November/December 2016

Table of Contents

Special Section on Prosthodontics

  • Guest Editorial A shared commitment to patient care

    Carl F. Driscoll, DMD, FACP
    2016 Nov/Dec; 64(6):8. 
    Full Article (PDF)
  • Prosthodontics Prosthodontic considerations for managing the older adult patient

    Mark C. Hutten, DDS, MS
    2016 Nov/Dec; 64(6):18-22. 

    Management of chronic disease processes affecting older Americans consumes 86% of the nation’s healthcare expenditures. Oral healthcare providers should become astute at developing treatments that take into account the medical conditions affecting this population and provide restorative care that may simplify oral maintenance as this population continues to age.

    Full Article (PDF)
  • Prosthodontics Current techniques in CAD/CAM denture fabrication

    Nadim Z. Baba, DMD, MSD
    Hamad S. AlRumaih, DDS, MSD
    Brian J. Goodacre, DDS
    Charles J. Goodacre, DDS, MSD
    2016 Nov/Dec; 64(6):23-28.

    The use of computer-aided design/computer-aided manufacturing (CAD/CAM) to produce complete dentures has seen exponential growth in the dental market. This article reviews the clinical and laboratory procedures of 5 CAD/CAM denture systems.

    Full Article (PDF)
  • Myofascial Pain/Occlusion/Prosthodontics A progressive approach for the use of occlusal devices in the management of temporomandibular disorders

    Jonathan P. Wiens
    2016 Nov/Dec; 64(6):29-36.

    Evidence-based diagnostic criteria for various temporomandibular disorders (TMDs) are emerging, while corresponding treatment procedures remain less clear. This review outlines various types of occlusal device, assesses the efficacy of occlusal splints in the treatment of TMDs, and creates a treatment rubric for clinicians to follow.

    Full Article (PDF)
  • Prosthodontics Implant-assisted removable partial dentures: practical considerations

    Aaron J. Omura, DMD, CDT
    Vaibhav Latthe, BDS, MDS, CDT
    Mark M. Marin, CDT
    David R. Cagna, DMD, MS
    2016 Nov/Dec; 64(6):38-45.

    The strategic addition of implants to the partially edentulous foundation can improve support, comfort, and esthetics of removable partial dentures (RPDs). This article discusses diagnostic, treatment planning, clinical, laboratory, and maintenance considerations for successful implant-assisted RPDs.

    Full Article (PDF)
  • Prosthodontics Rethinking the traditional full-mouth rehabilitation by applying minimal prosthetic dentistry for maximum patient benefit

    Miles R. Cone, DMD, MS, CDT, FACP
    2016 Nov/Dec; 64(6):46-53.

    This case report demonstrates the utilization of multiple restorative materials to provide a minimally invasive, definitive treatment which was biomechanically, esthetically, and financially satisfactory for the patient.

    Full Article (PDF)


  • Editorial Developing purpose

    Roger D. Winland, DDS, MS, MAGD
    2016 Nov/Dec; 64(6):6. 
    Full Article (PDF)
  • Pharmacology Challenging historical dogma: should you really have epinephrine autoinjectors in your emergency kit?

    Jason H. Goodchild, DMD
    Mark Donaldson, BSP, RPH, ACPR, PHARMD, FASHP, FACHE
    2016 Nov/Dec; 64(6):10-13. 
    Full Article (PDF)
  • Public Health Handwashing: what do I use and why?

    Larry Williams, DDS
    2016 Nov/Dec; 64(6):14-16.
    Full Article (PDF)
  • Oral Diagnosis Diffuse gingival hyperplasia and Ramus radiolucency

    Douglas D. Damm, DDS
    2016 Nov/Dec; 64(6):77-78.
    Full Article (PDF)
  • Self-Instruction Answers Exercises No. 376, 377, and 378 from the November/December 2015 issue

    2016 Sep/Oct; 64(5):79. 
    Full Article (PDF)

Clinical articles


    Special Patient Care Oral management of Marfan syndrome: an overview and case report

    Esdras Campos França
    Lucas Guimarães Abreu
    Saul Martins Paiva
    Alexandre Fortes Drummond
    Maria Esperanza Cortes
    2016 Nov/Dec; 64(6):54-59

    Marfan syndrome is an autosomal-dominant genetic disorder that affects connective tissues. This article presents a case of Marfan syndrome, emphasizing the clinical manifestations of the disease, and provides an overview of oral management.

    Full Article (PDF)
    Self-Instruction Exercise No. 394

    Oral Medicine, Oral Diagnosis, Oral Pathology Cryosurgery with refrigerant gas as a therapeutic option for the treatment of leukoplakia: a case report

    Pedro Thalles Bernardo de Carvalho Nogueira
    Ozawa Brasil, Jr
    Antonio Dionízio de Albuquerque Neto
    Luciano Leocádio Teixeira Nogueira Filho
    Bruna Lopes Souza
    José Rodrigues Laureano Filho
    2016 Nov/Dec; 64(6):61-64.

    A combination of propane and butane gases was used to treat leukoplakia of the tongue, a potentially malignant lesion, in a 65-year-old woman. Among the advantages of this technique are a low rate of postsurgical infection, absence of hemorrhage, and ease of application.

