Background: Inadequate width of attached gingiva appears to affect the efficiency of oral hygiene practice. There are numerous surgical procedures for gingival augmentation, though free mucosal graft is considered the “Gold Standard” for increasing the attached gingival width. This procedure has some drawbacks, such as compromised postoperative esthetics, donor site morbidity, and postoperative discomfort. The periosteal fenestration has been used in the past to augment the gingiva apical to recession. This study was conducted to evaluate the width of attached gingiva and other parameters after the periosteal fenestration procedure compared with a free mucosal graft. Materials and methods: This study included 30 patients with insufficient width of attached gingiva. All the patients were randomly divided into two groups, group I as periosteal fenestration and group II as free mucosal graft. Surgical procedure was performed. Clinical parameters were measured at baseline, 1 week, 3 months, and 6 months. Results: The results of our study showed that both procedures were equally effective in increasing the dimensions of attached gingiva. The mean increased amount at 3 months was 3.4 mm in the periosteal fenestration group and 4.0 mm in the free mucosal graft group. Other parameters, such as pain, swelling, and discomfort also showed significant results. Conclusion: The periosteal fenestration technique is a quick and safe procedure capable of augmenting attached tissue with excellent clinical outcomes as compared with the free mucosal graft surgery.

Background: Midface fractures are mostly associated with orbital injuries, among these fractures, zygomaticomaxillary complex (ZMC) fractures are the most common fractures associated with orbital involvement. Injuries to midface usually destroy the integrity of the orbital skeleton and are often complicated by ocular injury. Objective: The objective of the study is to determine the incidence and pattern of ocular injuries in maxillofacial trauma. Materials and methods: The study included 88 patients from 5 to 65 years of age who sustained maxillofacial trauma with orbital involvement. A routine clinical and radiological examination and a thorough ophthalmologic examination were performed. Results: Male predominance was noted (88.6%) and the majority of patients were found under the 16–25 years age group. RTA (72.7%) was the most common etiology for the injury followed by fall (20.5%). The ZMC fractures accounted for higher incidence of ocular injuries. Periorbital edema and ecchymosis were reported higher as extraocular injury. Loss of vision/blindness was observed in one patient. Conclusion: Maxillofacial trauma, particularly midface trauma may affect the integrity of the orbital region resulting in orbital injuries. Prompt recognition and efficient ophthalmic examination must be done for each maxillofacial trauma patient in order to provide appropriate management and to avoid further ophthalmic complications also.

Allergic inflammatory reactions of the oral mucosa due to intake of drugs are rare and non-specific. There is a great implication for the administration of drugs in oral mucosal lesions. Stomatitis medicamentosa may present as extensive and severe ulceration that can contain bullae or vesicles and may also be presented as a diffuse distribution of erythema. We report a case of possible stomatitis medicamentosa after the first dose of the covishield vaccine in a young female patient.

The importance of disinfection in dentistry is always emphasized due to the serious risk of cross-contamination among the patient, clinician, and lab personnel. It has become immensely significant, especially after the COVID-19 pandemic. However, the disinfection material and process can induce changes in the physical properties of various materials used in record-making. Hence this investigation was undertaken to assess the hardness and dimensional stability of three interocclusal record materials after disinfection with iodophor. Materials and methods: Polyvinyl siloxane, Aluwax, and Zinc Oxide Eugenol (ZOE) impression paste were the materials used for this study. The material was mixed and put into a stainless steel die. The materials were divided into 3 groups with 2 subgroups having 10 samples each. The samples were subjected to immersion in 0.5% iodophor for 10 minutes. Dimensional changes and surface hardness of the samples were experimented with by traveling microscope and hardness tester respectively. Results: Polyvinylsiloxane (PVS) (Jet Bite) showed the least change in terms of dimensional stability and surface hardness when immersed in 0.5% iodophor for 10 minutes. Conclusion: Polyvinylsiloxane (Jet Bite) was found to be having considerable dimensional stability and surface hardness before and after disinfection, which was heeded by ZOE paste and Aluwax respectively.

Background: Self-adhesive cement has found widespread use in various applications within prosthetic dentistry. Several conditioning agents, including phosphoric acid, polyacrylic acid, citric acid, and tannic acid, can influence the self-adhesive resin cement's bond strength. These agents have been studied for their effects on improving the self-adhesive resin cement's bond strength in different dental procedures. Materials and methods: A total of 24 recently extracted maxillary premolar teeth were carefully chosen for the present study. To protect their integrity, these teeth were cleaned and kept in distilled water until the procedure was performed. After that, the samples were split into four groups, each with 24 teeth. Group I was the control group, which received no surface treatment. In group II, 10% polyacrylic acid was scrubbed on the prepared tooth surface for a duration of 20 seconds. Group III involved the application of tannic acid (15%) on the prepared teeth for a period of 10 minutes. Lastly, group IV received a surface treatment with phosphoric acid (37%) applied for 15 seconds. After the surface treatment was completed, Rely X U200 cement was bonded to the prepared tooth surfaces in all four groups. The samples were put through a test utilizing a universal testing machine, which delivers controlled force to gauge the shear bond strength. Results: A statistically significant difference (p < 0.05) was found between the groups when the Kruskal-Wallis test was used to compare the shear bond strength between the groups. The Mann-Whitney U-test was used to do further post hoc pairwise comparisons. According to the findings, group II's shear bond strength was much greater than that of the other three groups. There were no appreciable variations between group I and group III, group I and group IV, or group III and group IV, though. In conclusion, while no significant differences were discovered among the other pairwise comparisons, group II showed a considerably larger shear bond strength compared to the other three groups. Conclusion: The self-adhesive resin cement's bond strength to dentin was significantly improved by pretreating the dentin with 10% polyacrylic acid. This finding indicates that using polyacrylic acid as a conditioning agent can effectively improve the adhesive properties of the cement, leading to a stronger bond between the cement and dentin surface.

