General Dentistry is AGD's peer-reviewed journal. Published bimonthly, General Dentistry presents research and clinical findings to support the full range of procedures that general dentists perform on a regular basis.
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July/August 2019
Table of Contents
Clinical Articles
-
Oral and Maxillofacial Surgery Mandibular fracture after third molar removal: a case report
Thiago Coelho Gomes da SilvaFull Article (PDF)
Almir Walter de A. Maranhão Filho
Marilia Gabriela Mendes Alencar
Manoela Moura de Bortoli
Belmiro Cavalcanti do Egito Vasconcelos
Surgical removal of third molars is associated with complications that can be as common as pain and trismus and as rare as mandibular fracture. A fracture can occur when the resistance of the bone tissue is lower than the forces applied by the surgeon during the procedure. The aim of this article is to report a case of jaw fracture after tooth extraction and subsequent surgical treatment of the fracture under general anesthesia with an option for a submandibular approach. A plate and screw system with a 2.4-mm profile was used for osteosynthesis after reduction of the fracture. The patient was followed up for 6 months after surgery and reported no functional or esthetic complaints. Treatment of mandibular fractures should aim to reestablish functional occlusion and mandibular continuity with the least possible risk of adverse sequelae. Planning for each individual case of third molar extraction requires accurate clinical examination and image evaluation to lessen the risk of fracture.
2019 July/August; 67(4):e7-e10.
-
Special Patient Care Prosthetic rehabilitation of a child with X-linked hypohidrotic ectodermal dysplasia: a case report and 12-month follow-up
Daniele Vieira CassolFull Article (PDF)
Thiago Isidro Vieira
Ivete Pomarico Ribeiro de Souza
Luciana Pomarico
The hereditary condition known as ectodermal dysplasia (ED) is characterized by the absence of or a defect in 2 or more ectodermally derived structures such as skin, nails, hair, sweat glands, or teeth. Patients with this disorder usually present with reduced salivary gland function and absence of some or all teeth, which compromises orofacial function and development. In addition, children with ED usually experience difficulty in social interactions because of their appearance. This article reviews previously published case reports pertaining to ED and describes oral rehabilitation with removable partial dentures (RPDs) in a 5-year-old girl diagnosed with X-linked hypohidrotic ED, which presented as hypodontia. An orthodontic expander screw was inserted in the maxillary prosthesis to correct the patient’s crossbite, and periodic recall examinations were scheduled to monitor the effects of the patient’s growth on occlusion and fit of the prosthesis. The child was monitored for 12 months, during which she exhibited significant improvement in physiologic function, appearance, and social behavior. Because negative esthetic, functional, and psychological consequences are associated with this condition, dentists must be knowledgeable about its common oral manifestations.
2019 July/August; 67(4):e1-e6.
-
Periodontics Comparison of root surface roughness produced by air polishing combined with hand instrumentation or ultrasonic instrumentation: an in vitro study
Rajendran PoornimaFull Article (PDF)
Kukkamalla Meena Anand
Pratibha Gopalkrishna
The root surface roughness produced by hand scaling and subsequent glycine powder air polishing (GPAP) during periodontal maintenance therapy was compared with that produced by ultrasonic scaling and subsequent GPAP. In this in vitro study, hand scaling with curettes produced smoother root surfaces than ultrasonic scaling. Adjunctive use of GPAP for 5 seconds along with hand scaling or ultrasonic scaling resulted in improved root surface smoothness.
2019 July/August; 67(4):75-77.
-
Orofacial Pain Prevalence of temporomandibular disorders in rugby players
Daniel BonottoFull Article (PDF)
Carlos Antonio Schäffer Penteado
Eli Luis Namba
Paulo Afonso Cunali
Rodrigo Nunes Rached
Luciana Reis Azevedo-Alanis
Playing rugby is associated with high rates of dental and facial trauma, and facial trauma in sports has been associated with development of temporomandibular disorders (TMDs). The prevalence of TMDs in a group of 30 rugby players (53.3%) was significantly greater than that observed in a control group of 28 nonathletes (14.3%; P = 0.002). Athletes also reported significantly more tooth clenching than did nonathletes (P = 0.003).
2019 July/August; 67(4):72-74.
-
Restorative Dentistry Metal endocrown approach for a maxillary second molar: a novel technique
Saad A. AlhazzaniFull Article (PDF)
Mohammed S. Aldossary
Nonvital teeth with repeated restoration failures are particularly challenging to dental practitioners. This case report describes the fabrication of a novel cast metal endocrown following the failure of 2 different types of restorations (post and core–retained crown and ceramic endocrown). This approach was used to preserve the tooth and avoid extraction.
2019 July/August; 67(4):67-71.
-
Laser Therapy/Electrosurgery Low-level laser therapy as adjunctive treatment for a sodium hypochlorite accident: a case report
Fernanda Paula Yamamoto-SilvaFull Article (PDF)
Lorena Rosa Silva
Kaique Leite de Lima
Maria Alves Garcia Santos Silva
Carlos Estrela
Brunno Santos de Freitas Silva
A large, painful ulcer caused by a sodium hypochlorite accident during endodontic treatment was treated with dexamethasone and amoxicillin to control pain and prevent secondary infection as well as low-level laser therapy to speed healing.
2019 July/August; 67(4):63-66.
-
Removable Prosthodontics Risk factors for mandibular bone resorption in complete denture wearers
Fernanda Rodrigues de Souza SantosFull Article (PDF)
Maira Foresti Vieira Munhoz
Luis Henrique Theodoro Alves
Marcelo Tavares
André Gustavo Paleari
Germana de Villa Camargos
This study aimed to evaluate the impact of factors related to the patient (age, sex, bruxism, and general health) or prosthesis (use of old dentures, duration of denture wear, and nocturnal wear) on the mandibular ridge resorption rate (RRR) of complete denture (CD) wearers. In this retrospective cohort study, researchers estimated the mandibular RRR by using panoramic radiographs (n = 120) obtained at the time of the clinical examination. The results suggested that advanced age, use of old dentures, and bruxism have a negative influence on the mandibular RRR.
2019 July/August; 67(4):58-62.
-
Special Patient Care Prevention and treatment options for medication-induced xerostomia
Diana QuiliciFull Article (PDF)
Kaitlyn N. Zech
Medication-induced xerostomia often results in rampant caries and complicates restorative options. Knowledge of the medications that contribute to xerostomia as well as available treatments allows the dentist to improve the patient’s quality of life. This article provides a comprehensive review of causative medications, risk assessment, preventive measures, and palliative treatments for patients with medication-induced xerostomia.
2019 July/August; 67(4):52-57.
-
Basic Science Horizontal root fracture in a maxillary central incisor: a case report
T. Bob DavisFull Article (PDF)
This report aims to remind clinicians that no or minimal treatment may be the best option in certain cases. After a fall resulted in a horizontal root fracture of a central incisor and partial extrusion, the patient had no tooth pain and no signs of pathology. Treatment was limited to reduction of the extrusion, placement of a local antibiotic, and prescription of periodontal medication. The tooth was closely monitored at regular recalls, and over time the root exhibited good bone repair.
2019 July/August; 67(4):47-50.
-
SELF-INSTRUCTION
Special Patient Care Allergy topics for dental practitioners
Allison RamseyFull Article (PDF)
Alan H. Brodine
Penicillin allergy, local anesthetic hypersensitivity, latex allergy, contact hypersensitivity, and anaphylaxis are among the allergic reactions encountered in dental practice. This article reviews the literature pertaining to the epidemiology, diagnosis, and management of these reactions as they relate to dentistry. Recognition and appropriate treatment of anaphylaxis also are reviewed.
2019 July/August; 67(4):38-45.
Self-Instruction Exercise No. 443 -
Oral Medicine, Oral Diagnosis, Oral Pathology An unusual clinical manifestation of oral melanocytic nevus
Silas Antonio Juvencio de Freitas FilhoFull Article (PDF)
Natália Galvão Garcia
Gabriela Moura Chicrala
Paulo Sérgio da Silva Santos
Denise Tostes Oliveira
Melanocytic nevi are acquired or congenital benign neoplasms found often in the skin but rarely in the oral mucosa. This article describes an atypical case of oral hypopigmented melanocytic nevus in a 39-year-old woman referred for evaluation of a well-circumscribed papule with discrete brownish spots in the buccal mucosa.
