January/February 2014

Table of Contents


  • Editorial Motivating employees

    Roger D. Winland, DDS, MS, MAGD

    2014 Jan/Feb; 62(1):6. 

    Full Article (PDF)
  • To the Editor Mounted models as surgical guides?

    2014 Jan/Feb; 62(1):8.  
    Full Article (PDF)
  • Restorative Dentistry Anterior guidance for the natural dentition and fixed prosthodontics: the other side of success

    Roger A. Solow, DDS

    2014 Jan/Feb; 62(1):10. 

    Full Article (PDF)
  • Dental Materials Provisional materials–can you tell one from the other?

    Michael B. Miller, DDS, FAGD

    2014 Jan/Feb; 62(1):14.

    Full Article (PDF)
  • Prosthodontics Combination of esthetic natural tooth restorations with a central incisor implant case

    Samuel M. Strong, DDS

    2014 Jan/Feb; 62(1):16. 

    Full Article (PDF)
  • Ethics In social media age, watch what you say

    Toni M. Roucka, DDS, MA, FACD
    Evelyn Donate-Bartfield, PhD
    Pamela Zarkowski, MPH, JD, FACD

    2014 Jan/Feb; 62(1):19.

    Full Article (PDF)
  • Pharmacology Drug supplement interactions significant to dentistry

    Thomas A. Viola, CCP, RPh

    2014 Jan/Feb; 62(1):22. 

    Full Article (PDF)
  • Esthetics Achieving immediate success with ceramic repairs

    Wynn Okuda, DMD, AAACD, FICD, FICOI

    2014 Jan/Feb; 62(1):24. 

    Full Article (PDF)
  • Public Health Message to our patients: you are what you eat, and your mouth shows it

    Larry N. Williams, DDS

    2014 Jan/Feb; 62(1):27.

    Full Article (PDF)
  • Answers Self-Instruction exercises No. 321, 322, 323, and 324

    2014 Jan/Feb; 62(1):79.  
    Full Article (PDF)

Clinical Articles

  • Microbiology What every dentist needs to know about the human microbiome and probiotics

    Andrew J. Klish
    Judith A. Porter, DDS, EdD, FICD
    Nasir Bashirelahi, PhD

    2014 Jan/Feb; 62(1):30.   

    Apart from their well-known pathogenic potential, bacteria are proving to be integral to the overall health of the body. Increasing numbers of bacterial species and bacterial interactions have been discovered in the oral cavity, and probiotic interventions for common dental problems such as caries, periodontal diseases, and oral malodor are being developed and reviewed.

    Full Article (PDF)

    Dental Materials Comparative study of the fluorescence intensity of dental composites and human teeth submitted to artificial aging

    Tatiana Jablonski, DDS
    Marcos Kenzo Takahashi, DDS, MSD
    Rafael Torres Brum, DDS, MSD
    Rodrigo Nunes Rached, DDS, MSD, PhD
    Evelise M. Souza, DDS, MSD, PhD

    2014 Jan/Feb; 62(1):37.   

    The aim of this study was to evaluate quantitatively the fluorescence of resin composites and human teeth and to determine the stability of fluorescence after aging. The aging process carried out by thermocycling negatively affected the fluorescence intensity of all evaluated dental composites, except for Filtek Supreme, whereas the fluorescence of tooth structure was not affected. Among all the tested materials, Opallis was the only composite resin that showed similar fluorescence compared with the tooth structure before and after thermocycling.

    Full Article (PDF)
    Self-Instruction Exercise No. 343
  • Cancer Screening Multiple metastases of malignant melanoma in head and neck: a case report and literature review

    Fernanda Hack Coelho
    Ana Carolina Amorim Pellicioli, DDS
    Marco Antonio Trevizani Martins, DDS, PhD
    Vanessa Christina Santos Pavesi, DDS, MSc
    Rafael Aron Schmerling, MD
    Manoela Domingues Martins, DDS, PhD

    2014 Jan/Feb; 62(1):43.  

    This article presents the case of a 27-year-old man who first developed malignant melanoma (MM) on the scalp, which subsequently metastasized. Multiple metastases of MMs in the head and neck region are rare and generally are associated with a poor prognosis. In such cases, dentists play a role in the diagnosis and the prevention and treatment of sequelae stemming from oncologic treatment, with the aim of improving the patient’s quality of life.

    Full Article (PDF)
  • Nutrition Clinical observations of dental erosion associated with citrus diet and intake methods

    Mohamed A. Bassiouny, PhD, DMD, MSc, BDS

    2014 Jan/Feb; 62(1):49.   

    This article describes the characteristics of destruction induced by citrus products. Related factors include the fruits’ acidic nature, their inherent highly fibrous content, the method of intake, and the sites of the dentition exposed for prolonged durations.

