Abstract: Background: The maxillary third molar is among the most commonly impacted teeth and can present in various forms depending on the direction and depth of impaction. However, bilateral inverted impaction of the maxillary third molars is an exceptionally rare condition, with only a single case reported in the current literature. Case Report: This case report unequivocally outlines the uncommon presentation and management of bilateral inverted maxillary third molars in a 50-year-old female. Routine radiographic imaging unmistakably identified the inversion, with crowns oriented upward and roots directed toward the alveolar crest, alarmingly close to the maxillary sinus. Since the teeth were symptomatic, surgical removal was decisively recommended to avert potential complications, such as infection and disruption of prosthetic rehabilitation. The extractions were executed across two sessions, with healing proceeding without any complications. Conclusion: This case underscores the critical necessity for thorough imaging and a bespoke treatment strategy for addressing rare dental anomalies. It accentuates the need for personalized care, considering the patient’s health, surgical risks, and prosthetic objectives. Given the rarity of bilateral inverted maxillary third molar impactions, this report delivers significant insights into their management and surgical strategy

Background: Exodontia, or the removal of teeth, is not only a routine dental procedure but also a significant event that interacts with the cardiovascular system. Stress, anxiety, and pain associated with tooth extraction can lead to fluctuations in blood pressure and heart rate, especially in patients with pre-existing conditions. The role of local anesthesia, the psychological state of the patient, and procedural factors are all critical in understanding these physiological changes. Research indicates a transient elevation in blood pressure and heart rate during exodontia, predominantly due to stress-induced activation of the sympathetic nervous system. This review aims to analyze the existing literature on the interplay between dental procedures and cardiovascular responses, highlighting factors that exacerbate or mitigate these effects. Conclusions: Effective management strategies for anxiety and pain, such as pharmacological interventions and patient preparation, are essential for minimizing risks during such procedures. Understanding these dynamics is vital for ensuring patient safety and improving outcomes in dental practice.

Abstract: Background and Aims: An important enzyme for dental health, alkaline phosphatase (ALP) serves a variety of purposes in preserving the structure and functionality of oral tissues. In order to better understand salivary ALP's potential as a biomarker for dental erosion and its diagnostic and prognostic utility in both young and adult populations, this study set out to clarify its possible role. Materials and Methods: In the study, there were twenty-seven patients with dental erosion and an equal number of age and gender-matched healthy controls. Before a meal and without stimulation, samples were taken from the control and study groups by passively drooling into a sterile glass tube until 5 ml was collected. Results: Salivary ALP levels showed a significant difference between patients with and without dental erosion (63.68 ± 4.36 (IU/L) versus 21.47 ± 1.16 (IU/L)), with a p-value of 0.0001 indicating a very high significance. Alkaline phosphatase enzyme levels and teeth erosion were found to have sturdy positive relation (r= 0.989) high significantly P< 0.001. Conclusion: Salivary alkaline phosphatase is a vital enzyme, which is essential for the mineralization of teeth and it considers biomarker for the severity and progression of dental erosion.

Objective: To evaluate the patterns of pain presentation, management strategies, and medication preferences among dental practitioners, with a specific focus on analgesic prescription practices in various dental conditions. Methods: A cross-sectional study was conducted among dental practitioners using the 24-item questionnaire to gather expert opinions on pain patterns, patient demographics, treatment timelines, and drug prescription practices. Descriptive statistics were used for analysis, with results visualized through pie and bar charts created in Microsoft Excel. Results: This study involved 69 clinicians and most of them (62.32%) identified dental pulpitis as the most common source of pain, with 50.72% reporting that 51-75% of their patients presented with pain complaints. For third molar pain, 37.68% of clinicians noted impacted teeth as the most frequent cause. Regarding treatment, aceclofenac was the most prescribed analgesic following surgical procedures and root canal treatments (92.75%). The preferred combination for managing pain lasting less than 5 days was aceclofenac + paracetamol + serratiopeptidase, favored by 78.26% of clinicians. The survey also found that patients typically experienced pain for 4-7 days before seeking care for dental pulpitis, and many patients were unaware of the complications related to third molar impactions (50.72%). Conclusion: Aceclofenac is the primary analgesic for dental pain management among surveyed clinicians, commonly used across various procedures. While single-agent therapy with aceclofenac is preferred, combination therapy with paracetamol and serratiopeptidase is frequently used for more complex or severe cases. This reflects a tiered approach to pain management, adjusting treatment based on procedure and patient needs.