2019 July/August; 67(4):35-37.
-
SELF-INSTRUCTION
Implants Splinted wide-short implants in the posterior region of an atrophic mandible opposed by an edentulous maxilla: immediate loading and 1-year follow-up
Fernanda FaotFull Article (PDF)
Raissa Micaella Marcello-Machado
Caio Hermann
Flávia Noemy Gasparini Kiatake Fontão
This case report describes the clinical treatment of a patient with bilateral bone atrophy in the posterior regions of the mandible. Two wide-short implants splinted to 1 standard implant were used for rehabilitation on the right side, while 3 standard implants were placed on the other side. The use of wide-short implants splinted to a conventional implant improved mandibular occlusal stability in an area of reduced bone height.
2019 July/August; 67(4):29-33.
Self-Instruction Exercise No. 442 -
SELF-INSTRUCTION
Basic Science Use of virtual reality as a learning environment in dentistry
Rafael Morales-VadilloFull Article (PDF)
Janet-Ofelia Guevara-Canales
Víctor-Carlos Flores-Luján
José-Martín Robello-Malatto
Rosario-Haydée Bazán-Asencios
Carlos-Enrique Cava-Vergiú
This study compared the efficacy of using 3-dimensional interactive platforms designed in a virtual reality program to that of traditional teaching methods for developing students’ understanding of dental clinical situations. The results suggest that the Second Life environment helps students to understand anatomical interactions that are difficult to observe in real life, is attractive to students, and contains tools with high didactic potential.
2019 July/August; 67(4):21-27.
Self-Instruction Exercise No. 441
Departments
-
Self-Instruction Answers Exercises No. 423, 424, and 425 from the July/August 2018 issue
Full Article (PDF)2019 July/August; 67(4):79.
-
Oral Diagnosis Antral opacity and Spiked roots
Full Article (PDF)Galal Omami
2019 July/August; 67(4):78, 80.
-
Pediatric Dentistry Preeruptive intracoronal resorption
Full Article (PDF)Jane A. Soxman
2019 July/August; 67(4):19-20.
-
Public Health Understanding and addressing patients’ use of tobacco
Full Article (PDF)Larry Williams
2019 July/August; 67(4):16-18.
-
Pharmacology The new dental anesthesiology specialty: implications for the general dentist
Jason H. GoodchildFull Article (PDF)
Mark Donaldson
Brian Chanpong
2019 July/August; 67(4):12-15.
-
Restorative Dentistry Modification of the gingiva-implant interface of tissue-level implants
Full Article (PDF)Roger A. Solow
2019 July/August; 67(4):8-11.
-
Editorial Civility
Full Article (PDF)Roger D. Winland
2019 July/August; 67(4):6.
2016
July/August 2019
Table of Contents
Clinical Articles
-
Oral and Maxillofacial Surgery Mandibular fracture after third molar removal: a case report
Thiago Coelho Gomes da SilvaFull Article (PDF)
Almir Walter de A. Maranhão Filho
Marilia Gabriela Mendes Alencar
Manoela Moura de Bortoli
Belmiro Cavalcanti do Egito Vasconcelos
Surgical removal of third molars is associated with complications that can be as common as pain and trismus and as rare as mandibular fracture. A fracture can occur when the resistance of the bone tissue is lower than the forces applied by the surgeon during the procedure. The aim of this article is to report a case of jaw fracture after tooth extraction and subsequent surgical treatment of the fracture under general anesthesia with an option for a submandibular approach. A plate and screw system with a 2.4-mm profile was used for osteosynthesis after reduction of the fracture. The patient was followed up for 6 months after surgery and reported no functional or esthetic complaints. Treatment of mandibular fractures should aim to reestablish functional occlusion and mandibular continuity with the least possible risk of adverse sequelae. Planning for each individual case of third molar extraction requires accurate clinical examination and image evaluation to lessen the risk of fracture.
2019 July/August; 67(4):e7-e10.
-
Special Patient Care Prosthetic rehabilitation of a child with X-linked hypohidrotic ectodermal dysplasia: a case report and 12-month follow-up
Daniele Vieira CassolFull Article (PDF)
Thiago Isidro Vieira
Ivete Pomarico Ribeiro de Souza
Luciana Pomarico
The hereditary condition known as ectodermal dysplasia (ED) is characterized by the absence of or a defect in 2 or more ectodermally derived structures such as skin, nails, hair, sweat glands, or teeth. Patients with this disorder usually present with reduced salivary gland function and absence of some or all teeth, which compromises orofacial function and development. In addition, children with ED usually experience difficulty in social interactions because of their appearance. This article reviews previously published case reports pertaining to ED and describes oral rehabilitation with removable partial dentures (RPDs) in a 5-year-old girl diagnosed with X-linked hypohidrotic ED, which presented as hypodontia. An orthodontic expander screw was inserted in the maxillary prosthesis to correct the patient’s crossbite, and periodic recall examinations were scheduled to monitor the effects of the patient’s growth on occlusion and fit of the prosthesis. The child was monitored for 12 months, during which she exhibited significant improvement in physiologic function, appearance, and social behavior. Because negative esthetic, functional, and psychological consequences are associated with this condition, dentists must be knowledgeable about its common oral manifestations.
2019 July/August; 67(4):e1-e6.
-
Periodontics Comparison of root surface roughness produced by air polishing combined with hand instrumentation or ultrasonic instrumentation: an in vitro study
Rajendran PoornimaFull Article (PDF)
Kukkamalla Meena Anand
Pratibha Gopalkrishna
The root surface roughness produced by hand scaling and subsequent glycine powder air polishing (GPAP) during periodontal maintenance therapy was compared with that produced by ultrasonic scaling and subsequent GPAP. In this in vitro study, hand scaling with curettes produced smoother root surfaces than ultrasonic scaling. Adjunctive use of GPAP for 5 seconds along with hand scaling or ultrasonic scaling resulted in improved root surface smoothness.
2019 July/August; 67(4):75-77.
-
Orofacial Pain Prevalence of temporomandibular disorders in rugby players
Daniel BonottoFull Article (PDF)
Carlos Antonio Schäffer Penteado
Eli Luis Namba
Paulo Afonso Cunali
Rodrigo Nunes Rached
Luciana Reis Azevedo-Alanis
Playing rugby is associated with high rates of dental and facial trauma, and facial trauma in sports has been associated with development of temporomandibular disorders (TMDs). The prevalence of TMDs in a group of 30 rugby players (53.3%) was significantly greater than that observed in a control group of 28 nonathletes (14.3%; P = 0.002). Athletes also reported significantly more tooth clenching than did nonathletes (P = 0.003).
2019 July/August; 67(4):72-74.
-
Restorative Dentistry Metal endocrown approach for a maxillary second molar: a novel technique
Saad A. AlhazzaniFull Article (PDF)
Mohammed S. Aldossary
Nonvital teeth with repeated restoration failures are particularly challenging to dental practitioners. This case report describes the fabrication of a novel cast metal endocrown following the failure of 2 different types of restorations (post and core–retained crown and ceramic endocrown). This approach was used to preserve the tooth and avoid extraction.
2019 July/August; 67(4):67-71.
-
Laser Therapy/Electrosurgery Low-level laser therapy as adjunctive treatment for a sodium hypochlorite accident: a case report
Fernanda Paula Yamamoto-SilvaFull Article (PDF)
Lorena Rosa Silva
Kaique Leite de Lima
Maria Alves Garcia Santos Silva
Carlos Estrela
Brunno Santos de Freitas Silva
A large, painful ulcer caused by a sodium hypochlorite accident during endodontic treatment was treated with dexamethasone and amoxicillin to control pain and prevent secondary infection as well as low-level laser therapy to speed healing.
