September/October 2016

Table of Contents


  • Editorial Fed up, stressed out, getting out? Finding a cure for the malaise of dentistry

    Timothy Kosinski
    2016 Sep/Oct; 64(5):5-6.
    Full Article (PDF)
  • Prosthodontics Unique application of material and workflow for an implant hybrid procedure in an elderly patient

    Samuel M. Strong
    2016 Sep/Oct; 64(5):7-10. 
    Full Article (PDF)
  • Esthetics Attaining optimal esthetics with socket preservation in the anterior zone

    Wynn Okuda
    2016 Sep/Oct; 64(5):11-13.
    Full Article (PDF)
  • Restorative Dentistry Esthetic, conservative, cast gold restorations for posterior teeth

    Roger A. Solow
    2016 Sep/Oct; 64(5):14-19. 
    Full Article (PDF)
  • Self-Instruction Answers Exercises No. 373, 374, and 375 from the September/October 2015 issue

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

Clinical articles


    Posterior Composite Restorations Microcomputed tomographic comparison of posterior composite resin restorative techniques: sonicated bulk fill versus incremental fil

    Justin Jarisch
    Wen Lien
    Peter H. Guevara
    William J. Greenwood
    William J. Dunn
    2016 Sep/Oct; 64(5):20-23. 

    The porosity of resin-based composites was evaluated after incremental application of a hybrid material and sonicated application of a bulk-fill material in simulated box-type and cylindrical cavity preparations. Sonicated bulk-filled restorations in cylindrical cavities were the least porous, while restorations that were incrementally placed in cube-shaped cavities were the most porous.

    Full Article (PDF)
    Self-Instruction Exercise No. 391
  • Oral Medicine, Oral Diagnosis, Oral Pathology Sclerotherapy and cryotherapy in the management of oral vascular lesions: a series of 10 cases

    Melissa Rodrigues de Araujo
    Sanaha Jomaa
    Rafael Zancan Mobile
    Lucas Caetano Uetanabaro
    Allan Fernando Giovanini
    Rafaela Scariot de Moraes
    Alexandre Moro, DDS
    2016 Sep/Oct; 64(5):25-29. 

    When 10 patients with oral vascular lesions underwent cryotherapy or sclerotherapy, both procedures were clinically effective. Cryotherapy requires only 1 session, but the cost of the equipment is high. Sclerotherapy is widely accepted by patients, but more than 1 session is required.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Epithelial-myoepithelial carcinoma of the minor salivary glands: a case report and review of the literature

    Débora Lima Pereira
    Marcelo Brum Corrêa
    Alan Roger Santos-Silva
    Pablo Agustin Vargas
    Márcio Ajudarte Lopes
    2016 Sep/Oct; 64(5):30-34.

    An epithelial-myoepithelial carcinoma on the palate was treated surgically, and no recurrence or metastasis was observed 10 years postoperatively. A literature review found only 30 documented cases of epithelial-myoepithelial carcinoma associated with minor salivary glands.

    Full Article (PDF)
  • Sports Dentistry & Mouthguards Mouthguard usage by middle and high school student-athletes in Houston, Texas

    Michael B. Miller
    Cleverick D. Johnson
    Ralph A. Cooley
    Holly Sharp
    Thomas A. Servos
    2016 Sep/Oct; 64(5):35-38.

    A survey of 503 middle and high school athletes revealed that 56% of the respondents did not own a mouthguard. Among athletes who owned a mouthguard, the most commonly cited reasons for failure to wear it were forgetfulness and a lack of comfort. The dental profession should make a concerted effort to encourage enforcement of mouthguard usage policies among student-athletes.

    Full Article (PDF)
  • Myofascial Pain/Occlusion Ear pruritus: a new otologic finding related to temporomandibular disorder

    Belmiro Cavalcanti do Egito Vasconcelos
    Lívia Mirelle Barbosa
    Jimmy Charles Melo Barbalho
    Gabriela Madeira Araújo
    Auremir Rocha Melo
    Lucas Alexandre de Morais Santos
    2016 Sep/Oct; 64(5):39-43.

    In a prospective clinical study of 100 patients with temporomandibular disorder (TMD), the most common otologic manifestations were ear pruritus, otalgia, and aural fullness, showing a significant correlation with the female sex, severity of TMD, and frequency of TMD symptoms.

    Full Article (PDF)

    Physiology Current concepts of oral and maxillofacial rehabilitation and treatment in aviation

    Esra Yuce
    Gulperi Koçer
    Turan Atila Çini
    2016 Sep/Oct; 64(5):44-48.

    Flight-related oral conditions are a source of concern for aircrew members. This review outlines preventive measures, treatment guidelines, and dental-related flight restrictions for flight staff.

