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The intensity and duration of pain following surgical placement of dental implants has not been well studied. Thus, the aim of this open-label study was to characterize the nature of postsurgical pain following the placement of one to three implants. The secondary goal was to explore the analgesic efficacy and tolerability of intrañasal ketorolac in this patient population. Following implant surgery, postoperative pain was rated moderate or severe in 25/28 patients (89%), requiring prn analgesic dosing for up to 3 days in 14/25 individuals (56%). Intranasal ketorolac displayed an analgesic onset within 20 minutes, a duration of at least 6 hours, and was well tolerated by the cohort with brief stinging of the nasal mucosa reported by 9/25 individuals (36%). [ABSTRACT FROM AUTHOR]

The article presents a case study of a 11-year-old girl with tooth abnormalities who was taken to the Department of Orthodontics, University of Pennsylvania School of Dental Medicine for the treatment of upper and lower crowding. The cone beam computed tomography scan was performed to depict the shape and position of the tooth. The elective treatment was done to remove the anomalous teeth successfully.

The "gummy smile" is a complex developmental issue that requires a three-dimensional approach to diagnosis and treatment. This article explores the multifaceted nature of the gummy smile, tracing its origins to early childhood growth patterns and breathing dysfunctions. It emphasizes the importance of understanding the interplay between skeletal development, soft tissue function, and breathing modalities in the formation of craniofacial structures. The article discusses how early mouth breathing and tongue dysfunction can lead to maladaptive skeletal growth, resulting in vertical maxillary excess and other facial imbalances. It highlights the critical role of nasal breathing and proper tongue posture in promoting healthy craniofacial development. Treatment options are presented for both growing children and adults, ranging from preventive measures to surgical interventions. For children, the focus is on early intervention to redirect growth patterns, while for adults, comprehensive treatment may include orthognathic surgery to correct established skeletal discrepancies. By providing an in-depth analysis of the three-dimensional aspects of the gummy smile, this article aims to equip interdisciplinary teams with the knowledge needed for accurate diagnosis and effective treatment planning. It underscores the importance of addressing underlying causes rather than merely treating symptoms, promoting a holistic approach to patient care in aesthetic dentistry., (© 2024 by the American College of Prosthodontists.)