The aim of this case report is to present two cases where cone beam computed tomography (CBCT) was used for the diagnosis, treatment planning, and followup of large periapical lesions in relation to maxillary anterior teeth treated by endodontic surgery. Periapical disease may be detected sooner using CBCT, and their true size, extent, nature, and position can be assessed. It allows clinician to select the most relevant views of the area of interest resulting in improved detection of periapical lesions. CBCT scan may provide a better, more accurate, and faster method to differentially diagnose a solid (granuloma) from a fluid-filled lesion or cavity (cyst). In the present case report, endodontic treatment was performed for both the cases followed by endodontic surgery. Biopsy was done to establish the confirmatory histopathological diagnosis of the periapical lesions. Long-term assessment of the periapical healing following surgery was done in all the three dimensions using CBCT and was found to be more accurate than IOPA radiography. It was concluded that CBCT was a useful modality in making the diagnosis and treatment plan and assessing the outcome of endodontic surgery for large periapical lesions.

Background: Submucous fibrosis with a high incidence rate in the Indian subcontinent is a devastating disease affecting the oral cavity and oropharynx. Aims and Objective: To evaluate the efficacy of injection placentrex and injection hydrocortisone in oral submucous fibrosis patients in increasing mouth opening, burning sensation, and improve the mucosal lining. Materials and Methods: We recruited 60 patients with Stage II and Stage III of the ailment, who were randomly divided into Group A and Group B. They were administered submucosal injections of hydrocortisone and placentrex along with physiotherapy and oral iron, nutrients, and B-carotene supplements over a period of 2 months. Interpretations and Results: The pinnacle rate of the incidence was found in the age group of 30 to 40 years among both the genders. Statistically significant difference ( P = 0.0001), that is, 5.19 ± 1.33 in Group A and 11.69 ± 1.26 mm in Group B was noted in the mean mouth opening values. Statistically significant difference in burning sensation was noted to be better in Group A than in Group B. Discussion and Conclusion: Overall hydrocortisone seems to be a better regimen for improving the mucosal health and increasing the mouth opening as compared to placentrix regimen. Although Placentrex is better than hydrocortisone in reducing burning sensation.

The prosthetic rehabilitation of partially edentulous arch by an artificial substitute is always a challenge for the Prosthodontists. There is always a problem of retention, stability and support of the artificial prosthesis. It is most difficult to satisfy the patients who have high retentive demands especially in the Mandibular removal partial denture prosthesis. This paper presents a case where in few remaining natural teeth of the patient was used to enhance the retention, stability and support of the mandibular tooth supported overdenture prosthesis. The over-denture tends to be bulkier and overcontoured encroachment of inter-occlusal distance is another disadvantage. The concept of overdentures works by means for delaying the process of complete endentulism and helps in the preservation of bone. And above all, it gives the patient the satisfaction of having prosthesis with his natural teeth still present.  In this article, case reports with an innovative approach to manage the overcontouring and encroaching of inter-occlusal distance which is generally encountered in a conventional tooth supported over denture. Keywords: Over Denture, Natural teeth, Residual Alveolar Ridge, Primary coping, Secondary coping, Dental Ceramics.

Purpose: To ascertain the influence of impacted lower wisdom tooth on the initiation and progression of distal caries in the lower second molar and whether prophylactic removal of lower wisdom tooth is justified. Materials and Methods: A retrospective study was conducted based on the records of the patients who underwent surgical removal of lower wisdom tooth in 3 dental clinics of the different cities during December 2015 to August 2019. The orthopantomogram and intraoral periapical radiograph images of 470 patients were considered to evaluate the impact of impacted lower wisdom tooth on the initiation and progression of distal caries in the lower second molar and whether prophylactic removal of lower wisdom tooth is justified. In order to achieve this, parameters evaluated on the radiographs are the presence of dental caries in relation to lower second molar, angulation of the lower wisdom tooth, depth of impaction, presence of pericoronitis, and patient characteristics like age and gender. The results were analyzed to ascertain whether prophylactic removal of lower wisdom tooth is justified to preserve the long term health of the lower second molar. Results: The results of this study reveal that 28% of the patients developed dental caries in relation to lower second molar in the presence of a wisdom tooth. The mandibular third molars were impacted unilaterally in 63% of cases and bilaterally in 37% of cases. Caries in lower second molars was noticed when the wisdom tooth was in Class I position in 53.8% of the cases and 69% in position A. This finding is commonly encountered in the presence of a mesioangular impacted third molar. It was observed that when a wisdom tooth was in Class I relationship for any kind of angulation it increased the chances for the initiation and progression of caries in lower second molars. Conclusion: It can be concluded that to preserve the lower second molars, it is advisable to prophylactically remove an impacted third molar that have a mesial angulation and Class I and Level A position.

Aim: The present study is designed to evaluate and compare the ability of serratiopeptidase and dexamethasone to control edema following the surgical removal of mandibular third molar. Materials and Methods: Two drugs, dexamethasone and serratiopeptidase, were compared for its efficacy in reducing the postoperative swelling. A total of 100 patients requiring the surgical removal of impacted mandibular third molar were randomly divided into two groups, consisting of 50 patients each. One group was administered 1 mg dexamethasone, one-half h preoperatively and every 8 th hourly for 3 days postoperatively. The other group was given 10 mg serratiopeptidase every 8 th hourly for 3 days postoperatively. The swelling was measured on 1 st , 2 nd , 5 th , and 7 th postoperative days. The results of this study showed that serratiopeptidase was effective in reducing swelling from 2 nd to 5 th postoperative day, and dexamethasone was effective in reducing swelling from 1 st to 2 nd postoperative day, further, it also reduced the swelling from 2 nd to 5 th postoperative day. Results: There was highly significant difference in the facial measurement between serratiopeptidase and dexamethasone group on postoperative day 2 (the mean difference was 62.5 with P < 0.001) and statistically significant difference on postoperative day 1, day 5, and day 7 ( P < 0.01). Conclusion: It can be concluded that serratiopeptidase, a proteolytic enzyme and dexamethasone, a long-acting corticosteroid was effective in reducing the swelling, but dexamethasone was more effective than serratiopeptidase in reducing the swelling.