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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2021

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2017

May/June 2021

Table of Contents

Departments

  • Editorial Continuing the tradition

    Timothy F. Kosinski

    2021 May/June; 69(3):6.

    Full Article (PDF)
  • Ethics Empathy and narrative in dental practice

    Toni M. Roucka

    2021 May/June; 69(3):8-9.

    Full Article (PDF)
  • Endodontics Pulpal and periapical pathosis resulting from coronal cracks: prognosis and treatment scenarios

    Nathan Dinsbach

    2021 May/June; 69(3):10-14.

    Full Article (PDF)
  • Pharmacology Diclofenac: a review for dentists

    Gaurav Gupta 
    Elliot V. Hersh
    Katherine N. Theken

    2021 May/June; 69(3):15-19.

    Full Article (PDF)
  • Public Health What do we know about electronic nicotine delivery systems, vaping, and oral health?

    Larry N. Williams
    Purav Shah

    2021 May/June; 69(3):20-22.

    Full Article (PDF)
  • Oral Diagnosis Migrating lesions and Exophytic gingival growth

    Tanya M. Gibson

    2021 May/June; 69(3):78,80.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD456, GD457, and GD458 from the May/June 2020 issue

    2021 May/June; 69(3):79.

    Full Article (PDF)

Clinical Articles

  • SELF-INSTRUCTION

    Basic Science Failure load and shear bond strength of indirect materials bonded to enamel after aging

    João Henrique Rodrigues Rangel
    Marcelly da Silva Faria
    Thainá Caroline Silva D’Ajuda
    Allison Frade Monteiro
    Isabela Sandim Souza Leite Weitzel
    Laís Regiane Silva-Concílio
    Marina Amaral

    An in vitro study evaluated the failure load and the shear bond strength of 4 block materials indicated for computer-aided design/computer-aided manufacturing of dental veneers: lithium disilicate, feldspathic ceramic, polymer-infiltrated ceramic, and nanohybrid composite. The polymer-infiltrated ceramic presented the best performance when bonded to enamel.

    2021 May/June; 69(3):24-29.

    Full Article (PDF)
    Self-Instruction Exercise No. GD474
  • SELF-INSTRUCTION

    Tobacco Cessation What every dentist needs to know about electronic cigarettes

    Eugene G. Bestman
    John K. Brooks
    Behzad Mostoufi 
    Nasir Bashirelahi

    Electronic cigarette (EC) use is on a steady rise, leading to increased concerns about its safety with regard to systemic and oral health. The aerosols produced by ECs have been associated with respiratory, cardiac, and central nervous system disease as well as oral mucosal alterations. In addition, ECs may affect kidney and liver function. This article reviews the systemic and oral health concerns associated with EC use.

    2021 May/June; 69(3):31-35.

    Full Article (PDF)
    Self-Instruction Exercise No. GD475
  • Endodontics Influence of dentin presealing on the fracture strength of endodontically treated maxillary premolars

    Fereshteh Shafiei
    Yasamin Ghahramani

    An in vitro evaluation found that endodontic irrigation with sodium hypochlorite and ethylenediaminetetraacetic acid had an adverse effect on the fracture strength of maxillary premolars, but presealing of the dentin surfaces of the cavity with self-adhesive flowable composite resin before irrigation significantly increased the fracture strength. 

    2021 May/June; 69(3):37-41.

    Full Article (PDF)
  • Basic Science Influence of thermocycling and disinfection on the color stability and hardness of thermoplastic sheets used for occlusal splint fabrication

    Caroline de Almeida Salles
    Clóvis Lamartine de Moraes Melo Neto
    Stefan Fiuza de Carvalho Dekon
    Mariana Vilela Sônego
    Fernanda Pereira de Caxias
    Daniela Micheline dos Santos
    André Pinheiro de Magalhães Bertoz
    Marcelo Coelho Goiato

    Comparison of the color stability and microhardness of polyethylene terephthalate glycol/thermoplastic polyurethane (PETG/TPU) and PETG occlusal splint materials after thermocycling and disinfection revealed that both materials demonstrated an increase in hardness after thermocycling and disinfection, and both showed similar color changes regardless of the disinfection method. Liquid soap proved to be the best option for disinfection of PETG/TPU and PETG, because the color change (ΔE* value) was acceptable for both materials.

    2021 May/June; 69(3):42-45.

    Full Article (PDF)
  • Restorative Dentistry Effect of restorative technique on the fracture strength and fracture mode of premolars after mineral trioxide aggregate pulpotomy

    Fereshteh Shafiei
    Yasamin Ghahramani
    Hajar Farhadpour
    Nasrin Asim

    This study compared the effects of different combinations of adhesive bases and restorative materials on the fracture strength and fracture mode of maxillary premolars after mineral trioxide aggregate pulpotomy. Unlike glass ionomer cement/amalgam, all of the base/composite restoration groups partly restored the strength of pulpotomized premolars. The group with a short fiber–reinforced composite base demonstrated advantages in both fracture strength and fracture mode compared to groups with a resin-modified glass ionomer cement base.

    2021 May/June; 69(3):46-51.

    Full Article (PDF)
  • SELF-INSTRUCTION

    Endodontics Customized fiber posts in root canals prepared with and without laser application: a pull-out evaluation

    Adriana Cristina Zavanelli
    Rosse Mary Falcón-Antenucci
    Otavio Marino dos Santos Neto
    Ricardo Alexandre Zavanelli
    José Vitor Quinelli Mazaro

    The effect of fiber post customization and laser application on the results of pull-out tests were evaluated using endodontically treated bovine teeth. Prepared root canals were divided into 4 groups: conventional fiber posts with or without laser application and customized fiber posts with or without laser application. The customization of fiber posts used for the restoration of pulpless teeth resulted in significantly (P < 0.05) greater pull-out test values, a thinner cement layer, and improved retention. 

    2021 May/June; 69(3):52-56.

    Full Article (PDF)
    Self-Instruction Exercise No. GD476
  • Oral Medicine, Oral Diagnosis, Oral Pathology Metastatic prostate cancer presenting as trigeminal nerve paresthesia in the mandible

    Karen Zemplenyi
    James J. Closmann

    This article describes a case of metastatic prostate cancer that presented as altered sensation to the gingiva, lips, and chin without radiographic evidence of mandibular pathosis on standard dental imaging. The patient’s cancer was thought to be well controlled with medical therapy but additional testing and imaging revealed widespread metastatic disease. This case reinforces the importance of including metastatic disease in the differential diagnosis.

    2021 May/June; 69(3):58-60.

    Full Article (PDF)
  • Endodontics Radix entomolaris and radix paramolaris in mandibular molars: a case series and literature review

    Chhaya Harinkhere
    Sanket Hans Pandey
    Pallav Mahesh Patni
    Pradeep Jain
    Swadhin Raghuwanshi
    Saddam Ali
    Sakshi Bilaiya

    An extra root is called a radix entomolaris if it is located distolingually and a radix paramolaris if located mesiobuccally. This article presents 5 cases of radix entomolaris and radix paramolaris in mandibular molars and reviews the literature on these morphologic variations.

    2021 May/June; 69(3):61-67.

    Full Article (PDF)
  • Basic Science Finite element stress analysis of composite resin veneers for diastema closure

    Fatemeh Mollaverdi
    Mohammad Bagher Rezvani
    Mahshid Mohammadi Bassir
    Sara Valizadeh

    A finite element–based comparative analysis of functional stress patterns in composite resin veneers used for diastema closure was performed to determine the influence of factors such as the preparation design, proximal extension, loading level, and loading angle. Based on the results, a partial-preparation design is preferred when nanofilled composite resins are used for diastema closure. 

    2021 May/June; 69(3):68-72.

    Full Article (PDF)
  • Multidisciplinary Topics Acute dental pain elevates salivary oxytocin in women: a risk factor during pregnancy

    Esra Bihter Gürler
    Emre İriboz
    Özlem Tuğçe Çilingir Kaya
    Dilek Türkaydin
    Hesna Sazak Öveçoğlu

    This case-control study compared the expression of salivary cortisol, secretory immunoglobulin A, and oxytocin among individuals in 5 study groups: nonpregnant female pulpitis, pregnant female pulpitis, male pulpitis, healthy (nonpregnant) female control, and healthy male control. Oxytocin levels increased significantly in nonpregnant and pregnant women with pulpitis, while cortisol levels were significantly elevated only in pregnant women with pulpitis. The results indicate that acute dental pain during pregnancy can be considered a risk factor due to elevated oxytocin and cortisol levels.

