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Orthodontic therapy is becoming a mainstay for the correction of esthetic and functional disturbances in both young and older adults. Orthodontic forces act on the periodontium and can have wide-ranging effects, from beneficial to harmful, from being a hindrance to oral hygiene maintenance to causing irreversible periodontal breakdown. In some patients, the presence of periodontal conditions like gingival recession, before start of orthodontic therapy, raises many questions. Much controversy and confusion exist regarding the need for periodontal therapy, its sequencing, especially in case of recession in a young patient who needs orthodontic therapy. An interactive, interdisciplinary approach is essential in such cases for success. This case report illustrates the interdisciplinary management of a young patient with gingival recession with an eight-year follow-up of the case.

Peripheral ossifying fibroma (POF) is the most common reactive gingival lesion. The cause and pathology are well understood. Peripheral giant cell granuloma, pyogenic granuloma, fibroma, and peripheral fibroma are among the differential diagnoses. The confirmed diagnosis for POF is based on histopathological evidence. A healthy 49-year-old man with fibrous swelling in the lower left anterior region of his jaw is discussed in this case report. Excisional biopsy was performed utilizing a diode laser in pulse mode at 980 nm. The patient was monitored for a year, and there was no recurrence.

Background: The association between preganancy and poor oral health and its effects on preterm low birth infants are well documented in scientific literature. A pilot study was conducted with 160 pregnant women in the year 2016 showed that oral hygiene awareness among pregnant women was least among those who did not complete basic school education. This was the motive to conduct the present survey. Aims and Objectives: The Aim of this survey is to determine the knowledge and awareness on oral hygiene practices and to evaluate the role of education status on awareness of poor oral health and pregnancy outcomes among 500 pregnant women in Chennai city, Tamil Nadu, using self-tested questionnaire. Materials and Methods: A Descriptive cross sectional study was conducted among 500 pregnant women attending maternity clinics in Chennai using Self administered questionnaire. Results: Among 500 participants majority of them 72% of school educated never visited dentist. Only 6.2% of Undergraduate women was referred by gynecologist for dental check up during pregnancy. 31.3% of school educated felt that first trimester was safe to undergo dental treatment with p=0.000. Conclusion: This survey showed that level of education played a significant role in awareness about oral hygiene among pregnant women.

Fibronectin is a main component of connective tissue and has various biologically significant roles to play in tissue integrity, remodelling and repair, apart from influencing pathological processes. This review looks into the physiology of fibronectin and its influences in health and disease.