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2015

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Full-Text Articles in Dentistry

ประสิทธิภาพของอาหารเลี้ยงเชื้อ ไมติส ซาลิวาเรียส แบซิทราซิน อะการ์ ที่จัดเก็บไว้นาน 4 สัปดาห์ในการแยกเชื้อ มิวแทนส์ สเตร็ปโตคอคไค ในน้ำลายมนุษย์, บรรเจิด ยะพงศ์, ศิษฎา ตันนุกิจ, สุวรรณา จิตภักดีบดินทร์ Sep 2015

ประสิทธิภาพของอาหารเลี้ยงเชื้อ ไมติส ซาลิวาเรียส แบซิทราซิน อะการ์ ที่จัดเก็บไว้นาน 4 สัปดาห์ในการแยกเชื้อ มิวแทนส์ สเตร็ปโตคอคไค ในน้ำลายมนุษย์, บรรเจิด ยะพงศ์, ศิษฎา ตันนุกิจ, สุวรรณา จิตภักดีบดินทร์

Chulalongkorn University Dental Journal

วัตถุประสงค์ เพื่อเปรียบเทียบประสิทธิภาพของอาหารเลี้ยงเชื้อไมติส ซาลิวาเรียส แบซิทราชิน อะการ์ ที่เตรียม เก็บไว้นาน 1, 3 และ 4 สัปดาห์ วัสดุและวิธีการ เก็บน้ําลายโดยใช้พาราฟินเป็นตัวกระตุ้นจากอาสาสมัคร 20 คน แล้วนําไปเพาะเลี้ยงเชื้อบน อาหารเลี้ยงเชื้อไมติส ซาลิวาเรียส อะการ์ และ ไม่ติส ซาลิวาเรียส แบซิทราซิน อะการ์ ที่เตรียมเก็บไว้นาน 1, 3 และ 4 สัปดาห์ โดยวิธีสเปรดเพลท ผลการศึกษา จํานวนมิวแทนส์ สเตร็ปโตคอคไค ที่เจริญบนอาหารเลี้ยงเชื้อไมติส ซาลิวาเรียส แบซิทราซิน อะการ์ เก็บที่อุณหภูมิ 4 องศาเซลเซียสเป็นระยะเวลา 1, 3 และ 4 สัปดาห์ มีจํานวนเชื้อและลักษณะโคโลนีไม่แตกต่างกัน และไม่พบการเจริญของเชื้อสปีชีส์อื่น เชื้อที่เลี้ยงบนอาหารเลี้ยงเชื้อที่ไม่มีแบซิทราซินมีจํานวนสูงกว่าอาหารเลี้ยง เชื้อที่มีแบซิทราซินอย่างมีนัยสําคัญทางสถิติ (p<0.05) สรุป อาหารเลี้ยงเชื้อไมติส ซาลิวาเรียส แบซิทราซิน อะการ์ สามารถเก็บที่อุณหภูมิ 4 องศาเซลเซียสได้นานถึง 4 สัปดาห์ โดยไม่สูญเสียคุณสมบัติของการเป็นอาหารเลี้ยงเชื้อจําเพาะสําหรับเชื้อกลุ่มมิวแทนส์ สเตร็ปโตคอคไค (ว ทันต จุฬาฯ 2558;38:177-184)


Challenging The Efficacy Of Different Dental Bleaching Protocols, A. Koniaris, Vasileios Margaritis Sep 2015

Challenging The Efficacy Of Different Dental Bleaching Protocols, A. Koniaris, Vasileios Margaritis

Walden Faculty and Staff Publications

No abstract provided.


Are Bone Turnover Markers And Vitamin D Levels Associated With Frequency Of Complete Denture Relines?, Shweta Puri Sep 2015

Are Bone Turnover Markers And Vitamin D Levels Associated With Frequency Of Complete Denture Relines?, Shweta Puri

Loma Linda University Electronic Theses, Dissertations & Projects

PURPOSE: To compare groups of subjects with varying frequencies of complete denture relines in terms of their bone turnover markers; C-terminal Telopeptide (C-Tx), Osteocalcin (OCN) and Vitamin D (25 OH-Vit D) levels to determine the presence of and the degree of association between them.