    Full Article (PDF)

    Physical Evaluation Polysomnographic analysis of bruxism

    Marilene de Oliveira Trindade, PhD, MS
    Antonio Gomez Rodriguez, MD, MS

    2014 Jan/Feb; 62(1):56.   

    The aim of the present study was to identify bruxism during a night of sleep in a laboratory. Thirty patients were analyzed clinically and underwent polysomnography (PSG). Of these patients, 4 were confirmed through PSG to have bruxism. In a comparison between the 4 patients with confirmed bruxism (PSGB group) and the 8 patients confirmed not to have bruxism (NPSGB group), the respiratory event index was lower in the PSGB group. The mean leg movement index was higher in the PSGB group than the NPSGB group in total sleep time and in rapid eye movement sleep time.

    Full Article (PDF)
    Self-Instruction Exercise No. 344
  • Child Abuse Identification and Reporting The dentist’s role in identifying child abuse: an evaluation about experiences, attitudes, and knowledge

    Rubenice Amaral da Silva, DDS, MS, PhD
    Leticia Machado Goncalves, DDS, MS, PhD
    Ana Carolina Alves Rodrigues, DDS
    Maria Carmen Fontoura Nogueira da Cruz, DDS, MS, PhD

    2014 Jan/Feb; 62(1):62. 

    This study sought to investigate dentists’ experiences, attitudes, and knowledge in recognizing and reporting suspected cases of child abuse. It was designed as a cross-sectional study across dental practices. Data were collected through a self-administered questionnaire, which was distributed randomly to 500 dentists. The questionnaire investigated characteristics of the population, education concerning child abuse, experience and attitudes in reporting suspected cases, and the ability to recognize signs of abuse.

    Full Article (PDF)

    Diagnosis of Oral Pathology Clinical and demographic overlaps among immunologically mediated oral diseases: a challenge for clinicians

    Maria Auxiliadora Vieira do Carmo, PhD
    Frederico Omar Gleber-Netto, MSc
    Maria Luisa de Freitas Romano, DDS
    Patricia Carlos Caldeira, PhD
    Maria Cassia Ferreira de Aguiar, PhD

    2014 Jan/Feb; 62(1):67.   

    This retrospective study of 24,535 specimens over a period of 55 years sought to assess and compare retrospective demographic and clinical data of oral lesions of lichen planus, pemphigus vulgaris, and mucous membrane pemphigoid. These immunologically-mediated diseases accounted for 301 (1.18%) cases, of which 250 (0.98%) were lichen planus, 27 (0.11%) were pemphigus vulgaris, and 24 (0.09%) were mucous membrane pemphigoid.

    Full Article (PDF)
    Self-Instruction Exercise No. 345
  • Diagnosis & Treatment Planning Conservative treatment for amelogenesis imperfecta: a case report

    Roberto Elias Campos, DDS, MS, PhD

    Andrea Dolores Correia Miranda Valdivia, DDS, MS, PhD
    Paulo Cesar de Freitas Santos-Filho, DDS, MS, PhD
    Murilo de Souza Menezes, DDS, MS, PhD
    Osmir Batista de Oliveira Junior, DDS, MS, PhD
    Carlos Jose Soares, DDS, MS, PhD

    2014 Jan/Feb; 62(1):74.   

    This case report presents the treatment of a patient whose anterior teeth had color alterations, white spots, pits, and shape defects. The mandibular and maxillary anterior teeth were restored using veneer direct composite restorations. After 6 years, the restorations demonstrated no deterioration, and no pathology was seen in association with the rehabilitation.

    Full Article (PDF)
  • Biopsy/Excision of Oral Lesions A minimally invasive surgical approach for large cyst-like periapical lesions: a case series

    Naseem Shah, MDS
    Ajay Logani, MDS
    Vijay Kumar, MDS

    2014 Jan/Feb; 62(1):e1.   

    This article presents a relatively new, very conservative technique known as surgical fenestration which is both diagnostic and curative, as well as minimally invasive and cost-effective. The technique involves partially excising the cystic lining, gently curetting the cystic cavity, performing copious irrigation, and closing the surgical site. This allows for decompression and gives the clinician freedom to take a biopsy of the lesion, as well as perform other procedures such as root resection and retrograde sealing, if required.

