March/April 2017

Table of Contents


  • Editorial Stay balanced

    Roger D. Winland
    2017 Mar/Apr; 65(2):5. 
    Full Article (PDF)
  • Pharmacology The American Dental Association’s updated sedation and general anesthesia guidelines—is minimal sedation all about triazolam?

    Jason H. Goodchild
    Mark Donaldson
    2017 Mar/Apr; 65(2):6-11.
    Full Article (PDF)
  • Prosthodontics Three-appointment protocol for implant hybrid prosthetics: using digital dentistry to reduce time for patient and clinician

    Samuel M. Strong
    2017 Mar/Apr; 65(2):12-15.
    Full Article (PDF)
  • Pharmacology Intranasal tetracaine and oxymetazoline spray for maxillary local anesthesia without injections

    Mana Saraghi
    Elliot V. Hersh
    2017 Mar/Apr; 65(2):16-19. 
    Full Article (PDF)
  • Pain Management Neuropathic pain and tooth pain

    Christopher J. Spencer
    2017 Mar/Apr; 65(2):20-22.
    Full Article (PDF)
  • 2016 Reviewers General Dentistry expresses its gratitude for 2016 peer reviewers

    2017 Mar/Apr; 65(2):76-79. 
    Full Article (PDF)
  • Self-Instruction Answers Exercises No. 382, 383, and 384 from the March/April 2016 issue

    2017 Mar/Apr; 65(2):80. 
    Full Article (PDF)

Clinical Articles

  • Basic Science The effect of proanthocyanidins and chlorhexidine on the bond strength of glass fiber posts to root dentin

    Carla Cecilia Alandia-Román
    Sergio Augusto de Freitas Vincenti
    Francisca Daniele Jardilino Silami
    Renata Espíndola Silveira
    Gustavo da Col dos Santos Pinto
    Fernanda de Carvalho Panzeri Pires-de-Souza
    2017 Mar/Apr; 65(2):23-27. 

    In a study on the influence of different irrigant solutions—sodium hypochlorite (control), chlorhexidine (CHX), and grape seed extract (GSE)—applied before cementation, GSE and CHX improved the bond strength of glass fiber posts to root dentin.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Prevalence of pathologic findings in the floor of the maxillary sinuses on cone beam computed tomography images

    Aline Fernanda Almeida Da Silva
    Gontran Da Rocha Torres Fróes, Jr
    Wilton Mitsunari Takeshita
    Juliana Batista Melo Da Fonte
    Maria De Fátima Batista De Melo
    Saulo Leonardo Sousa Melo
    2017 Mar/Apr; 65(2):28-32.

    The maxillary sinuses of 500 subjects were analyzed by cone beam computed tomography to determine the prevalence of pathologic alterations. The most prevalent finding was mucosal thickening, followed by mucous retention pseudocyst, partial opacification, and total opacification. These anomalies may necessitate a modification in a treatment plan.

    Full Article (PDF)
  • Oral and Maxillofacial Surgery Nerve damage in dentistry

    M. Anthony Pogrel
    2017 Mar/Apr; 65(2):34-41.

    The records of a referral center with more than 30 years’ experience in managing dental nerve injuries are used to provide an overview of etiology, prevention, criteria for referral, and treatment.

    Full Article (PDF)
  • Basic Science Microwave radiation is effective at disinfecting dental stone surfaces without changing their physical properties

    Ariel José Bona
    Mauro Gustavo Amaral Brito
    José Augusto Rodrigues
    Daiane Cristina Peruzzo
    Fabiana Mantovani Gomes França
    2017 Mar/Apr; 65(2):42-46.

    Different microwave radiation regimens (3, 5, or 7 minutes’ exposure) were applied for disinfection of type IV dental stone surfaces, and the influence of these regimens on surface roughness and dimensional change was assessed. Exposure times of 5 and 7 minutes sterilized specimens exposed to Staphylococcus aureus, Escherichia coli, or Candida albicans. A 3-minute regimen successfully eradicated E coli and C albicans, but S aureus colonies were observed in 50% of Petri dishes. None of the regimens caused a significant difference in dimensions or surface roughness.

    Full Article (PDF)

    Cariology Effectiveness of casein phosphopeptide–amorphous calcium phosphate and lysozyme, lactoferrin, and lactoperoxidase in reducing Streptococcus mutans counts in dentinal caries

    Sérgio Luiz Pinheiro
    Giuliana Rodrigues Azenha
    Giovana Spagnolo Albamonte de Araujo
    Regina Maria Puppin Rontani
    2017 Mar/Apr; 65(2):47-50.