Objective: To ascertain the correlation between sociodemographic and clinic-pathological risk variables and oral cancer. Materials and methods: At Mahatma Gandhi Medical College & Hospital (MGMCH) in Jaipur, Rajasthan, India, a two-year cross-sectional survey was conducted. The Medical Records office provided medical records for 300 patients with oral cancer. Results: Males (63.3%), non-smokers (56.6%), betel quid chewers (96.6%), and residents of different sub-cities of Rajasthan made up the bulk of oral cancer cases. The majority of patients were in stages III (30%) and IV (45%) at the time of diagnosis. The most often used type of therapy was a surgical, radiation, or combination. The majority of the patients were still living (73%) at the time of this study. Conclusion: The gingivobuccal sulcus (GBS) complex malignancy was the most frequently involved oral cavity site (33%), and oral squamous cell carcinoma (OSCC) was the most commonly encountered oral cancer in the Rajasthan population (73.3%).

The enhancement of ridge-split procedure by piezosurgery provides adequate buccolingual width for implant placement in atrophied alveolar ridges. A 50-year-old systemically healthy female reported with 3 mm of buccolingual width in the anterior mandibular alveolar ridge. The patient underwent immediate implant placement after alveolar ridge split done by piezosurgery and the use of expanders. Functional prosthetic rehabilitation was done after 3 months. The ridge-split procedure has predictable results in implant survival. The piezosurgical unit provides more favorable osseous results than hand instruments.

Treatment guidelines for implant cases have improved tremendously over the years. Osseointegration of dental implants is not enough for treatment success because patient satisfaction lies also in the esthetics of restoration. A beneficial way to conduct implant dentistry involves exemplary diagnosis and treatment planning, keeping in mind the surgical and prosthetic parts. For any implant-driven prosthesis, sticking to the basic principle plays a key role. A hybrid prosthesis is a viable option when restoring function and esthetics in edentulous patients. Thus, the present case report brings out the experience of rehabilitating the patient with an implant-supported hybrid prosthesis.

Background: General factors such as endocrine disorders, osteopetrosis, Gorlin syndrome, and cleidocranial dysplasia or local factors such as supernumerary teeth, odontoma, cysts, tumors, dense mucoperiosteum, ankylosis, abnormal inclination and crowding, malposition of the tooth germ, dilacerations and trauma are the main causes of impacted teeth. In the case of a traumatic primary dentition, even a permanent tooth germ could be damaged. As shown in clinical results, malposition and disturbances of eruption, root deformation, and eruption disturbances could occur. According to dental literature generally accepted treatment options are surgical repositioning, extraction, and orthodontic traction. Case description: A 10-year-old girl was referred by a pediatric dentist to the Health Science University of Istanbul with a pain complaint in the right lower quadrant. After a radiological examination, a cystic formation around the malposed permanent tooth germ and deep dentin caries in primary and permanent teeth in the lower right region were found. Surgical intrafollicular transposition was performed in order to correct the position of tooth 44's germ and a full eruption to the correct position and root development were observed during the follow-up by the end of the first year. Conclusion: Both early diagnosis and treatment are critically important for the prognosis of dislocated permanent tooth germ. Orthodontic traction could also be considered as a treatment option in hard cases instead of referring directly to extraction. Surgical repositioning of impacted permanent tooth germ could prevent malposition at later ages. Spontaneous eruption and function at occlusion are expected after surgical intervention.

Orbital mucormycosis was the second most common type of mucormycosis during the COVID-19 wave, which along with the loss of orbital content, lead to a loss of confidence in the patients as well. Prosthodontists play a major role in rehabilitating the lost structure as well as the lost confidence in the patients by providing extra-oral silicone prosthesis. Shade matching of maxillofacial silicone elastomer is one vital step during fabrication of the prostheses. Available literature does not yet describe the procedure of shade matching and extrinsic layering of silicone prosthesis in detail. This article presents a case report of a 45-year-old male patient who presented with a healed surgical site of exenterated orbit due to mucormycosis and complained of disfigurement of the face. A customized silicone orbital prosthesis was fabricated for the patient. The present case report critically focused on color matching during silicone manipulation and extrinsic layering after curing the prosthesis.

Those patients who have lost an important biological and functional part such as a hand or finger will experience changes in social acceptance that impact their psyche and sense of well-being. The quality of life of such patients is hampered and social integration and bonding are also affected. The prosthetic rehabilitation of the avulsed part of the fingers supports the patient emotionally as well as restores their physical appearance and makes them more confident. In this case report four avulsed fingers were fabricated with the help of silicone elastomers.