November/December 2017

Table of Contents


  • Editorial Contentment and collaboration

    Roger D. Winland
    2017 November/December; 65(6):6.

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  • Guest Editorial Dentists and primary care physicians: opportunities for closer collaboration

    Jay Siwek
    2017 November/December; 65(6):8-9.

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  • Pain Management Dental procedures and neuropathic pain

    Christopher J. Spencer
    2017 November/December; 65(6):10-13.

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  • Pediatric Dentistry Space maintenance for the pediatric patient

    Jane A. Soxman
    2017 November/December; 65(6):14-16.

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  • Public Health Addressing the opioid public health crisis through education

    Gary Drahos
    Larry Williams
    2017 November/December; 65(6):17-19.

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  • Minimally Invasive Dentistry Mesenchymal stem cells: the marriage of minimally invasive biomimetic dentistry with medicine

    Mark I. Malterud
    2017 November/December; 65(6):20-22.

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  • Self-Instruction Answers Exercises No. 394, 395, and 396 from the November/December 2016 issue

    2017 November/December; 65(6):79.

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Special Section: A collaboration between General Dentistry and American Family Physician

  • Oral Medicine, Oral Diagnosis, Oral Pathology Oral manifestations of systemic disease

    Heidi L. Gaddey

    Many systemic diseases can be identified based on changes within the oral cavity. This article reviews common oral cavity findings in adult and pediatric patients and the systemic diseases with which they may be associated.

    2017 November/December; 65(6):23-29.

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    Health and Nutrition The effects of oral health on systemic health

    Shawn F. Kane

    Many diseases and medications impact the oral cavity, and pathologic conditions in the mouth can have a systemic impact. Although it is unclear whether there is true causality or just an association, the consequences of such chronic conditions are well understood, and dentists and physicians must increase their collaboration to maximize the benefit to patients.

    2017 November/December; 65(6):30-34.

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    Self-Instruction Exercise No. 411

    Multi-Disciplinary Topics Nutrition for oral health and oral manifestations of poor nutrition and unhealthy habits

    Matthew Pflipsen
    Yevgeniy Zenchenko

    A nutritionally deficient diet can cause or contribute to numerous pathoses of the oral cavity. Unhealthy habits can also damage the dentition. Knowledge of these relationships will enable the dentist to question patients about dietary habits and provide guidance to encourage a healthy lifestyle.

    2017 November/December; 65(6):36-43.

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    Self-Instruction Exercise No. 412

Clinical Articles

  • Endodontics Removal of calcium hydroxide intracanal medicament by different irrigants and irrigating techniques: a cone beam computed tomography analysis

    Prasanna Neelakantan
    Priyanka Sriraman
    James L. Gutmann

    Cone beam computed tomography was used to evaluate the removal of calcium hydroxide (Ca[OH]2) from root canals after use of different irrigation activation protocols. While none of the protocols could completely remove Ca(OH)2, protocols using strong chelators were the most effective.

    2017 November/December; 65(6):45-49.

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  • Basic Science Cardiovascular considerations for the dental practitioner. 1. Review of cardiac anatomy and preoperative evaluation

    Kenneth Kufta
    Mana Saraghi
    Helen Giannakopoulos

    This article provides an overview of cardiovascular anatomy and physiology and discusses evaluation of cardiac risk factors with the aim of enabling dentists to effectively assess patients for potential cardiovascular events, thereby avoiding cardiovascular emergencies in the dental setting.

    2017 November/December; 65(6):50-55.

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    Special Patient Care Dental management of patients with inherited bleeding disorders: a multidisciplinary approach

    Hassan Abed
    Abdalrahman Ainousa

    Dental extraction in a patient with clotting factor defects such as hemophilia A or von Willebrand disease can result in a delayed bleeding episode. This article discusses how to manage patients with inherited bleeding disorders.

    2017 November/December; 65(6):56-60.

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    Self-Instruction Exercise No. 413
  • Oral Medicine, Oral Diagnosis, Oral Pathology Detection of an unusual inverted schneiderian papilloma by cone beam computed tomography

    Rafael Binato Junqueira
    Vinícius Dilly Almeida
    Gustavo Brandão Grossi
    Jamilly Aparecido Sperandio
    Lays Kelmer Costa
    Francielle Silvestre Verner

    A 47-year-old man who, exhibiting nasal obstruction on the right side, oroantral communication, and facial asymmetry, was evaluated with cone beam computed tomography and found to have an inverted schneiderian papilloma.

    2017 November/December; 65(6):62-64.

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  • Oral Medicine, Oral Diagnosis, Oral Pathology Hodgkin lymphoma diagnosed during dental treatment: the importance of neck palpation

    Marisol Miranda Galvis
    Leonardo Amaral dos Reis
    Alan Roger Santos-Silva
    Pablo Agustin Vargas
    Marcelo Brum Corrêa
    Marcio Ajudarte Lopes

    The most common clinical presentation of Hodgkin lymphoma is adenopathy, which generally affects cervical and supraclavicular nodes. The case of a 17-year-old girl who was diagnosed with Hodgkin lymphoma during dental treatment highlights the importance of a complete physical examination in dental practice.

