November/December 2013

Table of Contents

Special section on oral and maxillofacial surgery

  • Guest Editorial Those who ignore the evidence are doomed to misuse it

    Thomas B. Dodson, DMD, MPH
    2013 Nov/Dec; 61(7):22. 
    Full Article (PDF)
  • Diagnosis and management of antiresorptive-related osteonecrosis of the jaw

    Salvatore L. Ruggiero, DMD, MD, FACS

    Antiresorptive medications have proven to be extremely efficacious in the treatment of disorders of bone remodeling and metabolism. However, the benefits of these agents have been offset to some degree by the occurrence of jaw necrosis in a subset of patients receiving these medications. Recent studies have made significant progress toward understanding antiresorptive-related osteonecrosis of the jaw.

    2013 Nov/Dec; 61(7):24.
    Full Article (PDF)
  • The role of the general dentist in the management of obstructive sleep apnea, application of oral appliance therapy, and the indication for surgery

    Shaunda Kelly, DMD, MD
    Peter Waite, DDS, MD, MPH

    The general dentist can play an important role in the recognition and initial diagnosis of patients with obstructive sleep apnea syndrome. This article will provide a greater understanding of the pathophysiology, diagnosis, indications, risks, and benefits of treatments available so that dental practitioners can make better treatment recommendations.

    2013 Nov/Dec; 61(7):30.  

    Full Article (PDF)
  • Facial rejuvenation using neurotoxins and injectable fillers

    Joe Niamtu III, DMD

    This paper reviews some of the most common injectable cosmetic treatments with an emphasis on dental-related applications. The safe and effective administration of injectable fillers and neurotoxins require a command of head and neck anatomy and physiology, pain control, and injection expertise, which puts dentistry in an optimal position for providing these treatments.

    2013 Nov/Dec; 61(7):38. 

    Full Article (PDF)
  • The role of dental care providers and oral and maxillofacial surgeons in the surgical and medical management of oral cancer in the United States

    Beomjune B. Kim, DMD, MD
    Dongsoo D. Kim, DMD, MD, FACS

    This article discusses the role of dental care providers in routine oral cancer screenings, smoking cessation, treatment and rehabilitation of oral cancer patients, and the role of oral and maxillofacial surgeons in the surgical and medical management of oral cancer patients.

    2013 Nov/Dec; 61(7):47. 

    Full Article (PDF)
  • Sedation in the oral and maxillofacial surgery office

    Stuart E. Lieblich, DMD

    With the administration of appropriate local anesthetics, most dental procedures can be accomplished without eliciting pain. However, even with a complete blockade of pain, the pressure and noises associated with a surgical tooth extraction makes it intolerable for many patients to consider the procedure without being “asleep.”

    2013 Nov/Dec; 61(7):54. 

    Full Article (PDF)


  • Editorial Home Run

    Roger D. Winland, DDS, MS, MAGD

    2013 Nov/Dec; 61(7):8. 

    Full Article (PDF)
  • Minimally Invasive Dentistry Stairway to health: an MIBD approach

    Mark Malterud, DDS, MAGD

    2013 Nov/Dec; 61(7):10. 

    Full Article (PDF)
  • Pediatrics Upper airway obstruction in the pediatric patient

    Jane A. Soxman, DDS

    2013 Nov/Dec; 61(7):13. 

    Full Article (PDF)
  • Pharmacology Combination ibuprofen and acetaminophen analgesic products for dental pain management

    Thomas A Viola, RPh, CCP

    2013 Nov/Dec; 61(7):14. 

    Full Article (PDF)
  • Ethics ‘I’ll trade you one’

    Toni M. Roucka, DDS, MA, FACD

    2013 Nov/Dec; 61(7):16.  

    Full Article (PDF)
  • Esthetics Minimal invasive correction of the darkened anterior tooth

    Wynn Okuda, DMD, FICD, FICOI

    2013 Nov/Dec; 61(7):18.

    Full Article (PDF)
  • Answers Self-Instruction exercises No. 291, 292, 293, 294, 295, 296, and Errata

    2013 Nov/Dec; 61(7):80. 
    Full Article (PDF)

Clinical Articles


    Operative (Restorative) Dentistry Comprehensive restoration and mandibular incisor esthetic exposure: a clinical report

    Roger A. Solow, DDS

    Provisional restorations can be adjusted and recorded so that the final restorations are predictably successful. This case report illustrates the use of a trial incisal edge and digital videography of a provisional restoration to facilitate correct placement of a mandibular incisal plane.

