Aim of the study: Screening for the prevalence and severity of TMDs in individuals. Materials and methods . This cross-sectional study included a cohort of 109 consecutive volunteer patients (28 male and 81 female), with average age 38.31  12.625 years, who attended a private praxis in Iasi at least once within ten months (February 2023 – October 2023). Before the clinical evaluation, the patients were invited to fill out the TMD-Pain Screener completed by Fonseca Anamnestic Index, consisting of 10 closed-ended questions. Results Proportion of 43.1% had mild craniomandibular dysfunction, moderate and severe dysfunctions were less common, occurring in 12.8% and 2.8% of patients. Our study observed a higher prevalence of TMD among female patients. Conclusions It can be concluded that the prevalence of TMD is a significant concern (58,7 %) that should be deemed a matter of significant importance in dental medicine and addressed accordingly.

The stomatognathic system, which includes the jaw and associated muscles, can suffer from dysfunctions like hypertonia (muscle tightness). This condition is often treated with miorelaxants, medications that relax muscles, with Botulinum toxin (Botox) being one of the most effective options. Clinical cases have shown that Botox can significantly alleviate symptoms of temporomandibular disorders (TMDs), which are characterized by pain and restricted jaw movement.

As stomatognatic system dysfunctions, hypertonias are quite common. As premedication, miorelaxants, adjuvants for inflammatory processes (which result in antalgic hypertonic phenomena), and during local anesthesia through neuromuscular transmission blockage, miorelaxants are a class of pharmacological agents with various structures and mechanisms of action that are highly helpful in treating stomatognatic dysfunctions. The most current medication utilized for stomatognatic system miorelaxation is Botox, which has a favorable local administration impact in a variety of clinical circumstances and during stomatological operations. It also provides comfort during mandibulo-cranial repositioning and centric relation maneuvers.

Indirect posterior restorations combining complete occlusal coverage with extension onto an axial surface are described inconsistently, and their biomechanical advantage remains uncertain. This review compared failure load and a review-defined severe-failure category of morphology-defined axial-extension restorations with occlusal-only restorations and full-coverage crowns. PubMed, Scopus, Embase, and Web of Science Core Collection were searched from inception and last checked on 22 July 2026; citation searching supplemented the database searches. Eligible studies tested restorations meeting the morphological definition in extracted human posterior teeth. Two reviewers independently selected studies, extracted data, and appraised risk of bias using RoBDEMAT with QUIN as a supplementary appraisal. Multiple eligible intervention arms were combined, and shared comparators were counted once. Exploratory random-effects models estimated average effects across heterogeneous laboratory systems using ratios of means (RoMs) and mean differences (MDs) for failure load and risk ratios (RRs) for review-defined severe failure. Eight studies were included. Five independent studies contributed to the main comparison, restricted to single-surface axial-extension versus occlusal-only restorations. Failure-load estimates were inconclusive (RoM 0.98, 95% CI 0.88 to 1.09; MD −23 N, 95% CI −195 to 149). Severe-failure events were sparse and inconsistently defined across the source studies; exact counts were therefore primary, and the pooled RR was exploratory (RR 1.10, 95% CI 0.65 to 1.86). Three studies compared axial-extension restorations with crowns, but these heterogeneous comparisons were not pooled and remained inconclusive. Current in vitro evidence is insufficient to determine whether the evaluated axial-extension designs affect failure load or the occurrence of review-defined severe failure. Imprecision, methodological heterogeneity, and indirectness for clinical performance preclude claims of clinical superiority. A routine strength benefit of the evaluated axial-extension designs cannot be inferred. Standardized preparation definitions, testing protocols, and failure reporting are required. Registration: OSF, DOI 10.17605/OSF.IO/9PXE5 (retrospective).

Aim of the study Treatment possibilities for complete edentulous cases by placing implants result in superior functional results, for better aesthetics, as well as stability, strength and support of prostheses and improved masticatory efficiency. Materials and methods The objective of this study is to highlight the importance of fabricating appropriate implant-based fixed prostheses through the appropriate selection and design of all their components in the treatment plan for our patient, with total edentulousness. A 56-year-old patient presented himself at the dental office, with complete edentulous status, in both arches, and the treatment was the “Fast and Fixed” option of “All on 6” in the maxilla jaw and “All on 4” in the mandible, with framework from zirconia and PEEK, respectively. Results The rehabilitation of complete edentulous status with fixed implant supported prostheses is one of the challenging treatments, because of the aesthetic and functional factors that should be considered. Conclusions There is a superior prognosis of oral rehabilitation with implants compared to traditional methods, and statistical data shown a high success rate of around 95% for 10 years. Fixed restorative systems on dental implants are considered the ideal solution for replacing missing teeth in the case of total edentulous arches.