Role of ehealth literacy, learning styles, and patterns of web-based e-content access for seeking health information among dental university students in Vadodara, India.

BACKGROUND: Individual's learning style, ehealth literacy, and preferred web-based e-content and channel to access information determines how one makes sense of health information on the Internet. Understanding these dynamics will help design suitable e-contents and choose appropriate channels for effective health communication. To assess the relationship between ehealth literacy, learning styles, and web-based e-content accessed for receiving health information among dental college students in Vadodara, India. MATERIALS AND METHODS: A cross-sectional questionnaire study was conducted among all consenting Undergraduate Students (UGs), interns, and Postgraduate Students (PGs) of a dental college in Vadodara, India, from July to August 2022. The questionnaire used to collect data included questions on general information, eHealth literacy scale (eHEALS), Visual Auditory Reading/Writing Kinaesthetic (VARK) Questionnaire, and preferences of web-based e-content for receiving health information. Completely filled questionnaires were subject to statistical analysis: descriptive (means and percentages) and inferential (analysis of variance tests and odds ratio). RESULTS: 285 out of 380 students filled out the questionnaires completely (75% response rate). All reported using Internet for receiving health information. Majority preferred textual ehealth message (71%) and access websites (80%). Students were quadmodal (98.%) and trimodal (2%) learners who learned predominantly through kinaesthetic methods (46%). Mean eHEALS score of the group was 30.27 ± 3.41. There was a statistically significant association between preference for sharing channels and being a kinaesthetic learner (OR = 1.6; P = 0.04). CONCLUSIONS: Participants were multi-modal, predominantly kinaesthetic learners. The association between the preference for video-sharing channels and being kinaesthetic learner suggests the need and scope for demonstrative and interactive video-based health educational tools, with the endorsement of health authorities based on health policy.

A randomized controlled twelve month clinical study on the evaluation of success rate of endodontically treated teeth restored with metal poly-fiber posts and dentin posts.

Settings and Design: Department of Prosthodontics, KMSDCH, SVDU, Randomised Controlled study. Materials and Methods: Thirty-six teeth that satisfied selection criteria were randomly allocated and treated in the two intervention groups - metal fiber post with composite core and dentin post with composite core. Patient characteristics with respect to gender, tooth guidance, type of tooth, and mobility amount of tooth structure left were recorded. The primary outcome of tooth loss and the secondary outcomes of recurrent caries detected at the crown margin, de-cementation of crown, and fracture of the core, post, and root were recorded at baseline, 3, 6, and 12 month follow up. Statistical Analysis Used: Chi Square test. Results: Thirty-six teeth in 17 patients (10 males and 7 females) were treated using metal fiber post (18 teeth) and dentin post (18 teeth). No loss of tooth was seen at the end of 3, 6, and 12 months. The secondary outcomes also showed no recurrent caries at margin and no fracture of core, post, and root in both the groups at the end of 3, 6, and 12 months. One case of de-cementation was observed in both the groups at the 12-month period. Periodontal and periapical conditions showed no clinical and radiographic signs at any of the follow-up periods in both the groups. Conclusion: This twelve month randomized controlled clinical study concluded a similar success rate for endodontically treated teeth restored with crowns on both metal fiber post with composite core and dentin post with composite core.

Comparative evaluation of tensile strength, tear strength, color stability and hardness of conventional and 1% trisnorbornenylisobutyl polyhedralsilsesquioxane modified room temperature vulcanizing maxillofacial silicone after a six month artificial aging period.

