Background and Aim: Vertical growth pattern include increased total facial height, especially the lower facial height, high mandibular plane angle, clockwise mandibular rotation, short mandibular ramus and high gonial angle. Vertical facial patterns might play a strong role in the transverse growth of the maxilla and the mandible. Hence this study was planned and designed for the assessment of dento-alveolar and skeletal asymmetries in long face individuals. Materials and methods: Total of 60 individuals (30 males and 30 females) with vertical growth pattern (Y-axis more than 60° and Jarabak's ratio less than 56 %) were considered for the study. Lateral cephalogram, frontal cephalogram and study casts were made. 16 cephalometric measurements and 6 dental cast measurements were made for evaluation. The data obtained was statistically evaluated using Student's t-test. Results: All the cephalometric values showed right side dominance. In males, the values of Co-Me, Co-MSR and gonial angle showed statistically significant difference. In females the value of Me-MSR and Lower dental arch midline showed statistically significant. All the values of arch chords (dental cast measurements) suggested left side dominance both in males and females except Mandibular 1-3 chord which suggested right side dominance. Conclusion: Dento-alveolar and facial asymmetry with right side dominance exist in individuals with long face. The mandible is found to be more asymmetric than maxilla.

Sleep disordered breathing (SDB - snoring and obstructive sleep apnea (OSA) - affects tens of millions of people worldwide. Sleep-disordered breathing is a worldwide epidemic with health and economic consequences that range from annoying to deadly. Currently, treatment of snoring and OSA calls upon a mix of modalities and a coordinated team of clinicians. Positive air way pressure, surgery, and therapy with oral appliances are frequently effective in managing the sleep-induced unstable air way. Those who place their health in the hands of sleep and dental professionals are best served if these clinicians can focuson the proper development of the upper airway immediately after birth and then work as a team to recognize and manage anyabnormalities in breathing and facial morphology as early as possible.

Supernumerary teeth may present in various forms and in any region of the mandible or maxilla, but have a predisposition for the anterior maxilla. Each one may cause a variety of complications in the developing dentition. This article reviews the prevalence, clinical features, complications, diagnosis and management of supernumerary teeth along with five case reports to illustrate some possible presentations in the anterior maxilla. This paper is an attempt to emphasize the importance of recognizing signs suggesting the presence of supernumerary teeth, particularly aberrations in the eruptive pattern, and perform the relevant investigations. On diagnosis, each case should be managed appropriately in order to minimize complications to the developing dentition.

OSMF is characterized by inflammation and progressive fibrosis of the lamina propria. Further it has characterized by juxtaepithelial fibrosis, along with atrophy or hyperplasia of overlying epithelium and accumulation of hyalinized collagen beneath the basement membrane with a progressive loss of vascularity. Based on the clinical involvement, management is proceeded. This premalignant condition is managed with Steroids, antioxidants, peripheral vasodilators, placental extracts, INF-γ, turmeric, lycopene, hyalurunidase, collagenase, chymotrypsin, physiotherapies, surgical treatments. But an ideal treatment is one which provides no morbidity, reduces the symptoms, reverses the changes in oral mucosa and completely cures OSMF. This article highlights about various treatment modalities in OSMF.

Cone Beam Computed Tomography (CBCT) is a revolutionary diagnostic aid indentistryusedatpresent. Aim of paper is to emphasize the process and the significance of CBCT in various treatment modalities which overcomes the 2 dimensional conventional method of radiography used to 3 dimensional imaging in dentistry.

At times it is difficult to diagnose a case presenting as a chronic inflammatory lesion, especially which is not responding to conventional treatment modalities. This case report describes one such case, where the patient presented with a suppurative lesion, where making a diagnosis was challenging. Same time the patient was not responsive to prescribed treatment. Looking back carefully into the history of the patient gave a big inkling, to advice for a biopsy from a nearby viable tissue around the lesion. The lesion on microscopy was confirmed as Actinomycosis. This case report describes a very interesting case with diverse microscopic presentations, attempting to unravel the mysteries often hidden in a case of Actinomycosis.

Traumatic dental injuries due to road traffic accidents are common in developing countries like India. Replacement of teeth with esthetics and function is a major challenge as the bone loss is also encountered in most of the cases. Selection of treatment plan is very important as the prosthesis should replace both hard and soft tissues. This article describes a method of Fixed -removable prosthesiswhich is a therapeutic treatment option in emergency cases.

Hemisection denotes removal or separation of root with its accompanying crown portion of mandibular molars. This procedure represents a form of conservative approach, aiming to retain as much of the original tooth structure as possible. The results are predictable and success rates are high. In this paper a case is presented in which hemisection was done because the tooth was grossly carious along with furcation involvement. Distal half of tooth was extracted and the remaining tooth was restored as premolar which helped to reduce the masticatory load.

Preventive Prosthodontics emphasizes the importance of any procedure that can delay or eliminate the future Prosthodontic problems. The innovative denture is a logical method for the Dentist to use in preventive Prosthodontics. The innovative denture not only preserves the residual alveolar ridge but also the propioceptive ability of the periodontium is maintained. It serves as one of the treatment options for patient with very few remaining teeth, in compromised condition. Aninnovative denture is a type of complete denture with holes relined with permanent soft liners, allowing the remaining natural teeth to protrude through. This case report describes a technique for fabrication of innovative denture for patient with commonly available soft liners.

Periodontal diseases range from the relatively benign gingivitis to chronic & aggressive forms of the disease. It is a rapidly progressing disease associated with specific microflora namely, Actinobacillusactinomycetemcomitans&Porphyromonasgingivalis. LAP is not a very prevalent disease; it does have serious repercussions for those affected. The clinical management of LAP has not received the same intensity of interest as its etiology & pathogenesis, but due to significant impact of LAP, the need for treatment is evident. This article basically deals with the treatment modalities for localized aggressive periodontitis.