    2021 May/June; 69(3):73-77.

    Full Article (PDF)
  • Endodontics Prevalence of pulp stones in an Iranian subpopulation: an assessment using cone beam computed tomography

    Mahkameh Moshfeghi
    Fatemeh Tuyserkani

    Undetected pulp stones can complicate root canal treatment. Knowledge about the prevalence of this anomaly in specific populations can improve endodontic treatment outcomes. The objective of this study was to use cone beam computed tomography (CBCT) to assess the prevalence of pulp stones in an Iranian subpopulation. In this descriptive, analytical, cross-sectional study, the CBCT scans of 150 (75 female and 75 male) patients aged 15 to 70 years were retrieved from the 2017 to 2018 archives of an Iranian university. A total of 4200 teeth were evaluated for the presence of pulp stones by a senior dental student under the supervision of an experienced oral and maxillofacial radiologist. The panoramic radiographic views were evaluated first, and then each tooth was evaluated on sagittal, coronal, axial, cross-sectional, and multiplanar views with 0.5-mm slice thickness. Data regarding the presence of pulp stones as well as the effects of age, sex, tooth type, and jaw on the presence of pulp stones were analyzed using independent t and chi-square tests. Of 4200 teeth, 571 had pulp stones, yielding prevalence rates of 13.6% in the studied teeth and 76.0% in the study population. The prevalence of pulp stones was higher in female patients, the mandible, anterior teeth, and the mandibular left quadrant. The mandibular left central incisor (tooth 24) had the highest (38.7%) and the maxillary left second premolar (tooth 13) had the lowest (1.3%) prevalence of pulp stones. The high prevalence of pulp stones in this study population suggests that dentists should consider the possible presence of pulp stones when planning endodontic treatment for Iranian patients. 

    2021 May/June; 69(3):e1-e5.

    Full Article (PDF)

2016

May/June 2021

Table of Contents

Departments

  • SELF-INSTRUCTION

    Esthetics/Cosmetic Dentistry Conservative approach to masking a darkened tooth with a direct composite resin restoration: a case report with 5-year follow-up

    Elbert da Costa Sampaio
    Camila de Sousa Caneschi
    Rodrigo de Castro Albuquerque
    Sâmia Ornelas
    Allyson Nogueira Moreira
    Luís Fernando dos Santos Alves Morgan

    A direct conservative technique with minimal removal of tooth structure was used to restore a severely discolored endodontically treated tooth in a 25-year-old man. The darkened substrate was masked with an opacifier prior to restoration with composite resin. Despite slight incisal wear and loss of brightness, the veneer still provided satisfactory function and esthetics 5 years after placement.

    2022 May/June; 70(3):17-20.
     
    Full Article (PDF)
    Self-Instruction Exercise No. GD492
  • Restorative Dentistry Effect of decontamination procedures on marginal and internal adaptation in saliva-contaminated composite resin restorations

    Eftychia Pappa
    Konstantinos Masouras
    Vasileios Margaritis
    Afrodite Kakaboura

    An in vitro study evaluated the effect of saliva contamination of dentin on the marginal and internal adaptation of composite resin restorations. Saliva contamination that occurred after adhesive application negatively affected adaptation, but reapplication of the adhesive restored the adaptation values. 

    2022 May/June; 70(3):22-26.
     
    Full Article (PDF)
  • SELF-INSTRUCTION

    Basic Science Effects of polyvinyl chloride film and oxygen-blocking gel on irradiance and depth of cure

    Fabrício Luscino Alves de Castro
    Cláudia Cristina Braga
    Ana Paula Albuquerque Guedes
    Paulo Francisco Cesar
    Flávia Bittencourt Pazinatto

    This study examined the effect of oxygen-blocking gel (OBG) thickness and polyvinyl chloride (PVC) film fit on the irradiance from an LED source and the curing depth of a composite resin. Although no significant effects were found for curing depth, irradiance values were inversely influenced by OBG—the greater the OBG thickness, the lower the irradiance. The use of PVC film also reduced the irradiance.

    2022 May/June; 70(3):27-32.
     
    Full Article (PDF)
    Self-Instruction Exercise No. GD493
  • Esthetics/Cosmetic Dentistry Can brushing with regular and whitening dentifrices influence changes in color and micromorphologic surfaces of ceramic brackets subjected to coffee staining?

    Alessandra Fernandes Gonçalves Pavan 
    Jurandir Antonio Barbosa
    Flávio Henrique Baggio Aguiar 
    Roberta Tarkany Basting

    This study compared the effects of regular and whitening dentifrices on changes in color and micromorphologic surfaces of ceramic orthodontic brackets following coffee staining. None of the dentifrices prevented the brackets from staining, but they did reduce the magnitude of color change. The regular dentifrice was the most effective at reducing color change. 

    2022 May/June; 70(3):34-40.
     
    Full Article (PDF)
  • Periodontics Treatment planning for a patient with generalized advanced periodontitis: a case report

    Fei Yee Lim 
    Nurulhuda Mohd

    The treatment planning process for a patient with generalized advanced periodontitis (stage IV, grade C) is discussed in this case report, which also reviews the indications for retaining or extracting periodontally compromised natural teeth.

    2022 May/June; 70(3):41-45.
     
    Full Article (PDF)
  • SELF-INSTRUCTION

    Implants Evaluation of deviation in implants placed at different depths with a prototype surgical guide: an in vitro study

    Marlon Carvalho
    João Marcelo Meireles Rodrigues 
    Pâmela Leticia Santos 
    Aline Oliveira 
    Livia Sertori Finoti 
    Rogério Margonar

    The linear and angular deviations between planned and actual implant positions were assessed after a prototype surgical guide was used during surgery. Linear deviations in implant position increased significantly with each millimeter of implant depth (1, 2, 3, or 4 mm), but there were no significant differences in angular deviations.

    2022 May/June; 70(3):46-50.

    Full Article (PDF)
    Self-Instruction Exercise No. GD494
  • Basic Science Bone and gingival tissue thicknesses of maxillary anterior teeth with and without a metal post: a cone beam computed tomographic study

    Matheus Sampaio de Oliveira
    Paulo Victor Teixeira Doriguêtto
    Bruno Salles Sotto-Maior
    Karina Lopes Devito

    The buccal bone and gingival thicknesses of maxillary anterior teeth with and without metal posts were measured on cone beam computed tomographic (CBCT) images. The CBCT images of teeth with metal posts showed alterations in bone and gingival measurements, suggesting a possible interference of metal artifacts.

    2022 May/June; 70(3):52-55.

    Full Article (PDF)
  • Laser Therapy/Electrosurgery Use of high-power lasers in pediatric dental surgeries: case reports

    Allana da Silva e Silva
    Ana Margarida Melo Nunes 
    Pierre Adriano Moreno Neves 
    Andréa Dias Neves Lago

    These case reports describe the use of high-power diode lasers to perform 3 minor oral surgical procedures—biopsy, lingual frenectomy, and operculectomy—in 2 children. The operative time in each case did not exceed 5 minutes, no sutures were used, and no postoperative complications were reported.

    2022 May/June; 70(3):56-59.
     
    Full Article (PDF)
  • Restorative Dentistry Mechanical properties of bulk-fill composite resin with or without a final layer of conventional composite resin

    Lucas Lara 
    Mateus Garcia Rocha 
    Livia Rodrigues de Menezes 
    Américo Bortolazzo Correr 
    Mario Alexandre Coelho Sinhoreti 
    Dayane Oliveira

    The flexural strength and elastic modulus of different bulk-fill composite resin restorations were evaluated in specimens with or without a final layer of conventional composite of the same brand. The results indicated that a final layer of conventional composite can affect the mechanical properties of bulk-fill materials, but the effects are dependent on the type of conventional composite resin applied. 

    2022 May/June; 70(3):60-64.
     
    Full Article (PDF)
  • Pediatric Dentistry Prevalence and association of temporomandibular disorders with malocclusion and anxiety in children and adolescents: a cross-sectional observational study

    Aida Mehdipour 
    Salva Khosroshahian 
    Hesaneh Pourhossein 
    Abolfazl Mohammadbeigi 
    Alireza Karimi

    Interviews, physical examinations, and an anxiety rating instrument were used to evaluate the prevalence of temporomandibular disorders (TMDs) and the association of TMDs with malocclusion and anxiety in children aged 6 to 12 years. The results showed significant correlations between anxiety and TMDs, malocclusion and TMDs, and parafunctional habits and TMDs. 