Aims: Silicone elastomers, chemically known as polydimethylsiloxane used in maxillofacial rehabilitation, over a period of time, undergo degradation and discoloration once aged, thereby reducing clinical longevity. Many previous studies reinforced the maxillofacial silicone material with stronger materials to increase its mechanical properties. However, no studies have been conducted to evaluate all the primary properties using single reinforcing agent. This study was conducted to evaluate and compare the tensile strength, tear strength, color stability, and Shore A hardness of conventional and 1% trisnorbornenylisobutyl polyhedralsilsesquioxanes (POSS) modified room temperature vulcanizing (RTV) maxillofacial silicone after a 6 - month artificial aging period. Setting and Design: In vitro comparative study. Materials and Methods: Eighty-eight silicone samples were fabricated. Therefore for each parameter of tensile strength, tear strength, color stability and hardness, twenty two samples comprising of 11 samples of conventional RTV silicone (Group 1) and 11 for POSS modified RTV silicone (Group 2) were fabricated in stainless steel molds using ASTM D 412-06, ASTM D 624, and ASTM D 2240-15 Standards. Baseline measurements for Shore A hardness and color values were recorded. Samples were then exposed to 6 months of natural weathering process and evaluated for tensile and tear strengths, color stability (ΔE), and hardness. Statistical Analysis Used: Paired and unpaired t-test. Results: Intragroup and intergroup comparison was done using unpaired and paired t-test. At the end of 6-month aging period, the tensile strength and tear strength of POSS-modified RTV silicone were significantly higher than conventional RTV silicone (P < 0.0001 and P = 0.00014, respectively). Intragroup comparison of conventional group showed highly statistically notable changes in L, a, and b values (P = 0.01631, > 0.0001, and = 0.0.0067, respectively), whereas the POSS-modified RTV silicone showed statistically nonsignificant results in L, a, and b values' (P = 0.91722, 0.15174, and 0.10847, respectively) comparisons after aging. Intergroup ΔE value comparisons showed an extremely statistically difference (P < 0.0001) within the groups. Intergroup comparisons postaging hardness showed a high statistical difference between both the groups, indicating a significant increase in hardness in the conventional group (P < 0.0001). However, intragroup comparison for hardness values showed a statistically highly significant difference for Group 1 (P < 0.0001) and a nonsignificant difference (P = 0.4831) for Group 2. Conclusion: After the simulated 6-month aging procedure, 1% NB 1070 trisnorbornenylisobutyl POSS-incorporated RTV maxillofacial silicone showed better tensile strength, tear strength, Shore A hardness and color stability as compared to conventional RTV silicone. Hence, trisnorbornenylisobutyl POSS is a potent cross-linking agent which enhances the primary mechanical properties of RTV silicone can result in in significant increase in the mean life expectancy of RTV silicone even after 6 months of weathering.

The color stability of maxillofacial silicones: A systematic review and meta analysis.

Aim: This systematic review aims to identify and interpret results of studies that evaluated the changes in the color stability of maxillofacial prosthetic materials due to chemical instability of silicones and pigments and the effect of exposure to environmental conditions and aging factors on the same. Settings and Design: This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines (PRISMA). Materials and Methods: Relevant articles written in English only, before November 15, 2019, were identified using an electronic search in the PubMed/Medline conducted to identify pertinent articles. The relevancy of the articles was verified by screening the title, abstract, and full text, if they met the inclusion criteria. A total of 42 articles satisfied the criteria, from which data were extracted for qualitative synthesis. This review protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO registration number CRD42019124562). Statistical Analysis Used: Since considerable data heterogenicity was present in all studies except the ones on incorporation of TiO2 for which meta-analysis using random effects model was performed. Results: The database search resulted in 234 studies, of which 202 articles were excluded due to lack of relevance, duplication, and unavailability of data. The remaining 32 fulltext articles were assessed for eligibility, out of which 2 articles were excluded. Twelve articles were yielded by manual search. A total of 42 studies were included in the present systematic review. Due to heterogeneous data, meta-analysis could be only carried out with the effect of TiO2 nano particle on color stability. Conclusions: Although there has been extensive amount of research in this field, an ideal maxillofacial silicone exhibiting good color stability in various human and environmental aging conditions is yet to be identified. Human and environmental aging conditions have an adverse effect on the color stability and addition of TiO2 nano particle seems to improve the same.

A qualitative research analysis of gender-based parities and disparities at work place experienced by female dentists of Vadodara, India.

AIM: To assess the gender-based parities and disparities at work place experienced by female dentists of Vadodara, India. MATERIALS AND METHODS: In-depth face-to-face qualitative semi-structured interviews in English were conducted among 12 female dentists of Vadodara. Female dentists working with one/more male colleague or auxiliary were selected through purposive sampling. Interviews were conducted as per Kvale's principles and recorded using a digital voice recorder. Transcribed data was analyzed using Giorgi's phenomenological analysis. RESULTS: The recurring themes identified were: (a) Striking work-family balance (b) Dependence on male authority for instating work discipline (c) Male dentists' hostility to "woman in power" concept (d) Male dentists' superiority in technical skills (e) privileges for women dentists. CONCLUSIONS: There is a need to improve the work environment of women dentists. Social support, sensitivity among male colleagues, and generous institutional policies will enable increased contribution from women to the profession.

Evaluation of the effect of dentin surface treatment by air abrasion and Er:YAG laser on the retention of metal crowns luted with glass ionomer cement in teeth with reduced crown height: An in vitro study.

