Supernumerary teeth can have normal or abnormal morphologic structure and characteristics, and their impacted form is diagnosed usually during X‐ray examinations. In this case report, the presented patient is a 16‐year‐old female with anterior and right posterior open bite and bilateral posterior crossbite, upper right supernumerary paramolar, and impacted second and third molars. The paramolar development was the reason for the asymmetric growth of the alveolar bone in the upper jaw. The development of the bone is connected with the development of the teeth, and one additional tooth leads to extensive development in the maxilla. There is a risk of gingival recession occurrence when leveling the lower incisors due to the thin gingival biotype. A combined surgical‐orthodontic treatment was done according to the following plan: extraction of supernumerary paramolar, germectomy of the upper right third molar (18) and at the same time periodontal graft in the lower anterior segment. A digitally three‐dimensional (3D) printed appliance for rapid maxillary expansion was used for the transverse insufficiency of the upper jaw. The upper dental arch expander was designed with distal extension in the area of the upper right second molar (17). The extension was used as an anchorage during the orthodontic traction of the second molar. The treatment continued with a fixed orthodontic appliance—braces in the upper and lower jaw. With the extraction of the impacted and supernumerary teeth in the right maxillary segment, the eruption of 17 was stimulated and a change in the height of the alveolar bone was achieved. This favored the vertical changes and normalization of the occlusion. The maxillary expansion was also a significant factor in normalizing the occlusion. Observations on paramolar behavior showed that more often they develop in the bone and do not erupt. Each clinical case is highly individual, and patients seek orthodontic treatment at different stages of dentition development and corresponding development of the supernumerary teeth.

In recent years, digital technologies have entered every field of dentistry, allowing the practice to adapt to new and alternative diagnostic and treatment approaches. Every day in the clinical practice, cone beam computed tomography (CBCT) examinations are used. This modality is applicable in every phase of orthodontic or surgical dental or maxillofacial work, from diagnosis, treatment planning, design and fabrication of orthodontic appliances, patient records, growth prognosis, prediction of treatment outcomes etc. In orthodontics particularly, a large spectrum of CBCT studies find their role, in particular - CBCT of the whole skull, which allows a number of analyses and evaluations that cannot be performed on smaller volume images and CBCT of separately one or two jaws. Nowadays, the accessibility to the CBCT examinations is facilitated - almost every X-ray laboratory has a CBCT machine, and there are dozens of software for processing and editing readily available, even with free license. The CBCT and its extremely wide range of applications make it paramount in the orthodontics workflow.

This clinical case report details the management of denture stomatitis in a 78-year-old female with uncontrolled Type II diabetes and chronic oral candidiasis. Presenting with discomfort and lesions under her decade-long worn partial denture, her condition was indicative of inflammatory papillary hyperplasia and fungal infection. Management involved a combination of systemic and local antifungal treatments, diode laser surgical removal of nodular lesions, fabrication of a new denture, and extensive oral hygiene education. Over a two-year period, a significant decrease in Candida levels was observed, though the persistence of the fungus necessitated ongoing monitoring. This case highlights the complexities of treating denture stomatitis in patients with systemic health issues, emphasizing the need for a multidisciplinary treatment approach and continuous care.

The article clarifies that pain is a multidimensional phenomenon both in adults and children. The authors reviewed the literature and surveyed the clinical data on the management of pain in pediatric patients. The conclusion was made that pain management in pediatric patients needs adequate management and effective pharmacotherapy with non-opioid and opioid analgesics. Data for pharmacokinetic and pharmacodynamics characteristics of frequently used analgesic drugs are summarized. The authors include useful schemas of pharmacotherapy with nonopioid as well as opioid analgesics and practical guidelines for pain management in clinical ward or outpatient departments