July/August 2021

Table of Contents


  • Editorial The greater good

    Timothy F. Kosinski

    2021 July/August; 69(4):6.

    Full Article (PDF)
  • Esthetics Minimally invasive correction of a fractured anterior crown using combination treatment

    Wynn Okuda

    2021 July/August; 69(4):7-9.

    Full Article (PDF)
  • Prosthodontics Conversion of a bar overdenture to an attachment-only overdenture

    Samuel M. Strong

    2021 July/August; 69(4):10-13.

    Full Article (PDF)
  • Pharmacology Tramadol: what have we learned in the last 25 years?

    Mark Donaldson
    Jason H. Goodchild

    2021 July/August; 69(4):14-18.

    Full Article (PDF)
  • Oral Diagnosis Unilocular maxillary lesion and Painless lump on the mandible

    Galal Omami

    2021 July/August; 69(4):76,78.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD459, GD460, and GD461 from the July/August 2020 issue

    2021 July/August; 69(4):79.

    Full Article (PDF)

Clinical Articles


    Basic Science Evaluation of a mucoadhesive pilocarpine tablet for the treatment of xerostomia: a randomized, double-blind, crossover clinical trial

    George Mário de Araújo Silva Gusmão
    Patrícia Mendonça Borba
    Marcela de Aguiar Galindo
    Laura de Fátima Souto Maior
    Luiz Alcino Monteiro Gueiros
    Jair Carneiro Leão
    José Lamartine Soares Sobrinho
    Alessandra de Albuquerque Tavares Carvalho

    A randomized, double-blind, crossover clinical trial was conducted to evaluate the effectiveness of a mucoadhesive, controlled-release tablet of pilocarpine for the treatment of xerostomia in older adults. Tablets with or without pilocarpine relieved patients’ dry mouth symptoms and increased unstimulated salivary flow, but stimulated salivary flow was increased only when tablets containing pilocarpine were administered. 

    2021 July/August; 69(4):19-26.

    Full Article (PDF)
    Self-Instruction Exercise No. GD477

    Restorative Dentistry Use of smartphones and tablets in radiographic evaluation: accuracy of caries detection on bitewing radiographs

    Cristinne Andrade Melo
    Marcos Antônio Lima dos Santos
    Liciane dos Santos Menezes
    Francielle Santos de Santana
    Maria de Fátima Batista de Melo
    Wilton Mitsunari Takeshita

    This study compared the accuracy of tablet and smartphone displays to that of a calibrated LCD monitor for the detection of incipient caries on bitewing radiographs. The Pavilion dm1 notebook computer, iPhone 6s, Galaxy Gran2 Duos, iPad, and Galaxy Tab did not present statistically significant differences in diagnostic accuracy, suggesting that all of these displays can be used to detect incipient caries on bitewing radiographs. 

    2021 July/August; 69(4):28-34.

    Full Article (PDF)
    Self-Instruction Exercise No. GD478
  • Special Patient Care Pretransplantation and posttransplantation considerations in the oral healthcare of a patient with non-Hodgkin B-cell lymphoma: a case report

    Ross Teicher
    Marc Henschel

    This case report discusses considerations for oral rehabilitative treatment before and after hematopoietic stem cell transplantation in patients with non-Hodgkin B-cell lymphoma. The patient’s complicated medical history made dental treatment difficult, but careful attention to known considerations for patients undergoing stem cell therapy ensured maintenance of the patient’s oral health.

    2021 July/August; 69(4):36-40.

    Full Article (PDF)

    Esthetics/Cosmetic Dentistry Conservative approach to treating severe tetracycline staining: a 12-month follow-up

    Rafael Santos Rocha 
    Maurício Yugo de Souza 
    Victor Ruano 
    Eduardo Bresciani

    This case report describes minimally invasive treatment with a combination of at-home and in-office dental bleaching and direct restorations to improve the esthetics of tetracycline-stained teeth in a 44-year-old woman.

