Frenum is a fold of mucous membrane, usually with enclosed muscle fibers, which attaches the lips and cheeks to the alveolar mucosa and/or gingival and underlying periosteum. Different types of frenal attachments have been observed and classified. Frenum with abnormal attachments may lead to mucogingival problems while hampering gingival health, as they cause an interference in the plaque control or may create a muscle pull. This condition may require management that can be usually performed with frenectomy and frenotomy procedures. Frenectomy is the complete removal of the frenum, while frenotomy is the incision and relocation of the frenal attachment. The present article is a compilation and review of a series of clinical cases of frenal excision through different surgical approaches.

Although the correlation between the ABO blood group and certain systematic diseases is a well-documented fact. Few studies have explored the relationship of ABO with oral disorders including periodontal diseases (PD). This literature review aimed to assess the possible association between ABO blood grouping and PD. For this purpose, we searched online databases like PubMed and google scholar with the following terms in different combinations PD, ABO blood groups, gingivitis, the prevalence of periodontitis, aggressive periodontitis, risk factors of periodontitis, Association of PD and ABO, ABO Rh factor. English version papers describing the Oral health status are covered through research that includes clinical investigations, case studies, and retrospective studies on the subject. Historic reviews, articles with unpublished data, and letters to the editors were omitted from the survey following publications. The author thoroughly checked the titles and abstracts of the papers. The complete text was thoroughly assessed, and the relevant articles were analyzed in accordance with qualifying criteria. For further original and review research, references were further reviewed. Since our targeted subject was answered by a restricted number of original research. We identified fourteen articles describing the association of ABO blood types with PD. findings of our study concluded the genetic basis of the association of ABO blood types for the development of PD. six of the research provided here showed that the blood type O can serve as a prognostic factor for the development of PD. ABO blood types and Rhesus factors can be a risk predictors in the development of PD.

Dental implants are fixtures that constitute for the replacements of the root of a missing natural tooth. Dental implant therapy has been widely used for the restoration of partially and fully edentulous patients. The implant literature emphasizes the importance of a passively fitting prosthesis to prevent prosthodontic complications or even loss of fixture integration. Failure to achieve a passively fitting prosthesis and force tightening of superstructure may result in complications such as abutment, framework, and gold screw loosening or fracture. Various materials that can be used for making an implant impression are polyether, polyvinylsiloxane, condensation silicone, polysulfide, irreversible hydrocolloid material, and various others. There are various studies in relation to the accuracy of these impression materials out of which various scientists concluded different results with most studies stating polyether with the maximum amount of dimensional accuracy in comparison to other materials. An accurate implant impression plays a significant role and serves as a starting point in the process of producing good working casts. Thus, the accuracy of impression techniques becomes a significant issue in consideration of passive fit. Reproduction of intraoral relationship of implants through impression procedures is the first step in achieving accurate fit prosthesis. This transference is still complicated by the number, angulation, depth, and position of implants. The advent of computer-aided design/computer-assisted manufacturing technology improved the framework fabrication procedures and has increased the precision of fit of implant prosthesis.

Aim and Objective The present in vitro study was done to comparatively evaluate the effect of different endodontic irrigation protocols on the microhardness at coronal, middle, and apical levels of root canal dentin. Method The total sample size for the study was 100. Each sample consisted of a longitudinally sectioned half of a root of a single-rooted tooth, which was then embedded in acrylic resin. The prepared samples were divided randomly into five groups of twenty samples each. Each group was treated with its respective irrigant to be tested. Group I was the control—the specimens were treated with distilled water. The specimens in group II were treated with sodium hypochlorite (NaOCl), followed by ethylenediamine tetra-acetic acid (EDTA). Specimens in group III were treated with NaOCl, followed by CHX. Specimens in group IV were treated with NaOCl, followed by hydroxyethylidene bisphosphonate (HEBP), and specimens in group V were treated with NaOCl, followed by propolis. Following this, all the samples were placed on the Vickers microhardness tester, and the results were tabulated and statistically analyzed to determine the irrigant solutions effect on the microhardness of root dentin at coronal, middle, and apical third. Results Intergroup comparison of various irrigants showed that 18% HEBP showed the least reduction in the microhardness values of root canal dentin, and 17% EDTA caused the maximum decrease in microhardness values with a significant difference. When the baseline values were compared with the values after the use of experimental solutions in all the groups, it was observed that the microhardness gradually decreased from coronal to apical third of root dentin. Conclusion On the basis of the results obtained, it can be concluded that weak chelators such as 18% HEBP do not affect the microhardness considerably, and that they can be used in future in place of strong chelators, that is, EDTA, which make root dentin weak by more microhardness reduction.

Objective Various intrinsic and extrinsic stains cause discolored teeth, which is of great concern to patients, which can be treated by bleaching, enamel microabrasion, veneers, and crowns. However, bleaching leads to reduced bond strength if adhesive restorations are performed immediately. Thus, the application of antioxidant agents after bleaching has been recommended, which are proved to act as free radical scavengers, improving the bond strength. Materials and Methods A total of 120 extracted human maxillary incisor teeth were taken. Using a slow-speed diamond saw and a water coolant spray, the roots of all the teeth were removed approximately 2 mm below the cementoenamel junction. With the labial surface facing upward, each sectioned sample was embedded in the acrylic resin. Then, the central portion of the embedded tooth was ground flattened with 600-grit silicon carbide paper such that the labial enamel surface becomes smooth and evenly flat. All 120 samples were divided into two control groups (n = 20), i.e., positive control group (n = 10) and negative control group (n = 10) and five experimental groups (n = 100), such that each experimental group had 20 samples. The enamel surface in both the control groups and groups treated with antioxidants was thoroughly rinsed off with distilled water for 30 seconds and subjected to bonding procedure. Result Significant differences were observed among the experimental groups (p < 0.05). The samples that were treated with 10% sodium ascorbate (group III) demonstrated significantly higher mean shear bond strength than the other experimental groups (p < 0.05).