    2017 November/December; 65(6):65-68.

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  • Oral Medicine, Oral Diagnosis, Oral Pathology Metachronous ameloblastic fibro-odontoma and dentigerous cyst in the posterior mandible

    Mário Rodrigues de Melo Filho
    Sabina Pena Borges Pêgo
    Claudio Marcelo Cardoso
    Breno Amaral Rocha
    Hercílio Martelli Júnior
    Isadora Luana Flores
    Luis Antônio Nogueira dos Santos
    Livia Máris Ribeiro Paranaiba

    A 13-year-old boy presented with asymptomatic swelling in his right posterior mandible and was diagnosed with ameloblastic fibro-odontoma (AFO), a rare mixed odontogenic tumor, usually appearing as a well-circumscribed radiolucency with radiopaque foci and slow growth. Eight months after excision of the AFO, a dentigerous cyst involving the unerupted mandibular left third molar developed.

    2017 November/December; 65(6):69-72.

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  • Anesthesia and Pain Management Abuse potential of gabapentin in dentistry

    Mea A. Weinberg
    Stuart L. Segelnick
    Joseph S. Insler

    Gabapentin, widely prescribed for orofacial pain, was once thought to have no potential for abuse; however, the last decade has seen a dramatic rise in nonmedical use of gabapentin. Dental prescribers must be aware of the potential for abuse of gabapentin and weigh its benefits against its risks.

    2017 November/December; 65(6):73-75.

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  • Oral Medicine, Oral Diagnosis, Oral Pathology Rare isolated oral manifestations of secondary syphilis in an adolescent

    Cínthia M. Ribeiro
    Marina L. de Carli
    Felipe F. Sperandio
    Evandro M.S. Magalhães
    João Adolfo C. Hanemann

    Syphilis, a sexually transmitted infection caused by Treponema pallidum, can manifest clinically through 3 stages: primary, secondary, and tertiary. This report describes an uncommon case of secondary syphilis in a 16-year-old boy who showed only oral manifestations. Treatment with penicillin led to complete remission of the oral lesions within 3 weeks.

    2017 November/December; 65(6):76-78.

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  • Basic Science Fluorination of zirconia surfaces impairs bonding to resin cement

    Leandro Tolomelli Carraro Franco
    Marina Amaral
    Rafael Pino Vitti
    Alecsandro de Moura Silva
    Laís Regiane Silva-Concílio
    Ana Christina Claro Neves

    To evaluate surface fluorination as an alternative treatment for bonding of zirconia ceramic to resin cement, zirconia discs were subjected to 1 of 4 different surface treatments. Bond strength testing revealed that fluorination with sulfur hexafluoride did not promote a stable bond strength between zirconia and resin cement.

    2017 November/December; 65(6):e1-e4.

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  • Oral Medicine, Oral Diagnosis, Oral Pathology Traumatic bone cyst of an anterior mandible with previous symphyseal fracture in a pediatric patient: a rare finding and etiopathologic correlation

    Kumar Nilesh
    Aaditee V. Vande
    Shivsagar Tewary
    Suresh K.V.

    A traumatic bone cyst (TBC) of the anterior mandible was found in a boy with a previous history of trauma and fracture of the symphysis. A literature review is presented to corroborate the traumatic-hemorrhagic theory for the etiology of TBC.

    2017 November/December; 65(6):e5-e8.

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  • Basic Science The effect of immediate and delayed polishing on the color stability of a composite resin

    Roselaine Terezinha Pozzobon
    Thaís Camponogara Bohrer
    Patrícia Eliana Fontana
    Leticia Brandão Durand
    Marcela Marquezan

    This study compared the effects of immediate or delayed polishing on the color stability of a composite resin before and after storage in water or coffee. Color stability was not influenced by the timing of polishing, and all groups showed unacceptable discoloration after exposure to coffee. The timing of final polishing may therefore be based on the preferences of the clinician.

    2017 November/December; 65(6):e9-e12.

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  • Esthetics/Cosmetic Dentistry Interdental papilla formation after diastema closure

    Leticia Ferreira de Freitas Brianezzi
    Bárbara Margarido Brondino
    Giuliana de Campo Chaves
    Sérgio Kiyoshi Ishikiriama
    Adilson Yoshio Furuse

    A 40-year-old woman had diastemas, a conoid tooth, and relatively short maxillary anterior teeth, compromising the esthetics of her smile. Treatment included bleaching and composite resin restorations. At a 1-year follow-up, there were no black spaces or signs of periodontal inflammation, indicating that adequate space had been left for formation of interdental papilla.

    2017 November/December; 65(6):e13-e16.

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