September/October 2013

Table of Contents


  • Editorial How to read a citation: contemplating the meanings of references in scientific papers

    Eric K. Curtis, DDS, MA, MAGD

    2013 Sep/Oct; 61(6):8.

    Full Article (PDF)
  • Esthetics Developing a road map for success in esthetics

    Wynn Okuda, DMD, FICD

    2013 Sep/Oct; 61(6):10.

    Full Article (PDF)
  • Dental Materials Universal materials—do they really exist?

    Michael B. Miller, DDS, FAGD

    2013 Sep/Oct; 61(6):14.

    Full Article (PDF)
  • Oral Diagnosis Alteration of lingual frenum Multilocular radiolucency of the ramus

    Douglas D. Damm, DDS

    2013 Sep/Oct; 61(6):77.  

    Full Article (PDF)
  • Answers Oral Diagnosis and Self-Instruction Exercises No. 312, 313, 314

    2013 Sep/Oct; 61(6):78. 
    Full Article (PDF)

Clinical Articles

  • Nonsurgical Endodontics Management of a 3-canal mandibular premolar in a patient with unusual root canal anatomy in all mandibular premolars

    Raju Chauhan, BDS, MDS
    Shweta Singh, BDS, MDS

    2013 Sep/Oct; 61(6):16.

    This article presents a rare case of a mandibular second premolar with 3 root canals in separate roots and its endodontic management, with a special emphasis on radiographic interpretation and access refinement during treatment.

    Full Article (PDF)

    Periodontics Influence of periodontal biotype on the presence of interdental papillae

    Alexandre Barboza de Lemos, DDS, MSD
    Sergio Kahn, DDS, MSD, PhD
    Walmir Junio de Pinho Reis Rodrigues, DDS
    Marcos Barceleiro, DDS, MSD, PhD

    2013 Sep/Oct; 61(6):20.

    This study evaluated the influence of the periodontal biotype (PB) on the presence and absence of interdental papillae. The PB, presence of interdental papilla, loss of papillary height, and the distance between the base of the contact point and bone crest (CP-BC) were evaluated. PB influenced the presence and height of interdental papillae.

    Full Article (PDF)
    Self-Instruction Exercise No. 337
  • TM Disorders A randomized controlled clinical trial evaluating the effectiveness of an external mandibular support device during dental care for patients with temporomandibular disorders

    Patricia G. Fernandes, DDS, MS
    Ana Miriam Velly, DDS, MS, PhD
    Gary C. Anderson, DDS, MS

    2013 Sep/Oct; 61(6):26.

    This study tested a jaw support device for patients receiving dental care while suffering from temporomandibular joint pain. Statistically significant differences were found for jaw pain (P = 0.001), and fatigue (P = 0.04), indicating the effectiveness of the device. The study found that supporting the mandible of patients with temporomandibular disorders during dental treatments may prevent further pain.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Bilateral lymphoepithelial cysts of the tongue: a case report

    Igor Henrique Morais Silva, DDS, MSc
    Mario Jose Romanach, DDS, PhD
    Alessandra Tavares Carvalho, DDS, PhD
    Oslei Paes de Almeida, DDS, PhD
    Jair Carneiro Leao, DDS, PhD
    Luiz Alcino Gueiros, DDS, PhD

    2013 Sep/Oct; 61(6):32.

    A lymphoepithelial cyst (LC) is a rare occurrence in the oral cavity, lined by a keratinized stratified squamous epithelium that is surrounded by diffuse lymphoid tissue, which often contains lymphoid follicles. This article presents the histopathological and immunohistochemical findings of a unique bilateral LC in the posterolateral region of the tongue.

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    Dental Materials Effects of mixing technique on bubble formation in alginate impression material

    Thomas F. McDaniel, DMD, FAGD
    Robert T. Kramer, DMD, FACD, FICD
    Francis Im, BS, MA
    Dallin Snow, BS, MS

    2013 Sep/Oct; 61(6):35.

    The aim of this study was twofold: determine whether bubble formation in alginate is influenced by the sequence of water/powder addition prior to mixing, and to compare 4 different spatulation techniques. Porosity was significantly less for powder-first trials using manual spatulation (P < 0.05) but the sequence made no difference with the other techniques (= 0.714). Surface porosity was significantly less for centrifugal and vacuum mixing compared to manual spatulation, while internal porosity was significantly less for centrifugal mixing compared to all the other techniques (P < 0.05).

    Full Article (PDF)
    Self-Instruction Exercise No. 338
  • Fixed/Removable Hybrid Prosthesis Simple method for fabricating a cast partial framework obturator for lifelike appearance: a case report

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

    2013 Sep/Oct; 61(6):42.

    Defects can form after tumors in the maxillary region are resected surgically. The design of an obturator can improve the esthetics of the prosthesis and give it a more lifelike appearance. This case report describes the fabrication of a cast metal framework design for a partial obturator prosthesis in a maxillectomy patient.