AIM AND OBJECTIVES: The purpose of this study was to investigate the effect of dentin surface treatment with aluminum oxide air abrasion and Er:YAG laser on tensile bond strength of metal crowns. Metal crowns were luted with conventional glass ionomer cement (GIC) in the teeth with reduced crown height, where preparation geometry did not provide optimal retention form. MATERIALS AND METHODS: Forty-eight human premolars were prepared to receive metal crowns and were randomly divided into four groups for tensile bond strength testing. Group A: Untreated dentin luted with self-adhesive composite resin cement as positive control; Group B: Untreated dentin luted with GIC as negative control; Group C: Surface treatment with 50 µm aluminum oxide air abrasion and luted with GIC; Group D: Surface treatment with Er:YAG laser (λ =2.94 mm) with a total energy 84.88 J/cm2 of (60 mJ/pulse, 10 Hz, 60 pulses, and 100 µs pulse width) and luted with GIC. The cemented specimens were thermocycled and later subjected to axial load in a universal testing machine at 0.5 mm/min cross-head speed for tensile testing. Scanning electron microscopic evaluation of dentin surface treatment and cement-dentin interface was also done in representative specimens. RESULTS: One-way analysis of variance showed statistically significant difference among/within the groups (P < 0.001). Tukey's post hoc test presented significant increased tensile bond strength of Er:YAG laser group. Air abrasion group showed no significant increase in tensile bond strength values (P = 0.033). CONCLUSION: Dentin surface treatment with Er:YAG laser significantly improved the tensile bond strength of luting GIC compared to air-abraded and untreated dentin.

Retention failures in cement- and screw-retained fixed restorations on dental implants in partially edentulous arches: A systematic review with meta-analysis.

PURPOSE: This systematic review aimed to evaluate retention failures in cement- and screw-retained fixed restorations on dental implants in partially edentulous arches. METHODS: The relevant articles were retrieved from MEDLINE (PubMed), Cochrane Library, and EBSCO electronic databases for articles published from January 1995 to January 2016 and were restricted to randomized controlled trials and retrospective and prospective studies on human subjects that were reported in English. A further hand search was conducted on individual journals and reference list of the articles found. Reviewed studies which reported retention failures in fixed implant-supported prostheses using screw and cement retention mechanism. Information on the type and nature of restoration, as well as different luting cement, were also collected. RESULTS: Thirty-three articles were finalized, 20 short-term clinical studies (up to 5 years) and 13 long-term studies (≥5 years). Out of 33 studies, 16 studies were included in meta-analysis, 8 in short-term and 8 in long-term studies. The results of the meta-analysis for short-term studies showed statistically significant difference between cement-retained and screw-retained prosthesis, with the forest plot favoring cement-retained prostheses (risk ratio [RR]: 0.26; confidence interval [CI]: 0.09-0.74; P < 0.0001; I2 = 79%). In long-term studies, the forest plot revealed statistically significant difference between both retention systems favoring cement-retained prostheses (RR: 0.31; CI: 0.13-0.76; P = 0.03; I2 = 56%). CONCLUSION: Analysis of the short- and long-term studies shows lesser retention failures with cement-retained prostheses when compared to screw-retained prostheses. Further, multicentric, high-quality randomized controlled studies with long-term observations and modified cementation protocols can yield higher grades of recommendation to avoid retention failures.

Effect of probiotics on the amount and pH of saliva in edentulous patients: A Prospective study.

CONTEXT: Probiotics have been prescribed to old aged patients' invariably with or without complete dentures for improving their digestive process. It is mentioned that probiotics do have an effect in increasing the amount of saliva in the oral cavity. Therefore, this study was planned to evaluate the amount and pH of saliva after using probiotics for 60 days in completely edentulous patients. AIM: This study aims to evaluate the amount and pH of saliva of edentulous patients before and after using probiotics. SETTINGS AND DESIGN: The interventional prospective study was conducted at the department of prosthodontics of the institute. METHODS: The study was conducted on edentulous patients. The whole unstimulated and stimulated saliva was collected at baseline and amount, and pH was measured. Then, each patient was given probiotic capsules reaching 3.3 × 107 CFU/g to consume daily once for 60 days. Saliva was recollected from patients, and its amount and pH was calculated and compared with baseline. STATISTICAL ANALYSIS USED: STATAIC-13. RESULTS: On comparison of saliva before and after consuming probiotics, there was an increase in the mean unstimulated and stimulated saliva from baseline to that after 60 days, the difference being 0.406 and 0.433, respectively. The difference was statistically significant with P < 0.001. The mean pH at baseline was 7.818 ± 0.231 which increased after 60 days to 7.825 ± 0.189, the difference being 0.007. CONCLUSION: This study concluded that probiotics increase the amount of saliva of completely edentulous patients and so it can be helpful in patients suffering from xerostomia/hyposalivation.

