Table of Contents
Editorial Pieces of the puzzleTimothy F. KosinskiFull Article (PDF)
Ethics Civility as a function of leadershipToni M. RouckaFull Article (PDF)
Pharmacology Acetaminophen: how safe is it?Mark DonaldsonFull Article (PDF)
Jason H. Goodchild
2021 Reviewers General Dentistry expresses its gratitude to 2021 peer reviewers2022 March/April;70(2):74-77.Full Article (PDF)
Oral Diagnosis Yellowish papillary lesion and Exposed hard tissueTanya M. GibsonFull Article (PDF)
Self-Instruction Answers Exercises No. GD471, GD472, and GD473 from the March/April 2021 issue2022 March/April;70(2):79.Full Article (PDF)
Clinical Articles: Focus on Oral and Systemic Cancers
Oral Medicine, Oral Diagnosis, Oral Pathology Accuracy of leukoplakia diagnoses: a retrospective studySamantha NelsonFull Article (PDF)
This retrospective study aimed to assess the diagnostic accuracy of clinicians identifying leukoplakia and the diagnostic terminology used to indicate leukoplakic lesions. The percentage of histologically correct diagnosis of leukoplakia improved over the years studied, but clinicians continued to misclassify identifiable pathoses such as lichen planus, lichenoid mucositis, and fibroma as leukoplakia.
Self-Instruction Exercise No. GD489
Oral Medicine, Oral Diagnosis, Oral Pathology Peri-implant squamous cell carcinoma mimicking peri-implantitis: a case reportFazele Atarbashi-MoghadamFull Article (PDF)
Hassan Mir Mohammad Sadeghi
This article presents the case of a patient with a peri-implant oral squamous cell carcinoma (OSCC) mimicking peri-implantitis. After implant removal did not resolve a radiolucency around a loosened implant, histopathologic and immunohistochemical analyses of biopsy specimens resulted in a diagnosis of OSCC, highlighting the importance of the differential diagnosis for early detection of OSCC.
Oral Medicine, Oral Diagnosis, Oral Pathology Review of oral mucositis treatment guidelines with an emphasis on laser therapyChristopher J. WalinskiFull Article (PDF)
Sabrina M. Mellusi
Ashley E. Brodeur
Meade van Putten
This article summarizes the findings of systematic reviews conducted by the Multinational Association of Supportive Care in Cancer and the International Society of Oral Oncology on interventions to prevent and treat oral mucositis arising from radiotherapy and chemotherapy. A case of oral mucositis treated with lasers is presented to illustrate a promising new treatment.
Self-Instruction Exercise No. GD490
Oral Medicine, Oral Diagnosis, Oral Pathology Adenocarcinoma of mammary origin in the maxillary gingiva: a case report and brief literature reviewAna Carolina dos Santos MenezesFull Article (PDF)
Lísia Daltro Borges Alves
Fernanda Vieira Heimlich
Rachel de Carvalho Silveira de Paula Fonseca
Héliton Spíndola Antunes
Débora Lima Pereira
This case report describes a patient with previously diagnosed and treated invasive ductal breast carcinoma who developed a metastatic lesion in the maxillary gingiva. In addition, a literature review discusses articles pertaining to metastatic breast cancer manifestations in the gingiva.
Oral Medicine, Oral Diagnosis, Oral Pathology Essentials of oral manifestations of leukemia for the dental practitionerPatricia BarrosFull Article (PDF)
Mohammed N. Islam
Sarah G. Fitzpatrick
Donald M. Cohen
Saja A. Alramadhan
This retrospective case series describes the oral manifestations of leukemia to aid in the earlier diagnosis or recognition of relapse. In this cohort of 10 patients, 6 cases occurred in men, and the mean age of the patients was 58 years. The gingiva was the most frequently biopsied site. Importantly, 4 of the patients (40%) had no prior diagnosis of leukemia.
