Indian Journal of Dental Education

Gingival recession is one of the common feature of Periodontitis. Gingival recession is defined as an apical shift in the position of gingiva. This gingival recession is particularly of concern as in terms of esthetics, hypersensitivity and caries. Various root coverage Procedures are available for the root coverage of the recession defects. One of the Procedure is the coronal repositioning of flap to attain root coverage. Present case report is on a 41 years old male,who was having class 2(2A) recession defect whose concern were particularly hypersensitivity. So root coverage procedure was planed, in order to cover the recession defect so as to eliminate the patient chief complaint of hypersensitivity and to achieve esthetics.

Maxillary obturator prosthesis is more frequent modality of treatment than surgical reconstruction for maxillectomy in patients suffering from oral defects. It is a standard practice to hollow out the defect portion of the obturators to reduce its weight. The processing technique described in this case report involves incorporation of the"customised glycerine soap bolus with cold cure stabilizing rod" during packing procedure of the obturator prosthesis and eliminated later once the curing procedure was completed. This technique is a single step procedure resulting in the closed-hollow obturator as single unit with uniform wall thickness around the hollow space ensuring the least possible weight of the hollow obturator. Keywords: Hollow obturator; Maxillary defects; Obturator processing technique

Background: The postoperative sequelae after third molar surgery include pain, swelling and trismus, Magnesium has antinociceptive effects that can prevent central sensitization caused by peripheral nociceptive stimulation by blockingthe N-methyl-D-aspartate-type glutamate receptors.Studies haveinvestigated Magnesium for postoperative pain relief. This study was aimed to evaluate the efficacy of oral Magnesium lozenge given 30 min before surgery on reducing postoperative sequelae. Method: We recruited 70 patients, randomly assigned to two groups: Magnesium and Control group, groups received lOOmg Magnesium lozenge, placebo lozenge 30 min before surgery respectively and every 6h till 72h after surgery. Third molar extraction was performed under local anesthesia. After extraction, pain, swelling, and mouth opening in both groups observed till 72h. Statistical Analysis: Preoperative and postoperative measurement of visual analog scale scores for pain, edema, interincisal opening, was analyzed using Student t test or ANOVA, Chi-square or Mann-Whit^ney U test was performed for non-parametric samples. P < 0.05 was considered as statistically significant Results: The overall incidence of Pain in the Magnesium group was18% compared to 43% in the Control group (P = .003) Incidence of Pain, swelling, and mouth opening at different time intervals 6h, 24h, 48h and 72h were significantly (P >0.05) better in Magnesium group. Conclusion: Oral Magnesium lozenge administered 30 minutes preoperatively can significantly reduce postoperative sequelaeafter third molar extraction. Keywords: Postoperative sequelae; Third molar; Magnesium.