    2021 July/August; 69(4):41-44.

    Full Article (PDF)
    Self-Instruction Exercise No. GD479
  • Special Patient Care Association of anxiety, depression, and stress with burning mouth syndrome: a case-control study

    Cássia Emanuella Nóbrega Malta 
    Fábio Wildson Gurgel Costa 
    Camila Costa Dias 
    Anna Clara Aragão Matos Carlos 
    Fabrício Bitu Sousa 
    Paulo Goberlânio de Barros Silva 
    Carolina Rodrigues Teófilo

    Burning mouth syndrome (BMS) is a painful disorder involving severe burning in the oral cavity in the absence of clinical signs. In this study, 60 patients were allocated to 3 groups: patients with BMS, patients with benign changes in the oral cavity, or healthy patients. Anxiety was independently associated with a 123.8 times greater risk of having BMS.

    2021 July/August; 69(4):46-52.

    Full Article (PDF)
  • Basic Science An extrapyramidal reaction presenting as an acute temporomandibular episode: a case report

    William R. Bachand

    A patient with sudden onset of severe jaw muscle spasms, facial grimacing, and difficulty speaking was found to be experiencing an adverse reaction to prochlorperazine (Compazine), which can cause extrapyramidal reactions. This case highlights the importance of obtaining an accurate history and being aware of possible adverse effects of medications. 

    2021 July/August; 69(4):54-55.

    Full Article (PDF)
  • Periodontics Applying basic math to periodontal decision-making

    Ben Balevi

    This review provides an introduction to analysis of clinical measures of uncertainty and statistical concepts to aid clinicians in using evidence-based dentistry. 

    2021 July/August; 69(4):56-63.

    Full Article (PDF)
  • Oral and Maxillofacial Surgery Quality of life of patients following orthognathic surgery

    Gilberto Heinzmann
    João Paulo De Carli
    Silvana Alba Scortegagna
    Aline Hübner da Silva
    Alexandra Oliveira Keller
    Marcos Eugenio de Bittencourt
    Julia Zandoná
    Maria Salete Sandini Linden

    This study evaluated the quality of life of 10 patients who had undergone orthognathic surgery for a dentofacial deformity. The patients answered a variety of questionnaires on their physical, functional, psychological, and social status after orthognathic surgery, and analysis revealed that surgery resulted in improved quality of life.

    2021 July/August; 69(4):64-69.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Probability of oral complications of radiotherapy and chemotherapy for head and neck cancer

    Laís Heringer Mendes Coelho 
    Clarice Lima Alvares da Silva 
    Rebeca Cardoso Pedra 
    Lucas de Paula Lopes Rosado 
    Francielle Silvestre Verner 
    Sibele Nascimento de Aquino

    An analysis of the records of 400 patients who underwent radiotherapy, chemotherapy, or both for head and neck cancer revealed that 199 patients experienced oral complications associated with treatment. The risk increased when both therapies were performed. Associations were also found between the use of tobacco or alcohol and the rate of oral complications.

    2021 July/August; 69(4):70-74.

    Full Article (PDF)
  • Implants Titanium versus ceramic implants for overdentures: a meta-analysis of prospective studies

    Emily Vivianne Freitas da Silva
    Betina Chiarelo Commar
    Sandro Basso Bitencourt
    Liliane da Rocha Bonatto
    Daniela Micheline dos Santos
    Ana Beatriz Bueno Carlini Bittencourt
    Marcelo Coelho Goiato

    The aim of this study was to compare the use of titanium and ceramic implants for overdentures in terms of their failure rates, surface treatments, and marginal bone loss (MBL). The literature was searched using the PubMed, Scopus, and Cochrane databases up to October 2019. Clinical studies in which ceramic and titanium implants for overdentures were compared in terms of their failure rates, surface treatments, and MBL were included in the meta-analysis. The meta-analysis was performed based on the Mantel-Haenszel and inverse variance methods using a fixed-effects model and 95% confidence intervals. A total of 2747 publications were identified after the exclusion of duplicate articles. Fifteen were selected for full-text reading, and 2 were included in the review. Each of the 2 studies initially enrolled 24 patients, and a total of 38 patients (mean age of 62 years) were evaluated at the 1-year follow-up. A total of 112 titanium implants (success rate of 71.1%) and 146 ceramic implants (success rate of 65.9%) were placed. Twenty titanium implants failed, and an associated MBL of 0.15 mm was observed. For ceramic implants, 42 failures occurred, and an associated MBL of 0.33 mm was observed. Titanium implants provided better clinical results (less MBL and lower failure rate) for the support of overdentures than did ceramic implants. 

    2021 July/August; 69(4):e1-e5.

    Full Article (PDF)