May/June 2014

Table of Contents


  • Editorial Just doing it

    Roger D. Winland, DDS, MS, MAGD

    2014 May/Jun; 62(3):8.
    Full Article (PDF)
  • Prosthodontics Pushing the envelope? Immediately loaded, removable, unsplinted implant overdenture

    Samuel M. Strong, DDS

    2014 May/Jun; 62(3):10. 
    Full Article (PDF)
  • Esthetics Creating predictable success with invisible Class IVs

    Wynn Okuda, DMD, FAACD, FICD, FICOI

    2014 May/Jun; 62(3):13. 
    Full Article (PDF)
  • Pharmacology Co-administration of oral contraceptives and antibiotics used in dentistry

    Thomas A. Viola, CCP, RPh

    2014 May/Jun; 62(3):18.
    Full Article (PDF)
  • Ethics Well-intentioned or misguided?

    Toni M. Roucka, DDS, MA, FACD

    2014 May/Jun; 62(3):16.  
    Full Article (PDF)
  • Restorative Bonded anterior orthodontic retainers

    Roger A. Solow, DDS

    2014 May/Jun; 62(3):21. 
    Full Article (PDF)
  • Oral Diagnosis Erythematous nodule of lower lip. Retromolar mass.

    Douglas D. Damm, DDS

    2014 May/Jun; 62(3):77
    Full Article (PDF)
  • Answers Oral Diagnosis, Self-Instruction exercises No. 328, 329, 330, and Errata.

    2014 May/Jun; 62(3):78.  
    Full Article (PDF)

Clinical Articles

  • Microbiology The effect of sodium hypochlorite and ginger extract on microorganisms and endotoxins in endodontic treatment of infected root canals

    Marcia Carneiro Valera, DDS, MSc, PhD
    Lilian Eiko Maekawa, DDS, MSc, PhD
    Adriana Chung, DDS, MSc
    Flavia Goulart Rosa Cardoso, DDS, MSc
    Luciane Dias de Oliveira, DDS, MSc, PhD
    Carolina Lima de Oliveira, DDS
    Claudio Antonio Talge Carvalho, DDS, MSc, PhD

    2014 May/Jun; 62(3):25.  

    This in vitro study sought to evaluate the biomechanical action on microorganisms and endotoxins of sodium hypochlorite (NaOCl) and an intracanal medication containing Zingiber officinale, associated with calcium hydroxide. The results showed that the NaOCl eliminated 100% of root canal microorganisms and reduced endotoxins immediately and 7 days after preparation by 88.8% and 83.2%, respectively.
    Full Article (PDF)
  • Surgical Endodontics Concurrent intentional replantation of maxillary molars using a novel root-end filling

    Saeed Asgary, DDS, MS
    Ali Nosrat, DDS, MS

    2014 May/Jun; 62(3):30.  

    This article describes the successful concurrent intentional replantation of 2 maxillary molars. Teeth No. 14 and 15 were sensitive to percussion and palpation. Radiographs revealed a large periapical radiolucent lesion and inadequate root canal filling in both teeth. Tooth No. 14 was extracted, root-end resection and root-end preparation was completed, and the cavities were filled with calcium enriched mixture cement. The tooth was replanted, and the same procedure was done for tooth No. 15. Follow-ups revealed no signs of inflammation or resorption. The periapical lesion was healed at 24 months.

    Full Article (PDF)
  • Sports Dentistry & Mouthguards Role of mouthguards in reducing mild traumatic brain injury/concussion incidence in high school football athletes

    Jackson Winters, DDS
    Richard DeMont, PhD, CAT(C), ATC

    2014 May/Jun; 62(3):34.  

    The purpose of this randomized prospective study was to compare the impact of pressure-laminated (LM), custom-made, properly fitted MGs to over-the-counter (OTC) MGs on the MTBI/concussion incidence in high school football athletes over a season of play. There was a significant difference (P = 0.0423) with incidence rates of 3.6% and 8.3% in the LM MG and OTC MG groups, respectively.
    Full Article (PDF)

    Anatomy Proposal for clinical classification of multifactorial noncarious cervical lesions