    2022 May/June; 70(3):65-71.
     
    Full Article (PDF)
  • Restorative Dentistry Attitudes of dentists toward maintaining, repairing, or replacing direct composite resin restorations

    Claudiôner de Oliveira e Silva 
    Lawrence Gonzaga Lopes 
    Érica Miranda de Torres 
    Ricardo Antônio Gonçalves Teixeira 
    Terezinha de Jesus Esteves Barata 
    Andreia Assis Carvalho 
    João Batista de Souza

    A survey that included clinical scenarios was conducted to determine dentists’ reasons for replacement of direct composite resin restorations. According to respondents, the conditions most often warranting replacement were staining (esthetic property) and material fracture/retention (functional property). Replacement was the most frequently reported clinical decision, although repair was the FDI-recommended response for all the presented scenarios.

    2022 May/June; 70(3):72-77.
     
    Full Article (PDF)

Clinical Articles

  • SELF-INSTRUCTION

    Basic Science Failure load and shear bond strength of indirect materials bonded to enamel after aging

    João Henrique Rodrigues Rangel
    Marcelly da Silva Faria
    Thainá Caroline Silva D’Ajuda
    Allison Frade Monteiro
    Isabela Sandim Souza Leite Weitzel
    Laís Regiane Silva-Concílio
    Marina Amaral

    An in vitro study evaluated the failure load and the shear bond strength of 4 block materials indicated for computer-aided design/computer-aided manufacturing of dental veneers: lithium disilicate, feldspathic ceramic, polymer-infiltrated ceramic, and nanohybrid composite. The polymer-infiltrated ceramic presented the best performance when bonded to enamel.

    2021 May/June; 69(3):24-29.

    Full Article (PDF)
    Self-Instruction Exercise No. GD474
  • SELF-INSTRUCTION

    Tobacco Cessation What every dentist needs to know about electronic cigarettes

    Eugene G. Bestman
    John K. Brooks
    Behzad Mostoufi 
    Nasir Bashirelahi

    Electronic cigarette (EC) use is on a steady rise, leading to increased concerns about its safety with regard to systemic and oral health. The aerosols produced by ECs have been associated with respiratory, cardiac, and central nervous system disease as well as oral mucosal alterations. In addition, ECs may affect kidney and liver function. This article reviews the systemic and oral health concerns associated with EC use.

    2021 May/June; 69(3):31-35.

    Full Article (PDF)
    Self-Instruction Exercise No. GD475
  • Endodontics Influence of dentin presealing on the fracture strength of endodontically treated maxillary premolars

    Fereshteh Shafiei
    Yasamin Ghahramani

    An in vitro evaluation found that endodontic irrigation with sodium hypochlorite and ethylenediaminetetraacetic acid had an adverse effect on the fracture strength of maxillary premolars, but presealing of the dentin surfaces of the cavity with self-adhesive flowable composite resin before irrigation significantly increased the fracture strength. 

    2021 May/June; 69(3):37-41.

    Full Article (PDF)
  • Basic Science Influence of thermocycling and disinfection on the color stability and hardness of thermoplastic sheets used for occlusal splint fabrication

    Caroline de Almeida Salles
    Clóvis Lamartine de Moraes Melo Neto
    Stefan Fiuza de Carvalho Dekon
    Mariana Vilela Sônego
    Fernanda Pereira de Caxias
    Daniela Micheline dos Santos
    André Pinheiro de Magalhães Bertoz
    Marcelo Coelho Goiato

    Comparison of the color stability and microhardness of polyethylene terephthalate glycol/thermoplastic polyurethane (PETG/TPU) and PETG occlusal splint materials after thermocycling and disinfection revealed that both materials demonstrated an increase in hardness after thermocycling and disinfection, and both showed similar color changes regardless of the disinfection method. Liquid soap proved to be the best option for disinfection of PETG/TPU and PETG, because the color change (ΔE* value) was acceptable for both materials.

    2021 May/June; 69(3):42-45.

    Full Article (PDF)
  • Restorative Dentistry Effect of restorative technique on the fracture strength and fracture mode of premolars after mineral trioxide aggregate pulpotomy

    Fereshteh Shafiei
    Yasamin Ghahramani
    Hajar Farhadpour
    Nasrin Asim

    This study compared the effects of different combinations of adhesive bases and restorative materials on the fracture strength and fracture mode of maxillary premolars after mineral trioxide aggregate pulpotomy. Unlike glass ionomer cement/amalgam, all of the base/composite restoration groups partly restored the strength of pulpotomized premolars. The group with a short fiber–reinforced composite base demonstrated advantages in both fracture strength and fracture mode compared to groups with a resin-modified glass ionomer cement base.

    2021 May/June; 69(3):46-51.

    Full Article (PDF)
  • SELF-INSTRUCTION

    Endodontics Customized fiber posts in root canals prepared with and without laser application: a pull-out evaluation

    Adriana Cristina Zavanelli
    Rosse Mary Falcón-Antenucci
    Otavio Marino dos Santos Neto
    Ricardo Alexandre Zavanelli
    José Vitor Quinelli Mazaro

    The effect of fiber post customization and laser application on the results of pull-out tests were evaluated using endodontically treated bovine teeth. Prepared root canals were divided into 4 groups: conventional fiber posts with or without laser application and customized fiber posts with or without laser application. The customization of fiber posts used for the restoration of pulpless teeth resulted in significantly (P < 0.05) greater pull-out test values, a thinner cement layer, and improved retention. 

    2021 May/June; 69(3):52-56.

    Full Article (PDF)
    Self-Instruction Exercise No. GD476
  • Oral Medicine, Oral Diagnosis, Oral Pathology Metastatic prostate cancer presenting as trigeminal nerve paresthesia in the mandible

    Karen Zemplenyi
    James J. Closmann

    This article describes a case of metastatic prostate cancer that presented as altered sensation to the gingiva, lips, and chin without radiographic evidence of mandibular pathosis on standard dental imaging. The patient’s cancer was thought to be well controlled with medical therapy but additional testing and imaging revealed widespread metastatic disease. This case reinforces the importance of including metastatic disease in the differential diagnosis.

    2021 May/June; 69(3):58-60.

    Full Article (PDF)
  • Endodontics Radix entomolaris and radix paramolaris in mandibular molars: a case series and literature review

    Chhaya Harinkhere
    Sanket Hans Pandey
    Pallav Mahesh Patni
    Pradeep Jain
    Swadhin Raghuwanshi
    Saddam Ali
    Sakshi Bilaiya

    An extra root is called a radix entomolaris if it is located distolingually and a radix paramolaris if located mesiobuccally. This article presents 5 cases of radix entomolaris and radix paramolaris in mandibular molars and reviews the literature on these morphologic variations.

    2021 May/June; 69(3):61-67.

    Full Article (PDF)
  • Basic Science Finite element stress analysis of composite resin veneers for diastema closure

    Fatemeh Mollaverdi
    Mohammad Bagher Rezvani
    Mahshid Mohammadi Bassir
    Sara Valizadeh

    A finite element–based comparative analysis of functional stress patterns in composite resin veneers used for diastema closure was performed to determine the influence of factors such as the preparation design, proximal extension, loading level, and loading angle. Based on the results, a partial-preparation design is preferred when nanofilled composite resins are used for diastema closure. 

    2021 May/June; 69(3):68-72.

    Full Article (PDF)
  • Multidisciplinary Topics Acute dental pain elevates salivary oxytocin in women: a risk factor during pregnancy

    Esra Bihter Gürler
    Emre İriboz
    Özlem Tuğçe Çilingir Kaya
    Dilek Türkaydin
    Hesna Sazak Öveçoğlu

    This case-control study compared the expression of salivary cortisol, secretory immunoglobulin A, and oxytocin among individuals in 5 study groups: nonpregnant female pulpitis, pregnant female pulpitis, male pulpitis, healthy (nonpregnant) female control, and healthy male control. Oxytocin levels increased significantly in nonpregnant and pregnant women with pulpitis, while cortisol levels were significantly elevated only in pregnant women with pulpitis. The results indicate that acute dental pain during pregnancy can be considered a risk factor due to elevated oxytocin and cortisol levels.

