Coronavirus disease has taken a toll on everyone's lives either physically or emotionally throughout the world. One of the most serious complications occurring currently in covid-positive and recovered patients is the deadly invasive mucormycosis. There are five clinical types of mucormycosis, out of which rhino-orbito-cerebral is the most common form (44%–49%). Management includes early diagnosis, control of the underlying diseases, and aggressive medical and surgical intervention. In patients undergoing maxillectomies, the use of immediate surgical obturators has become the gold standard. The rationale for its use is threefold—functional (matrix for the surgical dressing; allows the patient to speak and swallow), hygienic (separates the maxillary surgical site from contents of the oral cavity), and psychological (restores patient's self-image by reproducing lost oral structure). This article includes two case reports of patients diagnosed with rhinocerebral mucormycosis. The surgical debridement, medical management, and immediate reconstruction using palatal obturators have been explained.

Feeding is a family's biggest concerns when a child is born with cleft lip and/or palate. The goal for that child is to have as near normal feeding as possible. This report presents fabrication of feeding plates in two infants born with cleft lip and palate using two different materials.

Aim: It aims to provide an easy and efficient method of recording dentulous impressions by adjusting a single tray for various mouth sizes. Settings and Design/Methods and Material: Sectioning the maxillary and mandibular tray each in three parts and attaching 3 screws (regular stainless-steel wood screws were used) in the upper and 2 screws in the lower tray was done A demonstration model for the same has been constructed with nickel-titanium screws. The objective of writing the article is to propose the idea and demonstrate the functioning of the tray. Results:  The trays were sectioned, screwing and unscrewing was done (with-Taparia flat tip mini head screw driver - 10.0 x 1.2 mm) and change in tray size from number 1 to 4 and vice-versa was observed. Matrix bands were placed on the sides to provide stability to the tray and to prevent movement of the sectioned parts while in use. Conclusion: The expandable tray is an easy and effective method of recording impressions. It can be easily modified according to the clinical scenario saving on valuable clinical time and effort. Keywords: expandable tray, dentulous tray, impression making, modified perforated tray, adjustable tray

Review Article IntroductIonCOVID-19 has created a vast impact on general population and health-care sector, since it was declared as pandemic by the WHO on March 11, 2020. [1] With emergence of second wave, there is increasing number of cases each day leading to scarcity of health-care resources affecting the outcome of the treatment. With all these consequences, COVID-19 has become India's fastest growing epidemic. [2] Among this crisis, there is increased incidence of mucormycosis, which is considered highly fatal. Mucormycosis is an angioinvasive opportunistic fungal infection caused by the ubiquitous filamentous fungi of the Mucorales order of the class of Zygomycetes. It was first described by Paultauf in 1889. [3] Mucormycosis, also referred to as Zygomycosis, is third most common invasive mycosis after candidiasis and aspergillosis in patients with compromised immunity, underlying debilitating systemic diseases, and hematological abnormalities. [4] The common Mucorales species involved are Rhizopus, Lichtheimia, and Mucor. Other species such as Rhizomucor, Saksenaea, Cunninghamella, and Apophysomyces are rare. Mucorales are ubiquitous, present mainly in bread molds, decaying foods, soil, and in putrefying organisms. The major route of infection is through inhalations of the airborne fungal spores, which can then spread to the paranasal sinuses (PNS), lungs, and extensive tissue involvement. [5] Six well recognized clinical forms of mucormycosis are the pulmonary, cutaneous, gastrointestinal, rhinocerebral, central nervous system, and disseminated. Rhinocerebral form followed by pulmonary is the most common type of this invasive infection. [6] Mucormycosis, commonly regarded as black fungus, is one of the most tissue destructing and devastating complications in uncontrolled diabetics with high fatality rates ranging between 60 and 80%. It is well established that there is direct association between diabetes and the severity of SARS-CoV-2 infection and thus diabetics are at higher risk of contracting the secondary opportunistic mucormycosis during COVID-19 infection. [7] However, it is offlate affecting individuals below 40 years without any comorbidities. Stress along with usage of corticosteroids could probably being the cause. Infection with mucormycosis is considered highly fatal due to its fulminating spread, disseminated infection, cavernous sinus thrombosis, carotid artery involvement, osteomyelitis, and death. [8] Emergence of "Black fungus" in this Covid-19 pandemic has created an situation of medical emergency. Black fungus, scientifically known as mucormycosis, is an rare opportunistic invasive fungal infection caused by Mucorales affecting uncontrolled diabetics, immunocompromised patients, patients with stem cell transplant, prolonged intensive care unit stay and in those with hematological abnormalities. Offlate, there has been upsurge of this potentially fatal infection in COVID patients and in post-COVID scenario due to the mutant strain and treatment protocol followed in COVID patients. Elev...