March/April 2023

Table of Contents


  • Editorial Goals for gratification

    Timothy F. Kosinski

    2023 March/April; 71(2):6.

    Full Article (PDF)
  • Ethics Honoring professional obligations while avoiding people-pleasing

    Toni M. Roucka

    2023 March/April; 71(2):8-9.

    Full Article (PDF)
  • Restorative Dentistry Quantified mounted diagnostic casts for orthodontic-restorative codiagnosis

    Roger A. Solow

    2023 March/April; 71(2):10-14.

    Full Article (PDF)
  • Public Health Role of general dentists in addressing head and neck squamous cell carcinoma

    Larry N. Williams

    2023 March/April; 71(2):15-16.

    Full Article (PDF)
  • Pharmacology Diphenhydramine: a hidden gem in dentistry

    Mark Donaldson
    Jason H. Goodchild

    2023 March/April; 71(2):17-21.

    Full Article (PDF)
  • 2022 Reviewers General Dentistry expresses its gratitude to 2022 peer reviewers

    2023 March/April;71(2):75-77.

    Full Article (PDF)
  • Oral Diagnosis Gingival mass and Bluish tongue nodule

    Tonya M. Gibson

    2023 March/April; 71(2):78,80.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD489, GD490, and GD491 from the March/April 2022 issue

    2023 March/April; 71(2):79.

    Full Article (PDF)

Clinical Articles - Focus on Oral and Systemic Cancers

  • Oral Medicine, Oral Diagnosis, Oral Pathology Approaches to the diagnosis of secretory carcinoma of the salivary glands: a case series and review

    Eduarda Carolina Ronchi Hermann
    Ana Guadalupe Gama-Cuellar
    Katya Pulido Díaz
    Rogério Gondak

    Secretory carcinoma is a salivary gland neoplasm with morphologic and immunohistochemical characteristics similar to those of breast secretory carcinoma, and the tumors share the same fusion gene, ETV6::NTRK3. Since molecular analysis is not always feasible, the definitive diagnosis of secretory carcinoma can be established based on a combination of the morphologic findings and immunohistochemical profiles, which are reviewed in this article.

    2023 March/April; 71(2):23-27.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Mucoepidermoid carcinoma of the palate mimicking a pyogenic granuloma in a 30-year-old woman

    Daniele Sorgatto Faé
    Iara Vieira Ferreira
    Thayná Melo de Lima Morais
    Celeste Sanchez-Romero
    Celso Henrique Najar Rios
    Sibele Nascimento de Aquino

    A lesion on the palate of a 30-year-old woman was initially treated as a pyogenic granuloma, but histopathologic analysis established a diagnosis of low-grade mucoepidermoid carcinoma. Some malignant tumors can mimic nonneoplastic reactive lesions clinically, and biopsy of suspicious lesions and proper microscopic analysis of the resulting specimens are important to avoid late diagnosis.

    2023 March/April; 71(2):28-31.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Adenoid cystic carcinoma presenting as a midpalatal nodular mass with slow growth and long evolution: a case report with review of differential diagnosis

    Justin Chan
    Angela C. Ritchie
    Michael E. Sovanich
    Neetha Santosh

    This article covers an uncommon case of an adenoid cystic carcinoma with a reported clinical presentation of 10 years. The nodular mass on the patient’s palate had increased in size over the previous year, causing dull pain. Immunohistochemical staining confirmed that the mass was cancerous, and it was surgically removed.  

    2023 March/April; 71(2):32-35.

    Full Article (PDF)

    Oral Medicine, Oral Diagnosis, Oral Pathology Prosthetic rehabilitation after hemimaxillectomy: a case report

    Cinthia Berenice Bañaga Cabrera
    Jesús Manuel Romero Muñoz 
    Miguel Ángel Carrillo Collado
    Gabriel Muñoz Salcido
    Jorge Armando López-Mendoza
    Hemersson Khoval Mandujano Law
    Sibelli Olivieri Parreiras 
    Andrés Felipe Cartagena

    A 68-year-old woman received a diagnosis of oral squamous cell carcinoma involving the hard palate. The hemimaxillectomy procedure for tumor resection created a defect on the left side of the palate. This case report describes the patient’s cancer treatment from presurgical planning to final rehabilitation with a conventional obturator and subsequent follow-up care for 1 year.

    2023 March/April; 71(2):36-41.

    Full Article (PDF)
    Self-Instruction Exercise No. GD507
  • Basic Science Effect of a cross-linking antioxidant agent on the bond strength of adhesive resin to irradiated dentin

    Fereshteh Shafiei
    Mehrdad Mehrzadi
    Mohsen Bakhshandeh
    Maryam S. Tavangar

    This study assessed the effects of epigallocatechin-3-gallate (EGCG) pretreatment, time of bonding (24 hours vs 1 month postradiotherapy), and bonding technique (etch-and-rinse vs self-etching) on the bond strength of adhesive to irradiated dentin. EGCG pretreatment used with an etch-and-rinse technique significantly increased bond strength in irradiated dentin, but delayed bonding had no effect.  

    2023 March/April; 71(2):43-47.

    Full Article (PDF)

Clinical Articles


    Orthodontics Interdisciplinary management of an adult orthodontic patient: a case report and literature review

    Lina Sharab
    Ahmad Kutkut
    Joseph Van Sickels

    The purpose of this article is to describe the case of a 29-year-old woman who changed her treatment goals during the course of orthodontic treatment. This report highlights treatment options, outcomes, and avoidable mistakes for this type of complex case involving high esthetic demands.

    2023 March/April; 71(2):48-57.

    Full Article (PDF)
    Self-Instruction Exercise No. GD508

    Basic Science Novel chairside spectrometer-trained system for measuring the irradiance of light-curing units

    Douglas C. Holmes
    Wen Lien
    Christopher J. Raimondi
    Wyeth L. Hoopes
    Kraig S. Vandewalle

    This study evaluated a novel chairside spectrometer-trained system (CheckUp) for measuring irradiance of light-curing units compared to other radiometers and gold standard devices. The CheckUp results presented the highest correlation with the gold standard devices and the lowest absolute percent difference from their measurements. 

    2023 March/April; 71(2):59-63.

    Full Article (PDF)
    Self-Instruction Exercise No. GD509
  • Periodontics Advances in separation methods for the use of platelet-rich fibrin in tissue repair: an integrative review

    Roberto Felipe dos Santos
    Jorge Alexandre Araújo Peres
    Marcia Silva Queiroz

    This integrative review provides an analysis of the literature on plasma concentrates such as platelet-rich fibrin and platelet-rich plasma. Improvements in platelet formulations and production protocols have led to better isolation of cells and growth factors and more promising results in tissue repair. 

    2023 March/April; 71(2):65-69.

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  • Pediatric Dentistry Pediatric erythema multiforme induced by topical imiquimod: a case report

    Ana C. P. Lobo
    Milena S. Moraes
    Neli Pieralisi
    Elen S. Tolentino

    Erythema multiforme (EM) is a rare immune-mediated reaction with mucocutaneous involvement. A 9-year-old girl developed EM after use of imiquimod, a topical immunomodulator used to treat some dermatologic conditions. The lesions resolved with supportive therapy after discontinuation of imiquimod. Clinicians should be aware that topical imiquimod can induce EM.

    2023 March/April; 71(2):70-74.

    Full Article (PDF)