Piezosurgery is a new method that uses piezoelectric ultrasonic vibrations to perform precise and safe osteotomies. It was first discovered by Tomaso Vercelotti to overcome the limitations of traditional instruments in oral bone surgery. Its use was first introduced in the field of preprosthetic surgery alveolar crest expansion and sinus grafting procedures. It is a favorable, scrupulous, and soft tissue sparing system for bone cutting based on low frequency ultrasonic microvibrations. The absence of macrovibration makes the instrument more feasible and allows greater intraoperative control with increase in cutting safety in the more difficult anatomical cutting zone. This article focuses on the broad range of applications of this novel technique in periodontology.

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Background and Objectives: Oral cancer is one of the highly prevalent cancers worldwide and a leading cause of mortality in certain regions like South-Central Asia and a major public health problem. According to National Health Policy, oral cancer is the most common form of cancer in men and the third most common cancer in females in Nepal. Several studies have shown that public is not well aware of risk factors associated with oral cancer. The objective of this study was to assess the awareness of oral cancer among people of Tarahara-20. Material and Methods: A cross-sectional descriptive study was conducted among people of age group 18-65 years in 2019. Data were collected from 128 respondents through face to face interview using Semi – structured interview schedule with non-probability purposive sampling method. Data entry and analysis was done in SPSS version 17. Descriptive statistics i.e. frequency, percentage, mean and standard deviation was used to assess the level of knowledge and inferential statistics i.e. chi square was used to find the association between awareness of oral cancer and selected demographic variables. Results: Total findings of the study showed that More than half (52.3%) of respondents were known about treatment modalities of Oral cancer whereas two third, 78.9% of respondents stated out movement is best for physical rehabilitation. Likewise, more than half (65.6%) had moderate level of awareness and 28.1% of the respondents had inadequate level of awareness regarding oral cancer. The result showed there was no association between level of awareness of oral cancer and selected demographic variables. Conclusion: The study concluded that awareness regarding oral cancer is moderate among community people of Tarhara. It reflects that efforts should be made to increase the awareness regarding oral cancer. Health education regarding oral cancer and its risk factors with periodic reinforcement will play an important role in creating awareness.

As Dental implants have emerged to be one of the best means of rehabilitating a missing tooth, there have been various new advancements taking place in implant dentistry in recent years. It is extremely important to preserve the facial bone and the soft tissue, especially in the esthetic zone. Various such procedures maintain the width of the soft tissue and underlying bone in the esthetic areas. Conventionally it was advisable to wait for at least 3 months after the implant placement, before prosthetically rehabilitating the patient. However, with recent advances, we can provide the patient with immediate implants. This review aims to discuss a technique, which discusses on how we are able to place dental implants in fresh extraction sockets, with a buccal plate defect incorporating a novel surgical method along with usage of both hard and soft tissue grafts, which will enable us to achieve pleasing esthetics for the patient, without causing future facial bone resorption.