METHODS: This study was designed as a cross-sectional study wherein a retrospective chart review of three hundred twenty four edentulous subjects with history of complete denture use for at least a year was performed to determine history and frequency of their complete denture relines. A total of 100 patients were enrolled. After consent was obtained, each …


Tooth Size Ratio In Orthodontic Patients With Varied Sagittal Skeletal Patterns; A Cbct Study, James Barra Sep 2015

Tooth Size Ratio In Orthodontic Patients With Varied Sagittal Skeletal Patterns; A Cbct Study, James Barra

Loma Linda University Electronic Theses, Dissertations & Projects

Objective: Maxillomandibular tooth size ratio (TSR) is an important aspect in achieving a satisfactory orthodontic outcome. The purpose of this study is to compare TSR among orthodontically treated patients with different skeletal anteroposterior (AP) patterns. Methods and Materials: The post-treatment (T2) cone beam computed tomograms (CBCTs) of patients treated orthodontically without extraction and finished with canine and molar class I occlusion were evaluated. The subjects were categorized into class I, class II and class III skeletal pattern by analyzing A point-Nasion-B point (ANB) at T2. Overbite (OB), overjet (OJ), TSR for canine to canine (TSR3-3) and molar to molar (TSR6-6), …


The Effect Of Scan Settings On The Identification Of Tooth Socket Lamina Dura Surface: A Cbct Study, Erick Carlucci Sep 2015

The Effect Of Scan Settings On The Identification Of Tooth Socket Lamina Dura Surface: A Cbct Study, Erick Carlucci

Loma Linda University Electronic Theses, Dissertations & Projects

Aim: Cone-beam computed tomography (CBCT) is becoming a common adjunct in orthodontic diagnosis and treatment, however several questions remain about the impact of surrounding anatomical structures and varying scan settings on the ability to delineate buccal bone and overall diagnostic quality of images produced. The aim of this study was to determine if adjacent structures with similar radiodensity and variable scan settings (field of view and voxel size) significantly impact the ability to accurately identify the tooth socket facial lamina dura, facial bone surface, facial bone margin, as well as the facial bone thickness measurement. Materials & Methods: CBCT scans …


Tooth Length Measurements On 3t Mr Images: A Retrospective Study, Kevin G. Murray Sep 2015

Tooth Length Measurements On 3t Mr Images: A Retrospective Study, Kevin G. Murray

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The purpose of this study was to determine if MRI can be used to accurately measure tooth lengths. Methods: MRI tooth length measurements were compared with “actual tooth lengths” as measured on CBCT scans. Twenty three subjects received two scans (one CBCT and one MRI). Tooth length was measured and compared between the resultant images. Intraclass correlations were used for statistical analysis. Results: Tooth length measurements made on MRI scans showed moderate to almost perfect agreement with tooth length measurements made on CBCT scans. Higher levels of agreement were present in the maxillary arch compared to the mandibular arch. …


Effect Of Diamond Bur And Root Canal Irrigants On Retention Of Fiber Posts, Rami Jekki Sep 2015

Effect Of Diamond Bur And Root Canal Irrigants On Retention Of Fiber Posts, Rami Jekki

Loma Linda University Electronic Theses, Dissertations & Projects

Esthetic glass fiber-reinforced posts are being used more often. The most commonly reported complication associated with these posts is debonding. Dentine conditioning with solutions such as EDTA or MTAD results in removal of smear layer and might improve the retention of posts to root canal dentin. Therefore, the purpose of this study was to investigate the effect of cleansing the post space with MTAD or EDTA on the bond strength of glass fiber-reinforced posts, when a diamond roughening instrument is used prior to cementation with self-adhesive resin cement. Forty-five (n=15) extracted human premolar teeth were sectioned at the cemento-enamel junction …


Treatment Outcomes Of Patients With Unilateral Class Ii Malocclusions: A Cbct Study, Brent Leggett Sep 2015

Treatment Outcomes Of Patients With Unilateral Class Ii Malocclusions: A Cbct Study, Brent Leggett