2019 July/August; 67(4):63-66.
-
Removable Prosthodontics Risk factors for mandibular bone resorption in complete denture wearers
Fernanda Rodrigues de Souza SantosFull Article (PDF)
Maira Foresti Vieira Munhoz
Luis Henrique Theodoro Alves
Marcelo Tavares
André Gustavo Paleari
Germana de Villa Camargos
This study aimed to evaluate the impact of factors related to the patient (age, sex, bruxism, and general health) or prosthesis (use of old dentures, duration of denture wear, and nocturnal wear) on the mandibular ridge resorption rate (RRR) of complete denture (CD) wearers. In this retrospective cohort study, researchers estimated the mandibular RRR by using panoramic radiographs (n = 120) obtained at the time of the clinical examination. The results suggested that advanced age, use of old dentures, and bruxism have a negative influence on the mandibular RRR.
2019 July/August; 67(4):58-62.
-
Special Patient Care Prevention and treatment options for medication-induced xerostomia
Diana QuiliciFull Article (PDF)
Kaitlyn N. Zech
Medication-induced xerostomia often results in rampant caries and complicates restorative options. Knowledge of the medications that contribute to xerostomia as well as available treatments allows the dentist to improve the patient’s quality of life. This article provides a comprehensive review of causative medications, risk assessment, preventive measures, and palliative treatments for patients with medication-induced xerostomia.
2019 July/August; 67(4):52-57.
-
Basic Science Horizontal root fracture in a maxillary central incisor: a case report
T. Bob DavisFull Article (PDF)
This report aims to remind clinicians that no or minimal treatment may be the best option in certain cases. After a fall resulted in a horizontal root fracture of a central incisor and partial extrusion, the patient had no tooth pain and no signs of pathology. Treatment was limited to reduction of the extrusion, placement of a local antibiotic, and prescription of periodontal medication. The tooth was closely monitored at regular recalls, and over time the root exhibited good bone repair.
2019 July/August; 67(4):47-50.
-
SELF-INSTRUCTION
Special Patient Care Allergy topics for dental practitioners
Allison RamseyFull Article (PDF)
Alan H. Brodine
Penicillin allergy, local anesthetic hypersensitivity, latex allergy, contact hypersensitivity, and anaphylaxis are among the allergic reactions encountered in dental practice. This article reviews the literature pertaining to the epidemiology, diagnosis, and management of these reactions as they relate to dentistry. Recognition and appropriate treatment of anaphylaxis also are reviewed.
2019 July/August; 67(4):38-45.
Self-Instruction Exercise No. 443 -
Oral Medicine, Oral Diagnosis, Oral Pathology An unusual clinical manifestation of oral melanocytic nevus
Silas Antonio Juvencio de Freitas FilhoFull Article (PDF)
Natália Galvão Garcia
Gabriela Moura Chicrala
Paulo Sérgio da Silva Santos
Denise Tostes Oliveira
Melanocytic nevi are acquired or congenital benign neoplasms found often in the skin but rarely in the oral mucosa. This article describes an atypical case of oral hypopigmented melanocytic nevus in a 39-year-old woman referred for evaluation of a well-circumscribed papule with discrete brownish spots in the buccal mucosa.
2019 July/August; 67(4):35-37.
-
SELF-INSTRUCTION
Implants Splinted wide-short implants in the posterior region of an atrophic mandible opposed by an edentulous maxilla: immediate loading and 1-year follow-up
Fernanda FaotFull Article (PDF)
Raissa Micaella Marcello-Machado
Caio Hermann
Flávia Noemy Gasparini Kiatake Fontão
This case report describes the clinical treatment of a patient with bilateral bone atrophy in the posterior regions of the mandible. Two wide-short implants splinted to 1 standard implant were used for rehabilitation on the right side, while 3 standard implants were placed on the other side. The use of wide-short implants splinted to a conventional implant improved mandibular occlusal stability in an area of reduced bone height.
2019 July/August; 67(4):29-33.
Self-Instruction Exercise No. 442 -
SELF-INSTRUCTION
Basic Science Use of virtual reality as a learning environment in dentistry
Rafael Morales-VadilloFull Article (PDF)
Janet-Ofelia Guevara-Canales
Víctor-Carlos Flores-Luján
José-Martín Robello-Malatto
Rosario-Haydée Bazán-Asencios
Carlos-Enrique Cava-Vergiú
This study compared the efficacy of using 3-dimensional interactive platforms designed in a virtual reality program to that of traditional teaching methods for developing students’ understanding of dental clinical situations. The results suggest that the Second Life environment helps students to understand anatomical interactions that are difficult to observe in real life, is attractive to students, and contains tools with high didactic potential.
2019 July/August; 67(4):21-27.
Self-Instruction Exercise No. 441
Departments
-
Self-Instruction Answers Exercises No. 423, 424, and 425 from the July/August 2018 issue
Full Article (PDF)2019 July/August; 67(4):79.
-
Oral Diagnosis Antral opacity and Spiked roots
Full Article (PDF)Galal Omami
2019 July/August; 67(4):78, 80.
-
Pediatric Dentistry Preeruptive intracoronal resorption
Full Article (PDF)Jane A. Soxman
2019 July/August; 67(4):19-20.
-
Public Health Understanding and addressing patients’ use of tobacco
Full Article (PDF)Larry Williams
2019 July/August; 67(4):16-18.
-
Pharmacology The new dental anesthesiology specialty: implications for the general dentist
Jason H. GoodchildFull Article (PDF)
Mark Donaldson
Brian Chanpong
2019 July/August; 67(4):12-15.
-
Restorative Dentistry Modification of the gingiva-implant interface of tissue-level implants
Full Article (PDF)Roger A. Solow
2019 July/August; 67(4):8-11.
-
Editorial Civility
Full Article (PDF)Roger D. Winland
2019 July/August; 67(4):6.
2015
July/August 2019
Table of Contents
Clinical Articles
-
Oral and Maxillofacial Surgery Mandibular fracture after third molar removal: a case report
Thiago Coelho Gomes da SilvaFull Article (PDF)
Almir Walter de A. Maranhão Filho
Marilia Gabriela Mendes Alencar
Manoela Moura de Bortoli
Belmiro Cavalcanti do Egito Vasconcelos
Surgical removal of third molars is associated with complications that can be as common as pain and trismus and as rare as mandibular fracture. A fracture can occur when the resistance of the bone tissue is lower than the forces applied by the surgeon during the procedure. The aim of this article is to report a case of jaw fracture after tooth extraction and subsequent surgical treatment of the fracture under general anesthesia with an option for a submandibular approach. A plate and screw system with a 2.4-mm profile was used for osteosynthesis after reduction of the fracture. The patient was followed up for 6 months after surgery and reported no functional or esthetic complaints. Treatment of mandibular fractures should aim to reestablish functional occlusion and mandibular continuity with the least possible risk of adverse sequelae. Planning for each individual case of third molar extraction requires accurate clinical examination and image evaluation to lessen the risk of fracture.
2019 July/August; 67(4):e7-e10.
-
Special Patient Care Prosthetic rehabilitation of a child with X-linked hypohidrotic ectodermal dysplasia: a case report and 12-month follow-up
Daniele Vieira CassolFull Article (PDF)
Thiago Isidro Vieira
Ivete Pomarico Ribeiro de Souza
Luciana Pomarico
The hereditary condition known as ectodermal dysplasia (ED) is characterized by the absence of or a defect in 2 or more ectodermally derived structures such as skin, nails, hair, sweat glands, or teeth. Patients with this disorder usually present with reduced salivary gland function and absence of some or all teeth, which compromises orofacial function and development. In addition, children with ED usually experience difficulty in social interactions because of their appearance. This article reviews previously published case reports pertaining to ED and describes oral rehabilitation with removable partial dentures (RPDs) in a 5-year-old girl diagnosed with X-linked hypohidrotic ED, which presented as hypodontia. An orthodontic expander screw was inserted in the maxillary prosthesis to correct the patient’s crossbite, and periodic recall examinations were scheduled to monitor the effects of the patient’s growth on occlusion and fit of the prosthesis. The child was monitored for 12 months, during which she exhibited significant improvement in physiologic function, appearance, and social behavior. Because negative esthetic, functional, and psychological consequences are associated with this condition, dentists must be knowledgeable about its common oral manifestations.