    2021 May/June; 69(3):73-77.

    Full Article (PDF)
  • Endodontics Prevalence of pulp stones in an Iranian subpopulation: an assessment using cone beam computed tomography

    Mahkameh Moshfeghi
    Fatemeh Tuyserkani

    Undetected pulp stones can complicate root canal treatment. Knowledge about the prevalence of this anomaly in specific populations can improve endodontic treatment outcomes. The objective of this study was to use cone beam computed tomography (CBCT) to assess the prevalence of pulp stones in an Iranian subpopulation. In this descriptive, analytical, cross-sectional study, the CBCT scans of 150 (75 female and 75 male) patients aged 15 to 70 years were retrieved from the 2017 to 2018 archives of an Iranian university. A total of 4200 teeth were evaluated for the presence of pulp stones by a senior dental student under the supervision of an experienced oral and maxillofacial radiologist. The panoramic radiographic views were evaluated first, and then each tooth was evaluated on sagittal, coronal, axial, cross-sectional, and multiplanar views with 0.5-mm slice thickness. Data regarding the presence of pulp stones as well as the effects of age, sex, tooth type, and jaw on the presence of pulp stones were analyzed using independent t and chi-square tests. Of 4200 teeth, 571 had pulp stones, yielding prevalence rates of 13.6% in the studied teeth and 76.0% in the study population. The prevalence of pulp stones was higher in female patients, the mandible, anterior teeth, and the mandibular left quadrant. The mandibular left central incisor (tooth 24) had the highest (38.7%) and the maxillary left second premolar (tooth 13) had the lowest (1.3%) prevalence of pulp stones. The high prevalence of pulp stones in this study population suggests that dentists should consider the possible presence of pulp stones when planning endodontic treatment for Iranian patients. 

    2021 May/June; 69(3):e1-e5.

    Full Article (PDF)

2015

May/June 2021

Table of Contents

Departments

  • Editorial Continuing the tradition

    Timothy F. Kosinski

    2021 May/June; 69(3):6.

    Full Article (PDF)
  • Ethics Empathy and narrative in dental practice

    Toni M. Roucka

    2021 May/June; 69(3):8-9.

    Full Article (PDF)
  • Endodontics Pulpal and periapical pathosis resulting from coronal cracks: prognosis and treatment scenarios

    Nathan Dinsbach

    2021 May/June; 69(3):10-14.

    Full Article (PDF)
  • Pharmacology Diclofenac: a review for dentists

    Gaurav Gupta 
    Elliot V. Hersh
    Katherine N. Theken

    2021 May/June; 69(3):15-19.

    Full Article (PDF)
  • Public Health What do we know about electronic nicotine delivery systems, vaping, and oral health?

    Larry N. Williams
    Purav Shah

    2021 May/June; 69(3):20-22.

    Full Article (PDF)
  • Oral Diagnosis Migrating lesions and Exophytic gingival growth

    Tanya M. Gibson

    2021 May/June; 69(3):78,80.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD456, GD457, and GD458 from the May/June 2020 issue

    2021 May/June; 69(3):79.

    Full Article (PDF)

Clinical Articles

  • SELF-INSTRUCTION

    Basic Science Failure load and shear bond strength of indirect materials bonded to enamel after aging

    João Henrique Rodrigues Rangel
    Marcelly da Silva Faria
    Thainá Caroline Silva D’Ajuda
    Allison Frade Monteiro
    Isabela Sandim Souza Leite Weitzel
    Laís Regiane Silva-Concílio
    Marina Amaral

    An in vitro study evaluated the failure load and the shear bond strength of 4 block materials indicated for computer-aided design/computer-aided manufacturing of dental veneers: lithium disilicate, feldspathic ceramic, polymer-infiltrated ceramic, and nanohybrid composite. The polymer-infiltrated ceramic presented the best performance when bonded to enamel.

    2021 May/June; 69(3):24-29.

    Full Article (PDF)
    Self-Instruction Exercise No. GD474
  • SELF-INSTRUCTION

    Tobacco Cessation What every dentist needs to know about electronic cigarettes

    Eugene G. Bestman
    John K. Brooks
    Behzad Mostoufi 
    Nasir Bashirelahi

    Electronic cigarette (EC) use is on a steady rise, leading to increased concerns about its safety with regard to systemic and oral health. The aerosols produced by ECs have been associated with respiratory, cardiac, and central nervous system disease as well as oral mucosal alterations. In addition, ECs may affect kidney and liver function. This article reviews the systemic and oral health concerns associated with EC use.

    2021 May/June; 69(3):31-35.

    Full Article (PDF)
    Self-Instruction Exercise No. GD475
  • Endodontics Influence of dentin presealing on the fracture strength of endodontically treated maxillary premolars

    Fereshteh Shafiei
    Yasamin Ghahramani

    An in vitro evaluation found that endodontic irrigation with sodium hypochlorite and ethylenediaminetetraacetic acid had an adverse effect on the fracture strength of maxillary premolars, but presealing of the dentin surfaces of the cavity with self-adhesive flowable composite resin before irrigation significantly increased the fracture strength. 

    2021 May/June; 69(3):37-41.

    Full Article (PDF)
  • Basic Science Influence of thermocycling and disinfection on the color stability and hardness of thermoplastic sheets used for occlusal splint fabrication

    Caroline de Almeida Salles
    Clóvis Lamartine de Moraes Melo Neto
    Stefan Fiuza de Carvalho Dekon
    Mariana Vilela Sônego
    Fernanda Pereira de Caxias
    Daniela Micheline dos Santos
    André Pinheiro de Magalhães Bertoz
    Marcelo Coelho Goiato

    Comparison of the color stability and microhardness of polyethylene terephthalate glycol/thermoplastic polyurethane (PETG/TPU) and PETG occlusal splint materials after thermocycling and disinfection revealed that both materials demonstrated an increase in hardness after thermocycling and disinfection, and both showed similar color changes regardless of the disinfection method. Liquid soap proved to be the best option for disinfection of PETG/TPU and PETG, because the color change (ΔE* value) was acceptable for both materials.

    2021 May/June; 69(3):42-45.

    Full Article (PDF)
  • Restorative Dentistry Effect of restorative technique on the fracture strength and fracture mode of premolars after mineral trioxide aggregate pulpotomy

    Fereshteh Shafiei
    Yasamin Ghahramani
    Hajar Farhadpour
    Nasrin Asim

    This study compared the effects of different combinations of adhesive bases and restorative materials on the fracture strength and fracture mode of maxillary premolars after mineral trioxide aggregate pulpotomy. Unlike glass ionomer cement/amalgam, all of the base/composite restoration groups partly restored the strength of pulpotomized premolars. The group with a short fiber–reinforced composite base demonstrated advantages in both fracture strength and fracture mode compared to groups with a resin-modified glass ionomer cement base.

    2021 May/June; 69(3):46-51.

    Full Article (PDF)
  • SELF-INSTRUCTION

    Endodontics Customized fiber posts in root canals prepared with and without laser application: a pull-out evaluation

    Adriana Cristina Zavanelli
    Rosse Mary Falcón-Antenucci
    Otavio Marino dos Santos Neto
    Ricardo Alexandre Zavanelli
    José Vitor Quinelli Mazaro

    The effect of fiber post customization and laser application on the results of pull-out tests were evaluated using endodontically treated bovine teeth. Prepared root canals were divided into 4 groups: conventional fiber posts with or without laser application and customized fiber posts with or without laser application. The customization of fiber posts used for the restoration of pulpless teeth resulted in significantly (P < 0.05) greater pull-out test values, a thinner cement layer, and improved retention. 

    2021 May/June; 69(3):52-56.

    Full Article (PDF)
    Self-Instruction Exercise No. GD476
  • Oral Medicine, Oral Diagnosis, Oral Pathology Metastatic prostate cancer presenting as trigeminal nerve paresthesia in the mandible

    Karen Zemplenyi
    James J. Closmann

    This article describes a case of metastatic prostate cancer that presented as altered sensation to the gingiva, lips, and chin without radiographic evidence of mandibular pathosis on standard dental imaging. The patient’s cancer was thought to be well controlled with medical therapy but additional testing and imaging revealed widespread metastatic disease. This case reinforces the importance of including metastatic disease in the differential diagnosis.

    2021 May/June; 69(3):58-60.

    Full Article (PDF)
  • Endodontics Radix entomolaris and radix paramolaris in mandibular molars: a case series and literature review

    Chhaya Harinkhere
    Sanket Hans Pandey
    Pallav Mahesh Patni
    Pradeep Jain
    Swadhin Raghuwanshi
    Saddam Ali
    Sakshi Bilaiya

    An extra root is called a radix entomolaris if it is located distolingually and a radix paramolaris if located mesiobuccally. This article presents 5 cases of radix entomolaris and radix paramolaris in mandibular molars and reviews the literature on these morphologic variations.

