January/February 2017

Table of Contents


  • Editorial The dwindling middle class

    Roger D. Winland
    2017 Jan/Feb; 65(1):6.
    Full Article (PDF)
  • Minimally Invasive Dentistry Peripheral rim fractures: diagnose early and restore definitively

    Mark I. Malterud
    2017 Jan/Feb; 65(1):8-11.
    Full Article (PDF)
  • Endodontics Endodontics: beyond the basics

    Nathan Dinsbach
    2017 Jan/Feb; 65(1):12-14.
    Full Article (PDF)
  • Pain Management Tooth pain: how to approach difficult to diagnose cases

    Christopher J. Spencer
    2017 Jan/Feb; 65(1):15-18.
    Full Article (PDF)
  • Restorative Dentistry Direct composite resin onlays: rationale and clinical application

    Roger A. Solow
    2017 Jan/Feb; 65(1):19-24. 
    Full Article (PDF)
  • Prosthodontics Removable prosthetics for the medically compromised patient

    Samuel M. Strong
    2017 Jan/Feb; 65(1):25-27.
    Full Article (PDF)
  • Self-Instruction Answers Exercises No. 379, 380, and 381 from the January/February 2016 issue

    2017 Jan/Feb; 65(1):79.
    Full Article (PDF)

Clinical Articles

  • Oral Medicine, Oral Diagnosis, Oral Pathology Associated aneurysmal bone cyst and cemento-osseous dysplasia: a case report and review of the literature

    Willian Pecin Jacomacci
    João Paulo Veloso Perdigão
    Vanessa Cristina Veltrini
    Gustavo Jacobucci Farah
    Elen de Souza Tolentino
    Lilian Cristina Vessoni Iwaki
    Liogi Iwaki Filho
    2017 Jan/Feb; 65(1):28-32.

    After excision of an asymptomatic mandibular lesion that had tested positive for serosanguineous fluid, microscopic examination revealed a hybrid focal cemento-osseous dysplasia and aneurysmal bone cyst, a previously unreported association. Although fibrous-osseous lesions do not require intervention, surgical excision is recommended when they are associated with cysts.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Chemical burn to the gingiva after misuse of an over-the-counter oral whitening mouthwash

    John K. Brooks
    2017 Jan/Feb; 65(1):34-36. 

    When gingival chemical burns developed in a patient who failed to follow manufacturer’s instructions to rinse with water following the use of a tooth whitening mouthrinse, successful resolution of the injury was achieved through product withdrawal and saline rinses. Patients should be familiar with manufacturer’s instructions for over-the-counter oral healthcare products and be advised to use such products cautiously.

    Full Article (PDF)

    Implants Locator retention: does variation in number and configuration matter?

    Monica J. Cayouette
    Logan Barnes
    Karen McPherson
    Gregory J. Wright
    2017 Jan/Feb; 65(1):37-40.

    In this pilot study examining overdenture attachment retention, Locator attachments were tested in 4 different configurations: 6 implants, 4 implants (in 2 different configurations), and 2 implants. The 6-implant configuration exhibited the greatest retentive strength. The 4-implant configurations had strengths similar to each other, and both exhibited greater retention than the 2-implant arrangement.

    Full Article (PDF)
    Self-Instruction Exercise No. 397
  • Prosthodontics (Removable) Treatment of refractory complete edentulism: a case report

    Lajja Patel
    Elizabeth A. Clemente
    James F. Skiba
    2017 Jan/Feb; 65(1):42-46. 

    Dental implant therapy can treat complete edentulism of the mandible predictably and successfully, but many patients cannot accept this approach due to medical or financial limitations. This case report describes advanced, traditional denture construction protocols that should be considered for these patients.

    Full Article (PDF)

    All Ceramic Crowns Translucency and strength of high-translucency monolithic zirconium oxide materials

    Todd D. Church
    Jeffrey P. Jessup
    Villa L. Guillory
    Kraig S. Vandewalle
    2017 Jan/Feb; 65(1):48-52.

    Four monolithic zirconium oxide materials (BruxZir Shaded 16 and BruxZir HT, Lava Plus, and inCoris TZI C) were compared to a lithium disilicate monolithic glass-ceramic material (IPS e.max CAD HT). Although the zirconium oxide materials were not as translucent as lithium disilicate at similar thicknesses, they were as translucent when compared at clinically recommended thicknesses. In addition, the flexural moduli and flexural strengths of the zirconia materials were significantly greater than those of lithium disilicate.

    Full Article (PDF)
    Self-Instruction Exercise No. 398
  • Oral Medicine, Oral Diagnosis, Oral Pathology Clinicopathologic correlation: mixed-density lesion in the posterior mandible

    Aram Sun
    Pallavi Parashar
    James J. Closmann
    2017 Jan/Feb; 65(1):54-57.

    This clinicopathologic correlation presents the radiographic, clinical, and histopathologic findings, the differential diagnosis, and the treatment plan for a mixed-density lesion of the left posterior mandible of a middle-aged man. The lesion was deemed to be of bacteriologic origin, likely a polymicrobial infection containing actinomycetes.

