2026

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.

2025

2024

2023

2022

2021

2020

2019

2018

2017

September/October 2024

Table of Contents

Departments

  • Editorial Go, slow, or stop: obeying the signs

    Timothy F. Kosinski

    2024 September/October; 72(5):5.

    Full Article (PDF)
  • Pharmacology Managing anticoagulant medications around dentistry

    Mark Donaldson
    Jason H. Goodchild

    2024 September/October; 72(5):6-9.

    Full Article (PDF)
  • Oral Diagnosis Ragged bony destruction and Expansile mass of mixed density

    Galal Omami

    2024 September/October; 72(5):78,80.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD515, GD516, and GD517 from the September/October 2023 issue

    2024 September/October; 72(5):79.

    Full Article (PDF)

Clinical Articles

  • SELF-INSTRUCTION

    Endodontics Nonsurgical management of large periapical lesions: case reports and review of the literature

    Shubham Tripathi 
    Pallav Patni
    Pradeep Jain 
    Swadhin Raghuwanshi
    Sanket Hans Pandey

    This article presents 2 clinical cases and a review of the literature concerning nonsurgical endodontic treatment of large periapical lesions. In both cases, the lesions were successfully treated with root canal treatment, antimicrobial medications, and mineral trioxide aggregate sealing. The success rates for this treatment are reported to be as high as 94%.

    2024 September/October; 72(5):10-18.

    Full Article (PDF)
    Self-Instruction Exercise No. GD533
  • SELF-INSTRUCTION

    Periodontics Treatment of deep gingival recession in homologous molars using a modified laterally positioned flap and subepithelial connective tissue graft: a case report

    Maria Caroline Rios Piecha 
    Rodrigo Könsgen Rossales
    Tiago Schlindvein de Araujo 
    Thiago Marchi Martins

    The modified laterally positioned flap technique was used in combination with a subepithelial connective tissue graft for root coverage of homologous mandibular molars with deep gingival recession. Follow-up examinations 1 year after the procedures revealed satisfactory root coverage, tissue gain, and an absence of postoperative gingival recession at the flap donor sites.

    2024 September/October; 72(5):20-25.

    Full Article (PDF)
    Self-Instruction Exercise No. GD534
  • Pediatric Dentistry Multidisciplinary approach to multiple dental anomalies in pediatric patients: a case report with 4-year follow-up

    Florense Gabriela da Silva 
    Priscila Hernández de Campos
    Mayara Rangel 
    Cássio José Fornazari Alencar
    Tatiane Fernandes Novaes 
    Michele Baffi Diniz
    Renata Oliveira Guaré

    This article describes the multidisciplinary treatment and follow-up of a 5-year-old boy with a supernumerary microdont in the mandibular posterior, an odontoma in the maxillary anterior, and severe dentoalveolar ankylosis of the primary mandibular right second molar. Early diagnosis and a combination of pediatric surgery and orthodontic approaches provided a successful outcome.

    2024 September/October; 72(5):27-30.

    Full Article (PDF)
  • Implants Hybrid-resolution facial and dental scanning: a cost-effective approach to utilizing 3D facial data in anterior dental implant restoration

    Adam P. Tow

    The author proposes a method for combining low-cost, lower resolution facial scanning and standard high-resolution intraoral scanning into a fully digital representation of the teeth and face. The data from a free smartphone application for 3D scanning are meshed with data from a traditional intraoral scanner to incorporate all necessary information without the cost of additional scanning equipment.

    2024 September/October; 72(5):31-37.

    Full Article (PDF)
  • SELF-INSTRUCTION

    Basic Science Effect of mouthwashes on the color stability of a nanohybrid composite resin

    Giovanna Pinto Wallace da Silva 
    Vitória Uchôa Mesquita
    Danielson Guedes Pontes

    The effect of different mouthwashes on the color stability of a nanohybrid composite resin was assessed in vitro. The color change for all mouthwash groups was negligible after 30 days, but all experimental groups differed significantly from the control group after 90 days, and the specimens showed a clinically unacceptable level of color change. 

    2024 September/October; 72(5):38-41.

    Full Article (PDF)
    Self-Instruction Exercise No. GD535
  • Implants A new guide for enhancing dental implant placement: an in vitro assessment of accuracy

    Heliasadat Haeriboroojeni 
    Reza Amid
    Anahita Moscowchi 
    Mahdi Kadkhodazadeh
    Aida Kheiri

    A new surgical guide was designed to control the mesiodistal distance between implant osteotomies and adjacent teeth as well as the osteotomy depth. To assess its accuracy, the guide was used to prepare implant osteotomies in partially edentulous models, and the actual osteotomy dimensions were compared to the predicted values. The guide had high accuracy in achieving linear interosteotomy mesiodistal distances and osteotomy depths.

    2024 September/October; 72(5):43-48.

    Full Article (PDF)
  • Basic Science Influence of radiant exposure and material shade on the degree of conversion and microhardness of a resin-based composite

    Rafael da Silva Beolchi 
    Taís Scaramucci
    Sandra Ribeiro Cunha 
    Milena Traversa Palazon
    Roberto Ruggiero Braga 
    Carlos Alberto Kenji Shimokawa

    This study assessed the influence of radiant exposure and material shade on the degree of conversion (DC), microhardness (Knoop hardness number [KHN]), and top to bottom surface hardness ratio of a resin-based composite. Increased radiant exposure levels led to increased DC and KHN values for both shades. Shade did not affect DC, but the bottom surface of the darker shade showed lower KHN values at each radiant exposure level. 

    2024 September/October; 72(5):49-53.

    Full Article (PDF)
  • Restorative Dentistry Restoration with a posterior CAD/CAM onlay after failure of a direct resin-based composite restoration: a case report

    Guilherme Anziliero Arossi 
    Raj Patel
    Adam Eisner 
    Mary Anne S. Melo

    This case report describes the replacement of a failing direct resin-based composite restoration with an indirect lithium disilicate onlay fabricated and placed in a single appointment via a CAD/CAM workflow. The technique used was efficient, minimally invasive, and showed good results at the 4-month follow-up examination. 

