May/June 2017

Table of Contents


  • Editorial Alumni are key to excellence

    Timothy Kosinski
    2017 May/Jun; 65(3):5. 
    Full Article (PDF)
  • Public Health Hepatitis C: a serious public health concern

    Larry Williams
    2017 May/Jun; 65(3):10-11.
    Full Article (PDF)
  • Minimally Invasive Dentistry Transdental curing of bulk-filled restorations: a closer look

    Mark I. Malterud
    2017 May/Jun; 65(3):6-9.
    Full Article (PDF)
  • Esthetics State-of-the-art cosmetic restorative treatment for combating root caries

    Wynn Okuda
    2017 May/Jun; 65(3):12-14.
    Full Article (PDF)
  • Pediatric Dentistry Molar-incisor hypomineralization in pediatric patients

    Jane A. Soxman
    2017 May/Jun; 65(3):15-17. 
    Full Article (PDF)
  • Pharmacology Treatment of opioid overdose: a brief review of naloxone pharmacology and delivery

    Thomas M. Hendley
    Elliot V. Hersh
    Paul A. Moore
    Berry Stahl
    Mana Saraghi
    2017 May/Jun; 65(3):18-21. 
    Full Article (PDF)
  • Oral Diagnosis Palatal mass and Induration of soft palate

    2017 May/Jun; 65(3):77-78.
    Full Article (PDF)
  • Self-Instruction Answers Exercises No. 385, 386, and 387 from the May/June 2016 issue

    2017 May/Jun; 65(3):79. 
    Full Article (PDF)

Clinical articles


    Restorative Dentistry Effectiveness of silver diamine fluoride in caries prevention and arrest: a systematic literature review

    Violeta Contreras
    Milagros J. Toro
    Augusto R. Elías-Boneta
    Angeliz Encarnación-Burgos
    2017 May/Jun; 65(3):22-29.
    Full Article (PDF)
    Self-Instruction Exercise No. 402
  • Oral Medicine, Oral Diagnosis, Oral Pathology Angina bullosa hemorrhagica: report of 7 cases and analysis of 199 cases from the literature

    Kelly B. Dias
    Anacláudia P.C. Flores
    Márcia G. Oliveira
    Vinicius C. Carrard
    Laura C. Hildebrand
    Manoel Sant’Ana Filho
    2017 May/Jun; 65(3):31-36.

    Angina bullosa hemorrhagica is characterized by blood blisters in the oral or oropharyngeal mucosa. This case series reports 7 cases of angina bullosa hemorrhagica, reviews 199 cases reported in the English literature, and discusses possible etiologic factors, predisposing factors, and differential diagnoses.

    Full Article (PDF)
  • Endodontics Maxillary canine morphology: comparative and descriptive analysis from periapical radiographs and cone beam computed tomography

    Hianne Miranda de Torres
    Julyanna Jacinto de Arruda
    João Manoel da Silva-Filho
    Danielle Lago Bruno de Faria
    Monikelly do Carmo Chagas Nascimento
    Érica Miranda de Torres
    2017 May/Jun; 65(3):37-41.  Full article (PDF)

    Evaluation of permanent maxillary canines through visual examination, periapical radiography, and cone beam computed tomography (CBCT) revealed that, generally, only 1 root canal was present, the root showed apical curvature to the distal side, and the foramen was located in the center of the radicular apex. Both CBCT and periapical radiography allowed reliable measurement of the canine length and root width.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Emergent gingival cyst of the adult

    John K. Brooks
    Justin W. Kleinman
    John R. Basile
    2017 May/Jun; 65(3):42-44. 

    A diminutive fibrotic overgrowth was located on the labial interproximal gingiva between the canine and first premolar in a 68-year-old woman. Surgical excision and histologic examination led to a diagnosis of gingival cyst of the adult, which is a relatively rare, benign odontogenic cyst.

    Full Article (PDF)
  • Restorative Dentistry Effect of timing of repair on repair bond strength of methacrylate- and silorane-based composite resins

    Fereshteh Shafiei
    Sahar Akbarian
    Fatemeh Asadi
    2017 May/Jun; 65(3):45-49. 

    This study compared the repair bond strengths of a methacrylate composite (MC) and a silorane composite (SC) for repairs made at 5 different times after the original polymerization. The repair bond strength of the SC was significantly less than its original cohesive strength at every repair time, but the repair bond strength of the MC was only reduced when the repair was made at 1 week.

    Full Article (PDF)

    Implants Timing of soft tissue management around dental implants: a suggested protocol

    Mahdi Kadkhodazadeh
    Reza Amid
    Mehdi Ekhlasmand Kermani
    Mahdieh Mirakhori
    Sepanta Hosseinpour
    2017 May/Jun; 65(3):50-56.  

    This article presents a customized protocol for timing of soft tissue management around dental implants. The width and thickness of keratinized tissue, the need for bone management, and local risk factors influencing esthetics determine the appropriate time for soft tissue augmentation procedures.

    Full Article (PDF)
    Self-Instruction Exercise No. 403
  • Oral Medicine, Oral Diagnosis, Oral Pathology Small palatal swelling: an uncommon presentation of intraoral schwannoma

    Luiz Alcino Gueiros
    Andreza Barkokebas
    Alessandra Tavares Carvalho
    Jair Carneiro Leão
    2017 May/Jun; 65(3):58-61.

    When a 26-year-old man presented with an asymptomatic submucosal fibroelastic nodule covered by normal-appearing mucosa in the hard palate, the working diagnosis was minor salivary gland tumor, but histologic analysis of the biopsy specimen revealed the characteristic cellular patterns of a schwannoma. Clinicians should consider schwannoma in the differential diagnosis for palatal nodules and manage them with incisional biopsy and prompt treatment.

