March/April 2016

Table of Contents


Clinical Articles

  • Orthodontics Rapid maxillary expansion in a pediatric patient with exocrine pancreatic insufficiency

    Paulo Antônio Martins-Júnior, DDS, MSc, PhD
    Suzane Paixão-Gonçalves, DDS, MSc
    Maria Letícia Ramos-Jorge, DDS, MSc, PhD
    Leandro Silva Marques, DDS, MSc, PhD
    2016 Mar/Apr; 64(2):9-12.

    A 9-year-old patient with chronic pancreatic insufficiency, which can produce changes in craniofacial growth and development, was treated for posterior crossbite and anterior open bite. The dentition relapsed posttreatment, confirming the difficulty of promoting ossification in the median palatine suture.

    Full Article (PDF)
  • Dental Materials Doxycycline as a matrix metalloproteinase inhibitor to prevent bond degradation: the effect of acid and neutral solutions on dentin bond strength

    Hellen de Lacerda Oliveira, DDS, MSc
    Tamara Kerber Tedesco, DDS, MSc, PhD
    Leonardo Eloy Rodrigues-Filho, DDS, MDSc, PhD
    Fabio Zovico Maxnuck Soares, DDS, PhD
    Rachel de Oliveira Rocha, DDS, MDSc, PhD
    2016 Mar/Apr; 64(2):14-17.  

    A study evaluating the pH effect of acidic or neutral doxycycline solutions on the immediate dentin bond strength of a total-etch adhesive system found that the application of doxycycline did not influence bond strength.

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  • Operative (Restorative) Dentistry A 12-month clinical trial examining the effects of a surface sealant on Class I composite resin restorations

    Flavia Nahsan, DDS, MSc, PhD
    Linda Wang, DDS, MSc, PhD
    Karin Modena, DDS, PhD
    Luciana Francisconi-dos-Rios, DDS, MSc, PhD
    Luciana da Silva, DDS, MSc, PhD
    Marcela Calabria, DDS, MSc, PhD
    Leslie Casas-Apayco, DDS, MSc, PhD
    Rafael Francisco Lia Mondelli, DDS, MSc, PhD
    2016 Mar/Apr; 64(2):18-20.  

    A split-mouth, double-blind trial evaluated the effects of a surface sealant on the clinical performance of Class I composite resin restorations. Evaluations of marginal integrity, marginal discoloration, anatomical form, and secondary caries at 12 months revealed that the sealant did not improve clinical performance of the restorations.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Florid osseous dysplasia associated with multiple simple bone cysts: a patient with 22 years of follow-up

    Diego Tetzner Fernandes, DDS
    Débora Lima Pereira, DDS 
    Alan Roger Santos-Silva, DDS, PhD
    Pablo Agustin Vargas, DDS, PhD
    Márcio Ajudarte Lopes, DDS, PhD
    2016 Mar/Apr; 64(2):21-25. 

    Florid osseous dysplasia (FOD) usually presents as multiple radiopaque masses throughout the jaws. This article describes the characteristics of FOD over 22 years of follow-up.

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  • Dental Materials Influence of irradiance on Knoop hardness, degree of conversion, and polymerization shrinkage of nanofilled and microhybrid composite resins

    Ana Paula Piovezan Fugolin, DDS, MDS, PhD
    Lourenço Correr-Sobrinho, DDS, MDS, PhD
    Américo Bortolazzo Correr, DDS, MDS, PhD
    Mário Alexandre Coelho Sinhoreti, DDS, MDS, PhD
    Ricardo Danil Guiraldo, DDS, MDS, PhD
    Simonides Consani, DDS, MDS, PhD
    2016 Mar/Apr; 64(2):26-31

    The influence of irradiance on microhardness, degree of conversion (DC), and polymerization shrinkage on nanofilled and microhybrid composite resins was investigated. After light curing, nanofilled specimens showed greater hardness than did microhybrid specimens. The DC of the microhybrid composite was greater than that of the nanofilled material. Irradiance did not influence polymerization shrinkage.

    Full Article (PDF)
  • Operative (Restorative) Dentistry Fracture strength of the remaining dental structure after different cavity preparation designs

    Evisabel Siqueira Simões Teixeira, DDS, MSc
    Fabio Antonio Piola Rizzante, DDS, MSc
    Sérgio Kiyoshi Ishikiriama, DDS, MSc, PhD
    José Mondelli, DDS, MSc, PhD
    Adilson Yoshio Furuse, DDS, MSc, PhD
    Rafael Francisco Lia Mondelli, DDS, MSc, PhD
    Juliana Fraga Soares Bombonatti, DDS, MSc, PhD
    2016 Mar/Apr; 64(2):32-36.  

