August 2013

Table of Contents


  • Editorial Helping a grieving patient

    Roger D. Winland, DDS, MS, MAGD

    2013 Aug;61(5):6.  

    Full Article (PDF)
  • Minimally Invasive Dentistry Continuing education holds the key to minimally invasive biomimetic dental successes

    Mark I. Malterud, DDS, MAGD

    2013 Aug;61(5):8.

    Full Article (PDF)
  • Restorative Dentistry Mounted diagnostic casts: the entry into comprehensive care

    Roger A. Solow, DDS

    2013 Aug;61(5):12.

    Full Article (PDF)
  • Public Health An introduction to forensic dentistry

    Larry N. Williams, DDS

    2013 Aug;61(5):16.

    Full Article (PDF)
  • Ethics What’s wrong with this picture?

    Toni M. Roucka, DDS, MA

    Evelyn Donate-Bartfield, PhD

    2013 Aug;61(5):18.

    Full Article (PDF)
  • Pediatrics Parental presence

    Jane A. Soxman, DDS, Diplomate, ABPD

    2013 Aug;61(5):22.

    Full Article (PDF)
  • Esthetics Minimally invasive dentistry and its impact on esthetic restorative dentistry

    Wynn H. Okuda, DMD, FICD, FICOI

    2013 Aug;61(5):24.

    Full Article (PDF)
  • Oral Diagnosis Bluish discoloration of alveolar ridge Radiolucency of anterior mandible

    Douglas D. Damm, DDS

    2013 Aug;61(5):78.

    Full Article (PDF)
  • Answers Oral Diagnosis

    2013 Aug;61(5):79.
    Full Article (PDF)

Clinical Articles

  • Oral Medicine, Oral Diagnosis, Oral Pathology Pyogenic granuloma on the tongue: a pediatric case report

    Marcos Ximenes, MSc
    Thaisa C. Triches, MSc
    Mariane Cardoso, MSc, PhD
    Michele Bolan, MSc, PhD

    2013 Aug;61(5):27.  

    This article presents a case involving the surgical removal of a polygenic granuloma (PG) on the tongue of a 4-year-old boy who had difficulty with speech and eating because of the tongue lesion. The child had a habit of nibbling and sucking on his tongue. The lesion was excised and PG was confirmed; however, because the child continued to nibble and suck on his tongue, the lesion recurred. A second surgery was performed with the same diagnosis. At a one-year follow-up, the child had ceased his tongue habits and no recurrence was seen.

    Full Article (PDF)
  • Endodontics Using a dental operating microscope for endodontic management of a mandibular central incisor with 3 root canals

    Vijayakumar Aswinkumar, BDS
    Suresh Nandini, MDS
    Natanasabapathy Velmurgan, MDS

    2013 Aug;61(5):30.

    This article presents a case in which multiple angulated radiographs and a dental operating microscope clearly revealed the presence of 3 root canals in a right mandibular central incisor with 2 different canal patterns This case emphasizes the importance of utilizing a dental operating microscope to understand unusual root canal morphology.

    Full Article (PDF)

    Pharmacotherapeutics Bisphosphonate-related osteonecrosis of the jaws: a potential alternative to drug holidays

    Douglas D. Damm, DDS
    David M. Jones, DDS

    2013 Aug;61(5):33.  

    The purpose of this article is to provide suggestions for a pattern of patient care for individuals who desire or require an invasive surgical procedure of the jaws, but who also have a skeleton that is at risk for osteoporotic fracture. Creative interdisciplinary patient care has the potential to dramatically reduce the prevalence of bisphosphonate-related osteonecrosis, while at the same time continuing to protect the skeleton of the osteoporotic patient.

    Full Article (PDF)
    Self-Instruction Exercise No. 334
  • Endodontics Different ultrasonic vibration protocols and their effects on retention of post-and-core to root canal

    Neilor Mateus Antunes Braga, PhD, MD, DDS
    Manoel Brito Jr., MD, DDS
    Juliana Monteiro da Silva
    Lilian Souto Miranda
    Jacy Ribeiro de Carvalho Jr., PhD, MD, DDS
    Andre Luis Faria-e-Silva, PhD, MD, DDS 

    2013 Aug;61(5):40.

    Post holes were placed in the root canals of human maxillary canines, and post-and-core sets were luted. The samples were divided into 5 groups (n = 8). The control group received no ultrasonic vibration. For the other groups, the tip of the ultrasonic device was positioned either over the incisal face of the core, over the lateral core surfaces and close to the incisal edge, over the incisal face of the core but close to the line of cementation, or over the incisal face of the core but with the end of the mouth mirror handle positioned on the opposite surface of the core. Results indicated that positioning the tip of ultrasonic device near the cement line, or placing a mouth mirror handle on the opposite surface of the tip, are effective ways to reduce the retention of a cast post-and-core within a root canal.