    The efficacy of casein phosphopeptide–amorphous calcium phosphate (CPP-ACP) was compared to that of the combined enzymes lysozyme, lactoferrin, and lactoperoxidase (LLL) in reducing Streptococcus mutans counts. There was no significant reduction in the numbers of S mutans after application of CPP-ACP, but a significant reduction of S mutans was observed after 3 applications of LLL.


    Full Article (PDF)
    Self-Instruction Exercise No. 400

    Appliance Therapy Anatomy of an occlusal splint

    Danny K. Crout
    2017 Mar/Apr; 65(2):52-59.

    This review incorporates principles of neurophysiology to assess several types of occlusal splint in relation to their design and function and discusses a unique occlusal splint with a design that is based on neurophysiology.

    Full Article (PDF)
    Self-Instruction Exercise No. 401
  • Endodontics Idiopathic external apical root resorption: clinical report of 2 cases

    Ricardo Machado
    Graziela Bianchi Leoni
    Pedro Yarid
    Antonio Miranda da Cruz-Filho
    Manoel Damião de Sousa-Neto
    2017 Mar/Apr; 65(2):62-65.

    Mineral trioxide aggregate was used in 2 patients for the treatment of mandibular molars with idiopathic external root resorption. Clinical and radiographic follow-up showed favorable results, including interrupted resorption and periradicular normality.

    Full Article (PDF)
  • Special Patient Care Oral health considerations in a patient with oligosymptomatic ectrodactyly–ectodermal dysplasia–cleft syndrome

    Gaurav Sharma
    Archna Nagpal
    2017 Mar/Apr; 65(2):66-69.

    This article presents a rare case of oligosymptomatic ectrodactyly–ectodermal dysplasia–cleft syndrome in a 19-year-old man who exhibited atypical dental findings but no cleft lip or palate.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Brown tumor: clinical findings of secondary hyperparathyroidism in patients with renal osteodystrophy

    Mairaira Teles Leão e Silva
    Juliana da Silva Barros Cedraz
    Caetano Guilherme Carvalho Pontes
    Cleverson Luciano Trento
    Bernardo Ferreira Brasileiro
    Marta Rabello Piva
    Fabiano Alvim Pereira
    2017 Mar/Apr; 65(2):70-74.

    A brown tumor is a nonneoplastic bony lesion associated with hyperparathyroidism and directly related to increased levels of parathyroid hormone. This article presents 3 cases of brown tumor localized in facial bones and details clinical strategies for diagnosis and management.

    Full Article (PDF)
  • Pediatric Dentistry Pediatric dentists’ perspective of general dentists’ role in treating children aged 0-3 years

    Julie M. Coe
    Shinjni Razdan
    Al M. Best
    Tegwyn H. Brickhouse
    2017 Mar/Apr; 65(2):e1-e6.

    A survey examined pediatric dentists’ perspectives on the types of dental services general dentists provide to children aged 0-3 years. Among the respondents, 58% agreed with general dentists’ providing an age 1 dental visit, but only 24% agreed with general dentists’ performing complex behavior management techniques, such as sedation, for very young patients.

    Full Article (PDF)
  • Periodontics Clinical assessment of the gingival contours and proximal contact areas in the maxillary anterior dentition

    Ranganath Venugopal
    Arshia Zainab A. Jameel Ahmed
    Ashish S. Nichani
    2017 Mar/Apr; 65(2):e7-e11.

    The gingival line angle (GLA), proximal contact area (PCA), and other gingival parameters were measured to provide esthetic guidelines for clinicians. The mean GLAs of the left and right sides differed significantly, and the mean PCA decreased from mesial to distal sites bilaterally. There was a significant positive correlation between the GLA and the PCA.

    Full Article (PDF)
  • Basic Science Microleakage and shear bond strength of a new sealant containing prereacted glass ionomer particles

    Samuel N. Durham
    Erik J. Meyers
    Clifton W. Bailey
    Kraig S. Vandewalle
    2017 Mar/Apr; 65(2):e12-e16.

    The microleakage and shear bond strength of a self-etching Giomer-based sealant (placed with or without phosphoric acid etching) were compared with those of a traditional resin sealant placed after phosphoric acid etching. When used alone, the Giomer system had significantly greater microleakage and lower bond strength than the traditional sealant or the Giomer material placed after acid etching.

    Full Article (PDF)
  • Basic Science Influence of previous acid etching on bond strength of universal adhesives to enamel and dentin

    Carlos Rocha Gomes Torres
    Rayssa Ferreira Zanatta
    Tatiane Josefa da Silva
    Maria Filomena Rocha Lima Huhtala
    Alessandra Bühler Borges
    2017 Mar/Apr; 65(2):e17-e21.

    Acid etching pretreatment did not affect the bond strength of composite resin bonded with either of 2 universal adhesive systems to dentin and enamel.

    Full Article (PDF)