Anita Kapri

Immediate implant placement is becoming a routine procedure in esthetic dentistry. The need for placing implant immediately post extraction helps reduce the alveolar ridge resorption and also maintain good soft tissue contours post placing the implant and during rehabilitation. However, a cause of concern occurs when the buccal cortical plate is thin, especially in the upper anterior region. This poses a direct implication in the maintenance of primary stability and buccal contour of both hard and soft tissues, thus compromising esthetics. Socket shield technique is a recent advancement in placing immediate implant post extraction. The maintenance of buccal root section helps retain both the compromised buccal cortical plate and soft tissue contour thus providing a better esthetic profile. In view of the same, two patients were provided immediate implants with socket shield technique; one with immediate loading of implant and other with delayed loading method and post operative radiographic analysis was carried out to evaluate bone density around the implant. Keywords: Socket­shield technique, Root Membrane Technique, Immediate Implants, Immediate loading, Delayed loading

Blinking covers the eye with a thin layer of tear fluid, thereby promoting a moist environment necessary for the cells of the exterior part of the eye. The tears also flush out foreign bodies and wash them away. This is crucial to maintain lubrication and proper health of the eye. In lagophthalmus, there is inability to close the eyelid and loss of blinking mechanism, thereby resulting in corneal dryness, ulceration, abrasion and infection. It may occur due to facial nerve damage secondary to trauma, iatrogenic due to surgery, tumour or Bell’s palsy. Initial symptomatic management is directed towards ocular surface lubrication. Viscous artificial tears are used or thin polyethylene film may be applied over the eyes to reduce evaporative drying. Temporary or permanent tarsorrhaphy may be required in some cases. Changing the position of either the top or bottom eyelid can help relieve the symptoms of lagopthalmus. A prosthetic procedure involves implanting gold weights into the upper eyelid, which allows the eyes to close by gravity. A case report of management of Lagophthalmus is presented here. Keywords: Lagophthalmus, Gold implant, Prosthetics.

Cranial defects can have adverse neurological, aesthetic, and psychological repercussions on patients. Successful rehabilitation of these defects may be achieved by using cranial reconstruction or cranioplasty. Cranial prostheses can be fabricated from various materials such as titanium, autologous bone, ceramics and polymers. Customized manufacturing for cranial prosthesis using a 3 -Dimensional (3D) printed cranial mold allows for a precise anatomical reconstruction of the cranial vault in a shorter operating time as compared to other conventional techniques. This article presents the successful rehabilitation of a patient with a cranial defect with preoperatively customized Polymethyl methacrylate cranial prosthesis made by using a 3-Dimensional Printed Polylactic acid mold (PLA). This cranial prosthesis alleviated the neurological symptoms due to decompressive craniotomy and improved aesthetics and function. Keywords: Cranial Implant, 3D printing, Craniectomy, Polymethylmethacrylate, Polylactic acid.

Background: The choice of restoring endodontically treated anterior teeth is guided by strength and esthetics. The ultimate shade of post and core definitely affects the translucent ceramic crown systems, which is a matter of concern. The colour of the underlying core influences the definitive esthetic result especially for a highly translucent ceramic crown with a thickness of less than 1.6 mm. In case of a thin gingival biotype the cast posts may also create root discoloration and a blue-gray effect. The gold posts, which is considered as gold standard, exhibit a dull bluish hue and give an unnatural appearance. The utilization of a dissimilar material for post and core buildup often results in failure due to separation between the post and core. When the core and the foundation restoration is of ceramic, post based on ceramic material would ensure better success. The prefabricated zirconia posts are one of the novel alternatives to gold post. Purpose: The mechanical advantage together with the aesthetic gain over the conventional materials has made zirconia the state of art option available for usage in the present day. Materials and Methods: There are only few relative studies, which have reported on aesthetic, clinical survival and patient reported events of endodontically treated teeth with zirconia post. Hence this clinical study is undertaken to evaluate the acceptability of prefabricated zirconia post used in endodontically treated teeth especially in the anterior region with the foundation restoration being all ceramic restorations. Results: Zirconia post is a more aesthetic alternative to fiber post especially in patients with gummy smile and thin biotype with all-ceramic crown to optimize the esthetic effect at the root and maintaining an adequate level of strength. Conclusion: In esthetic zone prefabricated zirconia post is a more simple and viable option to conventional post giving a monoblock (one piece) design. Keywords: Ceramic post, Esthetic post, Monoblock effect with post.

  Confident attractive smile is the most important social bonding gesture and key to your professional enhancement. With the advent of new materials and techniques in the field of esthetic dentistry, people have transformed their idea of smile and how it’s designed. In today’s era we have digital smile design as a multipurpose digital tool with certain clinically relevant advantages. It has enhanced the esthetic diagnostic capabilities with much more organized treatment plan and better communication among the team members and patient thereby resulting in more predictable treatment outcome and increased effectiveness of case presentation and patient motivation. Keyword: Smile Makeover, Digital Smile Design, Esthetics