Authors: Dr. Manisha Solanki, Dr. Shakya Kr. Laxmi , Dr. Harish Vaishnav, Dr. Shweta Nehe , Dr. Vinod Mehra , Dr. Kishan Kumar

Abstract:
Aim :- To investigate the incidence and pattern of impacted rd mandibular 3 molar.

Material and Method:- A retrospective study was conducted in Surendera dental college and reseach institute for the patients of oral and maxillofacial department who is having impacted rd mandibular 3 molar . The 20 OPGs (orthopantagrams) were taken between the age of 20 - 55. Data include unilateral and bilateral impaction is shown in figure 1 and 2 respectively, angulation, class,level,difficulty index and nerve approximation.

Results:- The average age of subjects with impacted third molar was between the age of 20 - 30 years in Rajasthani population. Males were 2 times more expected to have bilateral mandibular impacted teeth than females.Mesioangular impaction(60%) was the most common.Level B impaction was the most common among all the levels.The most frequently encountered relationship with ramus of mandible was class 2. Relationship of roots of the mandibular third molar with inferior alveolar nerve . There is no involvemet in 60% of cases. The moderately difficulty index is most common among the cases.

Authors: Dr Rohit, Dr RajniAggarwal, Dr Harsha, Dr. Sajan

Abstract
The Calcifying Epithelial Odontogenic Tumor, a rare benign growth of the tooth origin, constitutes only about 1% of all odontogenic tumors. Initially identified by Pindborg, it is commonly known as the "Pindborg tumor". Histologically, this tumor manifests as three distinct components: clusters of polygonal epithelial cells, amyloid-like deposits, and calcifications. This report presents a case of this tumor in a 45- year-old woman who exhibited irregular tissue growth in the lower anterior region of her mandible. A treatment plan involving excisional biopsy of the growth was planned. This case underscores the significance of accurate diagnosis and treatment through the integration of clinical, radiological, and histological findings when dealing with Pindborg tumors.

Keywords- Pinborg tumor, CEOT, Tumor, Electro-cautery

Authors: Dr. Somil Chaudhary, Dr. Sandeep Kumar, Dr. Rajnish Aggarwal, Dr. Japjee Uppal, Dr. Kartik Sokhal

Abstract
A dental prosthesis that involves the combination of dental implants and natural teeth to replace missing teeth can not only increase the retention of the prosthesis but also provide good stability and aesthetic outcomes in most of the situations. However, prudent incorporation of the biomechanical principles is necessary for the design and construction of the prosthesis. Due to the anatomical differences in the functioning of tooth and an implant, certain issues can arise in the long-term success of the treatment that involves tooth-implant connection prosthesis. The evidences in literature reports that connecting the implant (rigidly fixed to the bone) and the tooth (attached to the bone with a periodontal ligament) is risky as it may lead the failure of prosthesis hence various connection types such as rigid and nonrigid have been proposed by various authors.

KEYWORD- Fixed partial dentures, Non-rigid connection, Combination prosthesis, Ceka attachment.

Authors: Dr. Amandeep Kaur Sachdeva, Dr. Renu Aggarwal, Dr. Aakansha Chaudhary

Abstract
The therapeutic goal of implant dentistry is not merely tooth replacement but total oral rehabilitation. Considering dental implants as a treatment option can provide patients with positive, long-term results. Implants have developed into a viable alternative to conventional prosthetic reconstruction of edentulous areas. They provide excellent support for fixed or fixed detachable appliances, which increases function compared with conventional complete dentures. Implant dentistry has gone through many phases over the years. Modern technology and design allows us to predictably place our dental implants in correct sites and often load the implants at the time of placement. This case study demonstrates delayed placement of implants followed by immediate provisional restoration over it.

KEYWORDS- Immediate prosthesis over implants, implant temporary prosthesis

Authors: Dr. Siddharth Singla, Dr. Sandeep Kumar, Dr. Rajnish Aggarwal, Dr. Ijaz Bhat, Dr. Kanika

Abstract
Esthetic dental appearance of teeth is one of the patients' demands. This helped in the evolution of esthetic restorations, including the use of resin-based composite materials. Restorative dentistry is a major specialty in practical clinical dentistry. In this case report, indirect composite laminate veneer technique used for a patient with esthetic problem related to generalized upper anterior teeth diastema.direct composite laminate restorations have still less resistance against abrasions and fractures compared with indirect composite laminate veneers and ceramic laminates.In our case, in order to establish both functional and esthetic integrity, and considering more resistance and compressive strength than ceramics and similar abrasion rates compared with natural tooth structures, indirect composite laminate veneer restorations were considered.

Keywords:-Esthetics, laminates, Mid line diastema

Authors: Dr. Siddharth Singla, Dr. Sandeep Kumar, Dr. Rajnish Aggarwal, Dr. Ijaz Bhat , Dr. Kanika

Abstract
The therapeutic goal of implant dentistry is not merely tooth replacement but total oral rehabilitation. Considering dental implants as a treatment option can provide patients with positive, long-term results. Implants have developed into a viable alternative to conventional prosthetic reconstruction of edentulous areas. They provide excellent support for fixed or fixed detachable appliances, which increases function compared with conventional complete dentures. Implant dentistry has gone through many phases over the years. Modern technology and design allows us to predictably place our dental implants in correct sites and often load the implants at the time of placement. This case study demonstrates delayed placement of implants followed by immediate provisional restoration over it.