2019 July/August; 67(4):e1-e6.
-
Periodontics Comparison of root surface roughness produced by air polishing combined with hand instrumentation or ultrasonic instrumentation: an in vitro study
Rajendran PoornimaFull Article (PDF)
Kukkamalla Meena Anand
Pratibha Gopalkrishna
The root surface roughness produced by hand scaling and subsequent glycine powder air polishing (GPAP) during periodontal maintenance therapy was compared with that produced by ultrasonic scaling and subsequent GPAP. In this in vitro study, hand scaling with curettes produced smoother root surfaces than ultrasonic scaling. Adjunctive use of GPAP for 5 seconds along with hand scaling or ultrasonic scaling resulted in improved root surface smoothness.
2019 July/August; 67(4):75-77.
-
Orofacial Pain Prevalence of temporomandibular disorders in rugby players
Daniel BonottoFull Article (PDF)
Carlos Antonio Schäffer Penteado
Eli Luis Namba
Paulo Afonso Cunali
Rodrigo Nunes Rached
Luciana Reis Azevedo-Alanis
Playing rugby is associated with high rates of dental and facial trauma, and facial trauma in sports has been associated with development of temporomandibular disorders (TMDs). The prevalence of TMDs in a group of 30 rugby players (53.3%) was significantly greater than that observed in a control group of 28 nonathletes (14.3%; P = 0.002). Athletes also reported significantly more tooth clenching than did nonathletes (P = 0.003).
2019 July/August; 67(4):72-74.
-
Restorative Dentistry Metal endocrown approach for a maxillary second molar: a novel technique
Saad A. AlhazzaniFull Article (PDF)
Mohammed S. Aldossary
Nonvital teeth with repeated restoration failures are particularly challenging to dental practitioners. This case report describes the fabrication of a novel cast metal endocrown following the failure of 2 different types of restorations (post and core–retained crown and ceramic endocrown). This approach was used to preserve the tooth and avoid extraction.
2019 July/August; 67(4):67-71.
-
Laser Therapy/Electrosurgery Low-level laser therapy as adjunctive treatment for a sodium hypochlorite accident: a case report
Fernanda Paula Yamamoto-SilvaFull Article (PDF)
Lorena Rosa Silva
Kaique Leite de Lima
Maria Alves Garcia Santos Silva
Carlos Estrela
Brunno Santos de Freitas Silva
A large, painful ulcer caused by a sodium hypochlorite accident during endodontic treatment was treated with dexamethasone and amoxicillin to control pain and prevent secondary infection as well as low-level laser therapy to speed healing.
2019 July/August; 67(4):63-66.
-
Removable Prosthodontics Risk factors for mandibular bone resorption in complete denture wearers
Fernanda Rodrigues de Souza SantosFull Article (PDF)
Maira Foresti Vieira Munhoz
Luis Henrique Theodoro Alves
Marcelo Tavares
André Gustavo Paleari
Germana de Villa Camargos
This study aimed to evaluate the impact of factors related to the patient (age, sex, bruxism, and general health) or prosthesis (use of old dentures, duration of denture wear, and nocturnal wear) on the mandibular ridge resorption rate (RRR) of complete denture (CD) wearers. In this retrospective cohort study, researchers estimated the mandibular RRR by using panoramic radiographs (n = 120) obtained at the time of the clinical examination. The results suggested that advanced age, use of old dentures, and bruxism have a negative influence on the mandibular RRR.
2019 July/August; 67(4):58-62.
-
Special Patient Care Prevention and treatment options for medication-induced xerostomia
Diana QuiliciFull Article (PDF)
Kaitlyn N. Zech
Medication-induced xerostomia often results in rampant caries and complicates restorative options. Knowledge of the medications that contribute to xerostomia as well as available treatments allows the dentist to improve the patient’s quality of life. This article provides a comprehensive review of causative medications, risk assessment, preventive measures, and palliative treatments for patients with medication-induced xerostomia.
2019 July/August; 67(4):52-57.
-
Basic Science Horizontal root fracture in a maxillary central incisor: a case report
T. Bob DavisFull Article (PDF)
This report aims to remind clinicians that no or minimal treatment may be the best option in certain cases. After a fall resulted in a horizontal root fracture of a central incisor and partial extrusion, the patient had no tooth pain and no signs of pathology. Treatment was limited to reduction of the extrusion, placement of a local antibiotic, and prescription of periodontal medication. The tooth was closely monitored at regular recalls, and over time the root exhibited good bone repair.
2019 July/August; 67(4):47-50.
-
SELF-INSTRUCTION
Special Patient Care Allergy topics for dental practitioners
Allison RamseyFull Article (PDF)
Alan H. Brodine
Penicillin allergy, local anesthetic hypersensitivity, latex allergy, contact hypersensitivity, and anaphylaxis are among the allergic reactions encountered in dental practice. This article reviews the literature pertaining to the epidemiology, diagnosis, and management of these reactions as they relate to dentistry. Recognition and appropriate treatment of anaphylaxis also are reviewed.
2019 July/August; 67(4):38-45.
Self-Instruction Exercise No. 443 -
Oral Medicine, Oral Diagnosis, Oral Pathology An unusual clinical manifestation of oral melanocytic nevus
Silas Antonio Juvencio de Freitas FilhoFull Article (PDF)
Natália Galvão Garcia
Gabriela Moura Chicrala
Paulo Sérgio da Silva Santos
Denise Tostes Oliveira
Melanocytic nevi are acquired or congenital benign neoplasms found often in the skin but rarely in the oral mucosa. This article describes an atypical case of oral hypopigmented melanocytic nevus in a 39-year-old woman referred for evaluation of a well-circumscribed papule with discrete brownish spots in the buccal mucosa.
2019 July/August; 67(4):35-37.
-
SELF-INSTRUCTION
Implants Splinted wide-short implants in the posterior region of an atrophic mandible opposed by an edentulous maxilla: immediate loading and 1-year follow-up
Fernanda FaotFull Article (PDF)
Raissa Micaella Marcello-Machado
Caio Hermann
Flávia Noemy Gasparini Kiatake Fontão
This case report describes the clinical treatment of a patient with bilateral bone atrophy in the posterior regions of the mandible. Two wide-short implants splinted to 1 standard implant were used for rehabilitation on the right side, while 3 standard implants were placed on the other side. The use of wide-short implants splinted to a conventional implant improved mandibular occlusal stability in an area of reduced bone height.
2019 July/August; 67(4):29-33.
Self-Instruction Exercise No. 442 -
SELF-INSTRUCTION
Basic Science Use of virtual reality as a learning environment in dentistry
Rafael Morales-VadilloFull Article (PDF)
Janet-Ofelia Guevara-Canales
Víctor-Carlos Flores-Luján
José-Martín Robello-Malatto
Rosario-Haydée Bazán-Asencios
Carlos-Enrique Cava-Vergiú
This study compared the efficacy of using 3-dimensional interactive platforms designed in a virtual reality program to that of traditional teaching methods for developing students’ understanding of dental clinical situations. The results suggest that the Second Life environment helps students to understand anatomical interactions that are difficult to observe in real life, is attractive to students, and contains tools with high didactic potential.
2019 July/August; 67(4):21-27.
Self-Instruction Exercise No. 441
Departments
-
Self-Instruction Answers Exercises No. 423, 424, and 425 from the July/August 2018 issue
Full Article (PDF)2019 July/August; 67(4):79.