    Full Article (PDF)
  • Tooth Whitening/Bleaching Should acid etching be performed prior to nonvital bleaching?

    Silvana Batalha-Silva, DDS, MS, PhD
    Gilberto Muller Arcari, DDS, MS, PhD
    Sylvio Monteiro Jr., DDS, MS, PhD

    2013 Sep/Oct; 61(6):46.

    This study sought to measure the microtensile bond strength of a nanofilled composite resin to human dentin after phosphoric acid etching followed by nonvital bleaching. Twenty extracted human maxillary premolars were prepared and assigned randomly to 4 groups (n = 5): Group 1 (control) – unbleached with no previous acid etching, Group 2 – bleached only, Group 3 – acid-etched for 15 seconds prior to bleaching, and Group 4 – acid-etched for 30 seconds prior to bleaching. There were no statistically significant differences of bond strength values among Groups 1-3; however, the mean values of Group 4 were statistically lower compared with the other groups.

    Full Article (PDF)
  • Endodontics Coronal microleakage of 3 temporary filling materials used for endodontic treatment: an in vitro study

    Leandro Feliz Matos, DDS, MS
    Indira De Los Santos Rodriguez, DDS
    Mally Luz Rodriguez Gonzalez, DDS
    Dulce Pereyra, DDS, MS
    Erick R. Monzon Velez, DDS

    2013 Sep/Oct; 61(6):52

    This study assessed the degree of microleakage of temporary sealing materials according to time spent blocking an access cavity. Results indicated statistically significant differences between the materials and the degree of microleakage (P = 0.000). All 3 sealing materials allowed microleakage within 48 hours, with the glass ionomer cement demonstrating the most microleakage.

    Full Article (PDF)
  • Digital Radiology Comparative study of a wireless digital system and 2 PSP digital systems on proximal caries detection and pixel values

    Andrea dos Anjos Pontual, DDS, PhD
    Daniela Pita de Melo, DDS, PhD
    Maria Luiza dos Anjos Pontual, DDS, PhD
    Solange Maria de Almeida, DDS, PhD
    Francisco Haiter-Neto, DDS, PhD

    2013 Sep/Oct; 61(6):56.

    This study compared the radiographic image quality of 2 photostimulable phosphor (PSP) plate systems with a radiographic system against a complementary metal oxide silicon (CMOS) system. The performance of the new CMOS system was comparable to the PSP plate systems and radiographic film.

    Full Article (PDF)

    Periodontics Management of phenytoin-induced gingival enlargement: a case report

    Rajkumar N. Parwani, MDS
    Simran R. Parwani, MDS

    2013 Sep/Oct; 61(5):61.

    A patient presented with a phenytoin-induced gingival enlargement. Treatment for such a case should include consultation with the patient’s physician, substitution of the drug, nonsurgical therapy, surgical therapy (if needed), and supportive periodontal therapy after every 3 months. In this case, healing was uneventful, and there was no postoperative recurrence at 3 months.

    Full Article (PDF)
    Self-Instruction Exercise No. 339
  • Diagnosis & Treatment Planning Surgical management of multiple myeloma in the mandible: a case report

    Gardenia Matos Paraguassu, DDS, MSc
    Isaac Vieira Queiroz, DDS, MSc
    Marcelo Fernando do Amaral, DDS, MSc
    Auremir Rocha Melo, DDS, MSc
    Carlos Augusto Pereira do Lago, DDS, MSc, PhD
    Ieda Crusoe-Rebello, DDS, MSC, PhD

    2013 Sep/Oct; 61(6):69.

    It is important for every dentist to be aware of the maxillofacial manifestations of multiple myeloma (MM), especially with regard to early diagnosis, since injury can occur when MM is in its primary form in the maxillary bones. This case report presents a 58-year old man with mandibular swelling; his medical history indicated he had a fracture of the humerus a month earlier. The patient underwent chemotherapy for the MM, and a hemimandibulectomy was followed by the installation of a reconstructive plate for the fractured jaw.