    Kapil Loomba, BDS, MDS, FPFA
    Rhythm Bains, BDS, MDS
    Vivek Kumar Bains, BDS, MDS
    Anju Loomba, BDS, MDS

    2014 May/Jun; 62(3):39.  

    Noncarious cervical lesions often present with overlapping symptoms and have a multifactorial etiology. This article proposes a system based upon the clinical appearance of the lesion in order to derive simple, therapeutic, treatment-based classifications.
    Full Article (PDF)
    Self-Instruction Exercise No. 349

    Oral Medicine, Oral Diagnosis, Oral Pathology Distinguishing and diagnosing contemporary and conventional features of dental erosion

    Mohamed A. Bassiouny, PhD, DMD, MSc

    2014 May/Jun; 62(3):46.   

    Dental erosion associated with modern dietary habits can exhibit unique features that symbolize a departure from the decades old conventional image known as tooth surface loss. In this article, contemporary and conventional erosion lesions are distinguished from similar defects, such as mechanically induced wear, carious lesions, and dental fluorosis.
    Full Article (PDF)
    Self-Instruction Exercise No. 350
  • Diagnosis and Treatment Planning Unusual occurrence of missing central incisor: a case report

    Amit S. Date, MDS, PGCOI

    2014 May/Jun; 62(3):54.  

    This article presents a case involving a dilacerated and impacted maxillary central incisor, examines its probable etiology, and discusses the mechanism in terms of pertinent literature.
    Full Article (PDF)

    Caries Detection and Prevention Microtensile bond strength of etch-and-rinse and self-etch adhesives to artificially created carious dentin

    Maria Carolina G. Erhardt, DDS, MS, PhD
    Maristela Maia Lobo, DDS, MS, PhD
    Marcelo Goulart, DDS
    Fabio Herrmann Coelho-de-Souza, DDS, MS, PhD
    Thiago Assuncao Valentino, DDS, MS, PhD
    Jatyr Pisani-Proenca, DDS, MS, PhD
    Ewerton Nocchi Conceicao, DDS, MS, PhD
    Luiz Andre Freire Pimenta, DDS, MS, PhD

    2014 May/Jun; 62(3):56.  

    This article evaluates a pH-cycling model for simulation of caries-affected and caries-infected dentin (CAD and CID, respectively) surfaces, by comparing the bond strength of an etch-and-rinse and a self-etch adhesive system. For both adhesives, bonding to sound dentin (SD) showed that the microtensile bond strength (µTBS) values of SD, CAD, and CID were SD > CAD > CID (P < 0.05). The type of dentin and its histological structure played an important role in etch-and-rinse and self-etch bonding, as lower µTBS values were attained in CAD and CID.
    Full Article (PDF)
    Self-Instruction Exercise No. 351
  • Prevention/Diet/Nutrition Which is a stronger indicator of dental caries: oral hygiene, food, or beverages? A clinical study

    Poonam Jain, BDS, MS, MPH
    Julie J. Gary, MPH

    2014 May/Jun; 62(3):63.  

    This article presents a cross-sectional study of 76 people living in a fluoridated community. The amount of sugar-sweetened beverages and snack food consumed, plaque index, and age showed statistically significant relationships with the outcome variable—dental caries (P < 0.05). The results indicated that dietary factors and oral hygiene both contribute equally to dental caries in this study population. Sugar-sweetened beverage consumption was a much stronger indicator of dental caries than snack food consumption.
    Full Article (PDF)
  • Soft Tissue Surgery Changing the gingival color discrepancy induced by pigmented root using subepithelial connective tissue graft: a case report

    Marcelo Sirolli, MsC
    Josue Martos, PhD
    Flavia Sukekava, PhD, MSc
    Claudio Mendes Pannuti, PhD, MSc
    Joao Batista Cesar Neto, PhD, MSc

    2014 May/Jun; 62(3):69.  

    This article describes the case of a patient with gingival discoloration caused by root pigmentation in the maxillary area. A subepithelial connective graft was harvested from the palate.
    Full Article (PDF)
  • Implants Total rehabilitation of maxilla using a tooth-to-implant restoration: case report