    2013 Nov/Dec; 61(7):59. 

    Full Article (PDF)
    Self-Instruction Exercise No. 340

    Tooth Whitening/Bleaching Effect of remineralizing agents on the bleaching efficacy of gels

    Alessandra Buhler Borges, DDS, PhD
    Rafaela Lantyer Marques Dantas
    Taciana Marco Ferraz Caneppele, DDS, PhD
    Alexandre Luis Souto Borges, DDS, PhD
    Carlos Rocha Gomes Torres, DDS, PhD

    This study sought to investigate the efficacy of hydrogen peroxide (HP) gel after the addition of calcium and fluoride, and found that adding either of these remineralizing agents to 7.5% and 35% HP gels did not interfere with their whitening effect and that both concentrations tested offered similar bleaching outcomes.

    2013 Nov/Dec; 61(7):67. 

    Full Article (PDF)
    Self-Instruction Exercise No. 341

    Dental Materials Bond strength of silorane- and methacrylate-based composites to resin-modified glass ionomers

    Christopher S. Nuttall, DDS, MS
    Kraig S. Vandewalle, DDS, MS
    Jeffery A. Casey, DDS
    Kent A. Sabey, DDS

    This study evaluated the shear-bond strength of a resin-modified glass ionomer (RMGI) restorative material to a new silorane-based composite and a methacrylate-based composite in a sandwich technique with various combinations of surface treatments and bonding agents. The greatest bond strengths to the RMGI were produced when using the silorane system adhesive agent with the methacrylate composite.

    2013 Nov/Dec; 61(7):73. 

    Full Article (PDF)
    Self-Instruction Exercise No. 342
  • Dental Materials Effect of artificial accelerated aging on the optical properties and monomeric conversion of composites used after expiration date

    Lucas da Fonseca Roberti Garcia, DDS, MSc, PhD
    Fabrício Mariano Mundim, DDS, MSc
    Fernanda de Carvalho Panzeri Pires-de-Souza, DDS, MSc, PhD
    Regina Maria Puppin Rontani, DDS, MSc, PhD
    Simonides Consani, DDS, MSc, PhD

    This study sought to evaluate how artificial accelerated aging (AAA) affected color stability, opacity and degree of conversion (DOC) for 3 composites (Tetric Ceram, Tetric Ceram HB, and Tetric Flow). It was concluded that both expiration date and AAA affected the properties of the composites tested.

    2013 Nov/Dec; 61(7):e1. 

    Full Article (PDF)
  • Veneers Effects of 2 polishing techniques and reglazing on the surface roughness of dental porcelain

    Jacqueline Schneider, DDS
    Bruna Marjorie Dias Frota, DDS, MSD
    Vanara Florencio Passos, DDS, MSD, PhD
    Sergio Lima Santiago, DDS, MSD, PhD
    Karina Matthes de Freitas Pontes, DDS, MSD, PhD

    The aim of this study was to compare the effect of 2 polishing systems and reglazing of dental porcelain on surface roughness. Significant differences were found between the ground and treated values for all groups. The silicon carbide system re-established the initial surface smoothness, while polishing with diamond rubber or reglazing alone were not able to achieve a satisfactory smoothness.

    2013 Nov/Dec; 61(7):e6. 

    Full Article (PDF)
  • Dental Materials Bond strength and stability of 3 luting systems on a zirconia-dentin complex

    Sebnem Begum Turker, DDS, PhD
    Mutlu Ozcan, PhD
    Gamze Mandali, DDS, PhD
    Isil Damla, DDS
    Burcu Bugurman, DDS
    Luiz Felipe Valandro, PhD

    This study compared the bond strength and stability of 3 different cements: glass ionomer (GI), resin-modified glass-ionomer (RMGI), and a resin cement containing 10-methacryloyloxydecyl dihydrogen phosphate (MDP) to a zirconia ceramic crown. The MDP cement promoted better adhesion between dentin and the zirconia ceramic.

    2013 Nov/Dec; 61(7):e10. 

    Full Article (PDF)
  • Complete Dentures Use of a permanent soft denture liner in the retromylohyoid eminence and knife-edge ridge areas of the mandible to aid in retention and stability: a case report

    Maritza Mendez, DMD
    Christina Lee, DDS

    This article presents a case involving a patient who could not tolerate traditional dentures. A silicone-based permanent soft denture liner, which provides less discomfort when the denture is inserted or removed from the mouth, was utilized in the knife-edge ridge and retromylohyoid areas of the mandible.

