This study assessed parental awareness of avulsed tooth management among 300 participants at Kamineni Institute of Dental Sciences, Nalgonda. Results revealed significant gaps in understanding, with only 0.66% indicating they would replant an avulsed tooth, and 87.3% disagreed that it could be replanted. Most participants were uncertain about key aspects, such as replantation and tooth storage. These findings emphasize the need for targeted educational interventions to improve parental preparedness for dental emergencies. Addressing these knowledge gaps can empower individuals to provide appropriate first aid and seek timely professional care, ultimately improving outcomes for dental trauma patients.

The sphenopalatine ganglion has maximum number of neurons in the calvarium that are not situated within the brain. In the sympathetic, parasympathetic and sensory nervous system it’s the largest and most superior ganglion. SPG block in conjunction with topical anaesthetic and radiofrequency ablation is currently advised for the treatment of trigeminal neuralgia, cluster headaches, migraines, and persistent idiopathic facial discomfort. The block of SPG is also known as “the miracle block”. The sphenopalatine ganglion block is a simple and safe procedure which can be used for eliminating acute or chronic pain and reduces the episodic recurrence of the pain.

Enhancing aesthetics, occlusion and functions is a primary motivation for individuals with open-bite malocclusion seeking orthodontic treatment. Open-bite malocclusion, characterized by a lack of vertical overlap of the anterior teeth, can be effectively treated using anterior vertical elastics. It’s a common, non-surgical orthodontic approach to correct open-bite issues. In this case report, we present the treatment of a male patient with anterior open-bite malocclusion. Initially, the patient underwent a lingual frenectomy followed by an active and passive phase of swallowing rehabilitation by wearing a nocturnal lingual envelope (NLE). Subsequently, a fixed orthodontic appliance was bonded to achieve well-aligned arches, normalize the overjet and overbite with the use of anterior vertical elastics (AVE) and enhance both aesthetics and functions.

Extremely wide bony ridges require surgical procedures in order to insert dental implants. When less than 3 mm is present, different procedures are available, with ridge splitting being one of the most commonly used. The main limitation of this procedure is the angulation of the inserted implant. The two-stage split with transitional implants was created to overcome this drawback and achieve greater bone volume in the intervention area. This case series shows patients treated with this novel procedure. Material and Method: We retrospectively analysed patients who had undergone two-stage ridge expansion (using transitional implants) with at least 9 years of follow-up from the loading of the definitive implant, both in the maxilla and mandible. Data collection was performed by two independent examiners (different from those performing the prosthetic or surgical phase). All data were entered into a database which was managed by computer for the subsequent statistical analysis. The implant was the unit of analysis for descriptive statistics in terms of location, implant dimensions, and radiographic measurements. The primary variable was implant survival and as secondary variables mesial and distal bone loss and final bone crest width achieved after transitional implant integration, before replacement, were recorded. Results: Thirteen patients were recruited, and 30 transitional implants were inserted for width expansion in two surgical stages. These transitional implants were subsequently replaced by definitive implants at 5 months in the maxilla and at 3 months in the mandible. The mean initial ridge width of all two-stage split sites was 2.65 mm (+/- 0.63), range 1.32 to 3.70 mm. After placement of the transitional implants and bone healing, the final mean width of the specimen was 7.60 mm (+/- 0.26), range 4.31 to 12.20 mm. The mean mesial bone loss after loading of the final implant was 0.80 mm (+/- 0.26) and the mean distal bone loss was 0.85 mm (+/- 0.25). Conclusion: The two-stage split technique to achieve a gain in width of the residual bone crest is minimally invasive, predictable and the implants placed in the final (definitive) stage have a high survival rate, as we have seen in the present study with 9 years of follow-up.