    2024 September/October; 72(5):54-59.

    Full Article (PDF)
  • Orthodontics The use of miniplates for nontraditional orthodontic treatment: clinical considerations for referring general dentists

    Lina Sharab 
    Katie Jo Hunt
    Joseph Van Sickels 
    Judson Knight
    George Jeryn Jacob

    Mandibular third molar extraction procedures present the opportunity to place miniplates for anchorage of distalizing appliances, avoiding the need for orthognathic surgery or premolar extractions. This article describes 3 cases in which miniplates were placed during the removal of impacted third molars, offering the patients less invasive, nontraditional treatment options for molar distalization.

    2024 September/October; 72(5):60-65.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Severe radiographic artifact created by a large fenestration of the skin and labial mucosa following placement of a plate piercing: a case report

    John K. Brooks 
    Proma Ahmed
    Azin Parsa 
    Jeffery B. Price

    The objective of this article is to describe a previously unreported radiographic anomaly produced by a large oral piercing site below the lower lip. The radiolucency was ultimately attributed to an extensive aperture created by a series of sequentially larger soft tissue expanders.

    2024 September/October; 72(5):66-69.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Practical management recommendations for incidental otolaryngologic findings on cone beam computed tomography

    Yoni Sacknovitz 
    Michael Ghiam
    King Chong Chan 
    Jonathan B. Overdevest

    This literature review provides a comprehensive summary of incidental findings on CBCT and an algorithm for determining the acuity of referral requirements for different findings. The results are grouped into 4 anatomical areas, and each area has been subdivided into diagnoses and their common imaging findings to facilitate appropriate clinical management.  

    2024 September/October; 72(5):70-77.

    Full Article (PDF)

2016

September/October 2024

Table of Contents

Departments

  • Editorial Go, slow, or stop: obeying the signs

    Timothy F. Kosinski

    2024 September/October; 72(5):5.

    Full Article (PDF)
  • Pharmacology Managing anticoagulant medications around dentistry

    Mark Donaldson
    Jason H. Goodchild

    2024 September/October; 72(5):6-9.

    Full Article (PDF)
  • Oral Diagnosis Ragged bony destruction and Expansile mass of mixed density

    Galal Omami

    2024 September/October; 72(5):78,80.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD515, GD516, and GD517 from the September/October 2023 issue

    2024 September/October; 72(5):79.

    Full Article (PDF)

Clinical Articles

  • SELF-INSTRUCTION

    Endodontics Nonsurgical management of large periapical lesions: case reports and review of the literature

    Shubham Tripathi 
    Pallav Patni
    Pradeep Jain 
    Swadhin Raghuwanshi
    Sanket Hans Pandey

    This article presents 2 clinical cases and a review of the literature concerning nonsurgical endodontic treatment of large periapical lesions. In both cases, the lesions were successfully treated with root canal treatment, antimicrobial medications, and mineral trioxide aggregate sealing. The success rates for this treatment are reported to be as high as 94%.

    2024 September/October; 72(5):10-18.

    Full Article (PDF)
    Self-Instruction Exercise No. GD533
  • SELF-INSTRUCTION

    Periodontics Treatment of deep gingival recession in homologous molars using a modified laterally positioned flap and subepithelial connective tissue graft: a case report

    Maria Caroline Rios Piecha 
    Rodrigo Könsgen Rossales
    Tiago Schlindvein de Araujo 
    Thiago Marchi Martins

    The modified laterally positioned flap technique was used in combination with a subepithelial connective tissue graft for root coverage of homologous mandibular molars with deep gingival recession. Follow-up examinations 1 year after the procedures revealed satisfactory root coverage, tissue gain, and an absence of postoperative gingival recession at the flap donor sites.

    2024 September/October; 72(5):20-25.

    Full Article (PDF)
    Self-Instruction Exercise No. GD534
  • Pediatric Dentistry Multidisciplinary approach to multiple dental anomalies in pediatric patients: a case report with 4-year follow-up

    Florense Gabriela da Silva 
    Priscila Hernández de Campos
    Mayara Rangel 
    Cássio José Fornazari Alencar
    Tatiane Fernandes Novaes 
    Michele Baffi Diniz
    Renata Oliveira Guaré

    This article describes the multidisciplinary treatment and follow-up of a 5-year-old boy with a supernumerary microdont in the mandibular posterior, an odontoma in the maxillary anterior, and severe dentoalveolar ankylosis of the primary mandibular right second molar. Early diagnosis and a combination of pediatric surgery and orthodontic approaches provided a successful outcome.

    2024 September/October; 72(5):27-30.

    Full Article (PDF)
  • Implants Hybrid-resolution facial and dental scanning: a cost-effective approach to utilizing 3D facial data in anterior dental implant restoration

    Adam P. Tow

    The author proposes a method for combining low-cost, lower resolution facial scanning and standard high-resolution intraoral scanning into a fully digital representation of the teeth and face. The data from a free smartphone application for 3D scanning are meshed with data from a traditional intraoral scanner to incorporate all necessary information without the cost of additional scanning equipment.

    2024 September/October; 72(5):31-37.

    Full Article (PDF)
  • SELF-INSTRUCTION

    Basic Science Effect of mouthwashes on the color stability of a nanohybrid composite resin

    Giovanna Pinto Wallace da Silva 
    Vitória Uchôa Mesquita
    Danielson Guedes Pontes

    The effect of different mouthwashes on the color stability of a nanohybrid composite resin was assessed in vitro. The color change for all mouthwash groups was negligible after 30 days, but all experimental groups differed significantly from the control group after 90 days, and the specimens showed a clinically unacceptable level of color change. 

