July/August 2016

Table of Contents


  • Editorial Renewal

    Roger D. Winland
    2016 Jul/Aug; 64(4):5.
    Full Article (PDF)
  • Restorative Dentistry Corralling the Class II composite resin restoration

    Henry A. St. Germain, Jr
    2016 Jul/Aug; 64(4):6-9.
    Full Article (PDF)
  • Minimally Invasive Dentistry Pushing it to the limits

    Mark I. Malterud
    2016 Jul/Aug; 64(4):10-13.
    Full Article (PDF)
  • Oral Diagnosis Mandibular radiopacity and Red lesion of ventral tongue

    Douglas D. Damm
    2016 Jul/Aug; 64(4):77-78.
    Full Article (PDF)
  • Self-Instruction Answers Exercises No. 370, 371, and 372 from the July/August 2015 issue

    2016 Jul/Aug; 64(4):79.
    Full Article (PDF)

Clinical articles


    Dentistry for the Medically Compromised Dental surgical management of the patient with hemophilia

    Amana Farrkh
    Emilia Garrison
    James J. Closmann
    2016 Jul/Aug; 64(4):14-17.  

    The dental surgical management of 2 patients with hemophilia is described, and therapies and local measures to attain hemostasis in patients with bleeding disorders are reviewed.

    Full Article (PDF)
    Self-Instruction Exercise No. 388
  • Basic Science What every dentist should know about coffee

    Lara M. Seidman
    Kelsey N. Eckenrode
    Ira T. Bloom
    Nasir Bashirelahi
    2016 Jul/Aug; 64(4):20-23.

    This review of recent research on the systemic and oral health effects of coffee finds that many of its supposed harmful effects have been disproved, while many protective and beneficial roles for coffee are emerging.

    Full Article (PDF)
  • Special Patient Care Effect of occlusal calculus utilized as a potential “biological sealant” in special needs patients with gastric feeding tubes: a qualitative in vitro contrast to pit and fissure sealant restorations

    Barry M. Owens
    Harry K. Sharp
    Emily E. Fourmy
    Jeffrey G. Phebus
    2016 Jul/Aug; 64(4):24-29. 

    Marginal microleakage of intact occlusal calculus of primary molars extracted from a patient with a gastric feeding tube was compared with microleakage of pit and fissure sealants in calculus-free molars from a prior study. Observations indicated that calculus may serve as a “natural” occlusal surface sealant, rendering its removal from occlusal surfaces unnecessary in some patients.

    Full Article (PDF)
  • Endodontics Maintenance of pulpal vitality in a tooth with deep caries: a case report

    Maria de Lourdes de Andrade Massara
    Warley Luciano Fonseca Tavares
    Antônio Paulino Ribeiro Sobrinho
    2016 Jul/Aug; 64(4):30-32.

    Conservative stepwise excavation was used to successfully treat a mature permanent tooth that exhibited deep caries and apical periodontitis. At the 4-year follow-up, the tooth remained functional, presenting normal color and satisfactory restoration.

    Full Article (PDF)

    Dental Materials Biocompatibility of a restorative resin-modified glass ionomer cement applied in very deep cavities prepared in human teeth

    Diana Gabriela Soares
    Fernanda Gonçalves Basso
    Débora Lopes Sales Scheffel
    Elisa Maria Aparecida Giro
    Carlos Alberto de Souza Costa
    Josimeri Hebling
    2016 Jul/Aug; 64(4):33-40. 

    This study assessed the biocompatibility of a resin-modified glass ionomer cement when used as a liner in very deep cavities. While Vitremer caused persistent pulpal damage, 2 liner cements, Vitrebond and Dycal, were found to be biocompatible.

    Full Article (PDF)
    Self-Instruction Exercise No. 389
  • Endodontics Conservative management of external root resorption after tooth reimplantation: a 3-year follow-up

    Franciny Querobim Ionta
    Gabriela Cristina de Oliveira
    Catarina Ribeiro Barros de Alencar
    Priscilla Santana Pinto Gonçalves
    Murilo Priori Alcalde
    Paloma Gagliardi Minotti
    Maria Aparecida de Andrade Moreira Machado
    Daniela Rios
    2016 Jul/Aug; 64(4):42-46.  

    When a 9-year-old patient suffered external root resorption after avulsion and reimplantation of the permanent maxillary left lateral incisor, the root canal was obturated with gutta percha and mineral trioxide aggregate. The 3-year recall examination revealed no mobility, soft tissue alterations, or progression of resorption.

    Full Article (PDF)
  • Basic Science Shear bond strength comparison of implant-retained overdenture attachment pickup materials

    Monica J. Cayouette
    Logan Barnes
    Jompobe Vuthiganon
    Karen McPherson
    2016 Jul/Aug; 64(4):47-50. 