Comparative evaluation of the amount of the residual monomer in conventional and deep-frozen heat cure polymethylmethacrylate acrylic resin: An in vitro study.

STATEMENT OF PROBLEM: Heat cure acrylic resin material with reduced monomer content is generally recommended for clinical usage as it leads to improved mechanical, physical, and biocompatibility properties. AIMS AND OBJECTIVE: The purpose of the present study was to evaluate and compare the amount of the residual monomer in the conventional and three different groups of deep-frozen heat cure polymethylmethacrylate (PMMA) acrylic resin. MATERIALS AND METHODS: Totally 40 Specimens of heat cure PMMA acrylic resin (DPI India) (10 conventional heat cure and 30 deep frozen) were made using two disc-shaped stainless steel molds and invested into type II dental stone using compression molding technique. Each group contained 10 specimens (n = 10). Group 1: Control group of conventional polished PMMA specimen stored in water for 24 h at +37°C (10 specimens), Group 2: Deep frozen unpolished PMMA (10 specimens), Group 3: Deep frozen polished PMMA (10 specimens), and Group 4: Deep frozen polished PMMA specimen stored in water for 24 h at +37°C (10 specimens). Amount of the residual monomer content in all the specimens was measured using high-performance liquid chromatography. Data were analyzed using One-Way Analysis of Variance and multiple comparison Tukey's post hoc test (α = 0.05). RESULTS: Least residual monomer content was found in Group 4 (0.12 wt%) followed by Group 3 (0.19 wt%), Group 2 (0.23 wt%), and Group 1 (0.26 wt%). Statistically significant difference (P < 0.05) was found in residual monomer content for all the four groups tested. Post hoc test for intergroup comparison also showed a significant difference between groups. CONCLUSION: The amount of the residual monomer was found to be least in deep-frozen polished PMMA specimen stored in water for 24 h at +37°C (Group 4). Thus, it can be concluded that deep freezing, polishing, and storing in water can reduce the residual monomer content.

A Three Month Comparative Evaluation of the Effect of Different Surface Treatment Agents on the Surface Integrity and Softness of Acrylic based Soft Liner: An In vivo Study.

INTRODUCTION: Acrylic based soft liners are cost effective, yet are inferior in durability as compared to silicone based liners. Hence, this study was conducted to evaluate if the softness and surface integrity of acrylic based soft liner can be maintained by using different surface treatment agents. AIM: To comparatively evaluate the effects of Varnish, Monopoly and Kregard surface treatment agents on the surface integrity and softness of acrylic based soft liner at baseline, at one month and after three months. MATERIALS AND METHODS: A total of 37 participants who required conventional maxillary dentures were selected according to the determined inclusion and exclusion criteria of the study. In the maxillary denture on the denture bearing surface, eight palatal recesses (5 mm x 3 mm) were made and filled with acrylic based soft liner (Permasoft). The soft liners in these recesses were given surface treatment and divided as control (uncoated), Varnish, Monopoly and Kregard groups. The hardness and surface integrity were evaluated with Shore A Durometer and Scanning Electron Microscope (SEM) respectively at baseline, one month and three months interval. Surface integrity between groups was compared using Kruskal-Wallis test. Intergroup comparison for hardness was done using ANOVA and Tukey's HSD post-hoc tests. RESULTS: Amongst all the groups tested, surface integrity was maintained in the Kregard group, as compared to control, Varnish and Monopoly groups for all three time intervals (p< 0.001). Kregard treated samples also demonstrated significantly higher softness at all the time intervals (p<0.001). CONCLUSION: Surface treatment with Kregard demonstrated better surface integrity and softness at all the time intervals.

Comparative evaluation of the amount of gingival displacement produced by three different gingival retraction systems: An in vivo study.