    2024 September/October; 72(5):38-41.

    Full Article (PDF)
    Self-Instruction Exercise No. GD535
  • Implants A new guide for enhancing dental implant placement: an in vitro assessment of accuracy

    Heliasadat Haeriboroojeni 
    Reza Amid
    Anahita Moscowchi 
    Mahdi Kadkhodazadeh
    Aida Kheiri

    A new surgical guide was designed to control the mesiodistal distance between implant osteotomies and adjacent teeth as well as the osteotomy depth. To assess its accuracy, the guide was used to prepare implant osteotomies in partially edentulous models, and the actual osteotomy dimensions were compared to the predicted values. The guide had high accuracy in achieving linear interosteotomy mesiodistal distances and osteotomy depths.

    2024 September/October; 72(5):43-48.

    Full Article (PDF)
  • Basic Science Influence of radiant exposure and material shade on the degree of conversion and microhardness of a resin-based composite

    Rafael da Silva Beolchi 
    Taís Scaramucci
    Sandra Ribeiro Cunha 
    Milena Traversa Palazon
    Roberto Ruggiero Braga 
    Carlos Alberto Kenji Shimokawa

    This study assessed the influence of radiant exposure and material shade on the degree of conversion (DC), microhardness (Knoop hardness number [KHN]), and top to bottom surface hardness ratio of a resin-based composite. Increased radiant exposure levels led to increased DC and KHN values for both shades. Shade did not affect DC, but the bottom surface of the darker shade showed lower KHN values at each radiant exposure level. 

    2024 September/October; 72(5):49-53.

    Full Article (PDF)
  • Restorative Dentistry Restoration with a posterior CAD/CAM onlay after failure of a direct resin-based composite restoration: a case report

    Guilherme Anziliero Arossi 
    Raj Patel
    Adam Eisner 
    Mary Anne S. Melo

    This case report describes the replacement of a failing direct resin-based composite restoration with an indirect lithium disilicate onlay fabricated and placed in a single appointment via a CAD/CAM workflow. The technique used was efficient, minimally invasive, and showed good results at the 4-month follow-up examination. 

    2024 September/October; 72(5):54-59.

    Full Article (PDF)
  • Orthodontics The use of miniplates for nontraditional orthodontic treatment: clinical considerations for referring general dentists

    Lina Sharab 
    Katie Jo Hunt
    Joseph Van Sickels 
    Judson Knight
    George Jeryn Jacob

    Mandibular third molar extraction procedures present the opportunity to place miniplates for anchorage of distalizing appliances, avoiding the need for orthognathic surgery or premolar extractions. This article describes 3 cases in which miniplates were placed during the removal of impacted third molars, offering the patients less invasive, nontraditional treatment options for molar distalization.

    2024 September/October; 72(5):60-65.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Severe radiographic artifact created by a large fenestration of the skin and labial mucosa following placement of a plate piercing: a case report

    John K. Brooks 
    Proma Ahmed
    Azin Parsa 
    Jeffery B. Price

    The objective of this article is to describe a previously unreported radiographic anomaly produced by a large oral piercing site below the lower lip. The radiolucency was ultimately attributed to an extensive aperture created by a series of sequentially larger soft tissue expanders.

    2024 September/October; 72(5):66-69.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Practical management recommendations for incidental otolaryngologic findings on cone beam computed tomography

    Yoni Sacknovitz 
    Michael Ghiam
    King Chong Chan 
    Jonathan B. Overdevest

    This literature review provides a comprehensive summary of incidental findings on CBCT and an algorithm for determining the acuity of referral requirements for different findings. The results are grouped into 4 anatomical areas, and each area has been subdivided into diagnoses and their common imaging findings to facilitate appropriate clinical management.  

    2024 September/October; 72(5):70-77.

    Full Article (PDF)

2015

September/October 2024

Table of Contents

Departments

  • Editorial Go, slow, or stop: obeying the signs

    Timothy F. Kosinski

    2024 September/October; 72(5):5.

    Full Article (PDF)
  • Pharmacology Managing anticoagulant medications around dentistry

    Mark Donaldson
    Jason H. Goodchild

    2024 September/October; 72(5):6-9.

    Full Article (PDF)
  • Oral Diagnosis Ragged bony destruction and Expansile mass of mixed density

    Galal Omami

    2024 September/October; 72(5):78,80.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD515, GD516, and GD517 from the September/October 2023 issue

    2024 September/October; 72(5):79.

    Full Article (PDF)

Clinical Articles

  • SELF-INSTRUCTION

    Endodontics Nonsurgical management of large periapical lesions: case reports and review of the literature

    Shubham Tripathi 
    Pallav Patni
    Pradeep Jain 
    Swadhin Raghuwanshi
    Sanket Hans Pandey

    This article presents 2 clinical cases and a review of the literature concerning nonsurgical endodontic treatment of large periapical lesions. In both cases, the lesions were successfully treated with root canal treatment, antimicrobial medications, and mineral trioxide aggregate sealing. The success rates for this treatment are reported to be as high as 94%.

    2024 September/October; 72(5):10-18.

    Full Article (PDF)
    Self-Instruction Exercise No. GD533
  • SELF-INSTRUCTION

    Periodontics Treatment of deep gingival recession in homologous molars using a modified laterally positioned flap and subepithelial connective tissue graft: a case report

    Maria Caroline Rios Piecha 
    Rodrigo Könsgen Rossales
    Tiago Schlindvein de Araujo 
    Thiago Marchi Martins

    The modified laterally positioned flap technique was used in combination with a subepithelial connective tissue graft for root coverage of homologous mandibular molars with deep gingival recession. Follow-up examinations 1 year after the procedures revealed satisfactory root coverage, tissue gain, and an absence of postoperative gingival recession at the flap donor sites.

    2024 September/October; 72(5):20-25.

    Full Article (PDF)
    Self-Instruction Exercise No. GD534
  • Pediatric Dentistry Multidisciplinary approach to multiple dental anomalies in pediatric patients: a case report with 4-year follow-up

    Florense Gabriela da Silva 
    Priscila Hernández de Campos
    Mayara Rangel 
    Cássio José Fornazari Alencar
    Tatiane Fernandes Novaes 
    Michele Baffi Diniz
    Renata Oliveira Guaré

    This article describes the multidisciplinary treatment and follow-up of a 5-year-old boy with a supernumerary microdont in the mandibular posterior, an odontoma in the maxillary anterior, and severe dentoalveolar ankylosis of the primary mandibular right second molar. Early diagnosis and a combination of pediatric surgery and orthodontic approaches provided a successful outcome.

