Background: Teledentistry rapidly expanded after COVID-19, enabling remote triage, screening and follow-up. Artificial intelligence (AI)—particularly deep learning applied to photographs and radiographs—promises to raise diagnostic accuracy, standardize decision-making and extend high-quality care to underserved settings. Materials and Methods: We conducted a scoping review (2015–2025) of English-language studies and reviews on AI-enabled teledentistry (searches in PubMed, Scopus, Web of Science). Inclusion: diagnostic applications using asynchronous (store-and-forward) images or synchronous video, with or without radiographs. Exclusion: editorials, in-vitro only, and non-diagnostic telehealth. Outcomes extracted: sensitivity/specificity/accuracy, workflow, and implementation barriers. Results: Twenty-eight eligible sources (systematic reviews, meta-analyses, trials and narrative syntheses) showed: (i) AI-assisted caries detection achieves pooled sensitivity ~0.71–0.87 and specificity ~0.89–0.96 depending on lesion depth and modality;4–8 (ii) non-AI teledentistry photo-based caries detection shows sensitivity 48–98.3% and specificity 83–100%; (iii) hybrid models combining AI triage + teleconsults improve access and maintain diagnostic performance comparable to clinic visits. Conclusion: AI can materially improve the diagnostic yield of teledentistry—especially for caries, periodontal changes and opportunistic oral lesion screening—provided external validation, bias control and safe deployment.

Background: Distal femur fractures represent 4–6% of all femoral fractures, and they have a bimodal age distribution as higher energy trauma in younger patients, and lower energy falls in the elderly. Comminuted fractures are particularly challenging due to metaphyseal bone loss, articular involvement, and risk of non-union or varus collapse. While plate fixation ensures stability in osteoporotic bones, it often requires prolonged restricted weight-bearing. Intramedullary nailing provides load-sharing and early mobilization but has limitations in providing adequate stability, while plating has poor stability to axial loading in comminuted fractures. The nail-plate combination (NPC) construct offers the biomechanical advantages of both implants and may allow early mobilization with reduced implant failure. Materials and Methods: We performed a prospective study of 30 patients (>18 years) with distal femur fractures managed by NPC fixation at Dr. B.R. Ambedkar Medical College and Hospital between July 2023 and June 2025 fulfilling the inclusion and exclusion criteria. Patients comprised closed fractures and Gustilo-Anderson type I/II open fractures. Exclusion criteria comprised pathological fractures, Type III open fractures, vascular injuries, floating knee, and unfit cases. The method of surgical fixation was a distal femur nail, with auxiliary lateral locking plate fixed to the nail with screws to act as a single construct. The patients were followed clinically and radiographically in the long term, with a mean follow-up of 18 months. The assessment of functional outcome was done on basis of Neer’s scoring system. Results: Thirty traumatic type II lesions were observed in 18 men and in 12 women with a mean age of 59.2 years; the trauma that caused the lesion was high-energy in nature in 20 cases but low-energy in the remaining ten. The average time to radiographic union was 14.8 weeks;); 46.7% united at 14 weeks and 33.3% at 16 weeks. Two cases with infection and wound debridement showed delayed union (20 weeks). No implant failures were reported. According to Neer’s score, 56.7% achieved excellent, 33.3% good, 6.7% fair, and 3.3% poor results. At 6 months, mean knee flexion was 114°, with 20 patients achieving >90° flexion. Conclusion: The nail-plate combined fixation is a reliable way to treat comminuted distal femur Fractures, providing stable fixation, early union, and satisfactory functional outcomes. By permitting safe early mobilization, it reduces morbidity, especially in elderly patients, and since it may reduce the complications of long periods in traction.NPC fixation thus represents an effective and safe option in complex distal femur fractures.

Background: Middle ear pathology encompasses a range of conditions such as chronic otitis media, cholesteatoma, and ossicular chain abnormalities, which, if left untreated, can lead to serious complications including hearing loss, facial nerve palsy, labyrinthine fistula, and intracranial extension. High-resolution computed tomography (HRCT) of the temporal bone plays a crucial role in the detailed evaluation of middle ear structures and in the early identification and characterization of these complications. HRCT provides excellent spatial resolution, allowing accurate assessment of bony erosions, ossicular integrity, and involvement of adjacent structures. These imaging findings are vital in guiding otologic surgeons for optimal treatment planning and surgical intervention.