Haemangiomas are benign tumours of blood vessel origin and are classified as capillary, cavernous or central. They appear as flat or raised reddish-blue lesions and are generally solitary, affecting women in younger age groups. The tumour may be slowly progressive, involving extensive portions of the superficial and deep blood vessels, and affect function, depending on location. They are common in the head and neck region but rarely in the oral cavity. Oral lesions generally appear on the lips, buccal mucosa and tongue, but rarely on the palate. As the lesion can be confused with pyogenic granuloma, histopathological examination is important for a final diagnosis. The case presented here signifies a rare location of a capillary haemangioma on the palate in a middle aged man. The lesion was diagnosed by histopathology after surgical excision.

Background: Both diabetes mellitus (DM) and periodontitis
are chronic diseases affecting large number of the population
worldwide. Changes in human behavior and lifestyle over the
last century have resulted in a dramatic increase in the incidence
of diabetes in the world. This study was designed to evaluate the
relationship between severity of periodontal disease and control of
diabetes (glycated hemoglobin [HBA1c]) in patients with Type 1
DM in a hospital based study.
Materials and Methods: Fifty patients (n = 50) with Type 1
diabetes were enrolled in the study. They were divided into three
groups based on the degree of glycemic control by measuring
HbA1c levels as: “Good” (HBA1c ≤7) Group A, fair (HBA1c = 7-8)
Group B and poor (HBA1c >8) Group C. All enrolled patients
underwent detailed history and dental checkup. Evaluation for
periodontal disease was done by measuring dental plaque (plaque
index), inflammation of gums (gingival index), probing pocket
depth (PPD), and clinical attachment level.
Results: Type 1 diabetics with poor glycemic control had
increased gingival inflammation (P < 0.05), more dental plaque
(P < 0.05), increased PPDs (P < 0.05) and attachment loss
(P < 0.05) as compared to those with fair and good glycemic
control, respectively.
Conclusion: Severity of periodontal disease increases with poor
glycemic control in patients with Type 1 DM.

Bacterial invasion in subgingival sites especially of gram-negative
organisms are initiators for periodontal diseases. The periodontal
pathogens with persistent infl ammation lead to destruction of
periodontium. In recent years, periodontal diseases have been
associated with a number of systemic diseases such as rheumatoid
arthritis, cardiovascular-disease, diabetes mellitus, chronic
respiratory diseases and adverse pregnancy outcomes including
pre-term low-birth weight (PLBW) and pre-eclampsia. The factors
like low socio-economic status, mother’s age, race, multiple births,
tobacco and drug-abuse may be found to increase risk of adverse
pregnancy outcome. However, the same are less correlated with
PLBW cases. Even the invasion of both aerobic and anerobic may
lead to infl ammation of gastrointestinal tract and vagina hence
contributing to PLBW. The biological mechanism involved between
PLBW and Maternal periodontitis is the translocation of chemical
mediators of infl ammation. Pre-eclampsia is one of the commonest
cause of both maternal and fetal morbidity as it is characterized by
hypertension and hyperprotenuria. Improving periodontal health
before or during pregnancy may prevent or reduce the occurrences
of these adverse pregnancy outcomes and, therefore, reduce the
maternal and perinatal morbidity and mortality. Hence, this article
is an attempt to review the relationship between periodontal
condition and altered pregnancy outcome.
Key Words: Adverse pregnancy outcome, periodontal disease, preeclampsia,
pregnancy, pre-term low-birth weight