-
Oral Diagnosis Antral opacity and Spiked roots
Full Article (PDF)Galal Omami
2019 July/August; 67(4):78, 80.
-
Pediatric Dentistry Preeruptive intracoronal resorption
Full Article (PDF)Jane A. Soxman
2019 July/August; 67(4):19-20.
-
Public Health Understanding and addressing patients’ use of tobacco
Full Article (PDF)Larry Williams
2019 July/August; 67(4):16-18.
-
Pharmacology The new dental anesthesiology specialty: implications for the general dentist
Jason H. GoodchildFull Article (PDF)
Mark Donaldson
Brian Chanpong
2019 July/August; 67(4):12-15.
-
Restorative Dentistry Modification of the gingiva-implant interface of tissue-level implants
Full Article (PDF)Roger A. Solow
2019 July/August; 67(4):8-11.
-
Editorial Civility
Full Article (PDF)Roger D. Winland
2019 July/August; 67(4):6.
2014
July/August 2019
Table of Contents
Clinical Articles
-
Oral and Maxillofacial Surgery Mandibular fracture after third molar removal: a case report
Thiago Coelho Gomes da SilvaFull Article (PDF)
Almir Walter de A. Maranhão Filho
Marilia Gabriela Mendes Alencar
Manoela Moura de Bortoli
Belmiro Cavalcanti do Egito Vasconcelos
Surgical removal of third molars is associated with complications that can be as common as pain and trismus and as rare as mandibular fracture. A fracture can occur when the resistance of the bone tissue is lower than the forces applied by the surgeon during the procedure. The aim of this article is to report a case of jaw fracture after tooth extraction and subsequent surgical treatment of the fracture under general anesthesia with an option for a submandibular approach. A plate and screw system with a 2.4-mm profile was used for osteosynthesis after reduction of the fracture. The patient was followed up for 6 months after surgery and reported no functional or esthetic complaints. Treatment of mandibular fractures should aim to reestablish functional occlusion and mandibular continuity with the least possible risk of adverse sequelae. Planning for each individual case of third molar extraction requires accurate clinical examination and image evaluation to lessen the risk of fracture.
2019 July/August; 67(4):e7-e10.
-
Special Patient Care Prosthetic rehabilitation of a child with X-linked hypohidrotic ectodermal dysplasia: a case report and 12-month follow-up
Daniele Vieira CassolFull Article (PDF)
Thiago Isidro Vieira
Ivete Pomarico Ribeiro de Souza
Luciana Pomarico
The hereditary condition known as ectodermal dysplasia (ED) is characterized by the absence of or a defect in 2 or more ectodermally derived structures such as skin, nails, hair, sweat glands, or teeth. Patients with this disorder usually present with reduced salivary gland function and absence of some or all teeth, which compromises orofacial function and development. In addition, children with ED usually experience difficulty in social interactions because of their appearance. This article reviews previously published case reports pertaining to ED and describes oral rehabilitation with removable partial dentures (RPDs) in a 5-year-old girl diagnosed with X-linked hypohidrotic ED, which presented as hypodontia. An orthodontic expander screw was inserted in the maxillary prosthesis to correct the patient’s crossbite, and periodic recall examinations were scheduled to monitor the effects of the patient’s growth on occlusion and fit of the prosthesis. The child was monitored for 12 months, during which she exhibited significant improvement in physiologic function, appearance, and social behavior. Because negative esthetic, functional, and psychological consequences are associated with this condition, dentists must be knowledgeable about its common oral manifestations.
2019 July/August; 67(4):e1-e6.
-
Periodontics Comparison of root surface roughness produced by air polishing combined with hand instrumentation or ultrasonic instrumentation: an in vitro study
Rajendran PoornimaFull Article (PDF)
Kukkamalla Meena Anand
Pratibha Gopalkrishna
The root surface roughness produced by hand scaling and subsequent glycine powder air polishing (GPAP) during periodontal maintenance therapy was compared with that produced by ultrasonic scaling and subsequent GPAP. In this in vitro study, hand scaling with curettes produced smoother root surfaces than ultrasonic scaling. Adjunctive use of GPAP for 5 seconds along with hand scaling or ultrasonic scaling resulted in improved root surface smoothness.
2019 July/August; 67(4):75-77.
-
Orofacial Pain Prevalence of temporomandibular disorders in rugby players
Daniel BonottoFull Article (PDF)
Carlos Antonio Schäffer Penteado
Eli Luis Namba
Paulo Afonso Cunali
Rodrigo Nunes Rached
Luciana Reis Azevedo-Alanis
Playing rugby is associated with high rates of dental and facial trauma, and facial trauma in sports has been associated with development of temporomandibular disorders (TMDs). The prevalence of TMDs in a group of 30 rugby players (53.3%) was significantly greater than that observed in a control group of 28 nonathletes (14.3%; P = 0.002). Athletes also reported significantly more tooth clenching than did nonathletes (P = 0.003).
2019 July/August; 67(4):72-74.
-
Restorative Dentistry Metal endocrown approach for a maxillary second molar: a novel technique
Saad A. AlhazzaniFull Article (PDF)
Mohammed S. Aldossary
Nonvital teeth with repeated restoration failures are particularly challenging to dental practitioners. This case report describes the fabrication of a novel cast metal endocrown following the failure of 2 different types of restorations (post and core–retained crown and ceramic endocrown). This approach was used to preserve the tooth and avoid extraction.
2019 July/August; 67(4):67-71.
-
Laser Therapy/Electrosurgery Low-level laser therapy as adjunctive treatment for a sodium hypochlorite accident: a case report
Fernanda Paula Yamamoto-SilvaFull Article (PDF)
Lorena Rosa Silva
Kaique Leite de Lima
Maria Alves Garcia Santos Silva
Carlos Estrela
Brunno Santos de Freitas Silva
A large, painful ulcer caused by a sodium hypochlorite accident during endodontic treatment was treated with dexamethasone and amoxicillin to control pain and prevent secondary infection as well as low-level laser therapy to speed healing.
2019 July/August; 67(4):63-66.
-
Removable Prosthodontics Risk factors for mandibular bone resorption in complete denture wearers
Fernanda Rodrigues de Souza SantosFull Article (PDF)
Maira Foresti Vieira Munhoz
Luis Henrique Theodoro Alves
Marcelo Tavares
André Gustavo Paleari
Germana de Villa Camargos
This study aimed to evaluate the impact of factors related to the patient (age, sex, bruxism, and general health) or prosthesis (use of old dentures, duration of denture wear, and nocturnal wear) on the mandibular ridge resorption rate (RRR) of complete denture (CD) wearers. In this retrospective cohort study, researchers estimated the mandibular RRR by using panoramic radiographs (n = 120) obtained at the time of the clinical examination. The results suggested that advanced age, use of old dentures, and bruxism have a negative influence on the mandibular RRR.
2019 July/August; 67(4):58-62.
-
Special Patient Care Prevention and treatment options for medication-induced xerostomia
Diana QuiliciFull Article (PDF)
Kaitlyn N. Zech
Medication-induced xerostomia often results in rampant caries and complicates restorative options. Knowledge of the medications that contribute to xerostomia as well as available treatments allows the dentist to improve the patient’s quality of life. This article provides a comprehensive review of causative medications, risk assessment, preventive measures, and palliative treatments for patients with medication-induced xerostomia.
2019 July/August; 67(4):52-57.
-
Basic Science Horizontal root fracture in a maxillary central incisor: a case report
T. Bob DavisFull Article (PDF)
This report aims to remind clinicians that no or minimal treatment may be the best option in certain cases. After a fall resulted in a horizontal root fracture of a central incisor and partial extrusion, the patient had no tooth pain and no signs of pathology. Treatment was limited to reduction of the extrusion, placement of a local antibiotic, and prescription of periodontal medication. The tooth was closely monitored at regular recalls, and over time the root exhibited good bone repair.
2019 July/August; 67(4):47-50.
-
SELF-INSTRUCTION
Special Patient Care Allergy topics for dental practitioners
Allison RamseyFull Article (PDF)
Alan H. Brodine
Penicillin allergy, local anesthetic hypersensitivity, latex allergy, contact hypersensitivity, and anaphylaxis are among the allergic reactions encountered in dental practice. This article reviews the literature pertaining to the epidemiology, diagnosis, and management of these reactions as they relate to dentistry. Recognition and appropriate treatment of anaphylaxis also are reviewed.
2019 July/August; 67(4):38-45.
Self-Instruction Exercise No. 443 -
Oral Medicine, Oral Diagnosis, Oral Pathology An unusual clinical manifestation of oral melanocytic nevus
Silas Antonio Juvencio de Freitas FilhoFull Article (PDF)
Natália Galvão Garcia
Gabriela Moura Chicrala
Paulo Sérgio da Silva Santos
Denise Tostes Oliveira
Melanocytic nevi are acquired or congenital benign neoplasms found often in the skin but rarely in the oral mucosa. This article describes an atypical case of oral hypopigmented melanocytic nevus in a 39-year-old woman referred for evaluation of a well-circumscribed papule with discrete brownish spots in the buccal mucosa.