    2013 Nov/Dec; 61(7):e14. 

    Full Article (PDF)
  • Surgical Endodontics Surgical management of invasive cervical resorption using resin-modified glass ionomer cement

    Warley Luciano Fonseca Tavares, DDS, PhD
    Renata Carvalho Portes Lopes, MSc
    Ricardo Reis Oliveira, DDS, PhD
    Rodrigo Goncalves de Souza, DDS
    Luiz Carlos Feitosa Henriques, DDS, PhD
    Antonio Paulino Ribeiro Sobrinho, DDS, PhD

    This case report involved an invasive Class III cervical resorption resulting from trauma to the superior right central incisor. Root canal treatment was followed by surgical intervention. The resorptive defect was debrided, and part of the tooth was restored with resin-modified glass ionomer cement. Postoperative follow-up revealed complete healing and healthy gingival attachment.

    2013 Nov/Dec; 61(7):e16. 

    Full Article (PDF)
  • Dental Materials Effect of water storage and surface treatment on the microshear bond strength of different luting cements to zirconia

    Carla Castiglia Gonzaga, DDS, PhD
    Fernanda de Lima Ramos, DDS
    Ana Paula Mendes, DDS
    Gisele Maria Correr, DDS, MSc, PhD
    Patrício Runnacles, DDS, MSc
    Karen Akemi Fukushima, DDS, MSc
    Paulo Francisco Cesar, DDS, MSc, PhD

    This study sought to determine the microshear bond strength of 4 luting cements to zirconia subjected to water storage and surface treatment. Surface treatment increased the bond strength to zirconia for 3 of the 4 cements tested. Even after a relatively long period of water storage, the results indicated that surface treatment did not significantly decrease the bond strength values for the same 3 cements.

    2013 Nov/Dec; 61(7):e19.  

    Full Article (PDF)
  • Operative (Restorative) Dentistry Effects of pretreating preparations with sodium hypochlorite on bonding composite resin restorations

    James V. Potter, DDS
    Chong Fang Zhu, MS
    Travis McAlister
    John D. Jones, DDS

    This study sought to determine how using 6% sodium hypochlorite (NaOCl) as a pretreatment before acid etching would affect fourth generation bonding agents. Results showed that NaOCl did not adversely affect bond strength.

    2013 Nov/Dec; 61(7):e23. 

    Full Article (PDF)
  • Prosthesis/Removable Management of velopharyngeal disorder with a pharyngeal obturator: a case report

    Pankaj Kharade, BDS, MDS
    Swati Sharma, BDS, MDS

    Patients with acquired defects or congenital malformations of the palate reveal disturbances in speech. Deglutition is also affected, and many patients suffer poor self-esteem. This article describes the prosthodontic management of a patient with a palatopharyngeal defect using a pharyngeal obturator.

    2013 Nov/Dec; 61(7):e26.

    Full Article (PDF)
  • Digital Radiology Dental anomalies in panoramic radiographs of pediatric patients

    Mirian de Waele Souchois de Marsillac, MS, PhD
    Marcia Rejane Thomas Andrade, MS, PhD
    Raquel de Oliveira Fonseca
    Sonia Lucia Macedo Marcal, MS
    Vera Lucia Campos Santos, MS

    This study analyzed 1359 panoramic radiographs taken over 33 years to determine the prevalence of dental anomalies in mixed dentition children. The results showed that a panoramic radiograph can help to analyze transitional dentition, as well as complement the clinical examination at the first dental visit of a pediatric patient with a high risk for caries.

    2013 Nov/Dec; 61(7):e29.

    Full Article (PDF)
  • Dentistry for the Medically Compromised Noma in an immunocompromised patient

    Igor Henrique Morais Silva, DDS, MSc
    Andreza Barkokebas S. de Faria, DDS, MSc
    Deborah Daniela Diniz Fonseca, DDS, MSc
    Carlos Menezes Aguiar, DDS, PhD
    Alessandra Tavares Carvalho, DDS, PhD
    Luiz Alcino Gueiros, DDS, PhD
    Jair Carneiro Leao, DDS, PhD

    Noma (cancrum oris) is found commonly in malnourished children. However, immunocompromised patients with poor oral hygiene are at risk also. This case report of noma in a 62-year-old immunocompromised patient highlights the importance of aggressive intravenous antimicrobial therapy, surgical intervention, and supportive care.

    2013 Nov/Dec; 61(7):e34. 

    Full Article (PDF)
  • Splinting Repositioning a laterally luxated maxillary central incisor with a vacuum-formed splint: a case report

    Vishal Khandelwal, MDS
    Anand L. Shigli, MDS
    Ullal Anand Nayak, MDS

    This case report describes how a clear vacuum-formed splint was used to reposition and stabilize an avulsed maxillary left central incisor. Due to the avulsion, an unerupted canine, and partially erupted premolars, it was difficult to fabricate a traditional splint, hence the creation of the vacuum-formed splint.

    2013 Nov/Dec; 61(7):e38.

    Full Article (PDF)