Background: The ancient ayurveda science of medicine describes various herbal preparations that achieve the hastening of bone healing and relieve from pain and swelling. Aim: To evaluate the clinical efficacy of Cissus quadrangularis in pain management and bone healing after implant placement. Objective: To evaluate the clinical and biochemical parameters using C. quadrangularis after implant placement in terms measurements of pain, swelling and serum alkaline phosphatase level. Type of study: Prospective randomized control study Materials and methods: The patients were divided in two groups—study group and control group. Three patients in each group received implants either single implants or multiple implants. Study group was given C. quadrangularis without any additional medicine and control group was given routine antibiotics (amoxicillin 500 mg and diclofenac sodium). Pain was assessed using visual analog scale (VAS) at 3rd, 5th days and, after 1 week, swelling was checked in form of mild, moderate and severe. And, serum alkaline phosphatase was recorded preoperatively and 4th and 8th weeks of postoperative to evaluate bone healing. Results: Pain and swelling are minimal, and bone healing is maximum in study and in control groups. There was an increase in serum alkaline phosphatase level at different follow-up in study groups compare to control group. Conclusion: Use of C. quadrangularis after implant placement showed significant effect on pain and swelling management. Also rising level of serum alkaline phosphatase indicates new bone formation thus helps in osteointegration.

Purpose: A prospective study was performed to observe clinical outcomes of dental implants placed immediately after extraction with grafting of voids vs delayed implant placement in grafted socket after extraction of tooth/root. Materials and methods: A total of 12 patients were enrolled in the study and randomly divided into two groups. In group I, implants were placed immediately with simultaneous bone grafting following the atraumatic extraction and osteotomy as required. In group II after extraction, socket preservation was done with alloplastic bone graft (synthetic tri-calcium phosphate and hydroxyapatite granules) on followed by implant placement after 3 months. The implant survival rates were assessed clinically and radiographically over a minimum of 3 months of follow-up. Results: In the present study, with the help of the intraoral periapical radiograph, the distance from the marginal osseous level to the implant platform was measured in millimeters, on mesial and distal aspects of each implant for both the groups we found bone loss, invariably in both the groups, of which, bone loss was higher in group II than in group I at all the instances and was statistically significant. None of the other investigated factors (age, gender, pain, swelling, implant mobility, peri-implant mucosal inflammation and postoperative satisfaction) were statistically significant modifiers of success. Conclusion: This study concludes that immediate implants with graft have less crestal bone loss and the graft within the socket consolidates more as compared to delayed implants with graft.

Autogenous tooth transplantation, or autotransplantation, is the surgical movement of a tooth from one location in the mouth to another in the same individual. Once thought to be experimental, autotransplantation has achieved high success rates and is an excellent option for tooth replacement. Although the indications for autotransplantation are narrow, careful patient selection coupled with an appropriate technique can lead to exceptional esthetic and functional results. This paper presents successful autotransplantation of a mature mandibular left third molar used to replace a mandibular left second molar. The mandibular second molar was nonrestorable due to vertical root fracture of distal root with furcation involvement and bony radiolucency. After extraction of mandibular second and third molars, the tooth was reimplanted into the extracted socket of second molar site. Six months of follow-up clinical and radiographic examination revealed satisfactory outcome with no signs or symptoms suggestive of pathology. In selected cases, autogenous tooth transplantation, even after complete root formation of the donor tooth, may be considered as a practical treatment alternative to conventional prosthetic rehabilitation or implant treatment

For completely edentulous mandible, the rehabilitation modality of an implant retained overdenture on two implants placed in anterior mandible is a simple, acceptable and predictable treatment option. It contributes significantly to patients psychological and social wellbeing. Increased retention results in greater patient satisfaction than conventional removable complete denture. This case report describes the use of two single piece implants with ball attachments to retain an implant retained mandibular overdenture in order to rehabilitate a completely edentulous male patient. It also illustrates the approach of prosthetically driven implant placement.

Over the last few decades, dentistry has brought in many new modalities of treatment for replacement of missing teeth. Treatment modalities for patients with missing teeth usually involve either space reopening and replacement or closure of the resultant space. The traditional option of using three-unit bridges for replacement of a single tooth involves loss of healthy tooth structure of two adjacent teeth and is a very aggressive treatment option. Osseointegrated implants have proven successful conservative alternatives to bridges for replacement of missing teeth without any loss of tooth structure. Optimal results can be achieved when an implant is placed between two natural teeth with healthy periodontium. This case report presents the management of a patient with missing maxillary right central incisor for whom the treatment of choice was placement of an osseointegrated implant supported prosthesis after regaining space to achieve a desirable esthetic result.