The fourth international conference in case reports and case series, showCASE 2018 was held on the 23rd and 24th of March 2018 at Saveetha Dental College and Hospitals under the patronage of our Honourable Chancellor Dr. N.M. Veeraiyan and Organising Chair and Director, Dr. Deepak Nalkaswamy. The fourth edition was inaugurated on the 23rd of March, 2018 and had the unique distinction of collaborating with the European Society of Cosmetic Dentistry (ESCD). Under the guidance of Organising Secretary Dr. Abby Abraham, the theme of this edition focused on the passion, perfection and persistence displayed by dental students and practitioners in all phases of their dental careers. Despite a busy academic schedule amongst the dental student fraternity, the simultaneous organising of inter-collegiate competitions and university inspections at our contemporary institutions, the conference successfully hosted 350 delegates. Over 250 Paper presentations were chaired by 90 judges in 37 sessions which were broadly categorised based on the complexity of the case as Basic, Advanced or Master Clinical Cases. Among the 74 Master Clinical Cases presented, the top 16 cases were selected to be assessed by a panel of judges who sponsored prize money of INR5000 in the categories of best diagnostic challenge, interdisciplinary approach, aesthetic balance, restorative finesse, surgical skill and pedodontic care which was held on 24th March 2018. Following which, Guest Speaker Dr. Premila Suganthan provided her valuable insight on the Clinical Applications of Dental Lasers. The Valedictory Function was presided over by Honourable Chancellor Dr. N.M. Veeraiyan and Director Dr. Deepak Nalkaswamy. 37 Session Best prizes were awarded along with 16 Best Overall in the Basic and Advanced Clinical Cases categories. Dr. Kathiravan S won the Best Diagnostic Challenge, Dr. Ganesh Jeevanandan for the Best Pedodontic Care, Dr. Sudharsana Anadakumar was awarded the Best Interdisciplinary Approach, Dr. Surendar Sugumaran for the Best Aesthetic Balance, Dr. Abinaya Kannan for the Best Restorative Finesse and Dr. Dr. Mimansa Bhoj was the Best in Surgical Skill. Dr. Mimansa also won the overall award in the Master Clinical Case category which was sponsored by the ESCD in the form of a registration fee waiver of INR 15,000 at the upcoming ESCD Conference to be held in Lisbon, Portugal from the 20th-22nd September, 2018. Scientific Co-Cordinator Dr. Caroline Jacob gave the vote of thanks and congratulated all the delegates, award winners as well as the Organizing Team of showCASE 2018 for contributing to the execution and success of the conference.