    Full Article (PDF)
  • Pharmacotherapeutics What every dentist should know about opioids

    Lara M. Seidman
    Patricia A. Tordik
    Nasir Bashirelahi
    2017 Jan/Feb; 65(1):58-61.

    Since dentists frequently prescribe opioids, they should be well educated on the uses and effects of these drugs. This article discusses the consequences of long-term opioid use, how to identify signs of dependence, and how to prevent future abuse.

    Full Article (PDF)

    Dental Materials Chitosan incorporated in a total-etch adhesive system: antimicrobial activity against Streptococcus mutans and Lactobacillus casei

    Marcelo Figueiredo Lobato
    Cecilia Pedroso Turssi
    Flávia Lucisano Botelho do Amaral
    Fabiana Mantovani Gomes França
    Roberta Tarkany Basting
    2017 Jan/Feb; 65(1):62-66.

    Although cavities treated with an experimental adhesive system containing chitosan (0.2% and 0.5%) showed significantly fewer Streptococcus mutans and Lactobacillus casei than the negative control group, the concentrations of chitosan did not influence the antimicrobial effect; results were similar to those of a 2-step adhesive system.

    Full Article (PDF)
    Self-Instruction Exercise No. 399
  • Restorative Dentistry Influence of polishing on surface roughness following toothbrushing wear of composite resins

    Karine Battestin Dalla-Vecchia
    Talita Damas Taborda
    Deborah Stona
    Heloísa Pressi
    Luiz Henrique Burnett Júnior
    Sinval Adalberto Rodrigues-Junior
    2017 Jan/Feb; 65(1):68-74.

    When 4 composite resin materials were polished with various polishing systems and subjected to simulated toothbrushing cycles, surface roughness was affected by type of composite and polisher but not by toothbrushing time. However, surface roughness was affected by the interaction among composite, polisher, and toothbrushing time.

    Full Article (PDF)
  • Basic Science Significant shear bond strength improvements of a resin-modified glass ionomer cement with a resin coating

    Michael T. Stallings
    Daniel C. Stoeckel
    Kenneth G. Rawson
    Dan B. Welch
    2017 Jan/Feb; 65(1):75-78. 

    The results of shear testing and fracture analysis suggested that addition of a resin surface coating protected a resin-modified glass ionomer cement from moisture- and temperature-induced damage and increased shear bond strength.

    Full Article (PDF)
  • Endodontics Surgical resolution of an aggressive iatrogenic root perforation in a maxillary central incisor: a case report with a 4-year follow-up

    Ricardo Machado
    Marcelo Agnoletto
    Eduardo Donato Eing Engelke Back
    Luiz Fernando Tomazinho
    Fabricio Abel Paganini
    Luiz Pascoal Vansan
    2017 Jan/Feb; 65(1):e1-e4.

    An aggressive iatrogenic root perforation in a maxillary central incisor was managed surgically with mineral trioxide aggregate, which induced new bone formation and reestablished gingival and periodontal health, subsequently confirmed at follow-up examinations.

    Full Article (PDF)
  • Periodontics Novel use of calcium phosphosilicate synthetic graft material for treatment of a palatoradicular groove associated with an osseous defect: a case report

    Prabhuji M.L.V.
    Rishi Dhamija
    Shaeesta Khaleelahmed
    2017 Jan/Feb; 65(1):e5-e8.

    Palatoradicular grooves (PRGs) are morphologic defects that are predisposing factors for periodontal disease. This case report describes the successful use of calcium phosphosilicate graft material to manage advanced periodontal destruction associated with a PRG in the maxillary right lateral incisor.

    Full Article (PDF)
  • Special Patient Care Dental care in patients with antiphospholipid syndrome: two case reports

    Karine Cestaro Mesquita
    Carolina Rodrigues Teófilo
    João Paulo Veloso Perdigão
    Fabrício Bitu Sousa
    Ana Paula Negreiros Nunes Alves
    Wagner Araújo de Negreiros
    Mário Rogério Lima Mota
    2017 Jan/Feb; 65(1):e9-e13.

    Antiphospholipid syndrome (APS) is a prothrombotic autoimmune disease that is treated with oral anticoagulant, antiplatelet, and/or immunosuppressant drugs. This report describes the successful dental treatment of 2 women who had APS.

    Full Article (PDF)
  • Implants Influence of indexed abutments on the fracture resistance of internal conical dental implants

    Karla Zancopé
    Caio César Dias Resende
    Lucas do Nascimento Tavares
    Flávio Domingues das Neves
    2017 Jan/Feb; 65(1):e14-e16.

    A bending test revealed that the presence of a prosthetic abutment index did not influence the resistance to fracture of Morse taper dental implants.

    Full Article (PDF)
  • Periodontics Repositioning of a pathologically migrated tooth using autologous platelet-rich plasma: a case report with 3-year follow-up

    Karthikeyan B.V.
    Divya Khanna
    Prabhuji M.L.V.
    2017 Jan/Feb; 65(1):e17-e21.

    This case report describes the successful use of autologous platelet-rich plasma in conjunction with open flap debridement to aid in the repositioning of a pathologically migrated anterior tooth.

    Full Article (PDF)