    Full Article (PDF)
  • Pediatric Dentistry Rare sequelae in the permanent successor due to trauma in the primary incisor: a case report

    Juliana Sayuri Kimura
    Isabela Capparelli Cadioli
    Daniela Mazzotti Bressan Alves
    Cássio José Fornazari Alencar
    Ricardo De Nardi Fonoff
    Marcia Turolla Wanderley
    2017 May/Jun; 65(3):62-64.  

    A 9-year-old boy with an unerupted permanent maxillary right central incisor had suffered trauma to the primary predecessor at the age of 2 years. When radiographs revealed impaction and root dilaceration, the permanent tooth was extracted and found to present several abnormalities: enamel hypoplasia, enamel discoloration, root dilaceration, and root duplication.


    Full Article (PDF)

    Esthetics/Cosmetic Dentistry Effect of high- or low-concentration bleaching agents containing calcium and/or fluoride on enamel microhardness

    Isabella Spinardi Furlan
    Enrico Coser Bridi
    Flávia Lucisano Botelho do Amaral
    Fabiana Mantovani Gomes França
    Cecilia Pedroso Turssi
    Roberta Tarkany Basting
    2017 May/Jun; 65(3):66-70. 

    An in vitro study evaluated enamel microhardness following bleaching with either high- or low-concentration hydrogen peroxide agents containing calcium and/or fluoride. Microhardness values were significantly influenced by the bleaching agent and application time. Enamel microhardness values decreased over time, regardless of the agent used or the addition of calcium and/or fluoride.

    Full Article (PDF)
    Self-Instruction Exercise No. 404
  • Restorative Dentistry Combination of centripetal and successive layering techniques for a stress-reduced posterior direct composite restoration

    Mario F. Romero
    Fernando Haddock
    Megan Todd
    2017 May/Jun; 65(3):72-76. 

    This case report describes concepts and techniques applied to reduce the stress associated with polymerization shrinkage in a large composite resin restoration, thus potentially improving the longevity of the restoration.

    Full Article (PDF)
  • Implants Relative positional change of a dental implant in the esthetic zone after 12 years: a case report

    Maria Aparecida Neves Jardini
    Camila Lopes Ferreira
    Weber José Ursi
    Antonio Braulino de Melo Filho
    Mauro Pedrine Santamaria
    2017 May/Jun; 65(3):e1-e4.  

    Significant craniofacial changes may occur in adults as a result of continuous dental eruption, vertical soft tissue augmentation, or facial bone growth. Twelve-year follow-up of a dental implant, placed in a maxillary central incisor site when the patient was 20 years old, revealed a relative positional change that negatively impacted esthetics.

    Full Article (PDF)
  • Endodontics Technological advances in endodontics: treatment of a mandibular molar with internal root resorption using a reciprocating single-file system

    Samir Noronha de Souza
    André Augusto Franco Marques
    Emílio Carlos Sponchiado-Júnior
    Lucas da Fonseca Roberti Garcia
    Matheus Franco da Frota
    Fredson Márcio Acris de Carvalho
    2017 May/Jun; 65(3):e5-e8. 

    This clinical case report describes the successful use of a reciprocating single-file system for the endodontic treatment of a mandibular molar with internal root resorption. No painful symptoms or periapical lesions were observed at a 12-month follow-up.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Traumatic periapical lesion only identified through cone beam computed tomography: a case report

    Leopoldo Cosme-Silva
    Ana Flávia Oliveira Marcos
    Júlia Fernandes Ferreira
    João Eduardo Gomes Filho
    Naiana Viana Viola
    2017 May/Jun; 65(3):e9-e12. 

    A periapical lesion associated with bone rarefaction at a maxillary canine was
    not identified on the periapical radiograph but was evident on a cone beam
    computed tomogram (CBCT), confirming the usefulness of this tool for diagnosis
    of periapical lesions.

    Full Article (PDF)
  • Endodontics Adaptation of gutta percha to oval canals: a cone beam computed tomographic analysis

    Rafaela Andrade de Vasconcelos
    Carlos Henrique Ribeiro Camargo
    Bruno das Neves Cavalcanti
    Luiz Roberto Coutinho Manhães Junior
    Simone Helena Ferreira Gonçalves
    2017 May/Jun; 65(3):e13-e17.

    This study evaluated the influence of different instrumentation techniques on the adaptation of gutta percha cones in oval-shaped root canals. Among the instrumentation techniques tested, the Mtwo rotary system provided the best adaptation of .04 gutta percha cones to oval root canals.

    Full Article (PDF)
  • Pediatric Dentistry Functional and esthetic rehabilitation of a child with amelogenesis imperfecta: a case report

    Carmem Dolores Vilarinho Soares de Moura
    Alessandra Silva Pontes
    Teresinha Soares Pereira Lopes
    Lúcia de Fátima Almeida de Deus Moura
    Marina de Deus Moura de Lima
    2017 May/Jun; 65(3):e18-e20.  

    A 4-year-old child with amelogenesis imperfecta was provided with indirect ceromer crowns to correct the interocclusal relationships and masticatory function, provide protection of the dental structures, and improve esthetics.

    Full Article (PDF)
  • Endodontics Intrusive luxation of an immature permanent incisor: a 10-year follow-up

    Larissa Christina Costa Pinto
    Leonardo Santos Antunes
    Maria Isabel Bastos Valente
    Michele Lenzi
    Lívia Azeredo Alves Antunes
    Cinthya Cristina Gomes
    2017 May/Jun; 65(3):e21-e24. 

    Intrusive luxation, characterized by axial displacement of the tooth into the alveolar bone, is rare in the permanent dentition. This case report describes the long-term follow-up of an immature permanent maxillary central incisor that was allowed to reerupt after intrusive luxation.

    Full Article (PDF)