Rehabilitation of the long-standing edentulous posterior maxilla with dental implant poses a unique challenge. This is due to mainly two reasons – pneumatization of the maxillary sinus and atrophy of the alveolar bone. The challenge is intensified when the native bone is around 2–3 mm. This requires vertical bone augmentation in the form of direct sinus lift/lateral wall sinus lift procedure. The most common complication associated with this procedure is the sinus membrane perforation resulting in unfavorable stabilization of the graft and associated bone regeneration. Simultaneous implant placement becomes all the more difficult in such situations. As a result, of which implant placement has to be deferred resulting in extended treatment duration and multiple surgical appointments. The present case report represents two such sinus membrane perforation repair cases associated with lateral wall osteotomy approach for sinus augmentation with simultaneous implant placement in the posterior maxilla.

The implant therapeutics for management of edentulous span has revolutionized dentistry. This is accompanied by many complications as well. Peri implant interface as well as the tissues are not immune to complications arising from poor surgical, prosthetic or long/short maintainance resulting in the peri implant destruction of soft and hard tissues. This peri implant breakdown surfaces as Peri implant mucositis and Peri implantitis. The management of these complications is feasible if timely and correct diagnosis is established resulting in the success of implants. This article attempts to assess the risk factors for peri implant diseases, establish a thorough diagnosis that could act as a blueprint for management of peri implant lesions. The prophylactic measures to prevent the beginning of the lesion is also highlighted in this review.

The increasing mean age of the population, and consequently edentulism, necessitates the demand for prosthesis. Owing to the drawbacks of the removable partial denture and fixed partial denture, the implant as a treatment option has become popular. But with the use of implants, complications are bound to occur. Management of these complications make implantology a success and thus, common complications are discussed in this case series.

Gummy smile constitutes a relatively frequent aesthetic alteration characterized by excessive exhibition of the gums during smiling movements of the upper lip. APE is a factor that frequently contributes to the presence of a gummy or gingival smile, and it can easily be corrected by periodontal surgery. In the present article four cases of the same situation and appropriate treatment were given for each case are presented. Keywords: Gummy smile, altered passive tooth eruption, dentogingival unit, crown lengthening procedure