    2024 September/October; 72(5):27-30.

    Full Article (PDF)
  • Implants Hybrid-resolution facial and dental scanning: a cost-effective approach to utilizing 3D facial data in anterior dental implant restoration

    Adam P. Tow

    The author proposes a method for combining low-cost, lower resolution facial scanning and standard high-resolution intraoral scanning into a fully digital representation of the teeth and face. The data from a free smartphone application for 3D scanning are meshed with data from a traditional intraoral scanner to incorporate all necessary information without the cost of additional scanning equipment.

    2024 September/October; 72(5):31-37.

    Full Article (PDF)
  • SELF-INSTRUCTION

    Basic Science Effect of mouthwashes on the color stability of a nanohybrid composite resin

    Giovanna Pinto Wallace da Silva 
    Vitória Uchôa Mesquita
    Danielson Guedes Pontes

    The effect of different mouthwashes on the color stability of a nanohybrid composite resin was assessed in vitro. The color change for all mouthwash groups was negligible after 30 days, but all experimental groups differed significantly from the control group after 90 days, and the specimens showed a clinically unacceptable level of color change. 

    2024 September/October; 72(5):38-41.

    Full Article (PDF)
    Self-Instruction Exercise No. GD535
  • Implants A new guide for enhancing dental implant placement: an in vitro assessment of accuracy

    Heliasadat Haeriboroojeni 
    Reza Amid
    Anahita Moscowchi 
    Mahdi Kadkhodazadeh
    Aida Kheiri

    A new surgical guide was designed to control the mesiodistal distance between implant osteotomies and adjacent teeth as well as the osteotomy depth. To assess its accuracy, the guide was used to prepare implant osteotomies in partially edentulous models, and the actual osteotomy dimensions were compared to the predicted values. The guide had high accuracy in achieving linear interosteotomy mesiodistal distances and osteotomy depths.

    2024 September/October; 72(5):43-48.

    Full Article (PDF)
  • Basic Science Influence of radiant exposure and material shade on the degree of conversion and microhardness of a resin-based composite

    Rafael da Silva Beolchi 
    Taís Scaramucci
    Sandra Ribeiro Cunha 
    Milena Traversa Palazon
    Roberto Ruggiero Braga 
    Carlos Alberto Kenji Shimokawa

    This study assessed the influence of radiant exposure and material shade on the degree of conversion (DC), microhardness (Knoop hardness number [KHN]), and top to bottom surface hardness ratio of a resin-based composite. Increased radiant exposure levels led to increased DC and KHN values for both shades. Shade did not affect DC, but the bottom surface of the darker shade showed lower KHN values at each radiant exposure level. 

    2024 September/October; 72(5):49-53.

    Full Article (PDF)
  • Restorative Dentistry Restoration with a posterior CAD/CAM onlay after failure of a direct resin-based composite restoration: a case report

    Guilherme Anziliero Arossi 
    Raj Patel
    Adam Eisner 
    Mary Anne S. Melo

    This case report describes the replacement of a failing direct resin-based composite restoration with an indirect lithium disilicate onlay fabricated and placed in a single appointment via a CAD/CAM workflow. The technique used was efficient, minimally invasive, and showed good results at the 4-month follow-up examination. 

    2024 September/October; 72(5):54-59.

    Full Article (PDF)
  • Orthodontics The use of miniplates for nontraditional orthodontic treatment: clinical considerations for referring general dentists

    Lina Sharab 
    Katie Jo Hunt
    Joseph Van Sickels 
    Judson Knight
    George Jeryn Jacob

    Mandibular third molar extraction procedures present the opportunity to place miniplates for anchorage of distalizing appliances, avoiding the need for orthognathic surgery or premolar extractions. This article describes 3 cases in which miniplates were placed during the removal of impacted third molars, offering the patients less invasive, nontraditional treatment options for molar distalization.

    2024 September/October; 72(5):60-65.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Severe radiographic artifact created by a large fenestration of the skin and labial mucosa following placement of a plate piercing: a case report

    John K. Brooks 
    Proma Ahmed
    Azin Parsa 
    Jeffery B. Price

    The objective of this article is to describe a previously unreported radiographic anomaly produced by a large oral piercing site below the lower lip. The radiolucency was ultimately attributed to an extensive aperture created by a series of sequentially larger soft tissue expanders.

    2024 September/October; 72(5):66-69.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Practical management recommendations for incidental otolaryngologic findings on cone beam computed tomography

    Yoni Sacknovitz 
    Michael Ghiam
    King Chong Chan 
    Jonathan B. Overdevest

    This literature review provides a comprehensive summary of incidental findings on CBCT and an algorithm for determining the acuity of referral requirements for different findings. The results are grouped into 4 anatomical areas, and each area has been subdivided into diagnoses and their common imaging findings to facilitate appropriate clinical management.  

    2024 September/October; 72(5):70-77.

    Full Article (PDF)

2014

September/October 2024

Table of Contents

Departments

  • Editorial Go, slow, or stop: obeying the signs

    Timothy F. Kosinski

    2024 September/October; 72(5):5.

    Full Article (PDF)
  • Pharmacology Managing anticoagulant medications around dentistry

    Mark Donaldson
    Jason H. Goodchild

    2024 September/October; 72(5):6-9.

    Full Article (PDF)
  • Oral Diagnosis Ragged bony destruction and Expansile mass of mixed density

    Galal Omami

    2024 September/October; 72(5):78,80.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD515, GD516, and GD517 from the September/October 2023 issue

    2024 September/October; 72(5):79.

    Full Article (PDF)

Clinical Articles

  • SELF-INSTRUCTION

    Endodontics Nonsurgical management of large periapical lesions: case reports and review of the literature

    Shubham Tripathi 
    Pallav Patni
    Pradeep Jain 
    Swadhin Raghuwanshi
    Sanket Hans Pandey

    This article presents 2 clinical cases and a review of the literature concerning nonsurgical endodontic treatment of large periapical lesions. In both cases, the lesions were successfully treated with root canal treatment, antimicrobial medications, and mineral trioxide aggregate sealing. The success rates for this treatment are reported to be as high as 94%.