    Full Article (PDF)
  • Endodontics Using spiral computed tomography for endodontic management of a mandibular first molar with a middle mesial canal: a case report

    B. Gurudutt Nayak, BDS, MDS
    Inderpreet Singh, BDS

    2013 Aug;61(5):43.

    This article presents the management of a mandibular first molar with 3 mesial and 2 distal canals. Conventional radiographs are routinely used to determine root canal anatomy; however, these are 2-dimensional representations of a 3-dimensional object. Advanced diagnostic methods that can provide 3-dimensional data are very helpful in determining complex morphology.

    Full Article (PDF)
  • Endodontics Coronal reconstruction following anterior teeth traumatism: multidisciplinary treatment

    Flavia Cohen-Carneiro, DDS, MSc, PhD
    Emilio Carlos Sponchiado Jr., DDS, MSc, PhD
    Lucas da Fonseca Roberti Garcia, DDS, MSc, PhD
    Fikriye Viga Yurtsever, DDS, MSc, PhD
    Danielson Guedes Pontes, DDS, MSc, PhD
    Amilen Sena

    2013 Aug;61(5):47.

    A 15-year-old girl suffered a bicycle accident that resulted in the fracture of teeth No. 8 and 9. Clinical and radiographic examinations verified that coronal fracture in both teeth, in addition to compromised pulp vitality, invasion of the biologic periodontal space, and loss of coronal space due to mesialization of the neighboring teeth. The protocol consisted of endodontic treatment for the fractured teeth, periodontal surgery to augment the clinical crown and perform gingival recontouring, intracanal cementation of esthetic glass fiber posts, and coronal reconstruction with resin composite.

    Full Article (PDF)

    Periodontics Salivary thiol levels and periodontal parameters assessed with a chromogenic strip

    Ahmed Khocht, DDS, MSD
    Merriam Seyedain, DMD, MS
    Samia Hardan, DMD, MS
    John Gaughan, PhD
    Jon Suzuki, DDS, PhD

    2013 Aug;61(5):50.

    This study used a chromogenic thiol-detecting strip to investigate whole saliva -SH concentration (SS) in subjects with and without periodontal disease. Ninety-six subjects underwent periodontal evaluations, including plaque index (PI), gingival index (GI), probing depth measurements (PD), and attachment levels (AL). Good-to-moderate correlations were found between SS scores and PI (r = 0.47, P = 0.0001), GI (r = 0.45, P = 0.0001), PD (r = 0.42, P = 0.0001), and AL (r = 0.30, P = 0.002). These results indicate that assessing whole saliva thiol levels with a chromogenic strip could be used as a screening test for periodontal diseases.

    Full Article (PDF)
    Self-Instruction Exercise No. 335
  • Soft Tissue Surgery Modified frenectomy: a review of 3 cases with concerns for esthetics

    Prashant Bhusari, MDS
    Shiras Verma
    Shubhra Maheshwari
    Sphoorthi Belludi, MDS

    2013 Aug;61(5):56.

    An abnormal labial frenum causes localized gingival recession and midline diastema. When the frenum maintains its high papillary attachment, frenectomy is the treatment of choice. This article highlights a new frenectomy technique that results in good esthetics, excellent color match, gain in attached gingiva, and healing by primary intention.

    Full Article (PDF)
  • Operative (Restorative) Dentistry An evaluation and adjustment method for natural proximal contacts of crowns using diamond dental strips: a case report

    Daniel S. Kim, DDS, FAGD
    John A. Rothchild, DDS, MAGD
    Kyu-Won Suh, DDS, MSD, DSO

    2013 Aug;61(5):60.

    This article presents an innovative method of crown seating using diamond strips. This simple, consistent, method makes it easier for clinicians to provide comfortable and long-lasting restorations with minimal time and effort. Using this method standardizes proper proximal contact adjustments of laboratory-fabricated indirect restorations between dental labs and dental offices.

    Full Article (PDF)
  • Complete Dentures Rehabilitation of the edentulous maxilla complicated by combination syndrome with an implant overdenture: a case report

    Jack Piermatti, DMD, FACP

    2013 Aug;61(5):64.  

    Combination syndrome refers to a dramatic exaggeration of maxillary alveolar resorption leading to a more complicated rehabilitation. This case report reviews how the edentulous maxilla can be rehabilitated with an implant-assisted overdenture, utilizing a CAD/CAM milled titanium connecting bar to retain a chrome-cobalt based, precision attachment, palateless prosthesis.