2019 July/August; 67(4):35-37.
-
SELF-INSTRUCTION
Implants Splinted wide-short implants in the posterior region of an atrophic mandible opposed by an edentulous maxilla: immediate loading and 1-year follow-up
Fernanda FaotFull Article (PDF)
Raissa Micaella Marcello-Machado
Caio Hermann
Flávia Noemy Gasparini Kiatake Fontão
This case report describes the clinical treatment of a patient with bilateral bone atrophy in the posterior regions of the mandible. Two wide-short implants splinted to 1 standard implant were used for rehabilitation on the right side, while 3 standard implants were placed on the other side. The use of wide-short implants splinted to a conventional implant improved mandibular occlusal stability in an area of reduced bone height.
2019 July/August; 67(4):29-33.
Self-Instruction Exercise No. 442 -
SELF-INSTRUCTION
Basic Science Use of virtual reality as a learning environment in dentistry
Rafael Morales-VadilloFull Article (PDF)
Janet-Ofelia Guevara-Canales
Víctor-Carlos Flores-Luján
José-Martín Robello-Malatto
Rosario-Haydée Bazán-Asencios
Carlos-Enrique Cava-Vergiú
This study compared the efficacy of using 3-dimensional interactive platforms designed in a virtual reality program to that of traditional teaching methods for developing students’ understanding of dental clinical situations. The results suggest that the Second Life environment helps students to understand anatomical interactions that are difficult to observe in real life, is attractive to students, and contains tools with high didactic potential.
2019 July/August; 67(4):21-27.
Self-Instruction Exercise No. 441
Departments
-
Self-Instruction Answers Exercises No. 423, 424, and 425 from the July/August 2018 issue
Full Article (PDF)2019 July/August; 67(4):79.
-
Oral Diagnosis Antral opacity and Spiked roots
Full Article (PDF)Galal Omami
2019 July/August; 67(4):78, 80.
-
Pediatric Dentistry Preeruptive intracoronal resorption
Full Article (PDF)Jane A. Soxman
2019 July/August; 67(4):19-20.
-
Public Health Understanding and addressing patients’ use of tobacco
Full Article (PDF)Larry Williams
2019 July/August; 67(4):16-18.
-
Pharmacology The new dental anesthesiology specialty: implications for the general dentist
Jason H. GoodchildFull Article (PDF)
Mark Donaldson
Brian Chanpong
2019 July/August; 67(4):12-15.
-
Restorative Dentistry Modification of the gingiva-implant interface of tissue-level implants
Full Article (PDF)Roger A. Solow
2019 July/August; 67(4):8-11.
-
Editorial Civility
Full Article (PDF)Roger D. Winland
2019 July/August; 67(4):6.
2013
July/August 2019
Table of Contents
Clinical Articles
-
Oral and Maxillofacial Surgery Mandibular fracture after third molar removal: a case report
Thiago Coelho Gomes da SilvaFull Article (PDF)
Almir Walter de A. Maranhão Filho
Marilia Gabriela Mendes Alencar
Manoela Moura de Bortoli
Belmiro Cavalcanti do Egito Vasconcelos
Surgical removal of third molars is associated with complications that can be as common as pain and trismus and as rare as mandibular fracture. A fracture can occur when the resistance of the bone tissue is lower than the forces applied by the surgeon during the procedure. The aim of this article is to report a case of jaw fracture after tooth extraction and subsequent surgical treatment of the fracture under general anesthesia with an option for a submandibular approach. A plate and screw system with a 2.4-mm profile was used for osteosynthesis after reduction of the fracture. The patient was followed up for 6 months after surgery and reported no functional or esthetic complaints. Treatment of mandibular fractures should aim to reestablish functional occlusion and mandibular continuity with the least possible risk of adverse sequelae. Planning for each individual case of third molar extraction requires accurate clinical examination and image evaluation to lessen the risk of fracture.
2019 July/August; 67(4):e7-e10.
-
Special Patient Care Prosthetic rehabilitation of a child with X-linked hypohidrotic ectodermal dysplasia: a case report and 12-month follow-up
Daniele Vieira CassolFull Article (PDF)
Thiago Isidro Vieira
Ivete Pomarico Ribeiro de Souza
Luciana Pomarico
The hereditary condition known as ectodermal dysplasia (ED) is characterized by the absence of or a defect in 2 or more ectodermally derived structures such as skin, nails, hair, sweat glands, or teeth. Patients with this disorder usually present with reduced salivary gland function and absence of some or all teeth, which compromises orofacial function and development. In addition, children with ED usually experience difficulty in social interactions because of their appearance. This article reviews previously published case reports pertaining to ED and describes oral rehabilitation with removable partial dentures (RPDs) in a 5-year-old girl diagnosed with X-linked hypohidrotic ED, which presented as hypodontia. An orthodontic expander screw was inserted in the maxillary prosthesis to correct the patient’s crossbite, and periodic recall examinations were scheduled to monitor the effects of the patient’s growth on occlusion and fit of the prosthesis. The child was monitored for 12 months, during which she exhibited significant improvement in physiologic function, appearance, and social behavior. Because negative esthetic, functional, and psychological consequences are associated with this condition, dentists must be knowledgeable about its common oral manifestations.
2019 July/August; 67(4):e1-e6.
-
Periodontics Comparison of root surface roughness produced by air polishing combined with hand instrumentation or ultrasonic instrumentation: an in vitro study
Rajendran PoornimaFull Article (PDF)
Kukkamalla Meena Anand
Pratibha Gopalkrishna
The root surface roughness produced by hand scaling and subsequent glycine powder air polishing (GPAP) during periodontal maintenance therapy was compared with that produced by ultrasonic scaling and subsequent GPAP. In this in vitro study, hand scaling with curettes produced smoother root surfaces than ultrasonic scaling. Adjunctive use of GPAP for 5 seconds along with hand scaling or ultrasonic scaling resulted in improved root surface smoothness.
2019 July/August; 67(4):75-77.
-
Orofacial Pain Prevalence of temporomandibular disorders in rugby players
Daniel BonottoFull Article (PDF)
Carlos Antonio Schäffer Penteado
Eli Luis Namba
Paulo Afonso Cunali
Rodrigo Nunes Rached
Luciana Reis Azevedo-Alanis
Playing rugby is associated with high rates of dental and facial trauma, and facial trauma in sports has been associated with development of temporomandibular disorders (TMDs). The prevalence of TMDs in a group of 30 rugby players (53.3%) was significantly greater than that observed in a control group of 28 nonathletes (14.3%; P = 0.002). Athletes also reported significantly more tooth clenching than did nonathletes (P = 0.003).
2019 July/August; 67(4):72-74.
-
Restorative Dentistry Metal endocrown approach for a maxillary second molar: a novel technique
Saad A. AlhazzaniFull Article (PDF)
Mohammed S. Aldossary
Nonvital teeth with repeated restoration failures are particularly challenging to dental practitioners. This case report describes the fabrication of a novel cast metal endocrown following the failure of 2 different types of restorations (post and core–retained crown and ceramic endocrown). This approach was used to preserve the tooth and avoid extraction.
2019 July/August; 67(4):67-71.
-
Laser Therapy/Electrosurgery Low-level laser therapy as adjunctive treatment for a sodium hypochlorite accident: a case report
Fernanda Paula Yamamoto-SilvaFull Article (PDF)
Lorena Rosa Silva
Kaique Leite de Lima
Maria Alves Garcia Santos Silva
Carlos Estrela
Brunno Santos de Freitas Silva
A large, painful ulcer caused by a sodium hypochlorite accident during endodontic treatment was treated with dexamethasone and amoxicillin to control pain and prevent secondary infection as well as low-level laser therapy to speed healing.
2019 July/August; 67(4):63-66.
-
Removable Prosthodontics Risk factors for mandibular bone resorption in complete denture wearers
Fernanda Rodrigues de Souza SantosFull Article (PDF)
Maira Foresti Vieira Munhoz
Luis Henrique Theodoro Alves
Marcelo Tavares
André Gustavo Paleari
Germana de Villa Camargos
This study aimed to evaluate the impact of factors related to the patient (age, sex, bruxism, and general health) or prosthesis (use of old dentures, duration of denture wear, and nocturnal wear) on the mandibular ridge resorption rate (RRR) of complete denture (CD) wearers. In this retrospective cohort study, researchers estimated the mandibular RRR by using panoramic radiographs (n = 120) obtained at the time of the clinical examination. The results suggested that advanced age, use of old dentures, and bruxism have a negative influence on the mandibular RRR.