    2024 September/October; 72(5):10-18.

    Full Article (PDF)
    Self-Instruction Exercise No. GD533
  • SELF-INSTRUCTION

    Periodontics Treatment of deep gingival recession in homologous molars using a modified laterally positioned flap and subepithelial connective tissue graft: a case report

    Maria Caroline Rios Piecha 
    Rodrigo Könsgen Rossales
    Tiago Schlindvein de Araujo 
    Thiago Marchi Martins

    The modified laterally positioned flap technique was used in combination with a subepithelial connective tissue graft for root coverage of homologous mandibular molars with deep gingival recession. Follow-up examinations 1 year after the procedures revealed satisfactory root coverage, tissue gain, and an absence of postoperative gingival recession at the flap donor sites.

    2024 September/October; 72(5):20-25.

    Full Article (PDF)
    Self-Instruction Exercise No. GD534
  • Pediatric Dentistry Multidisciplinary approach to multiple dental anomalies in pediatric patients: a case report with 4-year follow-up

    Florense Gabriela da Silva 
    Priscila Hernández de Campos
    Mayara Rangel 
    Cássio José Fornazari Alencar
    Tatiane Fernandes Novaes 
    Michele Baffi Diniz
    Renata Oliveira Guaré

    This article describes the multidisciplinary treatment and follow-up of a 5-year-old boy with a supernumerary microdont in the mandibular posterior, an odontoma in the maxillary anterior, and severe dentoalveolar ankylosis of the primary mandibular right second molar. Early diagnosis and a combination of pediatric surgery and orthodontic approaches provided a successful outcome.

    2024 September/October; 72(5):27-30.

    Full Article (PDF)
  • Implants Hybrid-resolution facial and dental scanning: a cost-effective approach to utilizing 3D facial data in anterior dental implant restoration

    Adam P. Tow

    The author proposes a method for combining low-cost, lower resolution facial scanning and standard high-resolution intraoral scanning into a fully digital representation of the teeth and face. The data from a free smartphone application for 3D scanning are meshed with data from a traditional intraoral scanner to incorporate all necessary information without the cost of additional scanning equipment.

    2024 September/October; 72(5):31-37.

    Full Article (PDF)
  • SELF-INSTRUCTION

    Basic Science Effect of mouthwashes on the color stability of a nanohybrid composite resin

    Giovanna Pinto Wallace da Silva 
    Vitória Uchôa Mesquita
    Danielson Guedes Pontes

    The effect of different mouthwashes on the color stability of a nanohybrid composite resin was assessed in vitro. The color change for all mouthwash groups was negligible after 30 days, but all experimental groups differed significantly from the control group after 90 days, and the specimens showed a clinically unacceptable level of color change. 

    2024 September/October; 72(5):38-41.

    Full Article (PDF)
    Self-Instruction Exercise No. GD535
  • Implants A new guide for enhancing dental implant placement: an in vitro assessment of accuracy

    Heliasadat Haeriboroojeni 
    Reza Amid
    Anahita Moscowchi 
    Mahdi Kadkhodazadeh
    Aida Kheiri

    A new surgical guide was designed to control the mesiodistal distance between implant osteotomies and adjacent teeth as well as the osteotomy depth. To assess its accuracy, the guide was used to prepare implant osteotomies in partially edentulous models, and the actual osteotomy dimensions were compared to the predicted values. The guide had high accuracy in achieving linear interosteotomy mesiodistal distances and osteotomy depths.

    2024 September/October; 72(5):43-48.

    Full Article (PDF)
  • Basic Science Influence of radiant exposure and material shade on the degree of conversion and microhardness of a resin-based composite

    Rafael da Silva Beolchi 
    Taís Scaramucci
    Sandra Ribeiro Cunha 
    Milena Traversa Palazon
    Roberto Ruggiero Braga 
    Carlos Alberto Kenji Shimokawa

    This study assessed the influence of radiant exposure and material shade on the degree of conversion (DC), microhardness (Knoop hardness number [KHN]), and top to bottom surface hardness ratio of a resin-based composite. Increased radiant exposure levels led to increased DC and KHN values for both shades. Shade did not affect DC, but the bottom surface of the darker shade showed lower KHN values at each radiant exposure level. 

    2024 September/October; 72(5):49-53.

    Full Article (PDF)
  • Restorative Dentistry Restoration with a posterior CAD/CAM onlay after failure of a direct resin-based composite restoration: a case report

    Guilherme Anziliero Arossi 
    Raj Patel
    Adam Eisner 
    Mary Anne S. Melo

    This case report describes the replacement of a failing direct resin-based composite restoration with an indirect lithium disilicate onlay fabricated and placed in a single appointment via a CAD/CAM workflow. The technique used was efficient, minimally invasive, and showed good results at the 4-month follow-up examination. 

    2024 September/October; 72(5):54-59.

    Full Article (PDF)
  • Orthodontics The use of miniplates for nontraditional orthodontic treatment: clinical considerations for referring general dentists

    Lina Sharab 
    Katie Jo Hunt
    Joseph Van Sickels 
    Judson Knight
    George Jeryn Jacob

    Mandibular third molar extraction procedures present the opportunity to place miniplates for anchorage of distalizing appliances, avoiding the need for orthognathic surgery or premolar extractions. This article describes 3 cases in which miniplates were placed during the removal of impacted third molars, offering the patients less invasive, nontraditional treatment options for molar distalization.

