Journal of Orofacial Rehabilitation
Year 2025
Vol 5 Issue 2
1. Editorial l J Orofacial Rehabilitation. 2025 Aug;5(2):1-2.
DOI: : 10.5281/zenodo.17052775
The Magnetic Mallet – A modern surgical ally for the dental practitioner.
Arka Swarnakar.
2. Review Article l J Orofacial Rehabilitation. 2025 Aug;5(2):3-12.
DOI: 10.5281/zenodo.17048731
Use of local or systemic biomarkers to diagnose or monitor improvements in therapy of TMJ disorders: A prosthodontic perspective.
Baby Jaman, Sanjeev Singh, Saumya Sharma, Priyabrata Jena.
Abstract
Background: Temporomandibular disorders (TMDs) frequently lead to pain and jaw dysfunction, impacting daily life for many individuals. Traditional diagnostic approaches, relying on examinations and imaging, often fall short in capturing early disease and guiding complex care. There is a pressing need for more objective, sensitive tools, which has driven interest in biomarkers—measurable biological indicators found in saliva, blood, and joint fluid.
Objectives: This review aims to examine how local and systemic biomarkers can be used to improve detection, track therapy response, and customize prosthodontic treatments for TMDs. The goal is to highlight their utility and the technological advances shaping modern clinical practice.
Methods: A thematic literature review was undertaken using major medical databases, focusing on studies from 2006 to 2025 that discussed biomarker identification, analysis, and clinical deployment in TMDs.
Summary of Evidences: Evidence shows that biomarkers like inflammatory cytokines, nerve growth factors, and markers of tissue breakdown can give reliable clues about disease presence and progression. Non-invasive methods such as saliva and blood tests are increasingly feasible, and advanced point-of-care devices, digital platforms, and artificial intelligence now support more personalized, predictive care.
Conclusions: Incorporating biomarker analysis into prosthodontic care for TMDs has clear benefits, enabling more personalized and effective treatment. Further research and collaboration are key to bringing these promising tools into routine clinical use.
Keywords: Biomarkers, Personalized medicine, Salivary diagnostics, Synovial fluid, Temporomandibular disorders.
3. Review Article l J Orofacial Rehabilitation. 2025 Aug;5(2):13-21.
DOI: 10.5281/zenodo.17048880
Complications and challenges associated with 3D printed complete dentures: A narrative review.
Akash Raj Sharma, Elizabeth Madathil, Rajvi Tayal, Kanchan Shukla, Manjulika Tyagi, Jaya Rani Singh.
Abstract
Background: Three-dimensional (3D) printing has emerged as a significant innovation in prosthodontics, offering advantages such as rapid fabrication, enhanced customization, and digital reproducibility in the production of complete dentures. Despite these benefits, several complications and clinical challenges associated with the use of 3D printed dentures remain inadequately addressed in the current literature.
Aim: This narrative review aims to critically evaluate the complications and problems associated with 3D printed complete dentures, focusing on material limitations, fabrication accuracy, mechanical performance, esthetic outcomes, clinical adaptability, and operator-related errors.
Results: Evidence from recent in vitro and clinical studies suggests that 3D printed denture bases commonly exhibit lower flexural strength and fracture resistance compared to conventionally processed acrylic resins. Furthermore, bonding failures between printed bases and denture teeth, suboptimal esthetic outcomes, limited polishability, and color stability are frequently reported. In addition to technical limitations, human-related errors such as improper digital impression acquisition, inadequate design of occlusal and anatomical features, incorrect print settings, suboptimal post-processing, and poor handling of support structures during printing or finishing may significantly affect the final prosthesis. While some studies demonstrate acceptable short-term clinical outcomes, there is a lack of robust long-term data supporting their durability and effectiveness.
Conclusion: Although 3D printed complete dentures represent a promising advancement in prosthodontic care. To reduce errors, increase workflow dependability, and boost clinical acceptance of 3D printed dentures, it is imperative to conduct ongoing research and innovation in printing technology, operator training, and standardized protocols.
Keywords: 3D printed dentures, Additive manufacturing, Complete dentures, Denture complications, Digital prosthodontics.
4. Case Report l J Orofacial Rehabilitation. 2025 Aug;5(2):22-26.
DOI: 10.5281/zenodo.17049119
Minimally invasive implant rehabilitation in the esthetic zone: A case report of immediate implant and tooth preservation with a year radiological follow-up.
