Rotation correction is a part of alignment and levelling phase of orthodontic treatment. Rotations, if left untreated, could cause functional, aesthetic and periodontal problems. There are various methods indicated to correct tooth rotations. This case report describes one such method for correction of a severely rotated and palatally displaced lateral incisor.

Background: Odontomas are most common odontogenic tumors present in the oral cavity. They are classified as complex, compound, and meroblastic fibro-Odon tomes. Although they are usually smaller in size, odontoma interfere in eruption of permanent teeth.Case report: Here presenting a case of multiple compound odontomas in 9-year-old boy in maxillary anterior region of jaw. Management includes surgical removal of odontoma. Clinical and histopathological examination confirmed a diagnosis as a compound odontoma.Conclusion: Early diagnosis and management of odontoma prevents further complications related to that.

Antiseptic agents are used as an adjunctive tool in periodontal therapy, to prevent infection, better plaque removal, as well as preoperative cleaning of the surgical site, and postoperative use. Chlorhexidine is considered a good antiseptic agent, but it has several important adverse health effects if not used correctly by the patient. The objectives of this review are: a) To understand the different antiseptics that exist, b) To determine the adverse effects of chlorhexidine, c) To compare the effects of antiseptics in different studies.

A glide path file may contribute to extruding contaminated debris during the first treatment phase. Using rotary techniques rather than manually operated instruments is thought to decrease the amount of extruded debris and hence post-operative pain levels. Aim: To compare the effect of using Neoniti GPS rotating glide path file in comparison to manual stainless-steel K-files on post-operative pain, in asymptomatic nonvital mandibular molars. Methods: Thirty nonvital asymptomatic mandibular permanent molars were randomly allocated into two equal groups (n=15). In the control group, glide path preparation was achieved using manual stainless-steel K-files (#10, 15). In the experimental group, a glide path was created using Neoniti GPS path file. Standardized cleaning and shaping procedures were performed in both groups. Results: Neoniti GPS for glide path preparation resulted in significantly less post-operative pain incidence at 6 h (p= 0.039) and was associated with significantly lower post-operative pain levels at 12 h (p=0.047). No other significant difference was found between the two groups at 24, 48 and 72 h.Conclusions: Glide path preparation using Neoniti GPS rotary file decreased post-operative pain incidence after 6 h and reduced pain intensity after 12 h compared to manual glide path preparation.

The effect of different air blasting pressure of polyetheretherketone (PEEK) on surface roughness and bond strength to adhesive resin cement: An in-vitro study

Aim: The aim of this study was to assess the fracture resistance of endodontically treated maxillary premolars with mesioocclusodistal (MOD) cavities supported by horizontal glass fiber posts. Methodology: Thirty three extracted maxillary premolars were collected and grouped into three. MOD cavities were prepared and all of them were endodontically treated. Teeth were supported with horizontal glass fiber posts; vertical glass fiber posts and composite restoration alone in the three groups respectively. Fracture resistance assessed using Universal testing machine. Type of fracture was assessed using visual examination. Type of failure was assessed using Stereomicroscope. Results: Highest fracture resistance was shown by samples supported by horizontal fiber post (Group C). Group B had higher chances of Type 1 failure (Adhesive failure between post and luting cement) compared to other groups. Group A had higher chances of Type 4 failure (Cohesive failure) and Group C had higher chances of Type 5 failures (Mixed type; combination of any two of the above-mentioned types).There was no statistically significant association between groups and fracture mode (repairable and unrepairable). Majority of samples from Group A and Group C underwent repairable fractures. Conclusion: Fracture resistance of horizontal fiber post group was significantly higher compared to the other two groups.

Objective: To report the experiences of parents for cleft lip and palate children throughout their treatment journey. Additionally, to identify the presence or absence or organized healthcare services for the cleft lip and palate patients in terms of parents’ awareness about the condition and its management, as well as the presence of medical referrals between the specialists. Moreover, to highlight the obstacles that could be faced by the patients along the treatment journey.Design: Cross-sectional survey. Setting: The Department of Orthodontics, Faculty of Dentistry, Cairo University and Abouelreish Children Hospital, Cairo University, Egypt. Participants: 125 Parents for Egyptian patients with unilateral or bilateral complete cleft lip and palate, with age > or = 6 years old were included in the study. Intervention: The parents were asked to fill a questionnairethat was designed to gather information regarding the the mentioned objectives. Results:92% of the parents reported that they couldn’t afford the treatment procedures that were needed throughout their children’s’ timeline. 95% of the families didn’t know the meaning of a specialized cleft center and 98.4% said that their children haven’t been referred to a cleft center before. 71% of the families reported that they don’t know the interdisciplinary treatment team-based approach for management of cleft lip and palate patients. 47% of the included sample reported that they weren’t guided with medical referrals between the different medical specialists. Conclusion: The overall parents’ experiences are complex and reflect that cleft care require a lot of improvement in our country to meet the parents’ expectations. Parents’ knowledge regarding cleft care is considered deficient. Parents reported the unmet need for an organized medical referral system, clear roadmap of treatment, further financial and social support as well as more awareness about the condition and the phases of treatment.

Melatonin is an indoleamine derivative synthesised mainly in the pineal gland. Its association with periodontal disease and periodontal treatment with exogenous supplementation of Melatonin via oral route, topical application and as local drug delivery has been documented as evidences in the literature. This review article focuses on the melatonin functions in periodontium which includes its anti-inflammatory, antioxidant, antiresorptive and immunomodulatory properties.

Introduction: In teeth with incomplete rhizogenesis, the canal is frustoconical and broad, and the foramen is absent. The disinfection and obturation protocol must be adapted to keep the treatment within the root limits. Mineral Trioxide Aggregate (MTA) performs an apexification by creating a hard tissue barrier with cement deposits, it is not toxic to periradicular tissues. Hypoplasia is a quantitative enamel defect caused by hereditary factors and/or physiological stress. Clinical case: 12-year-old patient with generalized enamel hypoplasia, asymptomatic irreversible pulpitis, and normal periapical tissues as a diagnosis. Treatment: Apexification with MTA. Conclusion: MTA enables apexification, as it is biocompatible and does not cause inflammation in the periradicular tissues, forming an apical seal with hard tissue deposit.

Introduction: In Latin America, the prevalence of mesiodens is 1.7%. Mesiodens impacted towards the base of the nostril can cause complications such as: pain, epistaxis, rhino sinusitis, nasal obstruction and congestion and even eruption through the nostril. Case report: A 7-year-old male patient with no clinical pathological data came for consultation due to interference in occlusion caused by a palatine erupted mesiodens. A radiographic finding was a second mesiodens in the anterior maxillary area. Diagnosis: Inverted conical mesiodens near the floor of the nasal cavity. Treatment: Surgical treatment by means of a vestibular incision in the anterior maxillary area. Results: The procedure was performed under local anesthesia, surgical procedure of the impacted tooth, low speed hand piece was used, the dental organ was removed and stitches were placed. Conclusion: Early detection of mesiodens is of utmost importance since timely treatment allows avoiding future complications.