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The purposes of this study were to determine the prevalence of Class II (Cl II) subdivision patients, to quantify the change in TMJ complex, and mandibular length after treatment was accomplished. Materials and Methods: Records of consecutive patients who sought orthodontic treatment at Loma Linda University (LLU) were screened. Only patients with dental Cl II subdivision that had completed treatment with pre- (T1) and post-treatment (T2) cone beam computed tomograms (CBCTs) available were evaluated for changes in the TMJ complex position related to Foramen Rotundum (TMJ-FR), joint spaces and mandibular length (condylion to genial tubercles). Comparisons were made between …


Morphological Changes In Alveolar Bone Following Orthodontic Space Closure, Ninette Hacopian Sep 2015

Morphological Changes In Alveolar Bone Following Orthodontic Space Closure, Ninette Hacopian

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Changes occurring in anterior alveolar bone following orthodontic tooth movement are controversial. Some research has shown that orthodontic tooth movement results in the adaptation of cortical bone; others have shown that it results in dehiscence and fenestrations.

Purpose: The purpose of this study was to evaluate the alveolar bone changes around maxillary anterior teeth following orthodontic space closure.

Materials and Methods: Cone beam computed tomograms (CBCTs) of non-growing patients who received orthodontic treatment with bilateral maxillary premolar extraction were evaluated. Only patients with at least 5 degrees of changes in maxillary incisor (U1) to palatal plane angle were included …


Comparison Of Maxillary Anterior Teeth Width To Facial Dimensions Among Three Races, Ewa Parciak Sep 2015

Comparison Of Maxillary Anterior Teeth Width To Facial Dimensions Among Three Races, Ewa Parciak

Loma Linda University Electronic Theses, Dissertations & Projects

Dental esthetics and tooth proportions have become increasingly relevant in dentistry, as the cosmetic demands of patients increase. Determining the appropriate esthetic dimensions of the maxillary anterior teeth is an important aspect in fixed and removable prosthodontics. The proportion of facial structures and the relationship between facial measurements and natural teeth could provide additional guidance in selecting denture teeth as well as in determining ideal teeth size for fixed restorations. There have been many publications on this topic, however, the subjects in these studies have been mostly selected from the Caucasian race. With the increasing diversity of the American population …


Using A Thermoplastic Sheet To Add Palatal Rugae To A Complete Removable Dental Prosthesis, Seok-Hwan Cho, William W. Nagy Sep 2015

Using A Thermoplastic Sheet To Add Palatal Rugae To A Complete Removable Dental Prosthesis, Seok-Hwan Cho, William W. Nagy

School of Dentistry Faculty Research and Publications

No abstract provided.


Fracture Resistance Of Compromised Endodontically Treated Teeth Restored With Bonded Post And Cores: An In Vitro Study, Georgios Maroulakos, William W. Nagy, Elias D. Kontogiorgos Sep 2015

Fracture Resistance Of Compromised Endodontically Treated Teeth Restored With Bonded Post And Cores: An In Vitro Study, Georgios Maroulakos, William W. Nagy, Elias D. Kontogiorgos

School of Dentistry Faculty Research and Publications

Statement of problem: It is unclear which post and core system performs best when bonded to severely compromised endodontically treated teeth.

Purpose: The purpose of this study was to investigate the fracture resistance and mode of failure of severely compromised teeth restored with 3 different adhesively bonded post and core systems.

Material and methods: Thirty extracted endodontically treated maxillary anterior teeth were randomly divided into 3 groups, CPC, gold cast post and core; TPC, titanium prefabricated post/composite resin core; and FPC, quartz fiber reinforced post/composite resin core. All posts were adhesively cemented. All cores resembled a central incisor preparation with …


Prevalence And Rationale Of Orthodontic Extractions At Loma Linda University, Teresa T. Tran Sep 2015

Prevalence And Rationale Of Orthodontic Extractions At Loma Linda University, Teresa T. Tran

