Maxillary sinus often can have a severe limitations for conventional implants treatment .Resorption of bone and the expansion of maxillary sinus reduce in many cases the amount of bone available both in thickness and height .The aim of this work is to present an alternative technique to maxillary sinus lift procedure to reduce the invasivity and to do immediate loading at the same time.
Keywords:Tilted Implant; Maxillary Sinus; Immediate Loading; Minimal Invasive Approach

The pulp and the periodontium have embryonic, anatomical and functional interrelationships. Endo-periodontal lesion is a pathological condition in which pulp and periodontal tissues are simultaneously affected on the same tooth. The concomitant existence of pulp and periodontal diseases can complicate diagnosis and treatment planning. Knowledge of these procedures and their evolution is essential to reach the correct diagnosis, and therefore, to carry out the appropriate treatment.
The following case is a combined endo-periodontal lesion in which endodontic and periodontal treatment was performed, with its radiographic follow-up at 4 years.
Keywords:Endo-Perio Lesions; Periodontal Abscess; Endodontic Abscess; Periodontal Pathology; Endodontic Pathology

Introduction: In Algeria, dental fluorosis is a real public health problem, where we find so-called endemic areas, particularly in the south. The young people of these regions then make it a real complex which pushes them to get rid of this aesthetic defect by all means. Faced with this increasingly pressing aesthetic demand, our responsibility as a practitioner is significant. Through this clinical case we will illustrate a “perfect” aesthetic solution: which has enabled these patients to regain the confidence represented by the venner. Case Report: This is a young patient who came to our consultation following an aesthetic gene due to the presence of dental fluorosis which constituted a real handicap in her live: she don’t go to the university because of this gene. The clinical examination reveals that it is a serious dental fluorosis “Dean classification”. The teeth being healthy, it was necessary to opt for the least mutilating aesthetic rehabilitation technique. Discussion: According to the therapeutic gradient proposed by Tirlet, the treatment of choice was an aesthetic rehabilitation with ceramic veneers, since lightening and microabrasion have no effect on severe dental fluorosis. For a more conservative approach we opted for veneers with different types of clinical preparations. Conclusion: Combining tissue conservation without compromising on aesthetics, these ceramic veneers constitute for this type of patient a “miracle” solution to their aesthetic problem.

Keywords:Ceramic Veneers; Dental Fluorosis; Dental Medicine

The presence of chronic trauma, for example an ill-fitted denture, as a risk factor for oral squamous cell carcinomas (OSCC) has been a controversy for a long time. Molecular and genetic studies shaded some light on the basis of oral carcinogenesis. At the same time, other factors such as inflammation has been proved to have mutagenic effect influencing the development of malignant tumors. Therefore, mechanical force of chronic trauma on the oral mucosa alone may not be carcinogenic. However, at some point, it may contribute in this phenomenon.
Keywords:Oral Squamous Cell Carcinomas (OSCC); Chronic Trauma; Oral Cancer

A recent review showed a mean prevalence of 24% dental erosion in patients with GERD and a median prevalence of 32.5% for GERD in adult patients who had tooth erosion [1]. Therefore as the observation is also showing there is a direct relationship between these two phenomena and we as a dentist are the first clinician to observe and diagnose the possibility of erosion and reflux, specifically in silent refluxers Its important to be diagnosed because if not it will cause serious health problems [2].