the national bridge stock of iran consists of about 330,000 bridges, of which around 50% are older than 30 years. since 2010, iran road maintenance & transportation organization has started implementing a comprehensive bridge management system in order to manage this aged stock efficiently. to predict future conditions of bridge stock, a heuristic numerical method is presented. this methodology...

The positive psychological effects of improving patients' smile often contribute to an improved self-image and enhanced self-esteem. Periodontal disease may lead to tooth and tissue loss that can result in esthetic problems. Combined periodontal/prosthodontic treatment for patients with advanced disease is well documented. This case report illustrates a method of treatment for an advanced tissu...

We experienced a patient of subcondylar fracture who had a squared contour of the lower face with prominent angle of the mandible and masseter hypertrophy. Our patient was increasingly seeking esthetic improvement of the lower third of the face. But she did not want multi-stage operations. Thus, we decided and performed a one-stage mandibular angle ostectomy with fracture management. We have a ...

Surgical procedures for parotidectomy had been developed to gain adequate approach, prevent morbidity of nerve, and give esthetic satisfaction. We performed two cases of parotidectomy through facelift incision. One case was reconstructed with superficial musculoaponeurotic system (SMAS) flap and sternocleidomastoid (SCM) muscle rotated flap at the parotid bed. In second case, same procedures we...

Dental fusion and agenesis present unique esthetic challenges for the dental team when discovered in a developing child. This article highlights treatment of a 9-year-old girl with fusion of a maxillary central and lateral incisor with a congenitally missing lateral over a 10-year period. The article defines the developmental anomalies, provides a review of treatment options for the clinical te...

The concept of overbuilding the implant site in the esthetic zone is paramount in creating the inconspicuous implant restoration. If teeth are congenitally missing, the site may be underdeveloped. Tooth extraction and trauma may lead to ridge deformities. The goal is to create an enhanced site for the restorative clinician. This site can then be molded to an ideal gingival framework. Cases are ...

Peri-implant plastic surgery aims at improving the esthetic aspects of smile appearance and masticatory function. Enhancement of the esthetic appearance can lend significant support to patients wishing to experience more effective and successful interactions with others in personal, social and workplace situations. This article reviews pre-implant anatomic features that influence the outcome of...