Loma Linda University Electronic Theses, Dissertations & Projects

Aim: The purpose of this study was to determine the prevalence of orthodontic extraction cases and the rationale for the decision-making. Materials & Methods: The records of consecutive patients who had completed orthodontic treatment at Graduate Orthodontic Clinic, Loma Linda University School of Dentistry, between January 2010 and December 2014 were reviewed for prevalence of orthodontic extractions. Cone beam computed tomograms (CBCTs) of patients, that had extraction(s) prescribed as part of orthodontic treatment, were analyzed dentally and skeletally. Patients were then categorized according to the degree of crowding in each dental arch. A one-way ANOVA (Kruskal-Wallis) test and …


Color-To-Grayscale Conversion Using A Smart Phone Camera For Value Comparison, Seok-Hwan Cho Sep 2015

Color-To-Grayscale Conversion Using A Smart Phone Camera For Value Comparison, Seok-Hwan Cho

School of Dentistry Faculty Research and Publications

No abstract provided.


Development Of Optical Biosensor Technologies For Cardiac Troponin Recognition, Mojgan Abdolrahim, Mohammad Rabiee, Sanaz Naghavi Alhosseini, Mohammadreza Tahriri, Sara Yazdanpanah, Lobat Tayebi Sep 2015

Development Of Optical Biosensor Technologies For Cardiac Troponin Recognition, Mojgan Abdolrahim, Mohammad Rabiee, Sanaz Naghavi Alhosseini, Mohammadreza Tahriri, Sara Yazdanpanah, Lobat Tayebi

School of Dentistry Faculty Research and Publications

Acute myocardial infarction (AMI) is the leading cause of death among cardiovascular diseases. Among the numerous attempts to develop coronary marker concepts into clinical strategies, cardiac troponin is known as a specific marker for coronary events. The cardiac troponin concentration level in blood has been shown to rise rapidly for 4–10 days after onset of AMI, making it an attractive approach for a long diagnosis window for detection. The extremely low clinical sensing range of cardiac troponin levels consequently makes the methods of detection highly sensitive. In this review, by taking into consideration optical methods applied for cardiac troponin detection, …


Platform Switching Of Implants May Decrease Bone Loss, Gary L. Stafford Sep 2015

Platform Switching Of Implants May Decrease Bone Loss, Gary L. Stafford

School of Dentistry Faculty Research and Publications

Data sources: PubMed/Medline, Web of Science and the Cochrane Oral Health Group Trials Register, clinicaltrials.gov, www.centerwatch.com/clinical-trials, www.clinicalconnection.com supplemented by a manual search of dental implants-related journals.

Study selection: Clinical studies, either randomised or not, comparing implant failure rates, marginal bone level (MBL) and/or postoperative infection in any group of patients receiving platform-switched implants or platform-matched implants were considered.

Data extraction and synthesis: Study quality was assessed using the Newcastle-Ottawa scale (NOS).Only randomised clinical trials (RCTs) were considered for meta-analysis. Implant failure and postoperative infection were the dichotomous outcomes measures evaluated. Weighted mean differences were used for MBL.

Results: Twenty-eight studies …


Custom Total Occlusal Convergence Angle Sticker Fabrication, Seok-Hwan Cho, William W. Nagy Sep 2015

Custom Total Occlusal Convergence Angle Sticker Fabrication, Seok-Hwan Cho, William W. Nagy

School of Dentistry Faculty Research and Publications

This article describes a method of fabricating a custom total occlusal convergence angle sticker with photo editing software and label stickers. The custom total occlusal convergence angle sticker can help clinicians achieve an accurate degree of taper during axial wall reduction of tooth preparation.


Comparison Of The Kois Dento-Facial Analyzer System With An Earbow For Mounting A Maxillary Cast, Laura H. Lux, Geoffrey A. Thompson, Kenneth J. Waliszewski, Gerald J. Ziebert Sep 2015

Comparison Of The Kois Dento-Facial Analyzer System With An Earbow For Mounting A Maxillary Cast, Laura H. Lux, Geoffrey A. Thompson, Kenneth J. Waliszewski, Gerald J. Ziebert

School of Dentistry Faculty Research and Publications

Statement of problem: The Kois Dento-Facial Analyzer System (KDFA) is used by clinicians to mount maxillary casts and evaluate and treat patients. Limited information is available for understanding whether the KDFA should be considered as an alternative to an earbow.