    Full Article (PDF)
    Self-Instruction Exercise No. 395

    Dentinal Hypersensitivity & Treatment Efficacy of Nd:YAG and GaAlAs lasers in comparison to 2% fluoride gel for the treatment of dentinal hypersensitivity

    Marília De Lima Soares
    Geane Bandeira Porciúncula
    Mara Ilka Holanda Medeiros De Lucena
    Luiz Alcino Monteiro Gueiros
    Jair Carneiro Leão
    Alessandra De Albuquerque Tavares Carvalho
    2016 Nov/Dec; 64(6):66-70.

    Comparison of the efficacy of Nd:YAG and GaAlAs lasers and 2% fluoride gel in the treatment of dentinal hypersensitivity revealed that all treatments were adequate strategies, but laser treatments provided greater pain control.

    Full Article (PDF)
    Self-Instruction Exercise No. 396
  • Multi-Disciplinary Topics Dental patients’ self-reported use of dietary supplements on medical history questionnaires

    Sarmad Bakuri
    Sharon K. Lanning
    Al M. Best
    Robert Sabatini
    John Gunsolley
    Thomas C. Waldrop
    2016 Nov/Dec; 64(6):72-76.

    This study sought to determine the frequency of, and factors impacting, dietary supplement use among dental patients and whether the design of a medical history questionnaire influences reporting of that use. Patients tended to report greater use of dietary supplements when specifically asked about use on a medical history questionnaire.

    Full Article (PDF)
  • Myofascial Pain/Occlusion Impact of malocclusion on adolescents’ oral health–related quality of life

    Lucas Guimarães Abreu
    Camilo Aquino Melgaço
    Elizabeth Maria Bastos Lages
    Saul Martins Paiva
    2016 Nov/Dec; 64(6):e1-e5.

    When assessed with the Child Perceptions Questionnaire for 11 to 14 year olds, adolescents with malocclusion were significantly more likely to report a negative impact on their oral health–related quality of life, particularly their emotional and social well-being, than their counterparts without malocclusion.

    Full Article (PDF)
  • Cosmetic/Esthetic Dentistry Noninvasive esthetic treatment for hypomaturation amelogenesis imperfecta: a case report

    Flávia Pardo Salata Nahsan
    Luciana Mendonça da Silva
    Thiago Mendes de Lima
    Verônica Pereira de Lima Bertocco
    Fabíola Mendonça da Silva Chui
    Leandro de Moura Martins
    2016 Nov/Dec; 64(6):e6-e9. 

    Enamel alterations, such as amelogenesis imperfecta, can compromise the harmony of the smile, damage the patient’s self-esteem, and cause tooth sensitivity. A simple and effective approach to treatment uses the natural stratification of composite resins to mask the enamel defects and mimic the natural appearance of the substrate.

    Full Article (PDF)
  • Multi-Disciplinary Topics Interdisciplinary approach to complete-mouth rehabilitation: a clinical report

    Rahul S. Kulkarni
    Sandeep K. Pimpale
    Suryakant N. Powar
    2016 Nov/Dec; 64(6):e10-e15. 

    This case report describes a successful multidisciplinary approach to complete-mouth rehabilitation of a patient affected by fluorosis as well as other esthetic and functional dental problems.

    Full Article (PDF)
  • Basic Science Effect of bleaching agent and topical fluoride application on color and gloss of dental ceramics

    Fernanda de Carvalho Panzeri Pires-de-Souza
    Marta Maria Martins Giamatei Contente
    Carla Cecilia Alandia-Román
    Sergio Augusto de Freitas Vicente
    Rafaella Tonani
    2016 Nov/Dec; 64(6):e16-e20.

    This study investigated the change in color (ΔE *) or brightness of dental ceramic submitted first to different finishing procedures and second to application of carbamide peroxide, fluoride, or both. The type of finishing had no influence on ΔE * or brightness. A decrease in brightness occurred only for the group treated with bleach and fluoride.

    Full Article (PDF)
  • Basic Science The influence of pH and chemical composition of beverages on color stability of a nanofilled composite resin

    Hercules Bezerra Dias
    Emanuelle Teixeira Carrera
    Alessandra Nara de Souza Rastelli
    2016 Nov/Dec; 64(6):e21-e27.

    This study investigated the staining of a nanofilled composite resin by 2 anthocyanin-rich beverages and found that the color stability was significantly affected by both the storage times and the solutions (P < 0.001). Blueberry juice affected color stability and lightness the most, followed by acai juice and artificial saliva.

    Full Article (PDF)
  • Periodontics The versatile subepithelial connective tissue graft: a literature update

    Karthikeyan B.V.
    Divya Khanna
    Kamedh Yashawant Chowdhary
    Prabhuji M.L.V.
    2016 Nov/Dec; 64(6):e28-e33. 

    The versatile subepithelial connective tissue graft is readily available and economical and provides stable, excellent results for periodontal reconstruction. This article discusses key factors associated with these grafts, including harvesting, applications, limitations, and complications.

    Full Article (PDF)