One of the most confusing and difficult aspects of complete denture prosthodontics is the selection of appropriately maxillary anterior denture teeth when no preextraction records are available. Dental literature indicates that varied methods have been proposed for artificial tooth selection. The aim of this article is to review the conventional methods for maxillary anterior tooth selection and their reliabilities. A search of the dental literature in PubMed was completed for the years 1955–2015 with an emphasize on peer-reviewed dental journals limited to studies in the English language and using tooth selection and complete denture as keywords. The study works on three aspects of tooth selection: (1) Form, (2) size, and (3) color. This review of the literature demonstrates no universally reliable method of determining form and color for maxillary anterior denture teeth. But, interalar distance, interpupillary distance, and distance between the medialis angles of the eyes appear to be a reliable guide for selecting the size of maxillary anterior teeth. Information of racial differences may help identify esthetic modifications to treatment plans to include the multiple racial groups within modern societies.

Context: The rapid provision of high.quality complete dentures is an unmet clinical need in some populations. Novel procedures may simplify this service but require validation against existing methods. Aims: The aim of this trial was to evaluate the clinical acceptability of complete dentures fabricated using the biofunctional prosthetic system. (BPS) when compared with conventional methods. Materials and Methods: This study was designed as a crossover trial. The patients wore either a complete denture, which was made using the biofunctional prosthetic system biofunctional prosthetic system complete denture (BPSCD) or a complete denture made with conventional procedures conventional complete denture (CCD) for 3. months before switching to the other dentures. The patients were asked to report their satisfaction levels in an abbreviated version of the Oral Health.Related Quality of Life questionnaire, specifically designed for edentulous patients. (Oral Health Impact Profile for edentulous subjects. [OHIP-EDENT]). Furthermore, the number of adjustments required for each technique to deliver pain.free fitting was noted. Finally, the patients were asked to state which denture gave them superior occlusal feel, comfort, esthetics, and retention and which denture they wished to keep for the long-term. Results: Although the satisfaction score and the OHIP.-EDENT scores showed no significant differences, the majority of patients preferred the BPSCD over the CCD in terms of occlusal feel, comfort, esthetics, and retention. Nine out of 10 patients chose to keep the BPSCD rather than the CCD, with one patient choosing the CCD for purely esthetic reasons. Conclusions: Within the limitation of this study, the BPS produced high.quality complete dentures with satisfactory results and was just as efficient as conventional procedures.

Statement of Problem: The denture clasp undergoes fatigue on the repeated deflection of the clasp during insertion and removal of the removable partial denture over the undercuts of the teeth. This study was conducted to know how acetal resin functions in this application. Aims: The purpose of the study was to evaluate fatigue resistance of acetal resin clasps subjected to repeated constant deflections and compare it with cobalt.chromium clasp. Materials and Methods: Acetal resin and Co.Cr clasp specimens were subdivided. (n = 10) specimens to perform deflection of 0.25 mm and 0.50 mm. Constant load for deflection of either 0.25 or 0.50. mm was applied to 2. mm from the point of the clasp at the appropriate loading frequency assuming that the clasps were inserted and removed from the abutment with undercut of either 0.25. mm or 0.50. mm. The fatigue test was carried out until 10⁶ cycles or until permanent deformation detected. The data obtained were subjected to unpaired t-test. Results: It was observed that the deformation of chrome cobalt clasp specimen during the loading cycle of 106 under deflection of 0.5. mm was 0.1530 ± 0.0177 mm Chrome cobalt clasp under 0.25 mm deflection and an acetal resin specimen under 0.25 and 0.5 mm deflection did not show any significant deformation. Conclusions: The clasp with acetal resin may provide less retention than cobalt chromium.based alloys. For acetal resin clasp, no permanent deformation was detected after 106 loading cycles when deflected to 0.25. mm and 0.5. mm and has mean flexural strength of 72.436 MPa and modulus of elasticity of 2.245 GPa.

Occlusal splint therapy has been one of the conventional modalities of the management of temporomandibular disorders. However, it is important for a clinician to make an evidence.based decision on choosing the appropriate type of splint. Currently, the much-discussed one is the liquid supported the occlusal splints. A 19-year-old girl diagnosed with myofacial pain, presented with a chief complaint of the history of pain and headache which is severe early in the morning and continuous throughout the day since 1-month, also associated with the tenderness of masticatory muscles and attrition of the lower anterior teeth. The patient was provided with a liquid occlusal splint for a period of 3 months with check.up recalls at predefined intervals. Post the liquid occlusal splint therapy, the patient showed a significant decrease in both subjective and objective pain.

Obstructive sleep apnea (OSA) is a common, chronic disorder of sleep, and breathing that causes disability from pathologic sleepiness, respiratory, and cardiovascular complications. Oral appliance therapy is an alternative in the treatment of OSA, especially in mild and moderate cases. The aim of this report was to assess the effectiveness of custom-made mandibular advancement devices (MAD) and analyze the change in sleep quality and polysomnographic variables in patients diagnosed as having severe OSA and primary snoring. In the present report, two custom-made MADs were produced for two patients who were diagnosed as having severe sleep apnea and primary snoring, according to polysomnographic measurements. The apnea-hypopnea index (AHI) was changed after follow--up period, and complaints were reduced in both patients. MADs are generally indicated for patients with mild to moderate OSA but can be effectively used by severe OSA and primary snoring patients.