    2021 May/June; 69(3):61-67.

    Full Article (PDF)
  • Basic Science Finite element stress analysis of composite resin veneers for diastema closure

    Fatemeh Mollaverdi
    Mohammad Bagher Rezvani
    Mahshid Mohammadi Bassir
    Sara Valizadeh

    A finite element–based comparative analysis of functional stress patterns in composite resin veneers used for diastema closure was performed to determine the influence of factors such as the preparation design, proximal extension, loading level, and loading angle. Based on the results, a partial-preparation design is preferred when nanofilled composite resins are used for diastema closure. 

    2021 May/June; 69(3):68-72.

    Full Article (PDF)
  • Multidisciplinary Topics Acute dental pain elevates salivary oxytocin in women: a risk factor during pregnancy

    Esra Bihter Gürler
    Emre İriboz
    Özlem Tuğçe Çilingir Kaya
    Dilek Türkaydin
    Hesna Sazak Öveçoğlu

    This case-control study compared the expression of salivary cortisol, secretory immunoglobulin A, and oxytocin among individuals in 5 study groups: nonpregnant female pulpitis, pregnant female pulpitis, male pulpitis, healthy (nonpregnant) female control, and healthy male control. Oxytocin levels increased significantly in nonpregnant and pregnant women with pulpitis, while cortisol levels were significantly elevated only in pregnant women with pulpitis. The results indicate that acute dental pain during pregnancy can be considered a risk factor due to elevated oxytocin and cortisol levels.

    2021 May/June; 69(3):73-77.

    Full Article (PDF)
  • Endodontics Prevalence of pulp stones in an Iranian subpopulation: an assessment using cone beam computed tomography

    Mahkameh Moshfeghi
    Fatemeh Tuyserkani

    Undetected pulp stones can complicate root canal treatment. Knowledge about the prevalence of this anomaly in specific populations can improve endodontic treatment outcomes. The objective of this study was to use cone beam computed tomography (CBCT) to assess the prevalence of pulp stones in an Iranian subpopulation. In this descriptive, analytical, cross-sectional study, the CBCT scans of 150 (75 female and 75 male) patients aged 15 to 70 years were retrieved from the 2017 to 2018 archives of an Iranian university. A total of 4200 teeth were evaluated for the presence of pulp stones by a senior dental student under the supervision of an experienced oral and maxillofacial radiologist. The panoramic radiographic views were evaluated first, and then each tooth was evaluated on sagittal, coronal, axial, cross-sectional, and multiplanar views with 0.5-mm slice thickness. Data regarding the presence of pulp stones as well as the effects of age, sex, tooth type, and jaw on the presence of pulp stones were analyzed using independent t and chi-square tests. Of 4200 teeth, 571 had pulp stones, yielding prevalence rates of 13.6% in the studied teeth and 76.0% in the study population. The prevalence of pulp stones was higher in female patients, the mandible, anterior teeth, and the mandibular left quadrant. The mandibular left central incisor (tooth 24) had the highest (38.7%) and the maxillary left second premolar (tooth 13) had the lowest (1.3%) prevalence of pulp stones. The high prevalence of pulp stones in this study population suggests that dentists should consider the possible presence of pulp stones when planning endodontic treatment for Iranian patients. 

    2021 May/June; 69(3):e1-e5.

    Full Article (PDF)

2014

May/June 2021

Table of Contents

Departments

  • Editorial Continuing the tradition

    Timothy F. Kosinski

    2021 May/June; 69(3):6.

    Full Article (PDF)
  • Ethics Empathy and narrative in dental practice

    Toni M. Roucka

    2021 May/June; 69(3):8-9.

    Full Article (PDF)
  • Endodontics Pulpal and periapical pathosis resulting from coronal cracks: prognosis and treatment scenarios

    Nathan Dinsbach

    2021 May/June; 69(3):10-14.

    Full Article (PDF)
  • Pharmacology Diclofenac: a review for dentists

    Gaurav Gupta 
    Elliot V. Hersh
    Katherine N. Theken

    2021 May/June; 69(3):15-19.

    Full Article (PDF)
  • Public Health What do we know about electronic nicotine delivery systems, vaping, and oral health?

    Larry N. Williams
    Purav Shah

    2021 May/June; 69(3):20-22.

    Full Article (PDF)
  • Oral Diagnosis Migrating lesions and Exophytic gingival growth

    Tanya M. Gibson

    2021 May/June; 69(3):78,80.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD456, GD457, and GD458 from the May/June 2020 issue

    2021 May/June; 69(3):79.

    Full Article (PDF)

Clinical Articles

  • SELF-INSTRUCTION

    Basic Science Failure load and shear bond strength of indirect materials bonded to enamel after aging

    João Henrique Rodrigues Rangel
    Marcelly da Silva Faria
    Thainá Caroline Silva D’Ajuda
    Allison Frade Monteiro
    Isabela Sandim Souza Leite Weitzel
    Laís Regiane Silva-Concílio
    Marina Amaral

    An in vitro study evaluated the failure load and the shear bond strength of 4 block materials indicated for computer-aided design/computer-aided manufacturing of dental veneers: lithium disilicate, feldspathic ceramic, polymer-infiltrated ceramic, and nanohybrid composite. The polymer-infiltrated ceramic presented the best performance when bonded to enamel.

    2021 May/June; 69(3):24-29.

    Full Article (PDF)
    Self-Instruction Exercise No. GD474
  • SELF-INSTRUCTION

    Tobacco Cessation What every dentist needs to know about electronic cigarettes

    Eugene G. Bestman
    John K. Brooks
    Behzad Mostoufi 
    Nasir Bashirelahi

    Electronic cigarette (EC) use is on a steady rise, leading to increased concerns about its safety with regard to systemic and oral health. The aerosols produced by ECs have been associated with respiratory, cardiac, and central nervous system disease as well as oral mucosal alterations. In addition, ECs may affect kidney and liver function. This article reviews the systemic and oral health concerns associated with EC use.

    2021 May/June; 69(3):31-35.

    Full Article (PDF)
    Self-Instruction Exercise No. GD475
  • Endodontics Influence of dentin presealing on the fracture strength of endodontically treated maxillary premolars

    Fereshteh Shafiei
    Yasamin Ghahramani

    An in vitro evaluation found that endodontic irrigation with sodium hypochlorite and ethylenediaminetetraacetic acid had an adverse effect on the fracture strength of maxillary premolars, but presealing of the dentin surfaces of the cavity with self-adhesive flowable composite resin before irrigation significantly increased the fracture strength. 

    2021 May/June; 69(3):37-41.

    Full Article (PDF)
  • Basic Science Influence of thermocycling and disinfection on the color stability and hardness of thermoplastic sheets used for occlusal splint fabrication

    Caroline de Almeida Salles
    Clóvis Lamartine de Moraes Melo Neto
    Stefan Fiuza de Carvalho Dekon
    Mariana Vilela Sônego
    Fernanda Pereira de Caxias
    Daniela Micheline dos Santos
    André Pinheiro de Magalhães Bertoz
    Marcelo Coelho Goiato

    Comparison of the color stability and microhardness of polyethylene terephthalate glycol/thermoplastic polyurethane (PETG/TPU) and PETG occlusal splint materials after thermocycling and disinfection revealed that both materials demonstrated an increase in hardness after thermocycling and disinfection, and both showed similar color changes regardless of the disinfection method. Liquid soap proved to be the best option for disinfection of PETG/TPU and PETG, because the color change (ΔE* value) was acceptable for both materials.

    2021 May/June; 69(3):42-45.

    Full Article (PDF)
  • Restorative Dentistry Effect of restorative technique on the fracture strength and fracture mode of premolars after mineral trioxide aggregate pulpotomy

    Fereshteh Shafiei
    Yasamin Ghahramani
    Hajar Farhadpour
    Nasrin Asim

    This study compared the effects of different combinations of adhesive bases and restorative materials on the fracture strength and fracture mode of maxillary premolars after mineral trioxide aggregate pulpotomy. Unlike glass ionomer cement/amalgam, all of the base/composite restoration groups partly restored the strength of pulpotomized premolars. The group with a short fiber–reinforced composite base demonstrated advantages in both fracture strength and fracture mode compared to groups with a resin-modified glass ionomer cement base.

