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A myofibroma is a relatively rare neoplasm characterized by its spindle cell proliferation. This lesion can present as a unifocal mass (myofibroma) or multifocal growths (myofibromatosis) in the skin, soft tissue, bone, or internal organs. In the oral cavity, the tumor is commonly identified on the tongue, mucosa, lips, and mandible. Myofibroma classically occurs in infants and young children. Its fast-growing nature often mimics a sarcoma; however, it is a benign tumor. The purpose of this article is to report the case of an eight-year-old boy who presented with a localized, painless, nodular mass in the palate and gingiva. Through clinical, radiological, and immunohistochemical evaluation, the diagnosis of an atypical myofibroblastic tumor was made after resection of the mass. With interprofessional team management, the patient's quality of life was improved.

INTRODUCTION/BACKGROUND:Free autogenous graft was the gold standard to increase the keratinized mucosa and vestibular depth. The major downfall of this technique is the post-operative morbidity at the donor site. The purpose of this case report is to demonstrate a modified technique using acellular dermal matrix (ADM) to increase the keratinized mucosa around implants to achieve faster healing with less post-operative morbidity CASE PRESENTATION: Patient presented with inadequate keratinized tissue band and shallow vestibule at submerged implant sites bilaterally. Initially, surgical procedure of vestibuloplasty in conjunction with free gingival graft (FGG) was performed at one side. However, patient opted for the allograft as a substitute for the other side due to the post-op discomfort from palatal donor site. On the left side, the FGG procedure was performed in a conventional way stabilizing with sutures. On the right side, the ADM was stabilized with tacks only at recipient site and left exposed. The new vestibule was established and stabilized with tacks.  A significant gain of keratinized mucosa and vestibule depth was observed at the site of using ADM when compared to baseline. For the site of using FGG, keratinized mucosa was increased. However, the vestibule was rebounded compared to the site of using ADM with tacks. CONCLUSION/CONCLUSIONS:The use of acellular dermal matrix stabilized with tacks is a predictable procedure that can increase keratinized mucosa and establish stable vestibule around dental implants. It can lead to less chair time, faster healing and reduced post-operative morbidity compared to autogenous soft tissue graft. This article is protected by copyright. All rights reserved.

Many experienced clinicians as well as medical and dental students do not measure blood pressure accurately, because they either take shortcuts or lack knowledge regarding the appropriate technique. This article provides guidelines for proper blood pressure measurement.

Gabapentin is an anticonvulsant drug widely prescribed for various ailments, including orofacial pain. It was once thought to have no potential for abuse; however, the last decade has seen a dramatic rise in the nonmedical use of gabapentin, particularly among opioid-dependent patients. Gabapentin is sedating and interacts with other sedating medications such as opioids, which can lead to impairment and accidents and may raise the risk of overdose. Dentists must be aware of the potential for abuse of gabapentin and weigh its benefits against its risks when prescribing the drug.