During treatment planning it is important to recognize different gingival biotypes and forms, because they can affect the esthetic outcome of the treatment. This review provides an insight into the different gingival biotypes, their response to inflammation and trauma; significance in different prosthodontic modalities like esthetic rehabilitation and implant therapy.

One of the primary goals of a long term successful restorative therapy is to establish a physiologic periodontal climate that facilitates the maintenance of periodontal health. The contemporary clinician has a host of alternatives for the restoration of teeth. It is now possible to mimic nature and provide restorations that defy detection but the most challenging procedure in clinical dentistry is fabricating a restoration in gingival harmony. Periodontal health is the basis of all restorative dentistry. Because periodontal disease is a major cause of tooth loss in adults, the clinician must be aware of the biological variables relevant to restorative therapy, basic concepts and clinical modes of therapy available, to be able to develop an appropriate diagnosis and treatment plan. A natural looking prosthesis within a healthy periodontium should represent the ultimate goal. This article addresses the interactions between periodontal tissues and restorative procedures. It reviews the essentials of soft tissue management inherent in restorative dentistry that will increase the probability of a successful restoration.

A patient sometimes requires a multidisciplinary approach to correct the esthetics and to improve the occlusion. This case report describes the management of an adult female patient with a convex profile, proclined upper and lower anterior teeth, missing upper left lateral incisor and peg shaped upper right lateral incisor tooth through orthodontic and prosthodontic treatment.

An artificial eye is a prosthetic unit that serves to replace the lost orbital volume when the living eye is either shrunken or surgically removed. The custom prostheses are made to adapt to the contour of the orbital tissues and eyelids, and colored to match the companion eye. Although implant eye prosthesis has a superior outcome, due to economic factors it may not be advisable in all patients. Therefore, a custom-made ocular prosthesis is an excellent alternative. But the common failing of such custom made ocular prosthesis has been that there is no or very limited mobility of the eye prosthesis, which marks it as what it is, an artificial prosthesis. In the following clinical report it will be demonstrated with the help of a patient the use of a movable custom made ocular prosthesis, which shows marked mobility.

This case report describes the smile design of crowded upper central anteriors in a female patient aged 25 years. The patient wanted the correction to be completed in a short period of time. A smile design schedule was drawn up involving root canal treatment of the central incisors and placing posts in both the teeth. All ceramic crowns were then fabricated to establish a very satisfactory and pleasing esthetics.