    2021 May/June; 69(3):46-51.

    Full Article (PDF)
  • SELF-INSTRUCTION

    Endodontics Customized fiber posts in root canals prepared with and without laser application: a pull-out evaluation

    Adriana Cristina Zavanelli
    Rosse Mary Falcón-Antenucci
    Otavio Marino dos Santos Neto
    Ricardo Alexandre Zavanelli
    José Vitor Quinelli Mazaro

    The effect of fiber post customization and laser application on the results of pull-out tests were evaluated using endodontically treated bovine teeth. Prepared root canals were divided into 4 groups: conventional fiber posts with or without laser application and customized fiber posts with or without laser application. The customization of fiber posts used for the restoration of pulpless teeth resulted in significantly (P < 0.05) greater pull-out test values, a thinner cement layer, and improved retention. 

    2021 May/June; 69(3):52-56.

    Full Article (PDF)
    Self-Instruction Exercise No. GD476
  • Oral Medicine, Oral Diagnosis, Oral Pathology Metastatic prostate cancer presenting as trigeminal nerve paresthesia in the mandible

    Karen Zemplenyi
    James J. Closmann

    This article describes a case of metastatic prostate cancer that presented as altered sensation to the gingiva, lips, and chin without radiographic evidence of mandibular pathosis on standard dental imaging. The patient’s cancer was thought to be well controlled with medical therapy but additional testing and imaging revealed widespread metastatic disease. This case reinforces the importance of including metastatic disease in the differential diagnosis.

    2021 May/June; 69(3):58-60.

    Full Article (PDF)
  • Endodontics Radix entomolaris and radix paramolaris in mandibular molars: a case series and literature review

    Chhaya Harinkhere
    Sanket Hans Pandey
    Pallav Mahesh Patni
    Pradeep Jain
    Swadhin Raghuwanshi
    Saddam Ali
    Sakshi Bilaiya

    An extra root is called a radix entomolaris if it is located distolingually and a radix paramolaris if located mesiobuccally. This article presents 5 cases of radix entomolaris and radix paramolaris in mandibular molars and reviews the literature on these morphologic variations.

    2021 May/June; 69(3):61-67.

    Full Article (PDF)
  • Basic Science Finite element stress analysis of composite resin veneers for diastema closure

    Fatemeh Mollaverdi
    Mohammad Bagher Rezvani
    Mahshid Mohammadi Bassir
    Sara Valizadeh

    A finite element–based comparative analysis of functional stress patterns in composite resin veneers used for diastema closure was performed to determine the influence of factors such as the preparation design, proximal extension, loading level, and loading angle. Based on the results, a partial-preparation design is preferred when nanofilled composite resins are used for diastema closure. 

    2021 May/June; 69(3):68-72.

    Full Article (PDF)
  • Multidisciplinary Topics Acute dental pain elevates salivary oxytocin in women: a risk factor during pregnancy

    Esra Bihter Gürler
    Emre İriboz
    Özlem Tuğçe Çilingir Kaya
    Dilek Türkaydin
    Hesna Sazak Öveçoğlu

    This case-control study compared the expression of salivary cortisol, secretory immunoglobulin A, and oxytocin among individuals in 5 study groups: nonpregnant female pulpitis, pregnant female pulpitis, male pulpitis, healthy (nonpregnant) female control, and healthy male control. Oxytocin levels increased significantly in nonpregnant and pregnant women with pulpitis, while cortisol levels were significantly elevated only in pregnant women with pulpitis. The results indicate that acute dental pain during pregnancy can be considered a risk factor due to elevated oxytocin and cortisol levels.

    2021 May/June; 69(3):73-77.

    Full Article (PDF)
  • Endodontics Prevalence of pulp stones in an Iranian subpopulation: an assessment using cone beam computed tomography

    Mahkameh Moshfeghi
    Fatemeh Tuyserkani

    Undetected pulp stones can complicate root canal treatment. Knowledge about the prevalence of this anomaly in specific populations can improve endodontic treatment outcomes. The objective of this study was to use cone beam computed tomography (CBCT) to assess the prevalence of pulp stones in an Iranian subpopulation. In this descriptive, analytical, cross-sectional study, the CBCT scans of 150 (75 female and 75 male) patients aged 15 to 70 years were retrieved from the 2017 to 2018 archives of an Iranian university. A total of 4200 teeth were evaluated for the presence of pulp stones by a senior dental student under the supervision of an experienced oral and maxillofacial radiologist. The panoramic radiographic views were evaluated first, and then each tooth was evaluated on sagittal, coronal, axial, cross-sectional, and multiplanar views with 0.5-mm slice thickness. Data regarding the presence of pulp stones as well as the effects of age, sex, tooth type, and jaw on the presence of pulp stones were analyzed using independent t and chi-square tests. Of 4200 teeth, 571 had pulp stones, yielding prevalence rates of 13.6% in the studied teeth and 76.0% in the study population. The prevalence of pulp stones was higher in female patients, the mandible, anterior teeth, and the mandibular left quadrant. The mandibular left central incisor (tooth 24) had the highest (38.7%) and the maxillary left second premolar (tooth 13) had the lowest (1.3%) prevalence of pulp stones. The high prevalence of pulp stones in this study population suggests that dentists should consider the possible presence of pulp stones when planning endodontic treatment for Iranian patients. 

    2021 May/June; 69(3):e1-e5.

    Full Article (PDF)

2013

May/June 2021

Table of Contents

Departments

  • Editorial Continuing the tradition

    Timothy F. Kosinski

    2021 May/June; 69(3):6.

    Full Article (PDF)
  • Ethics Empathy and narrative in dental practice

    Toni M. Roucka

    2021 May/June; 69(3):8-9.

    Full Article (PDF)
  • Endodontics Pulpal and periapical pathosis resulting from coronal cracks: prognosis and treatment scenarios

    Nathan Dinsbach

    2021 May/June; 69(3):10-14.

    Full Article (PDF)
  • Pharmacology Diclofenac: a review for dentists

    Gaurav Gupta 
    Elliot V. Hersh
    Katherine N. Theken

    2021 May/June; 69(3):15-19.

    Full Article (PDF)
  • Public Health What do we know about electronic nicotine delivery systems, vaping, and oral health?

    Larry N. Williams
    Purav Shah

    2021 May/June; 69(3):20-22.

    Full Article (PDF)
  • Oral Diagnosis Migrating lesions and Exophytic gingival growth

    Tanya M. Gibson

    2021 May/June; 69(3):78,80.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD456, GD457, and GD458 from the May/June 2020 issue

    2021 May/June; 69(3):79.

    Full Article (PDF)

Clinical Articles

  • SELF-INSTRUCTION

    Basic Science Failure load and shear bond strength of indirect materials bonded to enamel after aging

    João Henrique Rodrigues Rangel
    Marcelly da Silva Faria
    Thainá Caroline Silva D’Ajuda
    Allison Frade Monteiro
    Isabela Sandim Souza Leite Weitzel
    Laís Regiane Silva-Concílio
    Marina Amaral

    An in vitro study evaluated the failure load and the shear bond strength of 4 block materials indicated for computer-aided design/computer-aided manufacturing of dental veneers: lithium disilicate, feldspathic ceramic, polymer-infiltrated ceramic, and nanohybrid composite. The polymer-infiltrated ceramic presented the best performance when bonded to enamel.

    2021 May/June; 69(3):24-29.

    Full Article (PDF)
    Self-Instruction Exercise No. GD474
  • SELF-INSTRUCTION

    Tobacco Cessation What every dentist needs to know about electronic cigarettes

    Eugene G. Bestman
    John K. Brooks
    Behzad Mostoufi 
    Nasir Bashirelahi

    Electronic cigarette (EC) use is on a steady rise, leading to increased concerns about its safety with regard to systemic and oral health. The aerosols produced by ECs have been associated with respiratory, cardiac, and central nervous system disease as well as oral mucosal alterations. In addition, ECs may affect kidney and liver function. This article reviews the systemic and oral health concerns associated with EC use.

    2021 May/June; 69(3):31-35.

    Full Article (PDF)
    Self-Instruction Exercise No. GD475
  • Endodontics Influence of dentin presealing on the fracture strength of endodontically treated maxillary premolars

    Fereshteh Shafiei
    Yasamin Ghahramani

    An in vitro evaluation found that endodontic irrigation with sodium hypochlorite and ethylenediaminetetraacetic acid had an adverse effect on the fracture strength of maxillary premolars, but presealing of the dentin surfaces of the cavity with self-adhesive flowable composite resin before irrigation significantly increased the fracture strength. 