STATEMENT OF PROBLEM: Tetrahydrozoline has been introduced as new gingival retraction agent but its clinical efficacy with widely used conventional retraction agents has not been tested. PURPOSE: The study was designed to clinically evaluate efficacy of newer retraction agent tetrahydrozoline with two widely used retraction systems i.e., Expasyl retraction system and medicated retraction cords on basis of amount of gingival retraction. MATERIALS AND METHODS: 30 subjects were selected according to inclusion and exclusion criteria. Maxillary Impressions were made with irreversible hydrocolloid for all subjects. Tray material was used for making the special tray. Latin Block Design was Used in the Study to avoid tissue fatigue. Retraction was done with aluminium chloride; Tetrahydrozoline and Expasyl according to Latin block design. Impressions were poured with die stone. Casts were retrieved and sections were made with die cutter. 3 mm thin slices were obtained. Each slice was used to measure the amount of retraction under stereomicroscope under 20x and images were transferred to image analyser. RESULTS: The amount of gingival retraction obtained by using aluminium chloride as gingival retraction agent was maximum (148238.33 µm(2)) compared to tetrahydrozoline (140737.87 µm(2)) and Expasyl (67784.90 µm(2)).

A comparative evaluation of the reliability of three methods of assessing gingival biotype in dentate subjects in different age groups: An in vivo study.

INTRODUCTION: In the modern competitive society, a pleasing appearance often dictates the difference between success and failure in both our personal and professional lives. Evaluation of gingival biotype is very important from the start of treatment plan to the final restorative placement to provide excellent esthetics. MATERIALS AND METHODOLOGY: For the study, subjects were divided into 4 groups of different ages, from 20-30, 31-40, 41-50 and 51-60 years. 30 subjects (15 men and 15 women) were selected in each group for the study. Examination of the thickness of Gingival Biotype was done in 3 different ways; - Direct visual, William's Graduated Probe and Using modified wax caliper. RESULTS: The McNemar test showed statistically significant differences in the way gingival biotype was identified when comparing visual assessment with assessment using direct measurement (P < 0.001). And there was no statistically significant difference when assessment using a periodontal probe was compared to direct measurement (P < 0.676). There is no correlation for the Biotype among the different age groups. CONCLUSION: Gingival biotype identification by visual assessment is statistically significantly different from assessment with direct measurement. Gingival biotype identification by assessment with a periodontal probe is not statistically significantly different from direct measurement.

A comparative analysis of the effect of three types of denture adhesives on the retention of maxillary denture bases: an in vivo study.

There are many factors involved in the success of a good quality complete dentures, one of them is retention. There are some forcing situations where providing optimal retention may be a problem, in which use of denture adhesives is recommended. In the present study, primary and secondary impressions were made on 20 completely edentulous patients, master cast was fabricated. Master cast was duplicated; heat-cured denture base was fabricated. The retention test for control group, powder group, wafer group, paste group was done using a customized force sensor device. Readings was subjected to ANOVA followed by post hoc test. Results show that the retention force value of the paste group was the maximum, followed by powder group, wafer group and the least retention force value was observed with control group. Within the limitations of the study it can be concluded that the paste form of denture adhesive has the best retentive property compared to the powder and wafer.

A Comparative Evaluation of the Effect of Resin based Sealers on Retention of Crown Cemented with Three Types of Cement - An In Vitro Study.

AIM: In an effort to control postoperative sensitivity, dentin sealers are being applied following crown preparations, with little knowledge of how crown retention might be affected. A previous study demonstrated no adverse effect when using a gluteraldehyde-based sealer, and existing studies have shown conflicting results for resin-based products. This study determined the retention of the casting cemented with three types of cement, with and without use of resin sealers and it determined the mode of failure. MATERIALS AND METHODS: Extracted human molars (n=60) were prepared with a flat occlusal, 20-degree taper, and 4-mm axial length. The axial surface area of each preparation was determined and specimens were distributed equally among groups (n=10). A single-bottle adhesive system (one step single bottle adhesive system) was used to seal dentin, following tooth preparation. Sealers were not used on the control specimens. The test castings were prepared by using Ni-Cr alloy for each specimen and they were cemented with a seating force of 20 Kg by using either Zinc Phosphate (Harvard Cement), Glass Ionomer (GC luting and lining cement,GC America Inc.) and modified-resin cement (RelyXTMLuting2). Specimens were thermocycled for one month and were then removed along the path of insertion by using a Universal Testing Machine at 0.5 mm/min. A single-factor ANOVA was used with a p value of .05. The nature of failure was recorded and the data was analyzed by using Chi-square test. RESULTS: Mean dislodgement stress for Zinc phosphate (Group A) was 24.55±1.0 KgF and that for zinc phosphate with sealer (Group D) was 14.65±0.8 KgF. For glass ionomer (Group B) without sealer, the mean value was 32.0±1.0 KgF and mean value for glass ionomer with sealer (Group E) was 37.90±1.0 KgF. The mean value for modified resin cement (Group C) was 44.3±1.0KgF and that for modified resins with sealer (Group F) was 57.2±1.2 KgF. The tooth failed before casting dislodgement in 8 to 10 specimens cemented with modified-resin cement. CONCLUSION: Resin sealer decreased casting retentive stress by 46% when it was used with Zinc phosphate. However, sealer use resulted in 60% increased retention when it was used with Glass ionomer cement. The modified-resin cement produced the highest mean dislodgement stress, which nearly always exceeded the strength of the tooth.

