Introduction: Dental Fluorosis is one of the common reasons of an unesthetic smile affecting confidence of patient. Depending upon the duration and exposure to fluoride, it can be mild, moderate or severe. Case Report: The present case report aimed to rehabilitate esthetically a patient with fluorosis, rotated teeth and spacing in maxillary anterior region using a conservative approach. Results: The post-operative esthetic appearance of the patient was enhanced and follow up to one year showed acceptable and stable esthetic outcomes. Conclusion: Though, there are various treatment modalities available for esthetic makeovers, accurate diagnosis, diligent treatment planning and choice of available materials can lead to better esthetic results.

Microorganisms are considered as the primary cause for pulpitis and periapical infection which requires endodontic treatment for pain relief and healthy tooth restoration. Root canal treatment is a sensitive process that requires proper and accurate operative steps accompanied by certain other factors affecting its success. The overall goal of root canal treatment is therefore to prevent or treat periapical disease. Non-surgical endodontic therapy should be attempted whenever feasible and is generally preferred over surgical endodontics, tooth extraction, and replacement. The present review highlights and discusses the major factors affecting the success of nonsurgical endodontic treatment. A multitude of factors has been examined impacting the clinical success of non-surgical endodontics. Some factors had a profound impact on success rates, whereas others showed a negligible effect.

Background: Adhesive bonding in deep sub-gingival areas is a challenge due moist environment leading to poor marginal seal and microleakage in deep class II cavities. The deep margin elevation technique is advocated in such areas. Aim: The aim of this study is to evaluate enamel, a natural substrate as an alternative material for deep margin elevation, and compare it with the resin-modified glass ionomer and composite material by evaluating microleakage at the tooth-restoration interface in Class II cavities. Materials and Methods: For this study 21 patients having at least one tooth indicated for extraction and 7 patients having at least two teeth indicated for extraction were included.Class II cavities were prepared on the 28 teeth with proximal margins 1mm below the CEJ and were divided into 4 groups(n=7) Group 1: flowable composite was used for deep margin elevation(DME) up till 2mm above CEJ, Group 2: RMGIC was used for DMEup till 2 mm above CEJ, Group 3: enamel slab luted with RMGIC (for DME)up till 2mm above CEJ,enamel slab obtained from other seven teeth of same patient also indicated for extraction, Group 4(control): no intermediate material was used for margin elevation. Then the remaining part of the cavities were restored using the FILTEK P60. The prepared teeth were extracted after one week. The class II cavities were evaluated for microleakage using dye penetration method. Results: RMGIC and enamel slab showed significantly less microleakage as compared to flowable composite and the control group. However there was insignificant difference between RMGIC and Enamel slab group. The control group exhibited highest microleakage as compared to all the other groups. Conclusion: RMGIC and enamel slab exhibit least microleakage when used as materials for deep-margin elevation.