    The loss of tooth structure from maxillary and mandibular molars after cavity preparation was evaluated. Class II mesio-occlusodistal cavities for both indirect and direct restorations were prepared to one-half, one-third, or one-quarter the buccolingual interocclusal distance. Fracture resistance was lower and weight loss was greater in all indirect preparations.

    Full Article (PDF)
  • Cancer Screening Progression of gingival squamous cell carcinoma from early to late stage after invasive dental procedure

    Nicole V. Hinchy, DDS, MS
    Vijayvel Jayaprakash, MBBS, PhD
    Nestor Rigual, MD
    Mary Reid, PhD
    Jennifer L. Frustino, DDS, PhD
    Rachael Rossitto, DDS
    Adrienne Groman, MS
    Maureen A. Sullivan, DDS
    2016 Mar/Apr; 64(2):38-43.  

    Early presentation of gingival squamous cell carcinoma (GSCC) is at times misdiagnosed. Records of 32 GSCC patients who underwent an invasive dental procedure (IDP) before cancer diagnosis were compared to those of 26 GSCC patients who did not. Disease-specific mortality was comparable; however, surgical treatment was more extensive in the IDP group.

    Full Article (PDF)

    Psychosocial, Anxiety, & Fear in Dentistry Psychosocial impact of anterior dental esthetics on periodontal health, dental caries, and oral hygiene practices in young adults

    Deborah Solomon, DDS
    Ralph V. Katz, DDS
    Anneke C. Bush, ScD, MHS
    Victoria K. Farley, DDS
    Trevor J. McGerr, DDS
    Hoon Min, DMD
    Anthony M. Carbonella, DMD
    Joseph D. Kayne, DDS
    2016 Mar/Apr; 64(2):44-50. 

    Subjects were assessed and given a questionnaire to measure their self-perception of variables related to dental esthetics, including the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). High PIDAQ scores indicate a negative self-image. Subjects with higher PIDAQ scores tended to have higher levels of caries and gingival inflammation.

    Full Article (PDF)
    Self-Instruction Exercise No. 383
  • Cephalometrics Photogrammetric analysis of facial profile in Persian adults

    Abdolreza Jamilian, DDS, MS
    Alireza Darnahal, DDS
    Roya Hamedi, DDS, MS
    Zinat Kamali, MS
    Shabnam Toopchi, DDS
    2016 Mar/Apr; 64(2):52-55.  

    The purpose of this study was to establish norms of photogrammetric soft tissue profile analysis for Persian adults. Statistically significant sexual dimorphism was found for the nasofrontal, nasal, nasal dorsum, cervicomental, facial convexity, and total facial convexity angles.

    Full Article (PDF)
  • Dental Materials Mechanical properties of silorane-based and methacrylate-based composite resins after artificial aging

    Denise Tornavoi de Castro, DDS
    César Penazzo Lepri, PhD
    Mariana Lima da Costa Valente, DDS
    Andréa Cândido dos Reis, PhD
    2016 Mar/Apr; 64(2):56-59.

    When a silorane-based composite resin was compared to conventional composite resins before and after accelerated artificial aging, the compressive strength of the silorane-based composite was among the lowest obtained, both before and after aging. The aging process did not influence compressive strength.

    Full Article (PDF)
  • Esthetic/Cosmetic Dentistry Esthetic rehabilitation with tooth bleaching, enamel microabrasion, and direct adhesive restorations

    Douglas Machado Bezerra-Júnior
    Luciana Mendonça Silva, PhD
    Leandro de Moura Martins, PhD
    Flávia Cohen-Carneiro, PhD
    Danielson Guedes Pontes, PhD
    2016 Mar/Apr; 64(2):60-64.

    A combination of dental bleaching techniques, enamel microabrasion, and resin restorations was a successful and conservative choice for reestablishing the natural appearance of discolored teeth in a 26-year-old man.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Congenital labial mucocele: rare presentation of a common disease

    Igor Henrique Silva, DDS, PhD
    Samantha Cardoso, DDS, MSc
    Camila Nunes Carvalho, DDS, MSc
    Alessandra de Albuquerque Tavares Carvalho, DDS, PhD
    Jair Carneiro Leão, DDS, PhD
    Luiz Alcino Gueiros, DDS, PhD
    2016 Mar/Apr; 64(2):65-67.  

    Oral mucoceles, characterized by accumulation of mucus following rupture of a minor salivary gland duct, are common, but congenital mucoceles are rare. This case report describes a congenital mucocele of the lower lip in a 3-month-old infant.