    This study compared the shear bond strengths of 4 retentive materials for chairside pickup of implant attachments. A secondary goal was to compare the shear bond strengths of a retentive material and a traditional polymethyl methacrylate resin to metal housings.

    Full Article (PDF)

    Soft Tissue Surgery Do we need keratinized mucosa for a healthy peri-implant soft tissue?

    Nasrin Esfahanizadeh
    Niloufar Daneshparvar
    Sara Motallebi
    Nasrin Akhondi
    Farinaz Askarpour
    Sotudeh Davaie
    2016 Jul/Aug; 64(4):51-55.

    This study assessed the impact of the width of keratinized mucosa (WKM) on periodontal parameters, including modified bleeding index, modified plaque index, modified gingival index, and gingival recession, and found that an association does exist between the WKM and peri-implant soft tissue health. A minimum of 2 mm of keratinized mucosa is recommended.

    Full Article (PDF)
    Self-Instruction Exercise No. 390
  • Basic Science The effect of preheating and opacity on the sorption and solubility of a composite resin

    Fabrício Luscino Alves de Castro
    Flávia Bittencourt Pazinatto
    Érick de Lima
    Paulo Francisco Cesar
    Rogério Vieira Reges
    2016 Jul/Aug; 64(4):57-61

    A study evaluating the influence of material opacity and preheating on a composite resin demonstrated that preheating at 60°C reduced both the sorption and solubility of the composite, but the opacity only affected the results for a specific shade of the material.

    Full Article (PDF)
  • Special Patient Care Risk-benefit assessment for antibiotic prophylaxis in asplenic dental patients

    Heba Hussein
    Ronald S. Brown
    2016 Jul/Aug; 64(4):62-65.

    Antibiotic prophylaxis guidelines for the asplenic dental patient have changed over the last 30 years. While antibiotic prophylaxis is not routinely indicated prior to dental procedures for asplenic adult dental patients without risk factors, it should be considered for young children, immunocompromised patients with underlying disease, or any patient during the first 3 years after a splenectomy.

    Full Article (PDF)
  • Basic Science Adopting caries risk assessment in all practice environments

    Claire Mills
    Piyush Patel
    2016 Jul/Aug; 64(4):66-72.  

    This review article summarizes clinical studies demonstrating that caries management by risk assessment effectively predicts dental caries development and accurately outlines appropriate treatment options and preventive strategies that can reduce the morbidity of this common disease process.

    Full Article (PDF)
  • Endodontics Management of progressive apical root resorption 13 years after dental trauma and primary endodontic treatment

    Ricardo Machado
    Luiz Fernando Tomazinho
    Roseani Magagnin
    Emmanuel João Nogueira Leal Silva
    Luiz Pascoal Vansan
    2016 Jul/Aug; 64(4):74-76.

    This case report describes the successful use of mineral trioxide aggregate for management of progressive apical root resorption in a previously traumatized and endodontically treated tooth.

    Full Article (PDF)
  • Prosthodontics (Fixed) Effect of surface treatments of porcelain on adhesion of Candida albicans

    Shirin Lawaf
    Arash Azizi
    Azin Farzad
    Parvaneh Adimi
    2016 Jul/Aug; 64(4):e1-e4.

    To assess the effects of different surface treatments on adhesion of Candida albicans to porcelain, porcelain discs received no surface treatment or were glazed, overglazed, or polished. Adhesion of C albicans was lowest in the overglazed group, and polishing provided a surface as smooth as a glazed surface.

    Full Article (PDF)
  • Special Patient Care Effect of a dedicated oral care program on periodontal status of medically compromised patients at the Toronto Rehabilitation Institute Dental Clinic

    Robert Schlosser
    Trudy Hebbes
    2016 Jul/Aug; 64(4):e5-e9. 

    A study in medically compromised patients with gingival inflammation demonstrated that toothbrushing alone, with water but without toothpaste, improved the health of gingival tissues and reduced the biofilm. The addition of an antibiotic solution to the toothbrush increased healing and further reduced bacteria.

    Full Article (PDF)
  • Basic Science Composite resin bond strength to caries-affected dentin contaminated with 3 different hemostatic agents

    Maryam Khoroushi
    Moeen Hosseini-Shirazi
    Foroozan Farahbod
    Fatemeh Keshani
    2016 Jul/Aug; 64(4):e11-e15. 

    An in vitro study found that contamination of both sound and caries-affected dentin with hemostatic agents decreased composite resin bond strength, although ViscoStat Clear had a less detrimental effect than either ViscoStat or trichloroacetic acid.

    Full Article (PDF)