I-PRF – Injectable Plasma Rich Fibrin. It's a modern and unique technology of regeneration of human tissues. This technology lies in injections of patient's autologous plasma rich fibrin in damaged areas of soft tissue, mucous membrane or skin. Blood collect into emty glass tubes, centrifuge, where blood divided on two fractions: 1. Plasma rich fibrin, also contain leukocytes, platelets and growth factors. 2. Red blood cells

After collecting plasma in syringe inject in damaged areas or work with Derma Pen which help plasma penetrate deep to skin layers .Than begins the process of release of growth factors as a : VGF, EGF, BDGF, PDGF, TGF, IGF. This growth factors start to create new blood vessels, new collagen and elastin fibers thats why after this procedure we will get lifting effect and antiage effect in cosmetology and fast regeneration in tissues or damaged surfaces .

A-PRF – Advanced plasma rich fibrin .A platelet concentrate after centrifugation  ,made a membrane rich on growth factors , platelets and leukocytes which has a great regenerative ability . Use in tooth extractions, implantology, sinus-lift... Growth factors work on creating a new blood vessels, new fibrin matrix, new cells and new tissue more than 14 days due to slow release of growth factors.

Previous research & studies on relationship between doctor & patient is showing that there is strong bond between both of them. Some studies showing that patients are different types like PASSIVE-DEPENDENT,INDEPENDENT-SKEPTICAL,INTELLECTUAL-RESEARCHER,EXPEDIENT-FLEXIBLE,OPEN MINDED-EXPLORING. But in the modern era of technology & advancement patient`s behaviour changes day by day. This is my own study more then 20000+ patients & in various oral and dental check up camps. there is new category called CHALLENGING patients. 

There is also very strong bond between patients and our daily clinical practice success growth. It does not depends on patient`s behaviour. it depends upon Dentist`s behaviour. By putting some important tips into our daily clinical practice we will make to our practice perfect and top rated. There are so many basic things like how to talk, how to manage common dental emergencies, how to handle medical & neurological compromised patient. how to make final treatment decision for challenging patients. Some basic & small things which we ignore in our daily practice but that small things have great importance. 

This study aimed to assess the efficacy of 940 nm diode laser irradiation prior to the bonding procedure for reduction of postoperative sensitivity (POS) following the class II composite restorations. This double-blind clinical trial evaluated 30 patients with bilateral premolars with mesio-occlusal or disto-occlusal carious lesions. In each patient, the teeth were randomly assigned to the laser and control groups. After cavity preparation and isolation and prior to the bonding procedure in the laser group, 940 nm diode laser was irradiated in continuous wave mode with 100 mW power and 4 J/cm2 energy density. In the control group, irradiation was performed using the aiming beam. The cavities were then restored with composite resin. Sensitivity to cold was assessed at baseline (before the intervention) and at 1, 14 and 30 days after the restoration using a visual analog scale (VAS).The mean VAS score significantly decreased in both groups of laser and control at all time points compared to baseline (p<0.05). The mean VAS score was not significantly different between the laser and control groups at baseline and 1st day (p>0.05) but the mean VAS score in the laser group was significantly lower than that in the control group at 14 and 30 days (p<0.05). As a conclusion, the results showed that irradiation of diode laser with 940 nm wavelength prior to the bonding procedure and class II composite restoration can significantly decrease the POS at 14 and 30 days compared with the control group. Diode laser irradiation at 940 nm wavelength prior to the bonding procedure and class II composite restoration can serve as an effective modality to decrease POS in short-term.

Hypodontia is the most commonly developmental anomaly in man, it can present to a varying degree of severity: mild, moderate or severe. Early diagnosis of hypodontia is important due to its negative impact on function and physiological status. Malocclusion, periodontal damage, and lack of alveolar growth can be caused by hypodontia³. Thus, a broader understanding of hypodontia patients is vital; eventually leads to an improvement in the outcome of treatment and enhancing the overall quality of life. Case 1: G. N. is a 12-year old girl presents clinically with a class II division I incisal relationship on mild skeletal II base, complicated by: incompetent lips, missing upper lateral incisors, deep and complete overbite to palate, scissors bite affecting the UL4. The upper labial segment was spaced and proclined. The overjet measured 7mm and the molar relationship was a full-unit Class II on the right side and half-unit Class II on the left side. Case 2: E. M. is a healthy 43-year old lady who presented with a class III incisal relationship on skeletal I base, with increased lower vertical facial proportions. This is complicated by: missing upper lateral incisors, reduced overbite, and a heavily restored upper right canine. The overjet measures -1mm and both upper and lower labial segments are spaced and proclined. Discussion: The management of absent teeth involves a multidisciplinary team approach. Generally, edentulous space can be left open for an eventual restoration, or closed by orthodontic treatment. The treatment plan may employ mechanics, which enhance the facial proportions, and may ultimately improve the lip position and facial attractiveness. However, the final decision must be made on an individual basis, and can only be agreed after careful consideration of all factors of patient’s malocclusion.