Aim: To compare the effect of analgesics on postoperative pain following single-visit root canal treatment in patients with symptomatic irreversible pulpitis. Materials and methods: In this randomized controlled clinical trial, 80 patients with symptomatic irreversible pulpitis of posterior teeth without any signs and symptoms of acute or chronic apical periodontitis and moderate to severe pain were divided into four groups of 20 patients each enrolled in this study. They are group I, pretreatment oral diclofenac; group II, pretreatment transdermal diclofenac; group III, posttreatment oral diclofenac; and group IV, posttreatment transdermal diclofenac. Immediately a single-visit root canal treatment is performed. The intensity of the pain was scored based on a 10-point visual analogue scores (VAS) before and after treatment for up to 24 hours postoperatively. Data were submitted for statistical analysis. Kruskal–Wallis test was performed to compare the pain scores between the four groups and the Mann–Whitney U test to test the significance between the groups. Result: At 24 hours interval postoperative after drug administration, the intensity of the pain was lower when compared to baseline values. Group IV showed significant results at 24 hours when compared to group III; no significant difference was seen between groups I and III. Conclusion: The results demonstrate that a posttreatment transdermal patch may be more effective than oral diclofenac for the management of postoperative endodontic pain.

Objective: The purpose of this study was to evaluate the maturation of mid-palatine suture (MPS) in Indian adolescents between 11 and 18 years using cone-beam computed tomography (CBCT). Materials and methods: Cone-beam computed tomography (CBCT) images in axial sections of MPS from 80 adolescents (43 males and 37 females) were classified using a scale denoting the maturation stage of MPS (A, B, C, D, and E). The Chi-squared test was applied to evaluate suture stages by sex and age-groups. Results: Stage A was observed in only four subjects of 11 years. Stage B was present in all age subjects but was more prevalent in subjects <14 years of age. Stage C was the most prevalent in subjects up to 16 years of age. Stages D and E showed low prevalence rates and were found more in subjects in the 17–18-year age-group. Conclusion: Although the maturation of MPS increases with age, age cannot be considered the only factor. The satisfactory prognosis of orthopedic expansion mechanics can be expected up till stage C, as the bony fusion of MPS begins from stage D.

Aim: Prosthetic rehabilitation of missing maxillary right central incisor in a 13-year-old boy. Background: Loss of teeth at a young age, especially in the esthetic zone, can affect a child psychologically. The rehabilitation includes advanced options, such as implants to conventional fixed partial dentures. Since the development of a child is not complete, new methods like fiber-reinforced bridges can be taken into consideration that does not affect growth. Case description: In the following case, a 13-year-old boy with missing 11 reported to the Department of Pediatric and Preventive Dentistry with a history of trauma that occurred 2 years ago. A treatment plan for a fiber-reinforced bridge with a natural pontic from another donor was selected. The natural tooth was sterilized and reduced to the desired shape and size. It was then fixed to the fiber-reinforced bridge with the help of a flowable composite. Conclusion: Natural tooth pontic can be used as a single-visit replacement option for missing anterior teeth in a young child. Since it is a minimally invasive procedure, patient cooperation will also be good. Clinical significance: The use of natural pontic is a minimally invasive, biocompatible, and cost-effective method for single-tooth replacement in a growing child.

Aim: To rehabilitate the missing anterior teeth with already existing diastema through a fixed partial denture (FPD) with loop connectors. Background: When a conventional FPD is used to replace missing teeth with already existing diastema, the anterior teeth may become overly wide, resulting in poor esthetics. Implant-supported prosthesis or FPD with loop connectors can be used to address the diastema caused by missing central incisors. Case description: This clinical report discusses the fabrication of a modified FPD with loop connectors to rehabilitate the missing maxillary anterior teeth with a wide span created by an existing diastema. Conclusion: Diligent treatment planning and patient motivation regarding oral hygiene are crucial steps for the success of the restoration. Clinical significance: The modified FPD with loop connectors improves the natural appearance of the restoration, maintains the diastema and the emergence profile, and preserves the remaining tooth structure of the abutment teeth.

Aim: Surgical excision of an odontome to facilitate the spontaneous eruption of the impacted incisor. Background: Odontomas are the most common odontogenic hamartomas worldwide. They are included under benign calcified odontogenic tumors. Basically, they are divided into two types, complex and compound odontomas. Case description: A 11-year-old female child reported for a routine dental checkup when a missing left permanent maxillary lateral incisor was noticed. Further investigations revealed compound odontoma. Conclusion: Early detection of these tumors is essential to avoid lengthy corrective treatments at a later stage. Clinical significance: Odontomas are generally asymptomatic. Because they are asymptomatic and do not cause any changes in the bone, they are often diagnosed during a routine dental examination. Complex odontomas are commonly found in the posterior jaw, while compound odontomas are found in the anterior jaw.

Hyperdontia is a dental anomaly with the excess number of teeth. The most common hyperdontia is a supernumerary tooth (ST) present in between the upper central incisors named as mesiodens. ST is associated with the ectopic positioning of the permanent teeth resulting in delayed eruption or cyst formation. These ST will be evidenced in the radiograph to evaluate the orientation (vertical, horizontal, oblique) and position (buccal to tooth, palatal to tooth, apical to tooth). This case report represents the supplemental mesiodens placed horizontally buccal to the adjacent lateral incisor displacing the permanent central incisor which was orthodontically managed.