    2021 May/June; 69(3):37-41.

    Full Article (PDF)
  • Basic Science Influence of thermocycling and disinfection on the color stability and hardness of thermoplastic sheets used for occlusal splint fabrication

    Caroline de Almeida Salles
    Clóvis Lamartine de Moraes Melo Neto
    Stefan Fiuza de Carvalho Dekon
    Mariana Vilela Sônego
    Fernanda Pereira de Caxias
    Daniela Micheline dos Santos
    André Pinheiro de Magalhães Bertoz
    Marcelo Coelho Goiato

    Comparison of the color stability and microhardness of polyethylene terephthalate glycol/thermoplastic polyurethane (PETG/TPU) and PETG occlusal splint materials after thermocycling and disinfection revealed that both materials demonstrated an increase in hardness after thermocycling and disinfection, and both showed similar color changes regardless of the disinfection method. Liquid soap proved to be the best option for disinfection of PETG/TPU and PETG, because the color change (ΔE* value) was acceptable for both materials.

    2021 May/June; 69(3):42-45.

    Full Article (PDF)
  • Restorative Dentistry Effect of restorative technique on the fracture strength and fracture mode of premolars after mineral trioxide aggregate pulpotomy

    Fereshteh Shafiei
    Yasamin Ghahramani
    Hajar Farhadpour
    Nasrin Asim

    This study compared the effects of different combinations of adhesive bases and restorative materials on the fracture strength and fracture mode of maxillary premolars after mineral trioxide aggregate pulpotomy. Unlike glass ionomer cement/amalgam, all of the base/composite restoration groups partly restored the strength of pulpotomized premolars. The group with a short fiber–reinforced composite base demonstrated advantages in both fracture strength and fracture mode compared to groups with a resin-modified glass ionomer cement base.

    2021 May/June; 69(3):46-51.

    Full Article (PDF)
  • SELF-INSTRUCTION

    Endodontics Customized fiber posts in root canals prepared with and without laser application: a pull-out evaluation

    Adriana Cristina Zavanelli
    Rosse Mary Falcón-Antenucci
    Otavio Marino dos Santos Neto
    Ricardo Alexandre Zavanelli
    José Vitor Quinelli Mazaro

    The effect of fiber post customization and laser application on the results of pull-out tests were evaluated using endodontically treated bovine teeth. Prepared root canals were divided into 4 groups: conventional fiber posts with or without laser application and customized fiber posts with or without laser application. The customization of fiber posts used for the restoration of pulpless teeth resulted in significantly (P < 0.05) greater pull-out test values, a thinner cement layer, and improved retention. 

    2021 May/June; 69(3):52-56.

    Full Article (PDF)
    Self-Instruction Exercise No. GD476
  • Oral Medicine, Oral Diagnosis, Oral Pathology Metastatic prostate cancer presenting as trigeminal nerve paresthesia in the mandible

    Karen Zemplenyi
    James J. Closmann

    This article describes a case of metastatic prostate cancer that presented as altered sensation to the gingiva, lips, and chin without radiographic evidence of mandibular pathosis on standard dental imaging. The patient’s cancer was thought to be well controlled with medical therapy but additional testing and imaging revealed widespread metastatic disease. This case reinforces the importance of including metastatic disease in the differential diagnosis.

    2021 May/June; 69(3):58-60.

    Full Article (PDF)
  • Endodontics Radix entomolaris and radix paramolaris in mandibular molars: a case series and literature review

    Chhaya Harinkhere
    Sanket Hans Pandey
    Pallav Mahesh Patni
    Pradeep Jain
    Swadhin Raghuwanshi
    Saddam Ali
    Sakshi Bilaiya

    An extra root is called a radix entomolaris if it is located distolingually and a radix paramolaris if located mesiobuccally. This article presents 5 cases of radix entomolaris and radix paramolaris in mandibular molars and reviews the literature on these morphologic variations.

    2021 May/June; 69(3):61-67.

    Full Article (PDF)
  • Basic Science Finite element stress analysis of composite resin veneers for diastema closure

    Fatemeh Mollaverdi
    Mohammad Bagher Rezvani
    Mahshid Mohammadi Bassir
    Sara Valizadeh

    A finite element–based comparative analysis of functional stress patterns in composite resin veneers used for diastema closure was performed to determine the influence of factors such as the preparation design, proximal extension, loading level, and loading angle. Based on the results, a partial-preparation design is preferred when nanofilled composite resins are used for diastema closure. 

    2021 May/June; 69(3):68-72.

    Full Article (PDF)
  • Multidisciplinary Topics Acute dental pain elevates salivary oxytocin in women: a risk factor during pregnancy

    Esra Bihter Gürler
    Emre İriboz
    Özlem Tuğçe Çilingir Kaya
    Dilek Türkaydin
    Hesna Sazak Öveçoğlu

    This case-control study compared the expression of salivary cortisol, secretory immunoglobulin A, and oxytocin among individuals in 5 study groups: nonpregnant female pulpitis, pregnant female pulpitis, male pulpitis, healthy (nonpregnant) female control, and healthy male control. Oxytocin levels increased significantly in nonpregnant and pregnant women with pulpitis, while cortisol levels were significantly elevated only in pregnant women with pulpitis. The results indicate that acute dental pain during pregnancy can be considered a risk factor due to elevated oxytocin and cortisol levels.

    2021 May/June; 69(3):73-77.

    Full Article (PDF)
  • Endodontics Prevalence of pulp stones in an Iranian subpopulation: an assessment using cone beam computed tomography

    Mahkameh Moshfeghi
    Fatemeh Tuyserkani

    Undetected pulp stones can complicate root canal treatment. Knowledge about the prevalence of this anomaly in specific populations can improve endodontic treatment outcomes. The objective of this study was to use cone beam computed tomography (CBCT) to assess the prevalence of pulp stones in an Iranian subpopulation. In this descriptive, analytical, cross-sectional study, the CBCT scans of 150 (75 female and 75 male) patients aged 15 to 70 years were retrieved from the 2017 to 2018 archives of an Iranian university. A total of 4200 teeth were evaluated for the presence of pulp stones by a senior dental student under the supervision of an experienced oral and maxillofacial radiologist. The panoramic radiographic views were evaluated first, and then each tooth was evaluated on sagittal, coronal, axial, cross-sectional, and multiplanar views with 0.5-mm slice thickness. Data regarding the presence of pulp stones as well as the effects of age, sex, tooth type, and jaw on the presence of pulp stones were analyzed using independent t and chi-square tests. Of 4200 teeth, 571 had pulp stones, yielding prevalence rates of 13.6% in the studied teeth and 76.0% in the study population. The prevalence of pulp stones was higher in female patients, the mandible, anterior teeth, and the mandibular left quadrant. The mandibular left central incisor (tooth 24) had the highest (38.7%) and the maxillary left second premolar (tooth 13) had the lowest (1.3%) prevalence of pulp stones. The high prevalence of pulp stones in this study population suggests that dentists should consider the possible presence of pulp stones when planning endodontic treatment for Iranian patients. 

    2021 May/June; 69(3):e1-e5.

    Full Article (PDF)

2012

May/June 2021

Table of Contents

Departments

  • Editorial Continuing the tradition

    Timothy F. Kosinski

    2021 May/June; 69(3):6.

    Full Article (PDF)
  • Ethics Empathy and narrative in dental practice

    Toni M. Roucka

    2021 May/June; 69(3):8-9.

    Full Article (PDF)
  • Endodontics Pulpal and periapical pathosis resulting from coronal cracks: prognosis and treatment scenarios

    Nathan Dinsbach

    2021 May/June; 69(3):10-14.

    Full Article (PDF)
  • Pharmacology Diclofenac: a review for dentists

    Gaurav Gupta 
    Elliot V. Hersh
    Katherine N. Theken

    2021 May/June; 69(3):15-19.

    Full Article (PDF)
  • Public Health What do we know about electronic nicotine delivery systems, vaping, and oral health?

    Larry N. Williams
    Purav Shah

    2021 May/June; 69(3):20-22.

    Full Article (PDF)
  • Oral Diagnosis Migrating lesions and Exophytic gingival growth

    Tanya M. Gibson

    2021 May/June; 69(3):78,80.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD456, GD457, and GD458 from the May/June 2020 issue

    2021 May/June; 69(3):79.

    Full Article (PDF)

Clinical Articles

  • SELF-INSTRUCTION

    Basic Science Failure load and shear bond strength of indirect materials bonded to enamel after aging

    João Henrique Rodrigues Rangel
    Marcelly da Silva Faria
    Thainá Caroline Silva D’Ajuda
    Allison Frade Monteiro
    Isabela Sandim Souza Leite Weitzel
    Laís Regiane Silva-Concílio
    Marina Amaral

    An in vitro study evaluated the failure load and the shear bond strength of 4 block materials indicated for computer-aided design/computer-aided manufacturing of dental veneers: lithium disilicate, feldspathic ceramic, polymer-infiltrated ceramic, and nanohybrid composite. The polymer-infiltrated ceramic presented the best performance when bonded to enamel.

