This case report is based on the clear aligner treatment of an adult patient presented with class II div I malocclusion. The case was treated with the extraction of upper first premolars and interproximal reduction in the lower arch. Total 35 sets of upper aligners and 25 sets of lower aligners were delivered with the wear time of 22 hours per day for 10 days. The entire treatment course spanned a period of 14 months. Thus, the case study underscores the reliability of orthodontic treatment with clear aligners for addressing class II malocclusion. The discreet nature of these aligners not only enhances periodontal health but also increases patient acceptance. As a result, they are more likely to embrace and adhere to the treatment, fostering better overall outcomes.

Intentional replantation (IR) is often viewed as a last-resort intervention for failed endodontically treated teeth. This case report presents the successful management of symptomatic apical and lateral lesions through IR, highlighting its potential as an effective solution for challenging endodontic cases. A 45-year-old female patient presented with persistent pain and recurrent labial swelling in the vicinity of her left anterior tooth. Cone-beam computed tomography revealed endodontic lesions at both the apical and mesial aspects of tooth #21, leading to a diagnosis of symptomatic apical periodontitis. The IR procedure involved meticulous preparation and sealing of both apical and lateral canals with calcium-enriched mixture cement. One-year post-treatment, the patient remained asymptomatic, with clinical and radiographic assessments demonstrating a favorable prognosis and evidence of bone healing. This case demonstrates the successful management of symptomatic apical and lateral lesions through IR, offering an effective solution for challenging endodontic cases.

Aims: Safe dental service-seeking knowledge and behavior, which may help to access precise treatment management facilities regarding dental concerns, is fundamental to the sustainable management and prevention of dental diseases among the general population. The purpose of this study was to evaluate participants' knowledge and behavior about safe dental service-seeking practices. Materials and methods: Cross-sectional research of 312 respondents in the city of Khulna dental patients was undertaken. Face-to-face interviews using a semi-structured questionnaire were utilized to collect the data, and multi-variate approaches were used to analyze it. Results: With more female respondents (61.2%), the average age was found to be 34 years. The majority of the survey participants (69.6%) were college graduates or higher educated, came from a nuclear family (24.7%), and lived in an urban region (71%). The vast majority of respondents had inadequate knowledge (69.6%) and conduct (64.1%) when it came to seeking out safe dental care. Some socio-demographic and clinical characteristics were shown to be substantially (p0.05) linked to inadequate knowledge (less education, low blood pressure), as well as behavior (living in the country, having negative habits, and low blood pressure). Conclusion: Regarding knowledge and conduct on safe dental service-seeking practices, this study offers a depressing scenario. To make the information more broadly applicable and to make the situation better, a sizable investigation is required. As a result, this study will give future researchers in the subject a solid foundation for their work and will be extremely helpful to the relevant policymakers.

Introduction: Oral health is important in rural areas. It is necessary to have the good health of the women who have an axial role in the Tunisian rural economy. The objective of this study was to describe the state of oral health of women in rural areas. Materials and methods: We conducted a prospective observational descriptive study carried out at the delegation of Graïba in Sfax Tunisia within the framework of the medical caravan of the pink train. The form proposed by the World Health Organization for adults was used. Results: We included 121 women. The general sample's characteristics have been described. The prevalence of caries was 37.1%. The DMFT index is 2.5. Consumption of sweets concerned 9.1% of patients. Women had a bad brushing method at 77.7%. Periodontal inflammation affected 91.7% of women (111 patients). Conclusion: The state of oral health of women from rural areas in Tunisia was bad and it is necessary to act to improve it and raise awareness in rural areas by more supervision.

Provenance: Gold as a precious metal is well-known and is enmeshed in many cultural heritages. Besides being used for centuries for jewelry, it was co-opted as coinage. as building material and used in dentistry and medicine. Aim: This article appraises salient gold characteristics. Reviewed here are (1) gold properties, (2) Human gold physiology, (3) Gold’s current use in medicine, (4) Gold’s nutritional value, and (5) Gold use in dentistry. Conclusion: Although gold is found in miniscule amounts in the body and has slight anti-inflammatory effects as a salt, gold is still cherished as jewelry, remains chemically inert, is used in dentistry and medicine, has minimal nutritional value, and has scant metabolic function in humans.

Introduction: Etymologically, the epulis is a lesion that develops at the level of the gum. It is classically defined as a benign circumscribed hyperplastic pseudotumor of the gums. Observation: A 59-year-old patient consulted for a posterior left mandibular gingival mass related to 37 and 38 dilapidated. The lesion being well limited, of firm consistency and slow evolution without underlying osteolysis, evoked a fibrous epulis. The treatment consisted of eliminating the local irritant (RSD, extraction of the dental roots) and the complete excision of the lesion. Histological examination reveals the diagnosis of ossified inflammatory epulis. Discussion: Epulis is a common pseudotumor of the oral mucosa. Several varieties of epulis are described. Ossifying epulis is a controversial entity from a terminology point of view but it has the particularity of having bone and sometimes cemental metaplasia within the connective stroma which can sometimes be detectable on radiography. The success of the treatment remains dependent on the technique used by the practitioner, the follow-up, and the patient's degree of motivation for oral hygiene. The role of the first-line dentist remains important in the diagnosis, prevention, and treatment of this type of lesion as well as in the clinical follow-up.