Essix restoration: a novel approach for transitional teeth replacement.

Loss of teeth is a distressing situation. The patient may cultivate feeling of loss of an organ on loss of teeth. Especially when anterior teeth are lost appearance of the patient is compromised with altered pronunciation. This is a really embarrassing situation for people working as news readers, social workers, marketing executives, theatre artists or persons whose presentation in front of people is important as part of their work. Replacement of missing teeth immediately after loss is not possible always due to local and systemic physiological factors, age, pathological factors and unfavourable condition of soft tissue in a particular area. Various means are available for transitional replacement of teeth which may or may not require adjacent teeth preparation. Essix restoration is easy to fabricate and use the restoration option with great aesthetic value.

Prosthesis on prosthesis: three-fourth metal crowns--a novel approach for metallic occlusion.

Single complete denture is a common occurrence which needs special attention in treatment. Denture reinforcement with metallic occlusion is recommended to prevent fracture of denture and wearing of artificial teeth. Various methods have been reported in the literature for metallic occlusion, which either compromise on aesthetics of the premolar teeth or need repeated procedures. This case reports the use of three-fourths metal crowns to achieve metallic occlusions in single complete denture.

A clinical study of the variation in horizontal condylar guidance obtained by using three anterior points of reference and two different articulator systems.

BACKGROUND AND OBJECTIVES: For mounting the maxillary cast to articulator, minimum three reference points not on single line, decide the plane to which maxillary cast is mounted. Variations exist in condylar guidance when different anterior reference points are used to mount the cast. Type of articulator may have influence on condylar guidance. A clinical study was planned to evaluate the effects of different anterior points of reference and two different articulator systems on condylar guidance. MATERIALS AND METHODS: Total 15 subjects were selected. Six sets of maxillary casts were obtained. Face bow record was made using orbitale as anterior point of reference and the record was transferred to the Arcon and Non-Arcon articulator. The second and third mounting on Arcon and Non-Arcon articulator were done using Superior and inferior annular groove on incisal pin of articulator. Protrusive interocclusal records were made for all the subjects. Two lateral cephalograms one in maximum intercuspation and the other in protrusion for left and right side were taken. Anatomic condylar guidance of the subject were obtained from radiograph tracing. Arcon and Non-arcon articulator were programmed with Protrusive interocclusal record of the subjects and the condylar guidance was tabulated for right and left side. The procedure was repeated for all three mountings for both the articulators. RESULTS: The orbitale is the best reference point which mounts maxillary cast closer to anatomic position. Inferior annular groove can also be used as anterior point of the reference. The superior annular groove is not recommended anterior point of reference.

Indirect laminate veneer: a conservative novel approach.

Various treatment options and materials are available for restoration of an endodontically treated tooth. Laminate veneer is conservative treatment usually employed for aesthetic correction or improvement. The indirect composite is available in a wide range of shades and specific characterisation is easily performed chair side in the operatory area, which makes it a quick procedure and time saving for both the patient and the dentist. The physical properties and optical properties are good enough to use it as indirect restorative material, so in this particular case it was the material of choice for fabrication of laminate veneer on anterior tooth. In this case, the endodontically treated tooth with a fractured incisal edge was restored with indirect composite material.

Microstomia: entry made easy in no entry (with sectional tray and sectional denture).

Reduced mouth opening or microstomia is a frequently encountered condition in the field of prosthodontics. Microstomia is a challenge for prosthodontics right from impression making till the insertion of the prosthesis. Making impressions in patients with microstomia is often cumbersome for both patient and operator. Standard impression procedures are not of any help due to limited mouth opening, so the modification of standard impression procedure is often necessary while treating such patients. Modification in denture prosthesis in the form of split denture, flexible denture, hinged denture, spring denture etc is needed to fulfil patients' demands. The present case displays the treatment of a patient with microstomia using modified impression tray design and maxillary split denture.