Oral Medicine, Oral Diagnosis, Oral Pathology Oral soft tissue manifestation of multiple myeloma after kidney transplantation: a case reportNicole PiscatelliFull Article (PDF)
This case report describes oral soft tissue lesions as the first signs of multiple myeloma following a solid-organ transplantation. Awareness of the patient’s medical history and an understanding of the maxillofacial manifestation of multiple myeloma are important to ensure diagnosis in the early stages of disease.
Oral Medicine, Oral Diagnosis, Oral Pathology Scleroderma and multiple teeth with invasive cervical resorption: is there a connection?Jonathan E. JournoFull Article (PDF)
Karl F. Woodmansey
Ryan M. Walsh
Invasive cervical resorption occurred in multiple teeth in a patient with scleroderma, a chronic connective tissue disease. This case report details the findings of imaging studies and discusses the possible relationships between these diseases.
Self-Instruction Exercise No. GD491
Oral Medicine, Oral Diagnosis, Oral Pathology Sublingual varicosity as a possible indicator of hypertensionMaryam BaharvandFull Article (PDF)
The aim of this study was to investigate whether an association exists between the severity of sublingual varices and the presence of hypertension. Logistic regression analysis showed that patients with more pronounced sublingual varicosity had a greater risk of hypertension than did patients with few varices.
Implants Stability of mandibular implants with Morse taper and external hexagon connections placed under immediate loading: a longitudinal clinical studyOriana Elara Barelli PaganelliFull Article (PDF)
Pâmela Letícia Santos
Valfrido Antonio Pereira Filho
This clinical study compared the stability of mandibular implants with Morse taper and external hexagon connections placed under an immediate loading protocol. The results suggested that both Morse taper and external hexagon prosthetic connections provide good stability for immediate functional loading.
Oral Medicine, Oral Diagnosis, Oral Pathology Spontaneous medication-related osteonecrosis of the jaw: a bimodal treatment approachJoseph A. DeBenedictisFull Article (PDF)
Spontaneous medication-related osteonecrosis of the jaw was successfully treated with a bimodal nonsurgical and surgical approach in a patient with a complicated medical history and multiple medical considerations. The initial nonsurgical approach allowed time for the influence of antiresorptive medication to dissipate and ensured optimal conditions for surgery.
Basic Science Cone beam computed tomography in the detection of reactional osteogenesis of the maxillary sinus: a case reportBrunno Santos de Freitas SilvaFull Article (PDF)
Andressa Hajjar Daher
Amanda Luysa Roriz Pinto
Eduarda Helena Souza e Silva
Rogério Ribeiro de Paiva
Wilson José Mariano-Júnior
Fernanda Paula Yamamoto-Silva
This case report describes reactional osteogenesis associated with the residual roots of the maxillary left first molar. Volumetric analysis established the diagnosis and facilitated removal of the focus of infection associated with the reactional bone formation. Three-dimensional imaging examinations of the maxillary sinus are crucial in the presence of infectious processes in the posterior region of the maxilla.
Periodontics Role of professional expertise in the decision-making process for periodontally compromised teethNatan MeclerFull Article (PDF)
Rafael Martins Rodrigues
Alexandre Marques Paes da Silva
Antônia Cristiane Fernandes
Bernardo Mattos Almeida
Lucio de Souza Gonçalves
Dennis de Carvalho Ferreira
To evaluate factors that may influence decision-making about the treatment of periodontally compromised teeth, researchers presented dental students and dentists with 2 clinical scenarios, including radiographs. For the majority of participants, the decision in both scenarios was to maintain the compromised teeth rather than extract; however, the results suggested that that the years of experience of the individual and the specialty of the practitioner can influence decision-making.
Endodontics Multidisciplinary management of a type III palatoradicular groove: an atypical presentationJaganathan VijayakumarFull Article (PDF)
This article describes the management of a maxillary lateral incisor with complicated anatomy. After unsuccessful endodontic treatment, radiography revealed a palatoradicular groove and an accessory root. Spiral computed tomography confirmed that the accessory root had no root canal, so it was maintained in retreatment, and the groove in the main root was saucerized and restored with glass ionomer cement.