Journal of Orofacial Rehabilitation
Year 2026
Vol 6 Issue 2
1. Editorial l J Orofacial Rehabilitation. 2026 Aug;6(2):1-3.
DOI: 10.5281/zenodo.21877050
Contemporary Indirect Veneer Materials: Beyond the Pursuit of Strength.
Arka Swarnakar.
2. Case Report l J Orofacial Rehabilitation. 2026 Aug;6(2):4-8.
DOI: 10.5281/zenodo.21877166
Full mouth rehabilitation of an atrophic maxilla and mandible using all-on-4 concept with zygomatic implants: A case report.
Arindam Dalal, M Krishna Kumari.
Abstract
Edentulism and terminal dentition significantly compromise mastication, esthetics, phonetics, and quality of life. Rehabilitation of severely compromised arches using conventional removable prostheses often results in poor patient satisfaction. The present case report describes the successful management of a patient with terminal dentition using the all-on-4 concept in the mandible combined with anterior maxillary implants and bilateral zygomatic implants for rehabilitation of the severely resorbed maxilla. Immediate provisionalization followed by definitive direct metal laser sintering (DMLS) hybrid prosthesis fabrication restored function, esthetics, and patient confidence successfully.
Keywords: All-on-4, Atrophic maxilla, DMLS, Full mouth rehabilitation, Residual ridge, Zygomatic implants.
3. Case Report l J Orofacial Rehabilitation. 2026 Aug;6(2):9-14.
DOI: 10.5281/zenodo.21877287
Implant-supported full-arch rehabilitation of the maxilla in an elderly patient: A case report.
Pragati Goyal, Prerna Kaushik, Abhishek Sharma, Siddharth Sisodiya.
Abstract
Rehabilitation of the edentulous or partially edentulous maxilla using implant-supported prosthesis is a predictable treatment modality that offers improved function, esthetics, and patient satisfaction. However, anatomical limitations, reduced bone density, and increased functional demands often pose challenges, particularly in elderly patients. This case report describes the clinical management of a 75-year-old female patient presenting with missing posterior teeth in both maxillary quadrants, leading to compromised mastication. After discussing all available treatment options, a fixed implant-supported prosthesis was selected. Six implants were placed in the maxillary arch following a prosthetically driven approach, with bone augmentation performed in deficient anterior regions. After a healing period of three months, prosthetic rehabilitation was completed using a fixed implant-supported prosthesis. Clinical and radiographic evaluations revealed successful osseointegration of all implants, with satisfactory esthetic and functional outcomes.
Keywords: Full-arch rehabilitation, Maxillary implants, Implant-supported prosthesis.
4. Case Report l J Orofacial Rehabilitation. 2026 Aug;6(2):15-19.
DOI: 10.5281/zenodo.21877411
An anatomical wax index technique for palatal rugae and mid palatine raphe reproduction in maxillary complete denture.
Meghna Das, Manesh Lahori.
Abstract
Successful complete denture rehabilitation involves restoration of aesthetics, mastication, comfort, and speech. Among these factors, phonetic rehabilitation is often underestimated despite its significant impact on patient satisfaction and adaptation to dentures. Palatal rugae and the midpalatine raphe serve as important anatomical landmarks that aid tongue positioning during speech and swallowing. Conventional complete dentures frequently lack these anatomical features, resulting in altered speech patterns and prolonged adaptation periods. This clinical case report describes a simple, economical, and clinically effective technique for reproducing a patient’s palatal rugae and midpalatine raphe in a maxillary complete denture using a customized wax-assisted index. The technique enabled accurate transfer of anatomical details from the impression to the denture base without the need for specialized equipment or complex laboratory procedures. Following denture insertion, the patient demonstrated improved speech clarity, enhanced comfort, and greater overall satisfaction. The described method is straightforward, inexpensive, and can be readily incorporated into routine complete denture fabrication to improve phonetic outcomes and patient acceptance.
Keywords: Complete denture, Denture characterization, Midpalatine raphe, Palatal rugae, Phonetics, Speech rehabilitation, Wax index technique.
5. Case Report l J Orofacial Rehabilitation. 2026 Aug;6(2):20-24.
DOI: 10.5281/zenodo.21877526
Comprehensive esthetic smile rehabilitation using diagnostic wax-up–guided full-mouth fixed prosthodontic management in a young adult with dental fluorosis: A case report.
Razousinuo Khezhie, Apurva Chaturvedi, Prerna Kaushik.