    Full Article (PDF)
  • Dental Materials Bond strength of resin cements to zirconia conditioned with primers

    Kurtis G. Kobes, DDS
    Kraig S. Vandewalle, DDS, MS

    2013 Sep/Oct; 61(6):73.

    This study compared the shear-bond strength of  3 resin cements (Multilink Automix, RelyX Unicem, and Panavia F 2.00) to zirconia conditioned with 4 ceramic primers (Z-Prime Plus, MonoBond Plus, CLEARFIL CERAMIC PRIMER, AZ Primer) or no primer. The shear-bond strength of the resin cements to zirconia varied based on the type of primer. Z-Prime Plus provided the highest shear bond strength to zirconia, and was significantly greater than the control with all 3 resin cements.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Pigmented lesion with characteristics of malignancy: a case report

    Vivian Petersen Wagner
    Etiene Andrade Munhoz, DDS, PhD
    Vinicius Coelho Carrard, DDS, PhD
    Marcia Gaiger de Oliveira, DDS, PhD
    Pantelis Varvaki Rados, DDS, PhD
    Manoel Sant’ana Filho, DDS, PhD

    2013 Sep/Oct; 61(6):e2.

    Due to their varying clinical appearance, benign pigmented lesions can be mistaken for malignant tumors, especially when the lesions exhibit similar coloration, symmetry, and borders. This report aims to reinforce the ubiquitous nature of oral pigmented lesions, and the importance of employing different approaches to diagnose these lesions.

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  • Anesthesia and Pain Control The absolute contraindication for using nitrous oxide with intraocular gases and other dental considerations associated with vitreoretinal surgery

    Andrew Tanchyk, DMD
    Amy Tanchyk, DMD, MD

    2013 Sep/Oct; 61(6):e6.

    This case report identifies a side effect of vitreoretinal surgery with a benign outcome—specifically, a referred pain or pressure from left eye surgery or an associated gas bubble to the upper left quadrant. Such cases underscore the need for a dentist and staff to inquire about all ocular procedures to avoid catastrophic patient vision loss due to nitrous oxide, which is absolutely contraindicated after vitreoretinal surgery that uses intraocular gas. Dentists should communicate with the patient’s opthalmologist before proceeding with any dental procedure.

    Full Article (PDF)
  • Oral and Maxillofacial Surgery Conservative treatment of an aggressive odontogenic tumor: a case report

    Ivson Souza Catunda, DDS
    Belmiro Cavalcanti Egito Vasconcelos, DDS, MSc, PhD
    Bruno Jose Carvalho Macedo Neres, DDS
    Raquell Alves de Araujo
    Elizabeth Arruda Carneiro Ponzi, DDS, MSc, PhD

    2013 Sep/Oct; 61(6):e8.

    This report demonstrated that the use of Carnoy’s solution following the enucleation of a unicysticameloblastoma with mural invasion may be a treatment alternative with a low rate of recurrence, as well as reduced rate of postoperative complications, a reduction in costs, and preservation of both esthetics and function.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Giant cemento-ossifying fibroma of the mandible: a rare case

    D. Sujatha, MDS
    Shubha Gurudath, MDS
    Pai Anuradha, MDS
    Mahadev Naik Ragavendra, MDS

    2013 Sep/Oct; 61(6):e13.

    This article describes the case of a 34-year-old female patient, who presented with the complaint of progressive swelling of the face which had started 6 years earlier. Both axial and 3D chromatography scans aided in the diagnosis of giant cemento-ossifying fibroma.

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  • Prosthodontics/Fixed Clinical fractures of veneered zirconia single crowns

    Antonio Alves de Almeida Jr., DDS, MS, PhD
    Oscar Fernando Munoz Chavez, DDS, MS, PhD
    Beatriz Regalado Galvao, DDS, MS
    Gelson Luis Adabo, DDS, MS, PhD

    2013 Sep/Oct; 61(6):e17.

    This article examines the possible causes of failure in zirconia systems and presents a case report involving the diagnosis and repair of three different types of failure in six 3Y-TZP/porcelain crowns.

    Full Article (PDF)
  • Implant Placement Surgery Vertical ridge augmentation using sandwich osteotomy: 2 case reports

    Erdem Kilic, DDS, PhD
    Alper Alkan, DDS, PhD
    Murat Ulu, DDS, PhD
    Mustafa Zortuk, DDS, PhD
    Hasan Onder Gumus, DDS, PhD

    2013 Sep/Oct; 61(6):e22.

    This is a report of 2 female patients with complaints of atrophic mandible. Both patients were treated with a segmental mandibular sandwich osteotomy with interpositional grafts. The postoperative period was uneventful, and sufficient bone gain was obtained in both patients. Sandwich osteotomy is an effective technique to gain vertical bone height in atrophic jaws.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology A rare case of recurring calcifying epithelial odontogenic cyst of the maxillary sinus: a case report and literature review

    Vinayak Karun, MDS
    Amit Kumar Mishra, MDS
    Rashmi Saikhedkar, MDS

    2013 Sep/Oct; 61(6):e26.

    Calcifying epithelial odontogenic cyst (CEOC) is an odontogenic cyst with an epithelial lining. This article describes a case of recurring CEOC in the right maxilla antrum. The patient presented to the authors after postsurgical recurrence. The case was evaluated thoroughly, and the cyst was resolved.

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