    2024 September/October; 72(5):60-65.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Severe radiographic artifact created by a large fenestration of the skin and labial mucosa following placement of a plate piercing: a case report

    John K. Brooks 
    Proma Ahmed
    Azin Parsa 
    Jeffery B. Price

    The objective of this article is to describe a previously unreported radiographic anomaly produced by a large oral piercing site below the lower lip. The radiolucency was ultimately attributed to an extensive aperture created by a series of sequentially larger soft tissue expanders.

    2024 September/October; 72(5):66-69.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Practical management recommendations for incidental otolaryngologic findings on cone beam computed tomography

    Yoni Sacknovitz 
    Michael Ghiam
    King Chong Chan 
    Jonathan B. Overdevest

    This literature review provides a comprehensive summary of incidental findings on CBCT and an algorithm for determining the acuity of referral requirements for different findings. The results are grouped into 4 anatomical areas, and each area has been subdivided into diagnoses and their common imaging findings to facilitate appropriate clinical management.  

    2024 September/October; 72(5):70-77.

    Full Article (PDF)

2013

September/October 2024

Table of Contents

Departments

  • Editorial Go, slow, or stop: obeying the signs

    Timothy F. Kosinski

    2024 September/October; 72(5):5.

    Full Article (PDF)
  • Pharmacology Managing anticoagulant medications around dentistry

    Mark Donaldson
    Jason H. Goodchild

    2024 September/October; 72(5):6-9.

    Full Article (PDF)
  • Oral Diagnosis Ragged bony destruction and Expansile mass of mixed density

    Galal Omami

    2024 September/October; 72(5):78,80.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD515, GD516, and GD517 from the September/October 2023 issue

    2024 September/October; 72(5):79.

    Full Article (PDF)

Clinical Articles

  • SELF-INSTRUCTION

    Endodontics Nonsurgical management of large periapical lesions: case reports and review of the literature

    Shubham Tripathi 
    Pallav Patni
    Pradeep Jain 
    Swadhin Raghuwanshi
    Sanket Hans Pandey

    This article presents 2 clinical cases and a review of the literature concerning nonsurgical endodontic treatment of large periapical lesions. In both cases, the lesions were successfully treated with root canal treatment, antimicrobial medications, and mineral trioxide aggregate sealing. The success rates for this treatment are reported to be as high as 94%.

    2024 September/October; 72(5):10-18.

    Full Article (PDF)
    Self-Instruction Exercise No. GD533
  • SELF-INSTRUCTION

    Periodontics Treatment of deep gingival recession in homologous molars using a modified laterally positioned flap and subepithelial connective tissue graft: a case report

    Maria Caroline Rios Piecha 
    Rodrigo Könsgen Rossales
    Tiago Schlindvein de Araujo 
    Thiago Marchi Martins

    The modified laterally positioned flap technique was used in combination with a subepithelial connective tissue graft for root coverage of homologous mandibular molars with deep gingival recession. Follow-up examinations 1 year after the procedures revealed satisfactory root coverage, tissue gain, and an absence of postoperative gingival recession at the flap donor sites.

    2024 September/October; 72(5):20-25.

    Full Article (PDF)
    Self-Instruction Exercise No. GD534
  • Pediatric Dentistry Multidisciplinary approach to multiple dental anomalies in pediatric patients: a case report with 4-year follow-up

    Florense Gabriela da Silva 
    Priscila Hernández de Campos
    Mayara Rangel 
    Cássio José Fornazari Alencar
    Tatiane Fernandes Novaes 
    Michele Baffi Diniz
    Renata Oliveira Guaré

    This article describes the multidisciplinary treatment and follow-up of a 5-year-old boy with a supernumerary microdont in the mandibular posterior, an odontoma in the maxillary anterior, and severe dentoalveolar ankylosis of the primary mandibular right second molar. Early diagnosis and a combination of pediatric surgery and orthodontic approaches provided a successful outcome.

    2024 September/October; 72(5):27-30.

    Full Article (PDF)
  • Implants Hybrid-resolution facial and dental scanning: a cost-effective approach to utilizing 3D facial data in anterior dental implant restoration

    Adam P. Tow

    The author proposes a method for combining low-cost, lower resolution facial scanning and standard high-resolution intraoral scanning into a fully digital representation of the teeth and face. The data from a free smartphone application for 3D scanning are meshed with data from a traditional intraoral scanner to incorporate all necessary information without the cost of additional scanning equipment.

    2024 September/October; 72(5):31-37.

    Full Article (PDF)
  • SELF-INSTRUCTION

    Basic Science Effect of mouthwashes on the color stability of a nanohybrid composite resin

    Giovanna Pinto Wallace da Silva 
    Vitória Uchôa Mesquita
    Danielson Guedes Pontes

    The effect of different mouthwashes on the color stability of a nanohybrid composite resin was assessed in vitro. The color change for all mouthwash groups was negligible after 30 days, but all experimental groups differed significantly from the control group after 90 days, and the specimens showed a clinically unacceptable level of color change. 

    2024 September/October; 72(5):38-41.

    Full Article (PDF)
    Self-Instruction Exercise No. GD535
  • Implants A new guide for enhancing dental implant placement: an in vitro assessment of accuracy

    Heliasadat Haeriboroojeni 
    Reza Amid
    Anahita Moscowchi 
    Mahdi Kadkhodazadeh
    Aida Kheiri

    A new surgical guide was designed to control the mesiodistal distance between implant osteotomies and adjacent teeth as well as the osteotomy depth. To assess its accuracy, the guide was used to prepare implant osteotomies in partially edentulous models, and the actual osteotomy dimensions were compared to the predicted values. The guide had high accuracy in achieving linear interosteotomy mesiodistal distances and osteotomy depths.

    2024 September/October; 72(5):43-48.

    Full Article (PDF)
  • Basic Science Influence of radiant exposure and material shade on the degree of conversion and microhardness of a resin-based composite

    Rafael da Silva Beolchi 
    Taís Scaramucci
    Sandra Ribeiro Cunha 
    Milena Traversa Palazon
    Roberto Ruggiero Braga 
    Carlos Alberto Kenji Shimokawa

    This study assessed the influence of radiant exposure and material shade on the degree of conversion (DC), microhardness (Knoop hardness number [KHN]), and top to bottom surface hardness ratio of a resin-based composite. Increased radiant exposure levels led to increased DC and KHN values for both shades. Shade did not affect DC, but the bottom surface of the darker shade showed lower KHN values at each radiant exposure level. 