    Full Article (PDF)

    Dental Materials Properties of dual-cure, bulk-fill composite resin restorative materials

    Jon Peter Vandewalker, DDS, MS
    Jeffery A. Casey, DDS
    Todd A. Lincoln, DDS, MS
    Kraig S. Vandewalle, DDS, MS
    2016 Mar/Apr; 64(2):68-73. 

    The properties of 2 new dual-cure, bulk-fill restorative composites were compared to those of a hybrid composite. Compared to the hybrid composite, the dual-cure composites had unlimited depth of cure, similar fracture toughness and porosity formation, and greater polymerization shrinkage and microleakage.

    Full Article (PDF)
    Self-Instruction Exercise No. 384
  • Partial Dentures A minimally invasive approach for a compromised treatment plan

    Wayne W. Maibaum, MA, DMD, FAGD
    2016 Mar/Apr; 64(2):e1-e4.  

    A creative, minimally invasive approach enabled a patient who lost a critical abutment tooth to keep his existing removable partial overdenture and avoid the need for a full reconstruction or complete denture.

    Full Article (PDF)
  • Endodontics Influence of alveolar bone level on the pull-out bond strength of fiber-reinforced composite posts to root dentin

    Amanda Maria de Oliveira Dal Piva, DDS
    Fernanda Campos, DDS, MSc
    Maria Luiza Lima Alves, DDS
    Rafael Santiago Sousa, DDS
    Júlia Magalhães da Costa Lima, DDS, MSc, PhD
    Rodrigo Othávio Assunção Souza, DDS, MSc, PhD
    2016 Mar/Apr; 64(2):e5-e8.  

    This study on 60 bovine teeth evaluated the influence of alveolar bone level and type of cement on pull-out bond strength between fiber-reinforced composite posts and root dentin. Neither alveolar bone level nor type of cement had an effect on the pull-out bond strength.

    Full Article (PDF)
  • Endodontics Efficacy of different techniques for removal of calcium hydroxide–chlorhexidine paste from root canals

    Carlos Henrique Ribeiro Camargo, DDS, PhD
    Flávia Martins Leal, DDS, MSc
    Gleyce Oliveira Silva, DDS, MSc, PhD
    Tatiana Rocha de Oliveira, DDS, MSc
    Paloma Grasso Madureira, DDS
    Samira Esteves Afonso Camargo, DDS, MSc, PhD
    2016 Mar/Apr; 64(2):e9-e12.  

    In a study evaluating the efficacy of different techniques for removal of combined calcium hydroxide [Ca(OH)2] and chlorhexidine paste from root canals, remnants of Ca(OH)2 were found in all experimental groups, regardless of the removal technique used. Overall, the NaviTip FX irrigation needle technique was more efficient in removing Ca(OH)2.

    Full Article (PDF)
  • Dental Materials Effect of artificial aging on the surface roughness and microhardness of resin-based materials

    M. Jacinta M.C. Santos, DDS, MSc, PhD
    Heleine Maria Chagas Rêgo, DDS, MSc
    Anuradha Mukhopadhyay, DDS
    Mai El Najjar, DDS
    Gildo C. Santos, Jr, DDS, MSc, PhD
    2016 Mar/Apr; 64(2):e13-e17. 

    Microhardness and surface roughness of resin-modified glass ionomers (RMGIs) and a composite resin (CR) with or without sealant were assessed before and after aging. After aging of unsealed specimens, roughness values were significantly higher in RMGIs but not CR. Sealant groups showed increased roughness after aging.

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  • Endodontic Infections Persistent infection by Staphylococcus epidermidis in endodontic flare-up: a case report

    Simone Helena Ferreira Gonçalves, DDS, PhD
    Rafaela Andrade de Vasconcelos, DDS, MSc
    Bruno das Neves Cavalcanti, DDS, PhD
    Carlos Henrique Ribeiro Camargo, DDS, PhD
    2016 Mar/Apr; 64(2):e18-e21. 

    After many unsuccessful attempts to resolve an endodontic infection in a maxillary canine, a microbial culture of the root canal detected the presence of Staphylococcus epidermidis. An antibiogram determined the best drug combination to control the infection.

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  • Dental Materials Effect of a surface sealant on the color stability of composite resins after immersion in staining solution

    Lauana Borges Pedroso, DDS
    Luma Franciélle Cabreira Barreto, DDS
    Leonardo Lamberti Miotti, DDS, MS
    Gabriel Ferreira Nicoloso, DDS
    Leticia Brandão Durand, DDS, MS, PhD
    2016 Mar/Apr; 64(2):e22-e25.  

    The influence of sealant on the color stability of nanofilled (NF) and microhybrid (MH) composite resins was evaluated in vitro. Sealant improved the color stability of specimens immersed in coffee. Unsealed MH specimens had better color stability than unsealed NF specimens.

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