January/February 2015

Table of Contents


  • Editorial Top traits

    Roger D. Winland, DDS, MS, MAGD
    2015 Jan/Feb; 63(1):6.
    Full Article (PDF)
  • To the editor Outdated information?

    Mark Donaldson, BSP, RPH, PHARMD, FASHP, FACHE
    2015 Jan/Feb; 63(1):7. 
    Full Article (PDF)
  • Restorative Dentistry The crown to implant ratio in fixed prosthodontics

    Roger A. Solow, DDS
    2015 Jan/Feb; 63(1):10. 
    Full Article (PDF)
  • Endodontics Achieving and maintaining apical patency in endodontics: optimizing canal shaping procedures

    Rich Mounce, DDS
    2015 Jan/Feb; 63(1):14. 
    Full Article (PDF)
  • Answers Self-Instruction exercises No. 343, 344, and 345

    2015 Jan/Feb; 63(1):80.
    Full Article (PDF)

Clinical articles

  • Diagnosis and Treatment Planning Why the general dentist needs to know how to manage oral lichen planus

    Stephanie M. Price, DDS
    Valerie A. Murrah, DMD, MS
    2015 Jan/Feb; 63(1):16. 

    A literature review of over 1100 articles was performed that identified 12 major areas of concern regarding the management of oral lichen planus (OLP) by the general dentist. This article reviews those concerns and presents strategies for coping with the signs, symptoms, and complications associated with OLP, as well as educational approaches and legal considerations.

    Full Article (PDF)

    Microbiology Investigation of antibacterial efficacy of Acacia nilotica against salivary mutans streptococci: a randomized control trial

    Devanand Gupta, BDS, MDS
    Rajendra Kumar Gupta, PhD
    2015 Jan/Feb; 63(1):23.  

    This double-blind, randomized control trial sought to evaluate the clinical effects of 3 mouthrinses against salivary mutans streptococci (MS), chlorhexidine, Acacia nilotica, or saline water. The antibacterial action of A. nilotica against MS was similar to that of chlorhexidine.

    Full Article (PDF)
    Self-Instruction Exercise No. 361
  • Diagnosis and Treatment Planning Clinical considerations for selecting implant abutments for fixed prosthodontics

    Roger A. Solow, DDS
    2015 Jan/Feb; 63(1):30.  

    There are an overwhelming number of companies and components for dentists to choose from for implant-supported restorations. This article addresses the principles that guide implant abutment selection when treatment planning for fixed prosthodontics.

    Full Article (PDF)
  • Dental Materials Surgical repair of invasive cervical root resorption with calcium enriched mixture cement: a case report

    Saeed Asgary, DDS, MS
    Mahta Fazlyab, DDS, MS
    2015 Jan/Feb; 63(1):37. 

    Invasive cervical resorption (ICR) occurs in the cervical area of the teeth due to the formation of a soft tissue that progressively resorbs dentin. This article presents a case involving a mandibular canine that was treated with a calcium-enriched mixture (CEM) cement. As a biocompatible material, CEM has proven its ability in dentinogenesis, cementogenesis, and osteogenesis, and may prove to be a suitable biomaterial for treating ICR cases.

    Full Article (PDF)
  • Office Design Evaluation of 3 dental unit waterline contamination testing methods

    Nuala Porteous, BDS, MPH
    Yuyu Sun, PhD
    John Schoolfield, MS
    2015 Jan/Feb; 63(1):41.  

    Previous studies have found inconsistent results from testing methods used to measure heterotrophic plate count bacteria in dental unit waterline (DUWL) samples. This study compared the results obtained from an in-office chairside method and Standard Methods 9215C and 9215E. The results suggest that the Standard Method 9215E is not suitable for application to DUWL quality monitoring. The results also confirm that while the in-office chairside method is useful for DUWL quality monitoring, the Standard Method 9215C provided the most accurate results.

    Full Article (PDF)

    Anesthesia and Pain Control Local anesthetic calculations: avoiding trouble with pediatric patients

    Mana Saraghi, DMD
    Paul A. Moore, DMD, PhD, MPH
    Elliot V. Hersh, DMD, MS, PhD
    2015 Jan/Feb; 63(1):48.  

    As a missing person’s case gets colder, the need for dental records becomes more profound. Law enforcement needs the cooperation of organized dentistry to procure dental records, translate their findings, and upload them into the National Crime Information Center database for cross-matching with unidentified person records.

    Full Article (PDF)
    Self-Instruction Exercise No. 362
  • Forensic Dentistry The role of the dentist in identifying missing and unidentified persons

    Amber D. Riley, RDH, MS
    2015 Jan/Feb; 63(1):54.  