KEYWORDS- Immediate prosthesis over implants, implant temporary prosthesis

Authors: Dr. Arya Jyoti, Dr. Meghanand T Nayak, Dr. Akash Dilip Gupta, Dr. Anjali Nayak

Abstract
The maxilla rarely undergoes necrosis due to its rich vascularity. Maxillary necrosis can occur due to bacterial infections such as osteomyelitis, viral infections such as herpes zoster or fungal infections such as mucormycosis, aspergillosis etc. Mucormycosis also known as zygomycosis are common infection of humans where the causative agent i.e., Mucoromycotina is a member of mucorales. Mucormycosis is an opportunistic fulminant fungal infection, which mainly infects immunocompromised patients. The infection begins in the nose and paranasal sinuses due to the inhalation of fungal spores. The infection can spread to orbital and intracranial structures either by direct invasion or through the blood vessels. The fungus invades the arteries leading to thrombosis that subsequently causes necrosis of hard and soft tissues. We report two cases of maxillary necrosis by mucormycosis to emphasize early diagnosis of this potentially fatal fungal infection. Early diagnosis and prompt treatment can reduce the mortality and morbidity of this lethal fungal infection.

Keywords: Maxillary bone necrosis; mucormycosis.

Authors: Dr. Bharat Kumawat, Dr. Sandeep Kumar, Dr. Rajnish Aggarwal, Dr. Japjee Uppal, Dr. Jaspinder Kaur

Abstract
An implant-supported hybrid prosthesis is an acrylic resin complete fixed dental prosthesis supported by implants which might be a solution in extreme cases in need of restoration for esthetics, function, lip support, and speech. This paper aims to present the esthetic and functional prosthetic rehabilitation of a borderline cases with implant-supported hybrid prostheses. A 65 years old female patient reported to Department of Prosthodontics including Crown & Bridge, Surendera Dental college and Research Institute, with a chief complaint of a compromised 4 esthetic and mastication. After clinical evaluations, implants in the maxilla and 4 implants in mandibula were planned. An excessive inter-arch dimension was observed in clinical examination, implant-supported hybrid prostheses were successfully performed. After 1 month of follow-up, no functional, phonetic, or esthetic problems with the restorations were noted. This case suggest that implant-supported hybrid prostheses can be a reliable alternative treatment procedure when a porcelain-fused metal fixed restoration does not satisfy a patient's requirements for esthetics, phonetics, oral hygiene, and oral comfort.

KEYWORDS: 6 4 Prosthodontics, hybrid denture, dental implants, all on , all on mucormycosis.

Authors: Dr. Meghanand T Nayak, Dr. Anjali Nayak, Dr. Arya Jyoti, Dr. Manisha Solanki

Abstract
Cervical tubercular lymphadenitis (CTL), also known as scrofula, is the most common form of extrathoracic tuberculosis caused by mycobacterial cervical infections and a significant public health concern in endemic regions. This paper includes an in-depth examination of CTL epidemiology, pathophysiology, clinical presentation, diagnostic techniques, treatment regimens, and associated sequelae. A detailed understanding of CTL is critical for early diagnosis, quick therapy start, and disease progression and complication avoidance.

Keywords: Cervical; Cervical tubercular lymphadenitis; Nontuberculous mycobacterium; scrofula; Tuberculosis.

Authors: Dr Harsha, Dr Rajni Aggarwal, Dr. Archana, Dr Sajan, Dr Rohit

Abstract
The skilled dentist works to build a lovely smile, taking into consideration the surrounding tissues' health in addition to the teeth's brilliant whiteness. A healthy periodontium offers a solid basis for a prosthesis that is both aesthetically pleasing and useful. On the other hand, tissues exhibit a harmonious esthetic blend at the restorative-gingival interface when restorations are intended to be self-cleaning and to support gingival health. In order to accomplish this, this review paper seeks to investigate the possibilities of an interdisciplinary approach. Restoration contour, margin adaptation, margin placement, prosthetic and restorative materials, fixed and removable partial denture design, restorative procedures, and occlusal function are important aspects of partial denture and restoration design that directly impact the periodontium. Controlling periodontal inflammation, adjusting gingival architecture, and maintaining periodontal health are all factors to be taken into account. This entails implementing a thorough treatment plan and closely monitoring the hard and soft tissues surrounding implants and teeth before, during, and after restorative procedures.

Key words: Healthy Periodontium, biologic width, restorativealveolar interface.

Authors: Dr. Narute Annaso Sarjerav, Dr. Eenal Bhambri, Dr. Ankit Bharadwaj, Dr. Arun Raj RG, Dr. Abin Mathew Thomas.

Abstract
To evaluate the role of third molars in the development of crowding or relapse after orthodontic treatment in the anterior segment of the dental arch. The role of third molars in causing late mandibular incisor crowding is controversial. Various studies have been conducted to evaluate their relationship. The aetiology and role of the third molars in mandibular incisors crowding is still unclear. The purpose of this article is to review the evidence regarding the role of third molars in late lower incisor crowding, find out the cause and effect relationship between them, and to evaluate the justification of prophylactic extraction of third molars.

Keywords : Third Molar, Crowding, Mandibular Anteriiors, Late Anterior crowding

Authors: Dr. Gourab Sarkar, Dr. Eenal Bhambri , Dr. Ankit Bharadwaj

Abstract
Enamel decalcifications in the form of white spot lesions is a common negative sequelae of orthodontic treatment in the absence of proper oral hygiene. They appear as small lines along the bracket periphery and in a few patients as large decalcifications with or without cavitations. The presence of white spot lesions after removal of orthodontic appliances is a discouraging finding to a specialty whose goal is to improve facial and dental esthetics. This article examines the prevalence, distribution and formation of white spots after orthodontic treatment and reviews their prevention and management in the post orthodontic phase.

Keywords : Enamel, Decalcification, White spot lesion, Management preventation, Orthodontic treatment