2019 July/August; 67(4):58-62.
-
Special Patient Care Prevention and treatment options for medication-induced xerostomia
Diana QuiliciFull Article (PDF)
Kaitlyn N. Zech
Medication-induced xerostomia often results in rampant caries and complicates restorative options. Knowledge of the medications that contribute to xerostomia as well as available treatments allows the dentist to improve the patient’s quality of life. This article provides a comprehensive review of causative medications, risk assessment, preventive measures, and palliative treatments for patients with medication-induced xerostomia.
2019 July/August; 67(4):52-57.
-
Basic Science Horizontal root fracture in a maxillary central incisor: a case report
T. Bob DavisFull Article (PDF)
This report aims to remind clinicians that no or minimal treatment may be the best option in certain cases. After a fall resulted in a horizontal root fracture of a central incisor and partial extrusion, the patient had no tooth pain and no signs of pathology. Treatment was limited to reduction of the extrusion, placement of a local antibiotic, and prescription of periodontal medication. The tooth was closely monitored at regular recalls, and over time the root exhibited good bone repair.
2019 July/August; 67(4):47-50.
-
SELF-INSTRUCTION
Special Patient Care Allergy topics for dental practitioners
Allison RamseyFull Article (PDF)
Alan H. Brodine
Penicillin allergy, local anesthetic hypersensitivity, latex allergy, contact hypersensitivity, and anaphylaxis are among the allergic reactions encountered in dental practice. This article reviews the literature pertaining to the epidemiology, diagnosis, and management of these reactions as they relate to dentistry. Recognition and appropriate treatment of anaphylaxis also are reviewed.
2019 July/August; 67(4):38-45.
Self-Instruction Exercise No. 443 -
Oral Medicine, Oral Diagnosis, Oral Pathology An unusual clinical manifestation of oral melanocytic nevus
Silas Antonio Juvencio de Freitas FilhoFull Article (PDF)
Natália Galvão Garcia
Gabriela Moura Chicrala
Paulo Sérgio da Silva Santos
Denise Tostes Oliveira
Melanocytic nevi are acquired or congenital benign neoplasms found often in the skin but rarely in the oral mucosa. This article describes an atypical case of oral hypopigmented melanocytic nevus in a 39-year-old woman referred for evaluation of a well-circumscribed papule with discrete brownish spots in the buccal mucosa.
2019 July/August; 67(4):35-37.
-
SELF-INSTRUCTION
Implants Splinted wide-short implants in the posterior region of an atrophic mandible opposed by an edentulous maxilla: immediate loading and 1-year follow-up
Fernanda FaotFull Article (PDF)
Raissa Micaella Marcello-Machado
Caio Hermann
Flávia Noemy Gasparini Kiatake Fontão
This case report describes the clinical treatment of a patient with bilateral bone atrophy in the posterior regions of the mandible. Two wide-short implants splinted to 1 standard implant were used for rehabilitation on the right side, while 3 standard implants were placed on the other side. The use of wide-short implants splinted to a conventional implant improved mandibular occlusal stability in an area of reduced bone height.
2019 July/August; 67(4):29-33.
Self-Instruction Exercise No. 442 -
SELF-INSTRUCTION
Basic Science Use of virtual reality as a learning environment in dentistry
Rafael Morales-VadilloFull Article (PDF)
Janet-Ofelia Guevara-Canales
Víctor-Carlos Flores-Luján
José-Martín Robello-Malatto
Rosario-Haydée Bazán-Asencios
Carlos-Enrique Cava-Vergiú
This study compared the efficacy of using 3-dimensional interactive platforms designed in a virtual reality program to that of traditional teaching methods for developing students’ understanding of dental clinical situations. The results suggest that the Second Life environment helps students to understand anatomical interactions that are difficult to observe in real life, is attractive to students, and contains tools with high didactic potential.
2019 July/August; 67(4):21-27.
Self-Instruction Exercise No. 441
Departments
-
Self-Instruction Answers Exercises No. 423, 424, and 425 from the July/August 2018 issue
Full Article (PDF)2019 July/August; 67(4):79.
-
Oral Diagnosis Antral opacity and Spiked roots
Full Article (PDF)Galal Omami
2019 July/August; 67(4):78, 80.
-
Pediatric Dentistry Preeruptive intracoronal resorption
Full Article (PDF)Jane A. Soxman
2019 July/August; 67(4):19-20.
-
Public Health Understanding and addressing patients’ use of tobacco
Full Article (PDF)Larry Williams
2019 July/August; 67(4):16-18.
-
Pharmacology The new dental anesthesiology specialty: implications for the general dentist
Jason H. GoodchildFull Article (PDF)
Mark Donaldson
Brian Chanpong
2019 July/August; 67(4):12-15.
-
Restorative Dentistry Modification of the gingiva-implant interface of tissue-level implants
Full Article (PDF)Roger A. Solow
2019 July/August; 67(4):8-11.
-
Editorial Civility
Full Article (PDF)Roger D. Winland
2019 July/August; 67(4):6.
2012
July/August 2019
Table of Contents
Departments
-
Editorial Alumni are key to excellence
Timothy KosinskiFull Article (PDF)
2017 May/Jun; 65(3):5.
-
Public Health Hepatitis C: a serious public health concern
Larry WilliamsFull Article (PDF)
2017 May/Jun; 65(3):10-11.
-
Minimally Invasive Dentistry Transdental curing of bulk-filled restorations: a closer look
Mark I. MalterudFull Article (PDF)
2017 May/Jun; 65(3):6-9.
-
Esthetics State-of-the-art cosmetic restorative treatment for combating root caries
Wynn OkudaFull Article (PDF)
2017 May/Jun; 65(3):12-14.
-
Pediatric Dentistry Molar-incisor hypomineralization in pediatric patients
Jane A. SoxmanFull Article (PDF)
2017 May/Jun; 65(3):15-17.
-
Pharmacology Treatment of opioid overdose: a brief review of naloxone pharmacology and delivery
Thomas M. HendleyFull Article (PDF)
Elliot V. Hersh
Paul A. Moore
Berry Stahl
Mana Saraghi
2017 May/Jun; 65(3):18-21.
-
Oral Diagnosis Palatal mass and Induration of soft palate
2017 May/Jun; 65(3):77-78.Full Article (PDF)
-
Self-Instruction Answers Exercises No. 385, 386, and 387 from the May/June 2016 issue
2017 May/Jun; 65(3):79.Full Article (PDF)
Clinical articles
-
SELF-INSTRUCTION
Restorative Dentistry Effectiveness of silver diamine fluoride in caries prevention and arrest: a systematic literature review
Violeta ContrerasFull Article (PDF)
Milagros J. Toro
Augusto R. Elías-Boneta
Angeliz Encarnación-Burgos
2017 May/Jun; 65(3):22-29.
Self-Instruction Exercise No. 402 -
Oral Medicine, Oral Diagnosis, Oral Pathology Angina bullosa hemorrhagica: report of 7 cases and analysis of 199 cases from the literature
Full Article (PDF)Kelly B. Dias
Anacláudia P.C. Flores
Márcia G. Oliveira
Vinicius C. Carrard
Laura C. Hildebrand
Manoel Sant’Ana Filho
2017 May/Jun; 65(3):31-36.Angina bullosa hemorrhagica is characterized by blood blisters in the oral or oropharyngeal mucosa. This case series reports 7 cases of angina bullosa hemorrhagica, reviews 199 cases reported in the English literature, and discusses possible etiologic factors, predisposing factors, and differential diagnoses.
-
Endodontics Maxillary canine morphology: comparative and descriptive analysis from periapical radiographs and cone beam computed tomography
Full Article (PDF)Hianne Miranda de Torres
Julyanna Jacinto de Arruda
João Manoel da Silva-Filho
Danielle Lago Bruno de Faria
Monikelly do Carmo Chagas Nascimento
Érica Miranda de Torres
2017 May/Jun; 65(3):37-41. Full article (PDF)Evaluation of permanent maxillary canines through visual examination, periapical radiography, and cone beam computed tomography (CBCT) revealed that, generally, only 1 root canal was present, the root showed apical curvature to the distal side, and the foramen was located in the center of the radicular apex. Both CBCT and periapical radiography allowed reliable measurement of the canine length and root width.