Cleft lips and palates are congenital anomalies affecting the mouth and face. For fully edentulous patients with a cleft palate, crafting complete dentures is particularly challenging. These dentures, which incorporate an obturator and extend into the palate, must be meticulously designed to address issues related to appearance, speech, swallowing, and chewing. Treatment for cleft lip and palate aims to restore function, speech, and aesthetics through the use of fixed prostheses, removable prostheses, and implants. The approach should follow key principles of oral rehabilitation, including maintaining proper physiology, stability, aesthetics, hygiene, and considering patient expectations. To ensure the durability of prosthetic solutions, it is crucial to respect both the periodontal and dental tissues and the biomechanics of the prosthesis. Palatogram is an effective and straightforward technique for assessing and verifying palatal contours, which helps in addressing speech deficiencies related to affected sounds. Managing completely edentulous adults with cleft palates, particularly those who have not undergone surgical intervention, presents a significant challenge for prosthodontists. This case report explores the use of a conventional complete denture for a cleft palate patient, utilizing the palatogram technique to precisely record the palatal contours, the neutral zone technique to optimize denture stability by aligning forces in harmony with oral musculature, and monoplane teeth to reduce lateral forces and enhance denture stability. Together, these techniques aim to improve speech, mastication, and comfort, providing a functional and aesthetic prosthesis suited to the patient’s unique anatomical needs. This case demonstrates the successful rehabilitation of an edentulous cleft palate patient using a conventional complete denture with specialized techniques to address the unique anatomical and functional challenges presented. The neutral zone technique, monoplane teeth arrangement, and palatogram technique were crucial in achieving a stable, functional, and aesthetically pleasing denture. These methods helped optimize denture retention and stability, improve phonetics, and enhance masticatory efficiency, providing the patient with a significant improvement in quality of life and self-confidence. For patients unable to pursue more invasive and costly implant-supported options, such techniques offer a viable and effective solution for complete denture fabrication, allowing for functional and aesthetic rehabilitation within economical constraints.

Vitamins are examples of micronutrients, which are nutrients needed in very minute quantities. They're crucial to metabolism and keeping tissues working properly. The purpose of this study was to determine whether vitamin deficiencies are associated with an increased risk of periodontitis. There was a total of 110 participants: 55 with chronic periodontitis spread throughout the mouth and 55 periodontally healthy individuals. Clinical parameters that were assessed included: Clinical attachment loss (in millimetres) and gingival index (in millimetres). Vitamin B12, vitamin D, folate, as well as vitamin E levels in serum samples were measured. Also measured were Beta-carotene and Beta-cryptoxanthin levels. The acquired data was aggregated and analysed using statistical programmes. All periodontal status clinical measures in the periodontitis group were statistically significantly different from those in the healthy volunteers group (p < 0.0001). Vitamin A precursors Beta-carotene and Beta-cryptoxanthin, folate, D, vitamins B12, and E, and vitamin E were all significantly lower in the periodontitis group compared to the healthy volunteers, but the difference was only statistically significant for vitamins B12 as well as D (p < 0.05). Finally, we conclude that serum micronutrient levels, particularly those of Vitamin A, Vitamin B12, and Vitamin D, may be modifiable risk factors for periodontal disease. In addition to practicing good dental hygiene on a regular basis, eating a diet rich in the right kinds of vitamins may play a significant part in warding off periodontitis.

High-quality data generated in routine management information systems is crucial for the success of long-term public health programs since inadequate data quality can result in erroneous decisions, leading to wasted time and resources and underperformance of such programs. Data quality is measured in multiple dimensions and there can be important differences in how data are generated and compiled depending on the local context. As data quality is context-dependent, a quality assurance method is needed that fits the local context with adequate validity and reliability. A method and data quality measurement tool were developed using desk reviews, key informant interviews, and a modified Delphi technique. The method was implemented in a case study to measure the data quality at the patient-provider interface of the school dental service in Sri Lanka, giving attention to the diverse characteristics of the data generation process. The method involved an item checklist. The relative importance of item structure was considered during item selection. Weighted averages were calculated to determine the data quality at the patient-provider interface. The proposed method to develop a tool and assess data quality in public health programs could be applied as a guide in similar contexts.