Sanjay Prasad
Abstract
This case report highlights a conservative and patient-centered approach to implant rehabilitation in the esthetic zone. A patient presented with concerns about a visible retained upper tooth and malformed adjacent tooth, causing esthetic dissatisfaction. Clinical examination revealed a retained root of the upper right first premolar and a malformed upper right second premolar, both suggestive of developmental anomalies. The treatment planning was to extract only the retained root of the first premolar and place an immediate implant, while preserving the second premolar with a porcelain-fused-to-metal (PFM) crown, avoiding the need for a second implant. Preoperative cone beam computed tomography (CBCT) imaging guided implant positioning, and postoperative CBCT confirmed precise implant placement. A radiological follow-up at one year demonstrated stable osseointegration, healthy peri-implant bone levels, and functional prosthesis with no complications. This case underlines the importance of individualized treatment planning and clinical judgment in preserving tooth structure, optimizing esthetics, and minimizing surgical intervention. The use of immediate implant placement combined with conservative tooth restoration yielded a successful functional and esthetic outcome.
Keywords: CBCT, conservative treatment, developmental tooth anomaly, esthetic zone, immediate implant, retained premolar.
5. Case Report l J Orofacial Rehabilitation. 2025 Aug;5(2):27-32.
DOI: 10.5281/zenodo.17049212.
Crafting confidence, designing smiles with veneers: A case-based esthetic journey.
Shikha Shahi, Manesh Lahori, Abhishek Sharma.
Abstract
Anterior diastema and aesthetic discrepancies in tooth form and shade can significantly affect a patient’s smile, confidence, and psychosocial well-being. A multidisciplinary and minimally invasive approach is often required to restore optimal function and smile harmony. Porcelain veneers and all-ceramic crowns, especially those fabricated from lithium disilicate and zirconia, offer an effective treatment modality in such scenarios. This article presents two clinical cases: the first involving generalized diastema managed with maxillary veneers and mandibular crowns, and the second addressing mottled and undersized anterior teeth using lithium disilicate veneers. Both treatments resulted in excellent functional and esthetic outcomes with high patient satisfaction and stable soft tissue response.
Keywords: Anterior esthetics, diastema, lithium disilicate, porcelain veneers, smile rehabilitation, zirconia crowns.
6. Case Report l J Orofacial Rehabilitation. 2025 Aug;5(2):33-37.
DOI: 10.5281/zenodo.17049255.
Digital complete denture fabrication in an edentulous patient utilizing Exocad and additive manufacturing: A case report.
Sumit Kumar Roy, Pooja Rani, Monika kumari, Aarushi Anand.
Abstract
Digital denture fabrication has become a transformative approach in prosthodontics, significantly improving accuracy, efficiency, and patient outcomes. This case report outlines the rehabilitation of a completely edentulous patient using a fully digital workflow involving Exocad Computer aided designing (CAD) software and 3D printing. The patient presented to Buddha Institute of Dental Sciences and Hospital, Patna, with edentulism of two years’ duration and no significant medical history. A digital impression was obtained, and the denture was designed using Exocad, followed by additive manufacturing using a 3D printer. The final prosthesis demonstrated excellent fit, occlusion, and esthetics with minimal adjustments. This case highlights the potential of digital workflows as a viable alternative to conventional methods in the rehabilitation of edentulous patients.
Keywords: 3D Optical Scanning, Dental Implants, Impression Techniques, Impression Materials, Prosthetic Fit.
7. Case Report l J Orofacial Rehabilitation. 2025 Aug;5(2):38-43.
DOI: 10.5281/zenodo.17049495.
A split salivary denture with reservoir for management of xerostomia: A case report.
V. Dhashmitha, Uday Kiran Teja Darru, Sravanthi Battula.
Abstract
Introduction: Xerostomia, or dry mouth, presents a significant challenge in prosthodontic rehabilitation, often leading to poor denture retention, discomfort, and compromised oral function. Conventional salivary reservoir dentures offer temporary relief but are frequently associated with hygiene difficulties and increased bulk.
Materials and Methods: This report presents an approach to xerostomia management through the fabrication of a split salivary denture. A mandibular complete denture was designed with a detachable reservoir component, enabling independent access for refilling and cleaning. The use of polyether impression material for impression accuracy, along with a 24-gauge orthodontic wire for cleaning the drainage holes and dia neodymium rare earth magnets for retention, facilitated both function and maintenance. Wet mouth liquid was used as salivary substitute. The design enhanced patient compliance, oral hygiene, and comfort.
Conclusion: The split salivary denture described in this case report offers a viable and patient-friendly alternative to traditional designs. Its modular structure addresses the limitations of conventional reservoir prostheses by improving accessibility, ease of use, and long-term patient satisfaction.
