Demystifying immunopathology and clinical presentation in common desquamative gingivitis

Desquamative gingivitis is associated with certain inflammatory and immune conditions which includes a spectrum of autoimmune disorders, hypersensitivity reactions and granulomatous disorders. The autoimmune disorders and hypersensitivity reactions are the most common causative factors for the occurrence. This manuscript is an overview of the etiopathogenesis and clinical presentation in these common desquamative gingivitis associated lesions. The importance’s of the coordinated multispecialty approach in diagnosis, categorising of the clinical presentation and treatment is emphasised in this review.
Keywords: Desquamative gingivitis, Autoimmune disorders


Editorial FROM THE EDITOR’s DESK General Dental Surgeons in Oral Cancer Prevention  Mathew Deepu George Editor-in-Chief Journal of Oral and Biomedical Sciences Annoor Dental College and Hospital, Muvattupuzha, Kerala Received: 23-07-2022 Revised: 30-07-2022 Accepted: 5-08-2022 Address for correspondence: Dr Deepu George Mathew, Annoor Dental College and Hospital, Muvattupuzha, Kerala. Email- This is an open […]


Plagiarism is all about honesty in academic conduct. By using the work of another person and appropriating credit for it, is the reflection of poor morals. This phenomena is particularly rampant in medical journals.

Obturation of Primary Mandibular Second Molar without Permanent Successor using BiodentineTM: a Case Report

The success of pulpectomy treatment depends on removal of infected pulp and filling it with a biocompatible material. In order to achieve it, the clinicians should understand the morphology of the individual root canal and atypical root canal configuration. The purpose of this article was to describe a case of primary mandibular second molar with missing successor tooth. BiodentineTM a new dentine substitute was used as an obturating material for retained maxillary second molar. After 24 months follow up, the success of BiodentineTM for management of primary tooth with chronic pulpitis and missing successor was evaluated and reported.

Keywords: Dentin substitute, BiodentineTM, missing teeth, Pulpectomy

Assessment of Prevalence of Post-Vaccine Covid-19 Infection Among Dental Professionals and Students of Dental Colleges in Ernakulam District: a Cross Sectional Study.

Aim: The aim of this study was to assess the prevalence of Covid-19 infection among all the immunized dental professionals and students in Ernakulam district of Kerala. Materials and Methods: A structured and validated questionnaire comprising of twelve questions was distributed to the students of five dental colleges in the Ernakulam district of Kerala. The questionnaire evaluated the vaccination status, dose and brand of vaccine received, duration of clinical practice, COVID -19 infection after vaccination, associated symptoms if any , among them.  Results: The dental students included 307 females and 105 males , majority of them had contracted the disease even after immunization. 43 % of them had mild symptoms .The differences observed were significant (p < 0.05). Conclusion: Among the immunized dental professionals and students ,our study found a lower frequency of Covid -19 infection with a considerable decline in Covid symptoms. Keywords: COVID -19, Immunization, Covishield , Dental professionals.

Treatment of a Skeletal Class III Case with Conventional Orthognathic Surgical Approach

In skeletal Class III cases, it may be difficult to obtain an excellent occlusal outcome only with orthodontic treatment and to maintain a stable post treatment occlusion. There are three main treatment options for correction of skeletal Class III malocclusion: growth modification, dentoalveolar compensation and orthognathic surgery. In most cases, surgical treatment of Class III malocclusion includes mandibular setback, maxillary advancement or a combination of both.

The following is a case report of an ongoing treatment of Skeletal Class III malocclusion due to a prognathic mandible in a 17 year old female patient. The treatment objective was to achieve a more esthetically harmonious facial profile by correcting the skeletal Class III jaw base. The treatment plan included correction of prognathic mandible by surgical line of treatment with conventional orthognathic approach (Bilateral sagittal split osteotomy).

Keywords: Skeletal class III, Orthognathic surgery, Bilateral sagittal split osteotomy

Effect of Acute Water Immersion Stress on Immunity Markers of Albino Rats

Aim and objective: Stress can affect the immunity system through different physiological pathways and also alters the inflammatory markers. The current study has designed to evaluate the effect of acute water immersion stress on selected immunity markers on albino rats.

Materials and methods: Twelve male albino rats were selected and examined. Rats were divided into two groups as control and experimental. Acute water immersion stress was induced in experimental group. Blood samples were collected and inspected for immunity markers.

Results: All the markers showed marked changes in acute stress. Changes in CD4 and CD8 showed strong significant changes.

Conclusion: The study reported the immunomodulatory effect of acute stress in albino rats.

Keywords:  Acute stress, Albino rats, immunity markers

Bilateral Sagittal Split Osteotomy: a Case Report

Class III skeletal malocclusion with isolated mandibular prognathism is common among kerala population. They may cause both function and esthetic compromise adversely affecting the quality of life of an young individual. Class III skeletal deformity show a familial inheritance pattern. Isolated mandibular prognathism can be treated with bilateral sagittal split osteomy and mandibular setback. Along with orthodontic treatment, this young adults can be given a new face improving their social well being without compromising the function. Here we present a case report of a 22 years old male with isolated mandibular prognathism and class III malocclusion treated with bilateral sagittal split osteotomy and mandbilar setback.

Keywords: bilateral sagittal split osteotomy; class III malocclusion, Mandibular prognathism

Knowledge, Attitude and Practices Regarding Pharmacological Methods of Tobacco Cessation among Dental Students and Dental Teaching Faculty in Ernakulam District, Kerala – a Questionnaire Study.

Background: Tobacco has been a worldwide public health threat and a cause of avoidable morbidity and mortality. Most people who use tobacco regularly are unable to quit because of nicotine’s addictive properties. Overcoming addiction is difficult, even though most users express a desire to reduce the use or stop. Tobacco cessation may require both pharmacologic and behavioural treatments. It is imperative that dental professionals need to have an appropriate knowledge regarding the pharmacological interventions of tobacco cessation, that will enable them to aid in patient education, counselling, prevention, diagnosis and treatment of associated conditions.

Methodology: The study was a cross-sectional questionnaire-based survey. The target population was the clinical dental students, House surgeons, and teaching faculty. The questionnaire was divided into two parts. The first part consisted of questions on professional data – designation/year of study of respondents. The second part consisted of 16 questions to assess the knowledge, attitude, and practices regarding pharmacological interventions for tobacco cessation. Informed consent was obtained prior to distribution of questionnaires.

Results: The study was conducted among a total of 392 participants that included 328 students/house surgeons and 64 faculty members. About 95% of the respondents were interested in helping their patient’s quit tobacco. Only 64.28% were aware of both pharmacological and non-pharmacological methods of tobacco cessation. About 72.95%, were aware of nicotine replacement therapy. About 35.2% of the respondents agreed that patients had sought their assistance in tobacco cessation. Over 97% believed that they need further training in pharmacological methods of tobacco cessation.

Conclusion: The study attributes that the dental students, house surgeons and teaching faculty members who participated in the survey had a good attitude towards tobacco cessation interventions. The knowledge and practice components were relatively weaker.

Key words: Tobacco use cessation, nicotine addiction, dentist’s role