgical protocol comparing scalpel surgery and laser technique. Depigmentation using scalpel was done on the right side of the maxillary arch and Laser ablation on the left side. Post-operatively vitamin E oil was used as an adjunct to promote uneventful healing.Patient was recalled regularly for the first week and the rate of epithelialization was assessed at chairside using methylene blue. Although healing with laser assisted depigmentation was initially slow but enhanced healing was appreciated. However, on the 7th day both the sites exhibited equivalent outcome. vitamin E could be a contributory factor leading to faster and enhanced healing and can be used as an adjunct to surgical procedures to escalate the healing process.