Aim: Odontogenic keratocyte tumor is a developmental cyst with proliferative and invasive nature. which is often observed in the posterior region of the mandible and is commonly seen in the third decade of life. The highest age of prevalence is in the 3rd to 6th decades and the male to female ratio is 2 to 1. Normally, if there is no infection, it is not manifested and it is discovered accidentally in rayograph, but if the size increases, it manifests as an extension in the form of pain, swelling and infection in the dental and bone area if the tooth is hidden. In radiographs, it appears as a radiolucent lesion with distinct ionic or multilocular boundaries and sometimes with a scallop border in the dental area or even extending to the ascending ramus and condylar area. Research shows that the origin of this cyst is the remaining odontogenic epithelium of Ceres in the alveolar region. And it can be syndromic (Gorlin syndrome) or non-syndromic. This cyst has a thin epithelium and has multiple daughter cysts, which causes the risk of recurrence due to incomplete removal of the lesion. Enucleation, marsupialization, Carney’s solution and resection are treatment methods. What is investigated in this project is the comparison of the prevalence of the two therapeutic methods of marsupialization alone and the combination of marsupialization and peripheral sect my in patients with odontogenic keratocytes regardless of whether they are syndromic or sporadic. Method and Materials: In this study, which is conducted on 10 patients referred to Behoney Hospital in Kerman. First, the patient is selected with clinical examinations and then with the preparation of panoramic radiographs. If there is visible swelling, aspiration is performed with a 10-cc syringe, and then the patient is operated on for a biopsy to definitively diagnose the odontogenic keratocyte of the tumor. In this study, there is no difference between the age and sex of the patient, and whether KOT is syndromic or sporadic; Both are included in the review. The patient is subjected to marsupialization, then the patient undergoes follow-up and periodic x-rays are used to ensure that the lesion shrinks. In the lesions where there is involvement of the surrounding bone in the form of a saucerization, after the lesion is reduced, the patients are treated with peripheral sect my or removal of the bone around the lesion in the form of a curt shape, and in small lesions, the treatment is completed with marsupialization. arrives. Then the patients are followed up and the recovery process and the rate of recurrence are checked by preparing periodical x-rays. Results: In this study, out of ten patients, 4 patients (40%) had recurrence, and among these 4 patients, 3 patients (75%) were in the first group who were treated with marsupialization. The follow-up of the patients was one year, and after the preparation of OPG, the reduction of cyst dimensions was compared to the size before the operation. The criterion for the recurrence of keratocyte odontogenic lesion is the increase in the size of the lesion according to the qualitative scale and the comparison of the graph prepared before and after marsupialization. Out of 4 patients with recurrence, one case in the second group (25%) is treated with marsupialization and peripheral sitcom, a ten-year-old boy has multiple jaw cysts in the front of the mandible, behind the maxilla on both sides, and behind the mandible on both sides. The maxillary sinus is left. According to the obtained results, the treatment of marsupialization with peripheral sect my has more effectiveness and the results had a significant difference. p value=0.043 Conclusion: According to the obtained results, the treatment of marsupialization with peripheral sitcom has more effectiveness and less recurrence.

Objective: The aim of this study was to find out the impact of COVID-19 pandemic on professional skills and career plans of House Officers (HO) and Postgraduates (PG) dental trainees. Methodology: A cross sectional study was conducted on 380 participants. A total number of 194 HO’s and 186 PG trainees from all the teaching dental hospitals of Peshawar, Khyber Pakhtunkhwa. The time duration of this study was December 2020 till March 2021. A self-administered questionnaire was developed to assess the psychological impact of COVID-19 on the HO and PG dental trainees. The questionnaire comprised of closed ended questions on perceptions of trainees regarding their mental health. The data was recorded and analyzed using SPSS statistical package 26.0. Results: A total number of 380 Trainee dentists participated in the study and half of them (48%) reported to be tested positive for COVID-19 at some point. During the peak of the pandemic, 90.8 % of the participants' reported that their mental health was compromised, with the most common reasons being financial issues (58.9%) and psychomotor skills (52.1%). The Postgraduate Trainees were more concerned about their dental practice and impact on their mental health as compared to the HO’s and the difference was statistically significant, financial issue being the major reason. Conclusion: This study shows that the COVID-19 pandemic affected the mental health, professional skills and financial issues of the house officers and postgraduate dental trainees.

Purpose: To estimate the impact of providing mobile educational messages on prevention of dental caries in group of preschool children. Materials and methods: 100 high caries risk children aged between 3 and 5 years from both genders were randomly allocated into two groups (n=50) regarding to receiving educational messages: test group; included children whose parents received educational messages and control group; included children whose parents didn’t receive any messages. Every 14 days the test group received educational messages via Whats Application Messenger (WhatsApp). Visible plaque index (VPI), the decayed, missed, filled (dmf) and the International Caries Detection and Assessment System (ICDAS) indices were measured at the start of the study, 3-, 6- and 9-month follow-ups, whereas Health Literacy levels and dietary habits were determined by HEALS literacy questionnaire at the start of the study and 9-month follow-up. Results: Educational messages increased parental HEALS scores, enhancing children’s oral health and reducing the severity of dental caries. Conclusion: Mobile educational messages provided through WhatsApp were efficient in reducing dental caries among preschool children and enhancing health literacy of the parents.

Background: Dentistry training is based on biomedical sciences. Previous clinical experience has produced principles that influence the practice of dentistry. Some of these oral advisories have been recorded. Aim: This article reports some more important orally transferred aphorisms (OTAs: Tapping-tooth-pain, Vertical Movement, Biopsies, Recognition, Ruboffable, ODD principle, and Show-up plaque), Assumption, and deconstructs their implications, reasons and significance. Discussion: These reported OTAs evolve from clinical expertise and each act as a guiding policy in the execution of dentistry. Conclusion: OTA’s have been inherited from succedaneous progressive generations of dentists; those reported here may be supplemented in future as long as dentistry evolves as a profession to produce more accumulating wisdom among dental health care workers.