    2024 September/October; 72(5):49-53.

    Full Article (PDF)
  • Restorative Dentistry Restoration with a posterior CAD/CAM onlay after failure of a direct resin-based composite restoration: a case report

    Guilherme Anziliero Arossi 
    Raj Patel
    Adam Eisner 
    Mary Anne S. Melo

    This case report describes the replacement of a failing direct resin-based composite restoration with an indirect lithium disilicate onlay fabricated and placed in a single appointment via a CAD/CAM workflow. The technique used was efficient, minimally invasive, and showed good results at the 4-month follow-up examination. 

    2024 September/October; 72(5):54-59.

    Full Article (PDF)
  • Orthodontics The use of miniplates for nontraditional orthodontic treatment: clinical considerations for referring general dentists

    Lina Sharab 
    Katie Jo Hunt
    Joseph Van Sickels 
    Judson Knight
    George Jeryn Jacob

    Mandibular third molar extraction procedures present the opportunity to place miniplates for anchorage of distalizing appliances, avoiding the need for orthognathic surgery or premolar extractions. This article describes 3 cases in which miniplates were placed during the removal of impacted third molars, offering the patients less invasive, nontraditional treatment options for molar distalization.

    2024 September/October; 72(5):60-65.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Severe radiographic artifact created by a large fenestration of the skin and labial mucosa following placement of a plate piercing: a case report

    John K. Brooks 
    Proma Ahmed
    Azin Parsa 
    Jeffery B. Price

    The objective of this article is to describe a previously unreported radiographic anomaly produced by a large oral piercing site below the lower lip. The radiolucency was ultimately attributed to an extensive aperture created by a series of sequentially larger soft tissue expanders.

    2024 September/October; 72(5):66-69.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Practical management recommendations for incidental otolaryngologic findings on cone beam computed tomography

    Yoni Sacknovitz 
    Michael Ghiam
    King Chong Chan 
    Jonathan B. Overdevest

    This literature review provides a comprehensive summary of incidental findings on CBCT and an algorithm for determining the acuity of referral requirements for different findings. The results are grouped into 4 anatomical areas, and each area has been subdivided into diagnoses and their common imaging findings to facilitate appropriate clinical management.  

    2024 September/October; 72(5):70-77.

    Full Article (PDF)

2012

September/October 2024

Table of Contents

Departments

  • Editorial Credentialing: a motivating goal

    Timothy F. Kosinski

    2021 September/October; 69(5):5.

    Full Article (PDF)
  • Ethics Achieving a balanced life in the wake of the pandemic

    Toni M. Roucka

    2021 September/October; 69(5):6-7.

    Full Article (PDF)
  • Pharmacology Topical anesthetics: a review of several formulations

    Mana Saraghi
    Elliot V. Hersh

    2021 September/October; 69(5):8-11.

    Full Article (PDF)
  • Public Health Health inequity and racial bias: what do we really know about our patients?

    Larry N. Williams

    2021 September/October; 69(5):12-13.

    Full Article (PDF)
  • Oral Diagnosis Fluctuant gingival bump and Macerated mucosa

    Tanya M. Gibson

    2021 September/October; 69(5):76,78.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD462, GD463, and GD464 from the September/October 2020 issue

    2021 September/October; 69(5):79.

    Full Article (PDF)

Clinical Articles

  • SELF-INSTRUCTION

    Oral and Maxillofacial Surgery Immunohistochemical analysis of growth factors in platelet-rich fibrin membranes

    Cecília Campos Laner
    Vanessa Cabral Perez
    André Luciano Pasinato da Costa
    Dimas João Rodrigues Neto
    Julia Zandoná
    João Paulo De Carli
    André Webber Rosa

    This in vitro immunohistochemical study aimed to analyze the presence of factors of endothelial growth and cell differentiation in platelet-rich fibrin membranes. The presence of CD31 and CD163 markers indicated the potential for vascular neoformation and the significant presence of monocytes. 

    2021 September/October; 69(5):14-19.

    Full Article (PDF)
    Self-Instruction Exercise No. GD480
  • SELF-INSTRUCTION

    Oral Medicine, Oral Diagnosis, Oral Pathology Evaluation of the salivary flow of patients undergoing conventional radiotherapy for head and neck cancer

    Maria Heloísa da Conceição Tavares de Lima
    Lucas Nascimento Ribeiro
    Raylane Farias de Albuquerque
    Alessandra de Albuquerque Tavares Carvalho
    Igor Henrique Morais Silva
    Jair Carneiro Leão

    A cross-sectional study evaluating the salivary flow of 20 patients undergoing conventional radiotherapy in the head and neck region found that the mean total radiation dose (65 Gy) did not appear to influence the Xerostomia Inventory values or salivary volume. The data reinforced the subjective nature of xerostomia, which is not always related to hyposalivation.

    2021 September/October; 69(5):21-25.

    Full Article (PDF)
    Self-Instruction Exercise No. GD481
  • Fixed Prosthodontics Fiber-reinforced fixed dental prosthesis to replace missing anterior teeth: case reports

    Isabela Alves Matioli
    Ana Luiza de Moura Libório
    Keldrey Vinicius Alicio de Paula
    Lucas Fernando de Oliveira Tomaz Ferraresso
    Básia Rabelo Nogueira
    João Felipe Besegato
    Márcio Grama Hoeppner

    This report of 2 cases describes the placement of fiber-reinforced fixed dental prostheses (FRFDPs) immediately after the surgical extraction of incisors. In each case, the extracted tooth was used as a pontic. The esthetic and functional results demonstrated that the FRFDP is a viable option to replace missing anterior teeth. 