    Full Article (PDF)
  • All Ceramic Restorations Achieving optimal outcomes with all-zirconia crowns

    John Juel Christensen, DDS, FAGD

    2014 Jan/Feb; 62(1):e6.   

    Some all-zirconia crowns fabricated by CAD/CAM technology may come back to the dentist with unsatisfactory features. Dentists should carefully examine each crown under magnification prior to delivery to the patient. The dentist and dental laboratory should establish a close partnership to yield the most favorable outcome for the patient.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Nonaggressive central giant cell granuloma mimicking chronic inflammatory enlargement: a case report

    Lata Goyal, MDS
    Namita Gupta, BDS
    N.D. Gupta, MDS
    Afshan Bey, MDS

    2014 Jan/Feb; 62(1):e10.   Full article (PDF)

    Clinical behavior of lesions may vary between nonaggressive and aggressive forms, and even radiographic appearances are not identical. This case is presented to emphasize the importance of histopathologic examination to ensure proper diagnosis and treatment, as it resembled a variety of conditions clinically, but was diagnosed histopathologically as giant cell granuloma.
    Full Article (PDF)
  • Tobacco Cessation Smoking cessation practices in the dental setting

    Yoly M. Gonzalez, DDS, MS
    Elizabeth B. Lozier, MS, DDS

    2014 Jan/Feb; 62(1):e13.   Full article (PDF)

    Dentists can be effective in assessing their patients’ smoking status, health beliefs, and related behavior patterns. A total of 608 patients participated in this study. Of the 170 smokers who were assessed at baseline, successful follow-ups were performed with 64 (38%). Follow-up of these smokers indicated the 7-day abstinence quit rate was 22%. Among participants who received nicotine replacement therapy (NRT), 40% quit. Of the participants who did not receive NRT, 19% quit.
    Full Article (PDF)
  • Dental Materials Effect of moisture and moisture-insensitive primer on bond strength of composite resin to enamel and dentin

    Amit A. Jain, BDS
    Yeluri Ramakrishna, MDS
    Autar Krishen Munshi, MDS

    2014 Jan/Feb; 62(1):e17.   Full article (PDF)

    This article sought to compare the influence of moisture and the effect of moisture-insensitive primer (MIP) on shear bond strength (SBS). The use of MIP on contaminated etched tooth surfaces achieved comparable SBS to noncontaminated tooth surfaces and might have a role in restorative dentistry cases where moisture contamination is inevitable.
    Full Article (PDF)
  • All Ceramic Restorations Improved adhesion of Y-TZP ceramics: a novel approach for surface modification

    Aleska D Vanderlei, DDS, MSc
    Jose RC Queiroz, DDS, MSc
    Marco Antonio Bottino, DDS, PhD
    Luiz Felipe Valandro, DDS, MSc, PhD

    2014 Jan/Feb; 62(1):e22.   Full article (PDF)

    The aim of this study was to evaluate the effect of novel surface treatments of Y-TZP ceramics on initial shear bond strengths to resin cement. The results confirmed that the approach of coating surface-conditioned Y-TZP with a vitreous material increased the initial shear bond strength to resin cement.
    Full Article (PDF)
  • Anterior Composite Restorations Minimally invasive cosmetic dentistry: smile reconstruction using direct resin bonding

    Lucia Trazzi Prieto, DDS, MS
    Cintia Tereza Pimenta Araujo, DDS, MS
    Dayane Carvalho Ramos Salles de Oliveira, DDS, MS
    Sergio Lins de Azevedo Vaz, DDS, MS
    Maria Beatriz Freitas D’Arce, DDS, MS
    Luis Alexandre Maffei Sartini Paulillo, DDS, MS, PhD

    2014 Jan/Feb; 62(1):e28.   Full article (PDF)

    This article presents an approach for restoring and correcting functional, anatomic, and esthetic discrepancies with minimal intervention, using composite resins and a direct adhesive technique. This conservative restorative procedure provided the patient with maximum personal esthetic satisfaction.
    Full Article (PDF)
  • Prosthodontics/Removable Prosthetic rehabilitation of an edentulous patient with cleft palate

    Hugo Ramalho Sarmento, DDS, MSc
    Polyana Barbara Rodrigues, DDS
    Raissa Micaella Marcello Machado, DDS, MSc
    Luciana Rezende Pinto, DDS, MSc, PhD
    Fernanda Faot, DDS, MSc, PhD

    2014 Jan/Feb; 62(1):e32.   Full article (PDF)

    This case report presents the rehabilitation by conventional dental prostheses of a 52-year-old man with a cleft palate who had no prior treatment. The upper and lower arches were completely and partially edentulous, respectively. The treatment plan involved a conventional denture to be placed in the upper arch, and a removable partial denture to be placed in the lower arch.
    Full Article (PDF)
  • Computer designed/fabricated crowns Utilization of iTero digital impression unit for resin composite inlay

    Stephen A. Laman, DDS
    Gary N. Frey, DDS
    Shalizeh A. Patel, DDS
    Ryan L. Quock, DDS

    2014 Jan/Feb; 62(1):e36.   Full article (PDF)

    This case report is presented from the perspectives of clinicians and the laboratory technician using an iTero system to treat a left mandibular second premolar with a resin composite inlay. This system applies parallel confocal imaging to create a virtual impression that can be easily captured, edited, and uploaded electronically to the dental laboratory. CAD/CAM technology is applied to the virtual impression to create an unlimited number of identical polyurethane models.
    Full Article (PDF)