Keywords: Neodymium magnets, split denture, salivary reservoir, wet mouth liquid, xerostomia.
8. Case Report l J Orofacial Rehabilitation. 2025 Aug;5(2):44-47.
DOI: 10.5281/zenodo.17049569.
The neutral zone approach for rehabilitation of significantly atrophied residual ridge – A functional approach to denture stability.
Sayan Malas, Arindam Karmakar, Uttam Kr. Sen, Sanjoy Das.
Abstract
Retention, stability, and support are the main goals of the entire denture, and they depend on several variables. The most crucial of these are the surface area of the tissue that wears the denture and the strength of the surrounding muscles. The stability of the dentures is hampered by the increased resorption of the lower edentulous ridge caused by long-term edentulism.
Complete dentures are made using the neutral zone procedure, especially for people who are edentulous and heavily resorbed. It focuses on positioning denture teeth and forming the denture base so that the muscles of lips, muscle of cheek and tongue muscles work in harmony. Region of oral cavity that known as the “neutral zone” is where these opposing muscle groups apply the denture with the least amount of disruptive force, improving stability, retention, and patient comfort.
This article presents complete denture fabrication for a significantly atrophied mandibular residual ridge by recording neutral zone.
Keywords: Complete denture, Denture stability, Neutral zone, Resorbed ridges
9. Case Report l J Orofacial Rehabilitation. 2025 Aug;5(2):48-51.
DOI: 10.5281/zenodo.17049615.
Andrew’s bridge – A case report.
Pradyot Kumar Haldar1, Samiran Das2, Sayan Majumdar2, Shubhabrata Roy3.
Abstract
Tooth loss is a frequent consequence of aging and trauma, often leading to challenges in restoring both function and appearance. When there is significant loss of the alveolar ridge, achieving optimal esthetics through surgical reconstruction can be difficult and unreliable. In such cases, a combined prosthetic approach like the Andrew’s Bridge system can offer an effective alternative. This fixed-removable prosthesis replaces missing teeth and adjacent supporting tissues, offering enhanced esthetics and function. This case report presents a clinical case involving severe anterior ridge loss managed successfully with the Andrew’s Bridge system.
Keywords: Andrew’s Bridge, Fixed partial denture, Esthetics.
10. Case Report l J Orofacial Rehabilitation. 2025 Aug;5(2):52-55.
DOI: 10.5281/zenodo.17052697.
Enhancing denture retention with telescopic overdentures: A case-based approach.
Sania Mohsin, Harendra Shahi, Arunachalam Sudheer, Suvajit Adak.
Abstract
Tooth loss is a frequent consequence of aging and trauma, often leading to challenges in restoring both function and appearance. When there is significant loss of the alveolar ridge, achieving optimal esthetics through surgical reconstruction can be difficult and unreliable. In such cases, a combined prosthetic approach like the Andrew’s Bridge system can offer an effective alternative. This fixed-removable prosthesis replaces missing teeth and adjacent supporting tissues, offering enhanced esthetics and function. This case report presents a clinical case involving severe anterior ridge loss managed successfully with the Andrew’s Bridge system.
Keywords: Andrew’s Bridge, Fixed partial denture, Esthetics.
11. Case Report l J Orofacial Rehabilitation. 2025 Aug;5(2):56-64.
DOI: 10.5281/zenodo.17080692.
Prosthodontic management of maxillary distal extension and mandibular partially edentulous arch using cast partial dentures- A case report.
Sifa Nasrin, Dolanchanpa Dasgupta, Himadri Sekhar Pal, Gautami Pal.
Abstract
Cast partial dentures (CPDs) are regarded as a dependable and well-established prosthodontic modality for the rehabilitation of partially edentulous arches, particularly in circumstances where fixed dental prostheses or implant-supported restorations are contraindicated. In the present case report, the prosthetic rehabilitation of a 55-year-old male patient was undertaken, in whom a partially edentulous maxillary arch classified as Kennedy Class I and a mandibular arch classified as Kennedy Class III modification 1 were diagnosed and managed. Following a comprehensive clinical assessment and detailed diagnostic evaluation, cast partial dentures were planned and fabricated for both arches. Cast partial dentures, when fabricated in accordance with established biomechanical principles and incorporating esthetically oriented retentive elements such as I-bar clasps, are regarded as a predictable and cost-efficient modality for the rehabilitation of partial edentulism.
Keywords: Cast partial denture, I-bar clasp, partial edentulism, prosthetic rehabilitation, removable prosthesis.