ABSTRACT
: Introduction: Cantilevered anterior fixed partial dentures (FPDs) are a viable treatment option for patients with esthetic concerns, particularly when implants are not suitable due to medical conditions or financial constraints. These prostheses provide a conservative, minimally invasive solution to restore both function and appearance. Objective: This case report aims to demonstrate the use of a cantilevered anterior FPD for esthetic rehabilitation in a medically compromised patient undergoing radiotherapy for breast cancer, with a focus on achieving an optimal esthetic result while considering the patient's medical and financial limitations. Patient and Methods: A 42-year-old female patient presented with severe mobility of tooth 12 and a 1mm midline diastema. After initial periodontal therapy (scaling and root planing), the treatment plan was established. The adjacent teeth (11 and 21) were prepared for full coverage crowns, and tooth 12 was extracted atraumatically. An immediate provisional cantilever bridge was placed, followed by final impressions for the fabrication of a ceramo-ceramic cantilever bridge with tooth 22 in extension. Results: The final prosthesis successfully restored the patient's smile, providing immediate esthetic improvement and functional stability. The cantilevered bridge with tooth 22 in extension closed the midline diastema, with no complications observed during the healing phase. The patient expressed high satisfaction with the esthetic outcomes and functional restoration. Conclusion: This case highlights the effectiveness of cantilevered anterior FPDs as an esthetic and functional solution for patients with medical conditions that preclude implant therapy. The treatment was minimally invasive, cost-effective, and met the patient’s needs for a rapid, non-surgical approach. Cantilevered bridges offer a viable alternative for esthetic rehabilitation in medically compromised patients, though further research is needed to assess ...

ABSTRACT
Introduction: Achieving optimal esthetic integration of fixed prostheses in the anterior region requires effective periodontal management. This case report demonstrates the use of surgery-guided techniques to enhance esthetic outcomes in a prosthetic rehabilitation. Observation: A patient with insufficient clinical crown height underwent crown lengthening and subepithelial connective tissue grafting for soft tissue optimization. CAD/CAM technology was used to fabricate a provisional prosthesis, ensuring precise fit and esthetic integration. Discussion: Surgery-guided periodontal techniques, including crown lengthening and soft tissue grafting, improve esthetic outcomes by optimizing gingival contours. The use of digital workflows enhances precision, but challenges remain in managing gingival healing and achieving ideal esthetics. Further research into advanced materials and technologies could further refine this approach.

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Aim & Objective: Nanotechnology is a field growing as a major influencer in the health community in recent times. In dentistry, particularly Periodontics, nanotechnology promises great strides in diagnostics, therapeutic strategies and treatment efficacy. Using the specific features of nanomaterials, which involve, their small size, ability to cover large areas while occupying very little space and the chemical attributes that can be changed very easily by the scientists, are some of the innovative approaches towards nanomaterials being used to handle the multifaceted nature of periodontal diseases. This essay examines how nanotechnology is used in periodontology at the cutting edge level with emphasis on how it could redefine preventive practices, diagnostic procedures and curative interventions resulting in positive oral health outcomes. Material & Method: The review adopts a systematic approach to scrutinize the current literature on the employment of nanotechnology in periodontics. A rigorous search through reputable databases identified peer-reviewed articles that met established inclusion criteria. The use of terms such as nanomaterials in periodontal diagnostics, treatments and therapeutics was targeted for data extraction. The study reviews the incorporation of nanotechnology into periodontology with the aim of giving useful information on this new technology. Result: Nanotechnology is widely applied in periodontics and this can be seen from all the literatures. Nanomaterials help in diagnosis, deliver drugs to target cells, and improve tissue repair. Such a discovery points towards the probability of nanotechnology revolutionizing the dental care.