-
Oral Medicine, Oral Diagnosis, Oral Pathology Emergent gingival cyst of the adult
Full Article (PDF)John K. Brooks
Justin W. Kleinman
John R. Basile
2017 May/Jun; 65(3):42-44.A diminutive fibrotic overgrowth was located on the labial interproximal gingiva between the canine and first premolar in a 68-year-old woman. Surgical excision and histologic examination led to a diagnosis of gingival cyst of the adult, which is a relatively rare, benign odontogenic cyst.
-
Restorative Dentistry Effect of timing of repair on repair bond strength of methacrylate- and silorane-based composite resins
Full Article (PDF)Fereshteh Shafiei
Sahar Akbarian
Fatemeh Asadi
2017 May/Jun; 65(3):45-49.This study compared the repair bond strengths of a methacrylate composite (MC) and a silorane composite (SC) for repairs made at 5 different times after the original polymerization. The repair bond strength of the SC was significantly less than its original cohesive strength at every repair time, but the repair bond strength of the MC was only reduced when the repair was made at 1 week.
-
SELF-INSTRUCTION
Implants Timing of soft tissue management around dental implants: a suggested protocol
Full Article (PDF)Mahdi Kadkhodazadeh
Reza Amid
Mehdi Ekhlasmand Kermani
Mahdieh Mirakhori
Sepanta Hosseinpour
2017 May/Jun; 65(3):50-56.This article presents a customized protocol for timing of soft tissue management around dental implants. The width and thickness of keratinized tissue, the need for bone management, and local risk factors influencing esthetics determine the appropriate time for soft tissue augmentation procedures.
Self-Instruction Exercise No. 403 -
Oral Medicine, Oral Diagnosis, Oral Pathology Small palatal swelling: an uncommon presentation of intraoral schwannoma
Full Article (PDF)Luiz Alcino Gueiros
Andreza Barkokebas
Alessandra Tavares Carvalho
Jair Carneiro Leão
2017 May/Jun; 65(3):58-61.When a 26-year-old man presented with an asymptomatic submucosal fibroelastic nodule covered by normal-appearing mucosa in the hard palate, the working diagnosis was minor salivary gland tumor, but histologic analysis of the biopsy specimen revealed the characteristic cellular patterns of a schwannoma. Clinicians should consider schwannoma in the differential diagnosis for palatal nodules and manage them with incisional biopsy and prompt treatment.
-
Pediatric Dentistry Rare sequelae in the permanent successor due to trauma in the primary incisor: a case report
Full Article (PDF)Juliana Sayuri Kimura
Isabela Capparelli Cadioli
Daniela Mazzotti Bressan Alves
Cássio José Fornazari Alencar
Ricardo De Nardi Fonoff
Marcia Turolla Wanderley
2017 May/Jun; 65(3):62-64.A 9-year-old boy with an unerupted permanent maxillary right central incisor had suffered trauma to the primary predecessor at the age of 2 years. When radiographs revealed impaction and root dilaceration, the permanent tooth was extracted and found to present several abnormalities: enamel hypoplasia, enamel discoloration, root dilaceration, and root duplication.
-
SELF-INSTRUCTION
Esthetics/Cosmetic Dentistry Effect of high- or low-concentration bleaching agents containing calcium and/or fluoride on enamel microhardness
Full Article (PDF)Isabella Spinardi Furlan
Enrico Coser Bridi
Flávia Lucisano Botelho do Amaral
Fabiana Mantovani Gomes França
Cecilia Pedroso Turssi
Roberta Tarkany Basting
2017 May/Jun; 65(3):66-70.An in vitro study evaluated enamel microhardness following bleaching with either high- or low-concentration hydrogen peroxide agents containing calcium and/or fluoride. Microhardness values were significantly influenced by the bleaching agent and application time. Enamel microhardness values decreased over time, regardless of the agent used or the addition of calcium and/or fluoride.
Self-Instruction Exercise No. 404 -
Restorative Dentistry Combination of centripetal and successive layering techniques for a stress-reduced posterior direct composite restoration
Full Article (PDF)Mario F. Romero
Fernando Haddock
Megan Todd
2017 May/Jun; 65(3):72-76.This case report describes concepts and techniques applied to reduce the stress associated with polymerization shrinkage in a large composite resin restoration, thus potentially improving the longevity of the restoration.
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Implants Relative positional change of a dental implant in the esthetic zone after 12 years: a case report
Full Article (PDF)Maria Aparecida Neves Jardini
Camila Lopes Ferreira
Weber José Ursi
Antonio Braulino de Melo Filho
Mauro Pedrine Santamaria
2017 May/Jun; 65(3):e1-e4.Significant craniofacial changes may occur in adults as a result of continuous dental eruption, vertical soft tissue augmentation, or facial bone growth. Twelve-year follow-up of a dental implant, placed in a maxillary central incisor site when the patient was 20 years old, revealed a relative positional change that negatively impacted esthetics.
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Endodontics Technological advances in endodontics: treatment of a mandibular molar with internal root resorption using a reciprocating single-file system
Full Article (PDF)Samir Noronha de Souza
André Augusto Franco Marques
Emílio Carlos Sponchiado-Júnior
Lucas da Fonseca Roberti Garcia
Matheus Franco da Frota
Fredson Márcio Acris de Carvalho
2017 May/Jun; 65(3):e5-e8.This clinical case report describes the successful use of a reciprocating single-file system for the endodontic treatment of a mandibular molar with internal root resorption. No painful symptoms or periapical lesions were observed at a 12-month follow-up.
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Oral Medicine, Oral Diagnosis, Oral Pathology Traumatic periapical lesion only identified through cone beam computed tomography: a case report
Full Article (PDF)Leopoldo Cosme-Silva
Ana Flávia Oliveira Marcos
Júlia Fernandes Ferreira
João Eduardo Gomes Filho
Naiana Viana Viola
2017 May/Jun; 65(3):e9-e12.A periapical lesion associated with bone rarefaction at a maxillary canine was
not identified on the periapical radiograph but was evident on a cone beam
computed tomogram (CBCT), confirming the usefulness of this tool for diagnosis
of periapical lesions.
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Endodontics Adaptation of gutta percha to oval canals: a cone beam computed tomographic analysis
Full Article (PDF)Rafaela Andrade de Vasconcelos
Carlos Henrique Ribeiro Camargo
Bruno das Neves Cavalcanti
Luiz Roberto Coutinho Manhães Junior
Simone Helena Ferreira Gonçalves
2017 May/Jun; 65(3):e13-e17.This study evaluated the influence of different instrumentation techniques on the adaptation of gutta percha cones in oval-shaped root canals. Among the instrumentation techniques tested, the Mtwo rotary system provided the best adaptation of .04 gutta percha cones to oval root canals.
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Pediatric Dentistry Functional and esthetic rehabilitation of a child with amelogenesis imperfecta: a case report
Full Article (PDF)Carmem Dolores Vilarinho Soares de Moura
Alessandra Silva Pontes
Teresinha Soares Pereira Lopes
Lúcia de Fátima Almeida de Deus Moura
Marina de Deus Moura de Lima
2017 May/Jun; 65(3):e18-e20.A 4-year-old child with amelogenesis imperfecta was provided with indirect ceromer crowns to correct the interocclusal relationships and masticatory function, provide protection of the dental structures, and improve esthetics.
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Endodontics Intrusive luxation of an immature permanent incisor: a 10-year follow-up
Full Article (PDF)Larissa Christina Costa Pinto
Leonardo Santos Antunes
Maria Isabel Bastos Valente
Michele Lenzi
Lívia Azeredo Alves Antunes
Cinthya Cristina Gomes
2017 May/Jun; 65(3):e21-e24.Intrusive luxation, characterized by axial displacement of the tooth into the alveolar bone, is rare in the permanent dentition. This case report describes the long-term follow-up of an immature permanent maxillary central incisor that was allowed to reerupt after intrusive luxation.