    Full Article (PDF)

    Anesthesia and Pain Control Evaluating complications of local anesthesia administration and reversal with phentolamine mesylate in a portable pediatric dental clinic

    Sean G. Boynes, DMD, MS
    Amah E. Riley, RDH
    Sarah Milbee, BS
    Meghan R. Bastin, BSDH
    Maylyn E. Price, DMD
    Andrea Ladson, RDH

    2013 Aug;61(5):70.

    This study sought to identify and quantify complications with local anesthetic administration and reversal on consecutive patients seen for comprehensive dental care in a school-based, portable dental clinic. After statistical analysis of the 923 consecutive cases, the overall complication rate was 5.3%. All of the complications were considered to be mild or moderate, and there were no severe event reports.

    Full Article (PDF)
    Self-Instruction Exercise No. 336
  • Anterior Composite Restorations A conservative treatment approach using direct composite resins for anterior teeth eroded by lemon sucking

    Vanara Florencio Passos, DDS, MSc, PhD
    Andre Mattos Brito de Souza, DDS, MSc
    Lidiany Karla Azevedo Rodrigues, DDS, MSc, PhD
    Juliana de Campos Fraga Soares Bombonatti, DDS, MSc, PhD
    Sergio Lima Santiago, DDS, MSc, PhD

    2013 Aug;61(5):e1.

    This article describes 2 cases that utilized conservative dental treatments (involving direct composite resins with minimal preparation of the tooth structure) to treat eroded dentition induced by lemon sucking.

    Full Article (PDF)
  • Tooth Whitening/Bleaching The effect of baking soda when applied to bleached enamel prior to restorative treatment

    Bhenya Ottoni Tostes, MSc
    Rafael Francisco Lia Mondelli, DDS, PhD, MSc
    Ynara Bosco de Oliveira Lima-Arsati, DDS, PhD, MSc
    Jose Augusto Rodrigues, DDS, PhD, MSc
    Leonardo Cesar Costa, DDS, PhD, MSc

    2013 Aug;61(5):e5.

    This in vitro study evaluated the effect of 10% baking soda solution and sodium bicarbonate powder (applied with jets) when applied to bleached enamel prior to restorative treatment. The results indicated that the application of 10% baking soda solution for 5 minutes, or immersion in distilled water for 1 week, seems to reduce the deleterious effects of bleaching with hydrogen peroxide on the enamel bond strength. 

    Full Article (PDF)
  • Periodontics Non-drug induced gingival enlargement

    Michelle L. Moffitt, RDH
    Robert E. Cohen, DDS, PhD

    2013 Aug;61(5):e10.

    The etiology of gingival enlargement varies, and often is multifactorial. Tissue consistency can vary from soft to dense, typically appearing darker in shade compared to drug-induced gingival enlargement. Treatment usually involves surgical removal of excess tissue, non-surgical debridement, use of chemotherapeutic agents, and/or elimination or mitigation of contributing factors and conditions.

    Full Article (PDF)
  • Dental Materials Optimal depth of cure for nanohybrid resin composite using quartz tungsten halogen and new high intensity light-emitting diode curing units

    Saijai Tanthanuch, DDS, MSc
    Prapansri Ruengsri, DDS
    Boonlert Kukiattrakoon, DDS, MSc

    2013 Aug;61(5):e14.

    This study sought to evaluate the effects of quartz tungsten halogen (QTH) and light-emitting diode (LED) photocuring units on the degree of conversion (DC) and surface microhardness of a resin composite that had been cured for optimal depth of cure (DoC) assessment. The results showed that surface microhardness values and DC were affected by light intensity (P < 0.01) and resin composite thickness (2, 3, and 4 mm) (P < 0.01). Resin composite polymerized by the QTH had an optimal DoC of 3 mm, compared to 4 mm for the LED.

    Full Article (PDF)
  • Dental Materials Microleakage of 3 single-bottle self-etch adhesives having different solvents

    Cigdem Elbek Cubukcu, PhD
    Ece Eden, PhD
    Tijen Pamir, PhD

    2013 Aug;61(5):e18.

    Four groups were treated with either a combination of composite resin and 1 of 3 SEAs, or with a conventional etch and rinse (ER) system. Microleakage scores of the adhesives exhibited significant differences (P < 0.05). All 3 single-bottle SEAs tested exhibited more microleakage than the ER system. There was no difference in terms of microleakage between the enamel and dentin margins in the SEA-bonded specimens (P > 0.05). The ER system was more successful in sealing enamel than dentin.

    Full Article (PDF)