    Andrea Araujo de Vasconcellos, DDS, MS, PhD
    Sergio Eduardo Henriques Feitosa, DDS, MS
    Francisco Mauro da Silva Girundi, DDS, MS

    2014 May/Jun; 62(3):73.  

    This case report describes the rehabilitation of a patient whose partially edentulous maxilla was treated with a tooth-to-implant restoration. In this case, telescopic crowns were used to better match the tooth-implant union. No biomechanical or functional problems were found 8 years post-treatment.
    Full Article (PDF)
  • Dentistry for the Medically Compromised CAD/CAM-fabricated telescopic prosthesis on periodontally compromised abutments of a patient undergoing bisphosphonate treatment for osteoporosis: a case report

    Wei-Shao Lin, DDS
    Bryan T. Harris, DMD
    Amirali Zandinejad, DDS, MSc
    Dean Morton, BDS, MS

    2014 May/Jun; 62(3):e1.

    This case report describes how a CAD/CAM-fabricated cobalt-chromium telescopic prosthesis was placed on periodontally compromised abutments of a 74-year-old woman actively undergoing oral and intravenous bisphosphonate treatment for osteoporosis.
    Full Article (PDF)
  • Partial Dentures An overlay partial denture to restore worn mandibular anterior teeth

    Asha Samant, DMD, MDS, BDS
    Peter DeSciscio, DMD

    2014 May/Jun; 62(3):e4.  

    This article describes an alternate treatment for a patient with a collapsed bite, missing posterior mandibular teeth, an ill-fitting complete maxillary denture with poor esthetics, and irregular, worn mandibular anterior teeth.
    Full Article (PDF)
  • Dental Materials Effect of surface treatment of brackets and mechanical cycling on adhesion to enamel

    Fabiola Rossato Arrais, DDS
    Felipe Degrazia, DDS, MSci
    Bernardo Urbanetto Peres, DDS
    Vilmar Antonio Ferrazzo, DDS, MSci, PhD
    Renesio Armindo Grehs, DDS, MSci, PhD
    Luiz Felipe Valandro, DDS, MSci, PhD

    2014 May/Jun; 62(3):e7.  

    This in vitro study evaluated how surface conditioning from bracket and mechanical cycling aging affected the bond strength and adhesive index between metallic brackets and bovine enamel. Mechanical cycling did not change bond strength to a statistically significant degree. Silicatization associated with a silanization treatment boosted the adhesive index. However, it also led to enamel fractures.
    Full Article (PDF)
  • Diagnosis and Treatment Planning RETRACTED: Diagnosis and management of cemental tear: a case report

    Hitesh Gupta, MDS
    Abhinay Puri, MDS
    Saru Kumar, MDS

    2014 May/Jun; 62(3):e12.  

    A 32-year-old man complained of swelling after an extraction in the left maxillary premolar area. The first premolar showed no caries while the second premolar had a crown. Histopathology revealed the fragment to be a cemental tear, associated typically with old age or trauma. Dentists should be aware of this rare entity in cases of noncarious odontogenic pain.
    Full Article (PDF)
  • Diagnosis of Oral Pathology Talon cusps occurring concurrently with dens invaginatus on a permanent maxillary lateral incisor: a case report and literature review

    Hakan Colak, DDS, PhD
    Cicek Yilmaz, DDS
    Hakan Keklik, DDS
    Tugba Colak, DDS, PhD

    2014 May/Jun; 62(3):e14.  

    This article presents a unique case of concurrent dens invaginatus and palatal and facial talon cusps in the right maxillary central incisor of a 12-year-old girl.
    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Palatogingival groove mimicking as a mutilated root fracture in a maxillary lateral incisor: a case report

    Kumar Vasanth, BDS
    Jojo Kottoor, MDS
    Suresh Nandini, MDS
    Natanasabapathy Velmurugan, MDS
    Mohan Abarajithan, MDS

    2014 May/Jun; 62(3):e19.  

    This article presents the case of a palatogingival groove (PPG) that was misdiagnosed as a mutilated root fracture. Transillumination, bite test, surgical site visualization, and high-end diagnostic modalities were not considered. PPG was confirmed only after the tooth was extracted and observed under a dental operating microscope.
    Full Article (PDF)