Xerostomia is a common complaint found often among older adults. Dry mouth has multiple oral health consequences and affects quality of life. It can produce serious negative effects on the patient's quality of life by affecting dietary habits, nutritional status, speech, taste and tolerance to dental prosthesis and increasing the risk of oral infection, including candidiasis and susceptibility to dental caries, periodontal disease and tooth loss. Saliva protects oral mucosa and teeth against harmful substances, lubricates the mouth to facilitate chewing, swallowing and speech, and reduces tissue trauma. Presence of adequate amounts of saliva within denture and tissue interface is essential. Without enough saliva, a denture will inadequately adhere to tissues, partly through loss of surface tension. Sometimes, the cause may easily be eliminated but, in many instances, it is not possible, and the condition is persistent and often progressive. There are several approaches to manage dry mouth. In this article, a palatal reservoir design for upper complete denture and lower cast RPD with salivary reservoir has been described, which completely satisfies the patient need for long time.

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An endodontically treated anterior tooth requires extracoronal restoration when the tooth structure is weakened or lost due to caries, endodontic treatment, placement of previous restorations and/or is discolored. The reduced tooth structure makes retention of extracoronal restoration difficult. The purpose of post is to provide retention for the core restoration, which replaces lost coronal structure. This article describes restoration of mutilated maxillary central incisors by using cast post and core, followed with porcelain fused to metal restorations. How to cite this article Legha VS, Saini DK, Kumar KVA. Esthetic Rehabilitation of Mutilated Anterior Teeth with Custom Cast Post and Core Porcelain-Fused-to-Metal Crowns. Int J Experiment Dent Sci 2015;4(1):69-71.

Aims:The aim of this study is to evaluate the treatment outcome of immediately loaded Implants in the interforaminal region of anterior mandible.Materials and Methods:A total of 15 completely edentulous patients aged between 50 and 70 years were selected satisfying certain inclusion and exclusion criteria. Two implants were placed in 33 and 43 region (B and D location) and the implants were loaded immediately by mandibular overdenture retained with O-ring attachments. The implants were evaluated for various clinical parameters at 6 months, 1 year, 1.5 years, and 2 years intervals after initial placement.Results:There was increased marginal bone loss around implants during the 1st year after that the bone loss was insignificant. Clinical stability of immediately loaded implants was lower initially for 6 months, but improved by the end of 1st year. Survival rate for immediately loaded implants was 96.6% at the end of the period of study.Conclusion:Immediate loading of interforaminal mandibular implants demonstrated a highly acceptable clinical success at the end of 2 years. However, initially the marginal bone level and clinical stability were significantly lower which showed improvement with time.

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