The correction of severe malocclusion with fixed prostheses in vital tooth is crucial and may end up with complication such as loss of vitality, multiple root canal treatment and extraction that lead to major procedures. In this case report the loss of hard and soft tissue of alveolar ridge resulted from traumatic tooth extraction in conjunction of periodontal tissue destruction due to longstanding inflammation. Alveolar bone defect on the anterior region commonly affects the aesthetic. The morphology of class III bony defect on aesthetic area can be unfavorable for construction of dental prosthesis. Surgical attempt has been made to improve hard and soft tissue prior to prosthesis placement. The expertise's from multidisciplinary required in the procedures to achieve the primary aesthetic demand. Prepared provisional bridge with ovoid pontic shape on the surgical area will initiate soft tissue filling into interdental embrasure and enhance the aesthetic. The complication arises when insufficient soft tissue toward healing takes place. The replacement of exposed and infected membrane and photodynamic disinfection (Foto San) was imposed to minimize the chance of reinfection. Therefore, aim of this paper is to present the application of the invented Piezosurgery system of three dimensional ultrasonic vibrations and bone expansion gadget in the ridge augmentation procedure. The application of bone regenerative material (Puros-allograft) and bioresorbable collagen membrane (Resolut Adapt LT) ensure ridge modification. All these procedures were carried out as the consequences if inappropriate correction of severe malocclusion with extensive fixed prosthesis on vital anterior teeth. � IDOSI Publications, 2014.

The advancement of technology in dentistry has led to many issues related to Shariah for muslim patient and dentist. The demand of aesthetic dentistry is increasing among patients, to improve their dental appearance rather than functional need. The objective of this paper was to discuss the aesthetic treatment involving correction of malocclusion and elective root canal treatment based on Islamic principles and relates it to clinical evidence. A 22-year-old male requested to correct his mild malocclusion via fixed prostheses. In order to achieve the normal occlusion, a sound tooth needs an elective endodontic to realign the position. Final all ceramic crowns will be placed on both central incisors to correct his malocclusion and improve his appearance. This paper will discuss the issue of treatment need according to Shariah, clinical indication, evidence-based and patient�s right to choose treatment options. As a conclusion, a dentist should have basic knowledge of Islamic principle in order to guide them to Shariah-compliance practice. � 2017 American Scientific Publishers All rights reserved.

Aesthetics has become a part of the component of life in modern society. In the past, the main focus of dental treatments was to relieve pain and fulfilling the functional demands. However, the focus of treatment has shift nowadays towards dental aesthetics. The purpose of this study was to assess the patient’s perception and knowledge regarding cosmetic dental treatment in relation to Islamic perspective. This was a cross-sectional study that involved subjects in the range age of 19 to 60 years old. A questionnaire was developed to address the patient’s perception and knowledge with regard to cosmetic dental treatment and Islamic principles. The results showed that almost all (92% to100%) perception of the respondents’ believed that the aims of cosmetic dental treatment comprised of function, aesthetics and, aesthetic and functions with psychosocial influence. Their knowledge on cosmetic dental treatment in relation with Islamic jurisprudence was accordance to legal Islamic maxim. As a conclusion, the patient’s perception cosmetic dentistry covered all aspects of human life and their knowledge was in line with Islamic Jurisprudence.