ABSTRACT
Temporomandibular joint (TMJ) ankylosis is a condition where the mandible is fused to the fossa, causing discomfort and potentially life-threatening issues. Factors include trauma, odontogenic and non odontogenic infections, prior surgical interventions, congenital defects, iatrogenic/idiopathic causes, with trauma being the most common cause. Treatment is mainly surgical, followed by long-term physiotherapy, preferably through a trismus opening appliance. We present a case of a young female patient who was surgically treated for right-side TMJ ankylosis. The patient had a limited mouth opening, which made impression making difficult. A double-sided, spring-loaded expansion appliance was fabricated that was customised to the patient's occlusal surfaces of maxillary and mandibular arches. The appliance was difficult to wear initially, but after continuous expansion over a time period, the trismus was relieved and normal mandibular movements were restored. Patient was thoroughly satisfied with the outcome of the treatment.

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Cemento-Ossifying Fibroma (COF) is a rare benign tumor of the jaw characterized by the formation of cementum and bone-like tissue, often arising from the periodontal ligament. This article presents two clinical cases that illustrate the complexities of diagnosing and managing COF. The first case involves a 30-year-old male with a painless, progressively enlarging swelling in the left mandible, diagnosed through panoramic radiography and cone-beam computed tomography (CBCT). Surgical intervention included mandibular resection and reconstruction using an iliac graft. The second case features a 26-year-old female presenting with a non-painful swelling in the right mandibular premolar region, which was also confirmed via imaging studies. Complete surgical resection was performed, and histopathological examination validated the diagnosis of COF. Both cases highlight the importance of accurate diagnostic imaging and histological analysis in confirming COF, as well as the need for individualized surgical approaches based on lesion characteristics. Despite its benign nature, COF can lead to significant morbidity due to local invasion and recurrence potential. The article emphasizes that thorough follow-up is essential to monitor for recurrence after surgical management. These cases contribute to the understanding of COF's clinical presentation and reinforce the necessity for a multidisciplinary approach in managing this condition effectively. Further research is needed to explore the underlying pathogenesis and optimize treatment strategies for COF in clinical practice.

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Background: This study aims to compare the condylar position in Mexican population with the values of Ikeda Spatial Condyle Analysis with different sagittal skeletal pattern, age and sex using a cone beam computed tomography (CBCT). Objective: To evaluate the condyle-fossa relationship in patients with skeletal patterns and sex using Ikeda Spatial Condyle Analysis assessed with CBCT. Materials and Methods: An observational analytical cross-sectional study, 86 condyles CBCT images were used for this study (August 2023- December 2024). The patients were divided into 3 groups according to 3 criteria: age (12-60 years old with intervals of 5 years); sex (female and male); and skeletal pattern as ANB classification (Class I, Class II, and Class III). Temporomandibular joint space (TMJS): (SAS, sagittal anterior space; SSS, sagittal superior space; SPS, sagittal posterior space; CMS, coronal medial space; CLS, coronal lateral space and CCS, coronal central space) were measured and compared. Statistical analyses were performed using two-sample T test, Mu Test, and Anderson- Darling probability test (p<0.05). Results: The mean age of the participants (n = 43) was 30.9 ± 10.9 years (62.7% female). Differences in condyle-fossa relationships were significantly different between Mexican population and Ikeda Condyle Analysis values (p < 0.05). The mean values showed no statistical differences according to sex or sagittal skeletal pattern. The sagittal measurements showed the mean ratio of SAS (2.1+/- 0.6), SSS and SPS (2.5+/-0.7) and (1.8+/- 0.5), respectively. The coronal measurements showed the mean ratio of CMS (2.3+/- 0.7), CCS and CLS (2.5+/- 0.8) and (2.1+/- 0.6), respectively. Conclusions: The Mexican tridimensional condylar position showed significant differences compared with the Ikeda condylar position. These results can be associated to racial anatomical differences. The condyle-fossa relationship values for skeletal pattern; Left / Right condyles and sex, showed ..

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Post and core buildups are important for damaged or endodontically stabilized teeth. Zirconia is a common material for these restorations due to its exceptional mechanical properties, biocompatibility, and aesthetic appeal. This study presents a case of a 47-year-old female patient, where the tooth was reconstructed and improved its appearance using zirconia bars and implants and was fabricated using Exocad software exactly as it was done in that process. Although zirconia offers impressive advantages, including durability and natural appearance, it presents challenges such as high cost and possible cracking risks. Studies establish how effective zirconia is at emphasizing the restoration of integrity while acknowledging its limitations.