    This study sought to evaluate the cytotoxicity of 5 dentin bonding agents (Admira Bond, Adper Single Bond Plus, Clearfil SE Bond, Clearfil S3 Bond, and Heliobond). All 5 materials were evaluated as severely cytotoxic on the first day. With the exception of Adper Single Bond Plus, toxicity continued to Day 28 for all compounds. The utmost care must be taken to prevent contact between dental bonding agents and adjacent tissues.

    Full Article (PDF)
  • Non-Surgical Endodontics Nonsurgical endodontic treatment of permanent maxillary incisors with immature apex and a large periapical lesion: a case report

    Gautam P. Badole, MDS
    M.M. Warhadpande, MDS
    Rakesh N. Bahadure, MDS
    Shital G. Badole, BDS
    2015 Jan/Feb; 63(1):58.  

    This article reports the case of a nonvital tooth with a periapical lesion and an open apex that was treated with a single visit mineral trioxide aggregate apical plug. A radiographic evaluation taken 6 months post-treatment showed a decrease in the periapical lesion; at 1 year, complete healing was visible.

    Full Article (PDF)

    Fixed Removable Hybrid Prosthesis Stress analysis of mandibular implant-retained overdenture with independent attachment system: effect of restoration space and attachment height

    Behnaz Ebadian, DDS, MSc
    Saeid Talebi, MSc
    Niloufar Khodaeian, DDS, MSc
    Mahmoud Farzin, PhD
    2015 Jan/Feb; 63(1):61.  

    In this in vitro study, 2 implants were embedded in the interforaminal region of an acrylic model. Two kinds of retention mechanisms were used to construct complete overdentures: ball type and direct abutment (Locator). The results showed that by increasing vertical restorative space the maximum stress values around implants were decreased in both unilateral and bilateral loading models, and that a ball attachment seems to be more favorable in the stress distribution around an implant than a Locator attachment.

    Full Article (PDF)
    Self-Instruction Exercise No. 363
  • Oral Medicine, Oral Diagnosis, Oral Pathology p53 expression in oral lichenoid lesions and oral lichen planus

    A. Arreaza, MSc
    H. Rivera, MSc
    M. Correnti, PhD
    2015 Jan/Feb; 63(1):69. 

    This article compared the expression of p53 protein in oral lichen planus (OLP) and oral lichenoid reaction (ORL) in 65 patients. The results showed more p53 positive cases in the OLP group than in the OLR group, although this difference was not statistically significant.

    Full Article (PDF)
  • Dental Materials Effect of imaging powders on the bond strength of resin cement

    Christopher R. Jordan, DMD, MS
    Clifton W. Bailey, DDS
    Deborah L. Ashcraft-Olmscheid, DMD, MS
    Kraig S. Vandewalle, DDS, MS
    2015 Jan/Feb; 63(1):73.  

    In this study, the dentin surfaces of mounted human third molars were sprayed with 3 different imaging powders. The 3 powder groups were then divided into 3 subgroups based on rinsing duration: no rinse, 1 second, and 10 seconds. The groups that were rinsed for 1 or 10 seconds were not significantly different from each other or the nonpowdered control. The type of imaging powder did not significantly affect the bond strength. The nonrinsed powdered dentin surface group had a significant reduction in bond strength compared to the other 2 groups.

    Full Article (PDF)
  • Implant Maintenance Crestal approach for removing a migrated dental implant from the maxillary sinus: a case report

    Raid Sadda, DDS, MS, MFDRCSI
    2015 Jan/Feb; 63(1):78.  

    This article reports a rare case of a horizontally displaced dental implant that migrated into the maxillary sinus 6 months after 3 implants were inserted into the augmented maxillary posterior region.

    Full Article (PDF)
  • Cancer Screening Ameloblastic carcinoma of the mandible manifesting as an infected odontogenic cyst

    Adepitan A. Owosho, BChD
    Anitha Potluri, DMD
    Richard E. Bauer III, DMD, MD
    Elizabeth A. Bilodeau, DMD, MD, MSEd
    2015 Jan/Feb; 63(1):e1. 

    This article presents the case of a 69-year-old man with an ameloblastic carcinoma in the left body of the mandible. Radiographically, the lesion resembled an odontogenic cyst surrounding an impacted tooth. It is important that dentists rule out malignancy in lesions that do not display obvious radiographic features.

    Full Article (PDF)
  • Surgical Orthodontics A large dentigerous cyst treated with decompression and orthosurgical traction: a case report

    Rodrigo Dias Nascimento, PhD
    Fernando Vagner Raldi, PhD
    Michelle Bianchi de Moraes, PhD
    Paula Elaine Cardoso, PhD
    Deborah Holleben, DDS
    2015 Jan/Feb; 63(1):e5.  

    This article presents a case report of an 8-year-old patient who presented with a large radiolucency associated with the maxillary left canine and a supernumerary tooth. A decompression technique was selected to preserve the permanent canine. The supernumerary tooth was removed, followed by orthosurgical treatment to allow access for traction of the permanent canine. No recurrence was observed 5 years post-treatment.