    2021 September/October; 69(5):28-33.

    Full Article (PDF)
  • SELF-INSTRUCTION

    Pediatric Dentistry Antimicrobial activity of root canal filling pastes used in pediatric dentistry

    Manuella de Oliveira Fernandes
    Juliana Matos
    Lucianne Cople Maia
    Tatiana Kelly da Silva Fidalgo

    An in vitro study evaluated the antimicrobial activity of root canal filling pastes commonly used in primary teeth: iodoform paste; zinc oxide + eugenol (ZOE) in a proportion of 1:3; ZOE in a proportion of 1:5; calcium hydroxide (Ca[OH]2) + water; iodoform paste + ZOE + Ca(OH)2; ZOE + Ca(OH)2; and chlorhexidine (positive control). Iodoform paste demonstrated the greatest activity against Enterococcus faecalis, while the specimens exposed to Ca(OH)2 + water demonstrated no activity.

    2021 September/October; 69(5):34-37.

    Full Article (PDF)
    Self-Instruction Exercise No. GD482
  • Endodontics Efficacy of digital radiography for detecting a second mesiobuccal canal adjacent to unfilled or filled canals

    Lucas de Paula Lopes Rosado 
    Fernanda Bulhões Fagundes 
    Taruska Ventorini Vasconcelos 
    Erica dos Santos Carvalho 
    Iêda Crusoé-Rebello 
    Matheus Lima Oliveira 
    Frederico Sampaio Neves

    The accuracy of detection of the second mesiobuccal (MB2) canal when the adjacent canals were unfilled or filled with gutta percha was assessed using digital periapical radiographs. Intraobserver reproducibility ranged from substantial to almost perfect, and interobserver reproducibility ranged from fair to substantial. There were no statistically significant differences between groups in sensitivity, specificity, or accuracy. Detection of the MB2 canal can be challenging, and the presence of gutta percha does not influence the detection.

    2021 September/October; 69(5):39-42.

    Full Article (PDF)
  • Basic Science Smartphone use as an aid in evaluating conventional radiographs

    Giuliano Omizzolo Giacomini
    Carolina Antonioli
    Camila dos Santos Tibúrcio-Machado
    Mathias Pante Fontana
    Gabriela Salatino Liedke

    This study evaluated the use of smartphones for digitizing, sharing, and viewing radiographs in comparison to a conventional light box. Although the light box had better scores than the smartphones for sensitivity, specificity, and overall accuracy in detecting marginal gaps, the differences were not statistically significant. 

    2021 September/October; 69(5):43-45.

    Full Article (PDF)
  • Basic Science The effects of polishing techniques on surface roughness and gloss of different composites

    Graziela Ribeiro Batista
    Rayssa Ferreira Zanatta
    Alessandra Bühler Borges
    Carlos Rocha Gomes Torres

    Evaluation of the effects of different polishing techniques on surface roughness and gloss of various composites revealed significant differences for both factors analyzed (composite and polishing technique). The polishing technique used is material dependent, but all systems tested displayed clinically acceptable results. 

    2021 September/October; 69(5):46-51.

    Full Article (PDF)
  • Endodontics The endocrown: a unique method for restoring endodontically treated teeth

    Andy M. Janiga

    This report presents 3 cases of endocrown treatment as examples of common indications for this restorative approach: minimal tooth structure, questionable prognosis (rescue), and occlusal support. 

    2021 September/October; 69(5):52-55.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Detection of medial arterial calcification on CBCT images of a patient with undiagnosed type 2 diabetes mellitus: a case report

    Adeyinka F. Dayo
    Dale A. Miles
    Beth R. Hamann

    When medial arterial calcification is identified on cone beam computed tomographic images, the patient must be referred for evaluation of cardiovascular accident risk and the possible presence of type 2 diabetes. This report describes a case of undiagnosed type 2 diabetes confirmed by hemoglobin A1c levels after incidental detection of medial arterial calcification.

    2021 September/October; 69(5):57-61.

    Full Article (PDF)
  • Implants Influence of the geometry of the screwdriver-screw connection on the reverse torque of UCLA screws

    Washington Luís dos Reis
    Adriana Santos Malheiros
    Flavio Domingues Neves
    Etevaldo Matos Maia-Filho
    Leticia Machado Gonçalves
    Matheus Coelho Bandeca
    Rudys Rodolfo De Jesus Tavarez

    This study evaluated the influence of the screwdriver-screw connection geometry on the reverse torque of UCLA screws. Square, hexagonal, and hexalobular screws all had significantly different mean reverse torques. The hexalobular screws showed the greatest reduction from initial to final reverse torque, and the square screws showed the least.

    2021 September/October; 69(5):62-66.

    Full Article (PDF)
  • Endodontics Effect of different periods of calcium hydroxide dressing on the fracture resistance of root dentin

    Juliara Bellina Hoffmann
    Filipe Colombo Vitali
    Leila Clarisse Hillesheim
    Maybell Tedesco
    Lucas da Fonseca Roberti Garcia
    Eduardo Antunes Bortoluzzi
    Cleonice da Silveira Teixeira

    A compressive strength test was used to assess the reduction in the fracture resistance of root dentin after exposure to an intracanal calcium hydroxide dressing for 7, 14, 30, or 90 days. The 14- and 90-day groups showed significantly reduced strength compared to the control group, but the 7- and 30-day groups did not.

    2021 September/October; 69(5):67-71.

    Full Article (PDF)
  • Basic Science Antibacterial effect of green tea infusion used as a mouthwash on saliva and bacterial plaque: a randomized controlled trial

    Jazmin Servin Molas
    Julieta María Méndez
    Nelson Portillo
    Ulises Armando Villasanti Torales

    Evaluation of the antibacterial effect of a green tea infusion used as a mouthwash revealed statistically significant differences between the intervention and control (distilled water) groups, with participants in the green tea group demonstrating greater reductions in colony-forming units in saliva and plaque biofilm. 

    2021 September/October; 69(5):72-74.

    Full Article (PDF)

2011

2010