Digitalization has become part and parcel of contemporary prosthodontics with the probability of most of the procedures being based on the digital techniques in the near future. This digital revolution started in the latter half of the 20th century by converting analog objects/signals into digital bits and bytes. Recent developments in all-ceramic materials and systems of computer-aided designing and computer-aided manufacturing (CAD/CAM), copy milling, and so forth offer excellent esthetics and superb biocompatibility. Copy milling system for ceramics enables milling of the zirconia cores of all-ceramic restorations precisely and also if this system is properly used the procedure for fabricating all-ceramic restorations can be substantially simplified. This case report presents fabrication of all-ceramic Maryland Bridge and post-core with a copy milling system for esthetics and preservation of integrity of tooth. For both of the patients, the use of biologic, all-ceramic, copy-milled restorations resulted in clinical success and recovered function and esthetics.

Nutrition is important in every stage of child development. A child born with cleft lip and palate may experience difficulties while feeding due to the lack of seal of the oral cavity due to incomplete facial and palatal structures. Difficulty in feeding leads to inadequate nutrition and affects the health. Children with cleft lip and palate need certain modifications to thrive and grow. Feeding difficulties should be assessed and intervened as early as possible, as they are an important aspect of multidisciplinary team approach in management and may have an impact on long-term outcome. This case report presents fabrication of feeding appliance in 6-month-old infant with cleft palate with ethylene vinyl acetate.

In children with cleft lip and palate, it is essential to maintain harmony among several aspects of treatment such as growth, esthetics, function and psychosocial development since birth. Treatment of infants with cleft lip and palate has been associated with many marked advances in recent years. To obtain the best possible results, these can and should be incorporated into the cleft team treatment protocols. Deformities in cleft lip and palate exhibit diversities in severity and form, as the wider and complete clefts show significant nasolabial deformity. This article reviews the literature on background of early maxillary orthopedics, various appliances, which have been proposed to reduce the initial alveolar cleft defect and molding of the deformed nasal cartilages, benefits, longterm effects of the same.

Restoration of anterior guidance is a major challenge to the clinician in the planning of all restorative treatments. An accurate anterior guidance is important for proper function, aesthetics, comfort, and phonetics. Anterior guidance should be established with extreme caution while restoring anterior teeth as even a slight error in this regard can have detrimental effects on the entire stomatognathic system. This article describes the anterior rehabilitation of a 50-year-old patient who met with a road traffic accident and lost his upper anterior teeth. Anterior guidance developed in the provisional restorations was accurately recorded in the customized incisal guide table and permanent restorations were fabricated accordingly. Although the patient presented for the replacement of the fractured prosthesis, a comprehensive evaluation determined that a customized incisal guide table was needed to correct an array of dental issues. The treatment plan dramatically improved overall esthetics, comfort, and function.

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