Purpose: The purpose of this study was to evaluate maxillary casts mounted using the KDFA with casts mounted using Panadent's Pana-Mount Facebow (PMF). Both articulation methods were compared against a lateral cephalometric radiograph.

Material and methods: Fifteen dried human skulls were used. Lateral cephalometric radiographs and 2 maxillary impressions were made of each skull. One cast from each skull was …


Intraosseous Sebaceous Adenocarcinoma Of The Maxilla, Deepthi Hoskoppal, Sohail Qayyum, Kenneth M. Anderson, Yeshwant B. Rawal Sep 2015

Intraosseous Sebaceous Adenocarcinoma Of The Maxilla, Deepthi Hoskoppal, Sohail Qayyum, Kenneth M. Anderson, Yeshwant B. Rawal

School of Dentistry Faculty Research and Publications

Primary intraosseous salivary malignancies are rare. The adenoid cystic adenocarcinoma, adenocarcinoma not otherwise specified, acinic cell adenocarcinoma and the epithelial-myoepithelial carcinoma have all been reported within the jaws. The mucoepidermoid carcinoma is by far the most common tumor in this setting accounting for 2%-4% of all mucoepidermoid carcinomas. An intraosseous sebaceous adenocarcinoma has never been reported. We document a case of sebaceous adenocarcinoma of the maxilla in a 56-year-old woman who presented with a painful swelling of the right face. CT scans showed an expansile, osteolytic tumor of the right maxilla. An exploratory biopsy revealed the tumor to be expanding …


Targeted Salivary Biomarkers For Discrimination Of Periodontal Health And Disease(S), Jeffrey L. Ebersole, Radhakrishnan Nagarajan, David Akers, Craig S. Miller Aug 2015

Targeted Salivary Biomarkers For Discrimination Of Periodontal Health And Disease(S), Jeffrey L. Ebersole, Radhakrishnan Nagarajan, David Akers, Craig S. Miller

Center for Oral Health Research Faculty Publications

Generally, clinical parameters are used in dental practice for periodontal disease, yet several drawbacks exist with the clinical standards for addressing the needs of the public at large in determining the current status/progression of the disease, and requiring a significant amount of damage before these parameters can document disease. Therefore, a quick, easy and reliable method of assessing and monitoring periodontal disease should provide important diagnostic information that improves and speeds treatment decisions and moves the field closer to individualized point-of-care diagnostics.

OBJECTIVE: This report provides results for a saliva-based diagnostic approach for periodontal health and disease based upon …


Ada News - 08/17/2015, American Dental Association, Publishing Division Aug 2015

Ada News - 08/17/2015, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.


Effect Of Chemical Pocket Disinfection As An Adjunct To Non-Surgical Maintenance Therapy Of Inflamed Periodontal Pockets, Chad Riggs Aug 2015

Effect Of Chemical Pocket Disinfection As An Adjunct To Non-Surgical Maintenance Therapy Of Inflamed Periodontal Pockets, Chad Riggs

Theses & Dissertations

Purpose: Scaling and root planing with adjunctive chemical pocket disinfection (SRP+C) utilizing sodium hypochlorite solution has been used to treat inflamed pockets of periodontal maintenance patients for many years, without evidence of its benefits. The primary objective was to determine if SRP+C is more effective than scaling and root planing alone (SRP) in improving clinical outcomes. The secondary objective was to compare the effect of SRP+C and SRP on pro-inflammatory IL-1β, anti-inflammatory IL-1ra, and anti-inflammatory index (IL-1ra/IL-1β ratio) found in gingival crevicular fluid (GCF).

Materials and Methods: Pockets (≥ 5 mm and BOP) of 31 maintenance patients were included. Test …


Prevention Of Experimental Periodontitis In Rats With A Simvastatin Prodrug, Aaron Bradley Aug 2015

Prevention Of Experimental Periodontitis In Rats With A Simvastatin Prodrug, Aaron Bradley

Theses & Dissertations

Introduction: Simvastatin (SIM) is a hypolipidemic drug that has been shown to have anti-inflammatory and bone anabolic properties. The aim of this study was to examine the effects of novel locally-applied SIM conjugated with methoxypolyethylene glycol to form micelles (SIM/SIM-mPEG) in an experimental periodontitis model in rats using micro-computed tomography (µ-CT) and histologic evaluation.

