A 53 year old male patient came to the comprehensive care clinic with the chief complaint of worn out teeth. On examination generalized attrition, extrinsic staining, spacing between anterior teeth, decreased vertical dimensions of occlusion with loss of anterior guidance were seen. The patient was presented with the diagnostic mock up to restore the lost anterior guidance. On his acceptance, occlusal rehabilitation with full mouth porcelain fused to metal crowns and custom post and core for maxillary anteriors were done. Mutually protected occlusion with canine guidance was achieved for the patient. During follow-up appointments the patient was comfortable with his newly restored occlusion. A positive psycho-social changes were conveyed by patient's family and colleagues.

Till date, there has been no single material in dentistry that is idyllic in nature, which can satisfy all the necessities of a superlative material. As the search for an ―ideal restorative material‖ continues, newer group of materials were introduced. These are ―Smart Materials’’, as they support the remaining tooth structure to the level, so that more conservative cavity preparation can be performed. These materials may be improved in a precise manner by stimulus such as stress, temperature, moisture, pH, electric or magnetic field. Some of these are ―Biomimetic‖ in nature as their properties imitate the natural tooth constituent such as Enamel or Dentin. The existing dental materials were amended so as to make them smarter. Use of Smart materials has modernized dentistry which comprises the use of restorative materials such as Smart composites, Smart ceramics, Composers, Resin modified glass ionomer, Amorphous calcium phosphate releasing pit and fissure sealants, etc. and other materials such as Shape memory alloys, Smart impression material, Smart suture, Smart burs, etc., . This article highlights the use of Smart materials for achieving benefit by the conventional restorative procedures in dentistry.

Apoptosis is a well defined mode of cell death which plays an important role in the development, regulation, and maintenance of the cell count in all multicellular organisms. It is responsible for the cell-death events that occur right from the formation of the early embryo and the sculpting and moulding of organs in adult life. Apoptosis has role in both health and diseases with defective apoptotic mechanisms leading to wide range of pathologies including oral diseases. This review focuses on the role and significance of apoptosis in various physiologic as well as pathologic processes affecting the oral cavity.

Dental prosthesis can cause an increase in the accumulation of plaque bacteria that could lead to progression of periodontal disease; but if patients have effective oral hygiene maintenance and regular check-up visits, this increase in plaque bacteria could be prevented. Defective removable partial dentures (RPD’s) and certain design features could lead the progression of periodontal disease. This article reports a case of faulty prosthesis affecting the periodontal health which was fabricated by the local dentist.

Most common treatment modality for a missing teeth these days is either a denture or implant based prosthesis. Great level of patient satisfaction has also been achieved with these two treatment options but scientifically speaking, both of these aren’t biologically totally in coherence with the host system as the chances of foreign body rejection is always with them. Hence as the research continues in this modern era of dentistry, it is inevitable to open the roadway for an exact biologically duplicate model for what is to be replaced. Talking about the regenerative endodontics, various techniques have been employed for the same. But the most promising and encouraging technique has been the scaffold based regeneration. Three dimension scaffolds which mimic the cells natural extracellular matrix as close as possible are being extensively studied these days and have emerged as a promising option for the replacement of missing tooth with an entirely biological prosthesis, which can probably be called as a ―Bio-Tooth‖.

The world-wide explosion of overweight people has been called an epidemic. In this climate of concern over the increasing prevalence of overweight conditions in our society, we focus on the possible role of oral bacteria as a potential direct contributor to obesity and this study designed for comparison of Enterococcus faecalis pollution amount in saliva of people with obesity and normal weight. In this study saliva of 90 patient was collected with body mass index between 18.5 and 25 for normal weight people and over 30 for obesity people, and were measured bacterial populations of their saliva. The data were analyzed by descriptive-statistically and chi-square test. In this study, 59 people of 90 investigated people had obesity and 31 people were in normal weight. The number of enterococci in the saliva of people with normal weight and obesity were mostly low. Analysis of data suggests that the composition of salivary bacteria changes in people with normal and overweight overweight people but this change is not significant statistically. Finally, we can conclude.

