After years without professional periodontal maintenance, a CAR T-cell survivor returned with advanced disease and two teeth deemed hopeless. The case flags gaps in oral-health coordination and the need to check blood counts before invasive care.
The patient could name diabetes but not explain most of her prescriptions. Pharmacy and physician records revealed amlodipine use and a history of suspected dementia.
A digital smile design protocol guided gingival recontouring and minimally invasive lithium disilicate veneers for a 27-year-old woman with spacing and discoloration. She also had smile asymmetry.
Nicotine pouch use is becoming a routine dental-history issue as localized recession and tissue changes emerge at habitual placement sites. New regulatory and clinical findings add to the case for careful monitoring.
A 56-year-old man's widening front tooth gap turned out to be a sign of bone loss and gum disease. His treatment combined periodontal therapy, Invisalign, and composite bonding.