    2021 May/June; 69(3):24-29.

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    Self-Instruction Exercise No. GD474
  • SELF-INSTRUCTION

    Tobacco Cessation What every dentist needs to know about electronic cigarettes

    Eugene G. Bestman
    John K. Brooks
    Behzad Mostoufi 
    Nasir Bashirelahi

    Electronic cigarette (EC) use is on a steady rise, leading to increased concerns about its safety with regard to systemic and oral health. The aerosols produced by ECs have been associated with respiratory, cardiac, and central nervous system disease as well as oral mucosal alterations. In addition, ECs may affect kidney and liver function. This article reviews the systemic and oral health concerns associated with EC use.

    2021 May/June; 69(3):31-35.

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    Self-Instruction Exercise No. GD475
  • Endodontics Influence of dentin presealing on the fracture strength of endodontically treated maxillary premolars

    Fereshteh Shafiei
    Yasamin Ghahramani

    An in vitro evaluation found that endodontic irrigation with sodium hypochlorite and ethylenediaminetetraacetic acid had an adverse effect on the fracture strength of maxillary premolars, but presealing of the dentin surfaces of the cavity with self-adhesive flowable composite resin before irrigation significantly increased the fracture strength. 

    2021 May/June; 69(3):37-41.

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  • Basic Science Influence of thermocycling and disinfection on the color stability and hardness of thermoplastic sheets used for occlusal splint fabrication

    Caroline de Almeida Salles
    Clóvis Lamartine de Moraes Melo Neto
    Stefan Fiuza de Carvalho Dekon
    Mariana Vilela Sônego
    Fernanda Pereira de Caxias
    Daniela Micheline dos Santos
    André Pinheiro de Magalhães Bertoz
    Marcelo Coelho Goiato

    Comparison of the color stability and microhardness of polyethylene terephthalate glycol/thermoplastic polyurethane (PETG/TPU) and PETG occlusal splint materials after thermocycling and disinfection revealed that both materials demonstrated an increase in hardness after thermocycling and disinfection, and both showed similar color changes regardless of the disinfection method. Liquid soap proved to be the best option for disinfection of PETG/TPU and PETG, because the color change (ΔE* value) was acceptable for both materials.

    2021 May/June; 69(3):42-45.

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  • Restorative Dentistry Effect of restorative technique on the fracture strength and fracture mode of premolars after mineral trioxide aggregate pulpotomy

    Fereshteh Shafiei
    Yasamin Ghahramani
    Hajar Farhadpour
    Nasrin Asim

    This study compared the effects of different combinations of adhesive bases and restorative materials on the fracture strength and fracture mode of maxillary premolars after mineral trioxide aggregate pulpotomy. Unlike glass ionomer cement/amalgam, all of the base/composite restoration groups partly restored the strength of pulpotomized premolars. The group with a short fiber–reinforced composite base demonstrated advantages in both fracture strength and fracture mode compared to groups with a resin-modified glass ionomer cement base.

    2021 May/June; 69(3):46-51.

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  • SELF-INSTRUCTION

    Endodontics Customized fiber posts in root canals prepared with and without laser application: a pull-out evaluation

    Adriana Cristina Zavanelli
    Rosse Mary Falcón-Antenucci
    Otavio Marino dos Santos Neto
    Ricardo Alexandre Zavanelli
    José Vitor Quinelli Mazaro

    The effect of fiber post customization and laser application on the results of pull-out tests were evaluated using endodontically treated bovine teeth. Prepared root canals were divided into 4 groups: conventional fiber posts with or without laser application and customized fiber posts with or without laser application. The customization of fiber posts used for the restoration of pulpless teeth resulted in significantly (P < 0.05) greater pull-out test values, a thinner cement layer, and improved retention. 

    2021 May/June; 69(3):52-56.

    Full Article (PDF)
    Self-Instruction Exercise No. GD476
  • Oral Medicine, Oral Diagnosis, Oral Pathology Metastatic prostate cancer presenting as trigeminal nerve paresthesia in the mandible

    Karen Zemplenyi
    James J. Closmann

    This article describes a case of metastatic prostate cancer that presented as altered sensation to the gingiva, lips, and chin without radiographic evidence of mandibular pathosis on standard dental imaging. The patient’s cancer was thought to be well controlled with medical therapy but additional testing and imaging revealed widespread metastatic disease. This case reinforces the importance of including metastatic disease in the differential diagnosis.

    2021 May/June; 69(3):58-60.

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  • Endodontics Radix entomolaris and radix paramolaris in mandibular molars: a case series and literature review

    Chhaya Harinkhere
    Sanket Hans Pandey
    Pallav Mahesh Patni
    Pradeep Jain
    Swadhin Raghuwanshi
    Saddam Ali
    Sakshi Bilaiya

    An extra root is called a radix entomolaris if it is located distolingually and a radix paramolaris if located mesiobuccally. This article presents 5 cases of radix entomolaris and radix paramolaris in mandibular molars and reviews the literature on these morphologic variations.

    2021 May/June; 69(3):61-67.

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  • Basic Science Finite element stress analysis of composite resin veneers for diastema closure

    Fatemeh Mollaverdi
    Mohammad Bagher Rezvani
    Mahshid Mohammadi Bassir
    Sara Valizadeh

    A finite element–based comparative analysis of functional stress patterns in composite resin veneers used for diastema closure was performed to determine the influence of factors such as the preparation design, proximal extension, loading level, and loading angle. Based on the results, a partial-preparation design is preferred when nanofilled composite resins are used for diastema closure. 

    2021 May/June; 69(3):68-72.

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  • Multidisciplinary Topics Acute dental pain elevates salivary oxytocin in women: a risk factor during pregnancy

    Esra Bihter Gürler
    Emre İriboz
    Özlem Tuğçe Çilingir Kaya
    Dilek Türkaydin
    Hesna Sazak Öveçoğlu

    This case-control study compared the expression of salivary cortisol, secretory immunoglobulin A, and oxytocin among individuals in 5 study groups: nonpregnant female pulpitis, pregnant female pulpitis, male pulpitis, healthy (nonpregnant) female control, and healthy male control. Oxytocin levels increased significantly in nonpregnant and pregnant women with pulpitis, while cortisol levels were significantly elevated only in pregnant women with pulpitis. The results indicate that acute dental pain during pregnancy can be considered a risk factor due to elevated oxytocin and cortisol levels.

    2021 May/June; 69(3):73-77.

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  • Endodontics Prevalence of pulp stones in an Iranian subpopulation: an assessment using cone beam computed tomography

    Mahkameh Moshfeghi
    Fatemeh Tuyserkani

    Undetected pulp stones can complicate root canal treatment. Knowledge about the prevalence of this anomaly in specific populations can improve endodontic treatment outcomes. The objective of this study was to use cone beam computed tomography (CBCT) to assess the prevalence of pulp stones in an Iranian subpopulation. In this descriptive, analytical, cross-sectional study, the CBCT scans of 150 (75 female and 75 male) patients aged 15 to 70 years were retrieved from the 2017 to 2018 archives of an Iranian university. A total of 4200 teeth were evaluated for the presence of pulp stones by a senior dental student under the supervision of an experienced oral and maxillofacial radiologist. The panoramic radiographic views were evaluated first, and then each tooth was evaluated on sagittal, coronal, axial, cross-sectional, and multiplanar views with 0.5-mm slice thickness. Data regarding the presence of pulp stones as well as the effects of age, sex, tooth type, and jaw on the presence of pulp stones were analyzed using independent t and chi-square tests. Of 4200 teeth, 571 had pulp stones, yielding prevalence rates of 13.6% in the studied teeth and 76.0% in the study population. The prevalence of pulp stones was higher in female patients, the mandible, anterior teeth, and the mandibular left quadrant. The mandibular left central incisor (tooth 24) had the highest (38.7%) and the maxillary left second premolar (tooth 13) had the lowest (1.3%) prevalence of pulp stones. The high prevalence of pulp stones in this study population suggests that dentists should consider the possible presence of pulp stones when planning endodontic treatment for Iranian patients. 

    2021 May/June; 69(3):e1-e5.

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2011

2010