Abstract
Esthetic rehabilitation of patients with generalized fluorosis and malformed anterior teeth requires meticulous treatment planning to restore function, esthetics, and patient confidence. This clinical case report describes the multidisciplinary prosthodontic rehabilitation of a 22-year-old female patient presenting with generalized fluorosis, stained and ill-formed teeth, anterior crossbite, retained deciduous canine, and multiple endodontically treated teeth. A diagnostic wax-up was used as the primary esthetic planning tool to visualize the final outcome and guide tooth preparation. Following comprehensive clinical evaluation, tooth preparation of the maxillary and mandibular anterior and selected posterior teeth was performed, followed by definitive elastomeric impressions, provisional restorations, and fabrication of full-coverage porcelain-fused-to-metal (PFM) crowns. The treatment successfully restored dental esthetics, improved smile harmony, and enhanced patient satisfaction while preserving functional occlusion. The case emphasizes the value of diagnostic wax-up as an indispensable tool in smile rehabilitation where digital planning is not employed.
Keywords: Dental fluorosis, Diagnostic wax-up, Esthetic dentistry, Full mouth rehabilitation, Smile rehabilitation.
6. Case Report l J Orofacial Rehabilitation. 2026 Aug;6(2):25-30.
DOI: 10.5281/zenodo.21877616
Comprehensive Bimaxillary Esthetic Rehabilitation of Dental Fluorosis Using Lithium Disilicate Laminate Veneers: A Case Report
Prachi Bansal, Nisha Khemka, Prerna Kaushik, Manesh Lahori.
Abstract
Dental fluorosis may produce persistent enamel discoloration and can significantly affect smile esthetics. Ceramic laminate veneers provide a restorative option when correction of both tooth color and morphology is required. This case report describes the comprehensive esthetic rehabilitation of a 28-year-old healthy female patient with dental fluorosis and a history of discoloration since childhood. Twenty lithium disilicate laminate veneers were planned from 15–25 and 35–45. Conventional tooth preparation with chamfer finish lines and incisal overlap was performed, followed by digital intraoral scanning. Definitive veneers were fabricated using lithium disilicate ceramic in shade A2 and adhesively cemented using light-cured resin cement under isolation. The patient was evaluated after one and three months. The treatment resulted in satisfactory improvement in tooth color, morphology, symmetry and overall smile harmony at the documented follow-up.
Keywords: Adhesive cementation, Dental fluorosis, Ceramic veneers, Esthetic rehabilitation, Laminate veneers, Lithium disilicate.
7. Case Report l J Orofacial Rehabilitation. 2026 Aug;6(2):31-35.
DOI: 10.5281/zenodo.21877700
Transforming intrinsic discoloration – A conservative approach using porcelain veneers: A case report.
Pragati Goyal, Prerna Kaushik, Siddharth Sisodiya.
Abstract
Esthetic rehabilitation of anterior teeth with intrinsic discoloration presents a significant clinical challenge, particularly in young patients with high esthetic demands. Veneers offer a minimally invasive yet highly effective solution to restore both function and esthetics. This case report describes the management of a 24-year-old female patient presenting with generalized yellowish discoloration of anterior teeth since childhood. Clinical examination revealed intrinsic staining suggestive of developmental enamel defects. A conservative treatment plan involving porcelain veneers was executed. The outcome demonstrated excellent esthetic integration, improved patient confidence, and long-term predictability. Veneers remain a cornerstone in modern prosthodontic esthetic rehabilitation.
Keywords: Anterior esthetics, Esthetic dentistry, Enamel defects, Intrinsic discoloration, Porcelain veneers.
8. Case Report l J Orofacial Rehabilitation. 2026 Aug;6(2):36-40.
DOI: 10.5281/zenodo.21877830
Management of severe maxillary midline diastema using digitally planned lithium disilicate veneers: A case report.
Arindam Dalal, M Krishna Kumari.
Abstract
Midline diastema is a common esthetic concern that can negatively affect smile attractiveness and patient confidence. Although orthodontic treatment remains the preferred treatment modality for space closure, many adult patients seek immediate esthetic correction and decline prolonged orthodontic therapy. A female patient presented with a severe maxillary midline diastema and associated anterior spacing. A digital workflow incorporating smile analysis and CAD-based restorative planning was utilized. Minimally invasive tooth preparation followed by fabrication of lithium disilicate veneers was done. Complete closure of the midline diastema and associated spacing was achieved while maintaining harmonious tooth proportions and natural esthetics. The patient reported high satisfaction with the treatment outcome. This scientific case report shows that digitally planned lithium disilicate veneers provides a conservative and predictable treatment modality for immediate correction of anterior diastema in an appropriately selected and well-planned case.
Keywords: CAD/CAM, Digital smile design, Esthetic dentistry, Lithium disilicate, Midline diastema, Veneers.