    Full Article (PDF)
  • Dental Materials Impact of toothbrushing with a dentifrice containing calcium peroxide on enamel color and roughness

    Diala Aretha de Sousa Feitosa, DDS, MSc
    Boniek Castillo Dutra Borges, PhD
    Fabio Henrique de Sa Leitao Pinheiro, PhD
    Rosangela Marques Duarte, PhD
    Renato Evangelista de Araujo, PhD
    Rodivan Braz, PhD
    Maria do Carmo Moreira da Silva Santos, PhD
    Marcos Antonio Japiassu Resende Montes, PhD
    2015 Jan/Feb; 63(1):e9.  

    This in vitro study sought to evaluate both the potential bleaching and changes to average surface roughness (Ra) of enamel after brushing with a dentifrice. Fifty-four enamel specimens were treated with 1 of 3 dentifrices: 1 with calcium peroxide, and 2 without. Although the Ra increased in all groups after brushing, only the dentifrice containing calcium peroxide resulted in an increase in reflectance.

    Full Article (PDF)
  • Obturation Techniques Apical plug technique in a calcified immature tooth: a case report

    Kumar Raghav Gujjar, MDS
    Ratika Sharma, MDS
    Amith H.V., MDS
    Smitha Amith, MDS
    Indushekar K.R., MDS
    2015 Jan/Feb; 63(1):e12.  

    Traumatic injury to an immature tooth may result in pulpal necrosis secondary to pulp canal obliteration. This article describes an innovative apical plug technique with mineral trioxide aggregate in a calcified immature tooth using an ultrasonic tip and long, thin, tapered fissure burs.

    Full Article (PDF)
  • Diagnosis and Treatment Planning Central giant cell lesion: diagnosis to rehabilitation

    Ana Carolina Amorim Pellicioli, DDS
    Thieni Kaefer, DDS
    Marco Antonio Trevizani Martins, DDS, PhD
    Vinicius Coelho Carrard, DDS, PhD
    Manoela Domingues Martins, DDS, PhD
    2015 Jan/Feb; 63(1):e16.  

    This article describes a case of a 16-year-old boy with a palatal swelling which was diagnosed as a central giant cell lesion. Treatment involved a complete enucleation of the lesion and the removal of several teeth, with subsequemt rehabilitation with a removable prosthesis. There were no signs of recurrence over a 7-year period.

    Full Article (PDF)
  • Diagnosis and Treatment Planning Alveolar ridge splitting for implant placement: a review of the procedure and report of 3 cases

    Prakash S. Talreja, MDS
    Chandrashekhar R. Suvarna, BDS
    Preeti P. Talreja, MDS
    2015 Jan/Feb; 63(1):e20.  

    In long-standing edentulous cases, the alveolar bone generally demonstrates vertical and horizontal atrophy. Rehabilitating these patients with dental implants is difficult unless accompanied by some kind of augmentation procedure. This article offers a brief description of the alveolar ridge splitting technique along with 3 case reports.

    Full Article (PDF)
  • Prosthodontics/Removable Management of severe mandibular deviation following partial mandibular resection: a case report

    Husain Harianawala, BDS, MDS
    Mohit Kheur, BDS, MDS
    Supriya Kheur, BDS, MDS
    Jay Matani, BDS, MDS
    2015 Jan/Feb; 63(1):e24.  

    This article presents a case involving a 60-year-old man who sought prosthetic rehabilitation after a right segmental mandibulectomy. The rehabilitation involved the construction of a palatal ramp, followed by a mandibular guiding flange. After 4 months, the patient’s chewing ability, tongue movement, and facial esthetics were improved.

    Full Article (PDF)
  • Diagnosis of Oral Pathology Rare oral cartilaginous choristoma: a case report and review of the literature

    Marina Lara de Carli, DDS, PhD
    Felipe Fornias Sperandio, DDS, PhD
    Fernanda Rafaelly de Oliveira Pedreira, DDS
    Alessandro Antonio Costa Pereira, DDS, PhD
    Joao Adolfo Costa Hanemann, DDS, PhD
    2015 Jan/Feb; 63(1):e28.  

    This article presents a case of an oral cartilaginous choristoma lesion. Differential diagnoses and recently reported cases are reviewed. Following surgical excision, the lesion did not recur.

    Full Article (PDF)
  • Diagnosis and Treatment Planning Atypical presentation of salivary mucocele: diagnosis and management

    Kumar Nilesh, MDS
    Jagadish Chandra, MDS
    2015 Jan/Feb; 63(1):e32.  

    This article describes the case of a deeply embedded large mucocele over the buccal mucosa. Ultrasonography was used to visualize the size and position of the lesion, and aspiration was used to help in the eventual diagnosis. An intraoral approach was used in the complete removal of the lesion.

    Full Article (PDF)