When assessing the outcomes of dental treatment, it is important to consider the clinicians as well as the patients’ point of view. The dentist must attempt to restore, most often elderly patient with mental/physical and/or financial difficulties, to an acceptable level of esthetics and function. The purpose of the study was to evaluate the development of oral health-related quality of life (OHRQoL) in patients with modified complete dentures and the association between OHRQoL and overall patient satisfaction.The study population consisted of 30 patients with severely resorbed ridges, who wore modified complete dentures fabricated within a span of 1-3 years and were recalled for follow-up.The modifications were done in the impression techniques, jaw relations, teeth arrangement, fabrication of the complete dentures; according to the clinical condition of the patients.Patients were requested to complete a questionnaire that was designed to show a semi quantitative degree of satisfaction with their dentures(subjective evaluation).The oral condition and denture quality was assessed clinically by an experienced clinician (objective evaluation). After evaluating the questionnaires, the improvement in the quality of life of the patients, including mastication, esthetics etc; from the patients’ perspective as well as the clinician’s perspective was judged.Statistical analyses were carried out and correlations assessed using the Pearson chi-square test. A significant impact was noted on chewing , fit and comfort of the mandibular denture(p<0.01) as well as patient’s overall satisfaction with the modified dentures (p<0.05). However, no significant results were found while analysing the fit and comfort of the maxillary denture, speech and esthetics of the dentures (p>0.05). The analyses of these results provide evidence for improved quality of life of patients with modified complete dentures.Significant improvements were recorded in almost all domains.

Periodontal disease results in attachment loss and damage to the supporting alveolar bone leading to tooth mobility. In majority of cases, the mandibular incisors are the teeth showing the first signs of mobility. The clinical management of periodontally involved teeth remains a challenge to the clinician. Splinting may be indicated for individual mobile tooth as well as for the entire dentition. The main objectives of splinting include decreasing patient discomfort, increasing occlusal and masticatory function, enhancing esthetics and improving the periodontal prognosis of mobile teeth. Fiber-reinforced composites provide one of the better alternatives for splinting of teeth. This clinical report describes a technique of splinting of periodontally involved mandibular anterior teeth using glass fiber-reinforced composite resin with a follow-up period of five years.

Severe resorption phenomenon with edentulous maxilla may lead to several problems during fabrication of a maxillary complete denture. This often results in a heavy-weighted denture disturbing its retention and stability. This article explains a modified approach for controlling the thickness while hollowing maxillary denture. This hollowing method helps in reducing the weight of maxillary prosthesis, thereby enhancing the comfort, retention and stability.

The objective of the study was to evaluate the bacteria extruded apically during root canal preparation using hand and two rotary instrumentation techniques. The method include eighty freshly extracted mandibular premolars were mounted in bacteria collection apparatus. Root canals were contaminated with the pure culture of Enterococcus faecalis (ATCC 29212) and dried at 37 0c for 24 hour. Then teeth were equally divided into three experimental groups and one control group of 20 each. In group I teeth were instrumented with the hand stainless steel k files in group 2 instrumentation with rotary protaper universal in group 3-instrumentation with rotary protaper next and in group 4-No instrumentation is carried out.Then bacteria extruded were collected ,incubated in brain heart infusion broth for 24 hour at 37 0c and the colony forming units were counted.The result showed that all hand and rotary instrumentation technique extruded debris.Among all the instrumentation technique hand file extruded more number of debris and protaper next least number of bacteria.

Marfan syndrome is an autosomal dominant systemic disorder of the connective tissue. Children affected by this syndrome carry a mutation in one of the two copies of the gene encodingthe protein fibrillin-1. It affects most organs and tissues, especially the skeleton, lungs, eyes, heart, and the large blood vessel that distributes blood from the heart to the rest of the body. A case report of Marfan syndrome has been reported which was diagnosed in the dental set-up.