Methods: Experimental periodontitis was induced using silk ligatures around the maxillary right second molar (M2) in 40 Sprague-Dawley rats. Rats were divided into five groups using SIM/SIM-mPEG at 0.5, 1.0, or 1.5 mg SIM doses, mPEG-alone or no drug (ligature-alone) injected into the palatal M1-M2 gingiva …


Ada News - 08/03/2015, American Dental Association, Publishing Division Aug 2015

Ada News - 08/03/2015, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.


Chhs August 2015 E-Newsletter,, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services Aug 2015

Chhs August 2015 E-Newsletter,, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.


Trident - August 2015, Dugoni School Of Dentistry Aug 2015

Trident - August 2015, Dugoni School Of Dentistry

Trident

The newsletter of the Pacific Orthodontic Alumni Chapter at University of the Pacific, Arthur A. Dugoni School of Dentistry.


Current Clinical And Curricula Experiences Of Postgraduate Pediatric Dentistry Programs On Non-Iv Conscious Sedation In The United States, Aline Morin Aug 2015

Current Clinical And Curricula Experiences Of Postgraduate Pediatric Dentistry Programs On Non-Iv Conscious Sedation In The United States, Aline Morin

Student Theses, Dissertations and Capstones

Purpose: The aims of this study were to: (1) evaluate the prevalence of compliance of Postgraduate Pediatric Dentistry Programs (PPDPs) in the United States with the current American Academy of Pediatric Dentistry (AAPD) sedation guidelines and Commission On Dental Accreditation (CODA) sedation curriculum requirements and identify barriers to and facilitators for implementation of such guidelines; (2) identify changes to-date in sedation practices of PPDP since the previously published AAPD sedation guidelines (2011); and (3) determine the independent association of compliance of PPDP with program setting. Methods: A 40-item questionnaire was emailed to all postgraduate pediatric dentistry program directors (PPDPDs) of …


Comparing The Efficacy Of Laser Fluorescence And Explorer Examination In Detecting Subgingival Calculus In Vivo, Mark Mccawley Aug 2015

Comparing The Efficacy Of Laser Fluorescence And Explorer Examination In Detecting Subgingival Calculus In Vivo, Mark Mccawley

Student Theses, Dissertations and Capstones

This paper investigated the sensitivity, specificity, accuracy, and precision of laser fluorescence and tactile probing for the detection of subgingival calculus. The gold standard for subgingival calculus detection has always been tactile probing. In this study 27 teeth were collected and 108 surfaces investigated, one tooth was excluded (group #13) where no calculus was observed on any surface, and three surfaces because of subgingival root caries to avoid confounding data, which left a total of 101 surfaces of 26 extracted teeth that meet the investigation criteria. The presence of subgingival calculus was observed on 75 tooth surfaces (74.25%). There was …


Contact Point, Arthur A. Dugoni School Of Dentistry Aug 2015

Contact Point, Arthur A. Dugoni School Of Dentistry

Contact Point

No abstract provided.


Epithelial And Fibrous Hyperplasia: An Oral Manifestation Of Tuberous Sclerosis Complex., Sandra U. Mbibi Dds, Stuart L. Segelnick Dds, Mea A. Weinberg Dmd Aug 2015

Epithelial And Fibrous Hyperplasia: An Oral Manifestation Of Tuberous Sclerosis Complex., Sandra U. Mbibi Dds, Stuart L. Segelnick Dds, Mea A. Weinberg Dmd

Individual Scholarship

The authors present a case study of a 13-year-old female with a past medical history of tuberous sclerosis complex (TSC), an autosomal dominant disorder. It usually presents with a triad of epilepsy, mental deficiency and facial angiofibromas that are often dis tributed around the nose, cheek and chin, and are frequently shaped like butterfly wings. In addition, oral manifestations include gingival enlargement and developmental enamel pitting on the facial aspect of the anterior permanent dentition in 50% to 100% of patients. The patient’s chief complaint was gingival enlargement and gingival bleeding. The histology of the excised gingival tissue revealed epithelial …