Aim The present study was aimed to clinically evaluate the effectiveness of coenzyme Q₁₀ (CoQ₁₀) in the management of chronic periodontitis. Materials and Methods A total of 60 patients aged between 30 and 60 years with bleeding on probing and probing pocket depth (PPD) of 3 to 5 mm were selected and divided into three groups, with group I receiving scaling and root planing, group II CoQ₁₀ formulation for 6 weeks, and group III receiving both scaling and root planning, followed by coenzyme Q₁₀ administration for 6 weeks. PPD, relative attachment level (RAL), and gingival index were recorded in all the groups at baseline, 6 weeks, and 3 months, respectively. The data was statistically analyzed using Kruskal–Wallis, Mann–Whitney, and Wilcoxon signed rank tests. Result Intragroup comparison showed statistically significant difference (p ≤ 0.05) between the clinical parameters of all the groups at all time intervals, whereas intergroup comparison of all the parameters showed high statistically significant difference (p ≤ 0.001) in group III at various time intervals followed by group I and group II. Conclusion It was concluded from the study that CoQ₁₀ is a useful adjunct in treating chronic periodontitis by boosting the host resistance to periodontal disease.

Background Forensic odontology deals with age, sex, and race determination of the deceased at crime scenes, disasters, or natural calamities. Studies regarding the role of secondary dentin in age estimation have been documented on a several occasions in the literature but use of secondary dentin in gender predilection has not yet been documented. So, the present study was aimed at using the secondary dentin as a diagnostic tool in gender predilection. Materials and Methods The study included a total of 20 samples (10 males and 10 females). Extracted teeth were collected and placed in 10% neutral buffered formalin solution. The sections were ground on Arkansas stone until the appropriate thickness of the ground sections was achieved. The freshly prepared ground section was mounted on a slide using DPX mounting media. Ground sections were visualized under a microscope and the thickness of secondary dentine was measured using the image analysis software. Results The data were collected and subjected to group statistics. The secondary dentin thickness of all the samples, males and females, was measured. It was observed in our study that the mean thickness of secondary dentin was more in male samples (0.2970) with the standard deviation of 0.01494, as compared with that of females where the mean thickness was found to be 0.1970 with the standard deviation of 0.02058. Conclusion This study has shown that variation in secondary dentin thickness does exist between male and female groups. This criterion can be considered as an aid for gender determination in the future.

Objective The present study aimed to observe the differences in the dissipation of the main minimum stresses with the use of a fixed pontic partial prosthesis supported by two regular length implants in cortical and medullary bone tissues of different qualities. Materials and Methods Experimental groups were as follows: QI (two regular length implants with fixed pontic partial prosthesis and bony qualities consistent with type I), QII (identical to QI, with bony qualities consistent with type II), and QIII (identical to QI, with bony qualities consistent with type III). All the groups were developed and analyzed in virtual simulation environment using AnsysWorkbench software. Results The results showed highest stress concentrations in the region of the turns of the implants, especially in the apical region surrounding the implants and most notably in those positioned in the posterior region, supporting the molars. In addition, comparing the cortical bone among the groups, the results revealed increasing levels of stress in the order of QI, QII, and QIII. Comparing the medullary bone among the groups, the results revealed increasing levels of stress in the order of QIII, QII, and QI. Conclusion It was concluded that greater stress disparity occurred in the comparison between groups QI and QIII. There was a higher TMiP in QI in the cortical bone, but considering the literature values, it would not pose risks to its physiological limits. The use of a pontic fixed partial prosthesis on two regular implants of type III bone quality may cause unfavorable physiological repercussions for the posterior implant apical medullary bone.

Immediate loading of dental implant in the anterior tooth region has been a growing trend and eliminates the compromised esthetics, function, discomfort, and inconvenience associated with traditional two-stage implant procedures. This case report presents the clinical application of implant placement with immediate loading using leukocyte-platelet-rich fibrin (L-PRF) in the anterior esthetic region. The implant was planned to rehabilitate in the anterior missing tooth region. As per the patient's desire, the implant was immediately loaded and L-PRF membrane was placed around the implant under local anesthesia on the day of surgery. The use of L-PRF for the maintenance of crestal bone and soft tissue at the implant sites provided an adequate clinical condition for better esthetics.

In recent times, for successful resolution of space discrepancies, a plethora of interceptive measures involving nonextraction approaches have been employed judiciously. Immaculate diagnosis and treatment planning help to prevent failure in diagnosing a case of space discrepancy and space regaining. This article describes a case in which space loss in the posterior quadrant of mandibular arch was successfully regained by employing King Appliance space regainer in an adolescent male, following which successful eruption of unerupted tooth took place. Additionally, after 1 year of follow-up, no marked reduction in arch dimension was seen.