    Full Article (PDF)
    Full article (PDF) Self-Instruction Exercise No. 392
  • Basic Science Surface roughness and bond strength between Y-TZP and self-adhesive resin cement after air particle abrasion protocols

    Rafael Santiago de Sousa
    Fernanda Campos
    Hugo Ramalho Sarmento
    Maria Luiza Lima Alves
    Amanda Maria de Oliveira Dal Piva
    Laísa Daniel Gondim
    Rodrigo Othávio Assunção Souza
    2016 Sep/Oct; 64(5):50-55.  

    Different air particle abrasion protocols—with variations in particle types, duration of abrasion, and the distance between the device tip and the ceramic—were evaluated for their influence on the surface roughness of zirconia-based ceramic and the shear bond strength between the material and resin cement. Only the particle type was a statistically significant factor; air particle abrasion with silica-coated alumina resulted in higher shear bond strengths.

    Full Article (PDF)
  • Implants Esthetic solution to malpositioned implants with remodeling of soft tissue: a case report

    Mariana Lima da Costa Valente
    Elcio Marcantonio, Jr
    Rafael Silveira Faeda
    Wagner Nunes de Paula
    Andréa Cândido dos Reis
    2016 Sep/Oct; 64(5):56-59.  

    Gingival conditioning was used to improve the soft tissue esthetics of fixed prostheses placed on malpositioned implants

    Full Article (PDF)
  • Endodontics In vitro evaluation of the antimicrobial efficacy of chitosan and other endodontic irrigants against Enterococcus faecalis

    Pratima R. Shenoi
    Elakshi S. Morey
    Chetana S. Makade
    Mohit K. Gunwal
    Rajiv T. Khode
    Sunay S. Wanmali
    2016 Sep/Oct; 64(5):60-63.

    This study compared the antimicrobial efficacy of several irrigants against Enterococcus faecalis. BioPure MTAD was the most effective antimicrobial agent. While 0.2% chitosan did not show any inhibition zones, 1% chitosan was as effective as sodium hypochlorite, and both irrigants showed significantly greater effectivity than 2% chlorhexidine.

    Full Article (PDF)

    Operative (Restorative) Dentistry An evidence-based review of dental matrix systems

    Barry M. Owens
    Jeffrey G. Phebus
    2016 Sep/Oct; 64(5):64-70.

    This article identifies and explains the challenges associated with restoring proximal surface cavities to “normal” anatomical specifications and presents solutions within a historical context of procedures, materials, and devices.

    Full Article (PDF)
    Self-Instruction Exercise No. 393
  • Special Patient Care Multifocal epithelial hyperplasia: a forgotten condition in the elderly

    Nafiseh Shamloo
    Hamed Mortazavi
    Nasim Taghavi
    Maryam Baharvand
    2016 Sep/Oct; 64(5):72-74.  

    A 92-year-old man presented with asymptomatic, circumscribed, soft, flattened papules on his lower lip that were consistent with multifocal epithelial hyperplasia. Although it tends to occur in the first 2 decades of life, multifocal epithelial hyperplasia can be encountered in the elderly.

    Full Article (PDF)
  • Esthetics/Cosmetic Dentistry Enamel hypoplasia: challenges of esthetic restorative treatment

    Vanessa Carla Ruschel
    Élito Araújo
    Jussara Karina Bernardon
    Guilherme Carpena Lopes
    2016 Sep/Oct; 64(5):75-78. 

    A permanent maxillary central incisor exhibited enamel hypoplasia caused by trauma to the primary tooth. The tooth was esthetically restored with a composite resin restoration placed with a layering technique.

    Full Article (PDF)
  • Endodontics Endodontic management of permanent mandibular molars with 6 root canals: report of 3 cases

    Amit Malhotra
    Jyoti Ahlawat
    Chirag Bansal
    Divya Tahiliani
    2016 Sep/Oct; 64(5):e1-e4

    A case series describes 3 mandibular first molars with 6 root canals each, including extra canals in the distal roots, serving as a reminder to look for anatomical variations to ensure successful endodontic therapy.

    Full Article (PDF)
  • AGD Practice Guidelines Clinical practice guidelines on the management of acid erosion

    Dimitrios P. Arfanakis
    Bennett R. Amaechi
    Mohamed A. Bassiouny
    Mojdeh Dehghan
    Peter Rechmann
    Domenick Zero
    Amy Martin
    Renata Leite
    V. Ramesh Ramakrishnan
    2016 Sep/Oct; 64(5):e6-e17. 

    After a systematic literature review and meta-analysis, the Academy of General Dentistry presents clinical practice guidelines on the diagnosis and management of acid erosion. Basic Erosive Wear Examination is the recommended index for diagnosis of acid erosion in the dental practice setting. Recommended treatment options include stabilized stannous fluoride, stabilized stannous fluoride in combination with chitosan, prescription and over-the-counter concentrations of sodium fluoride, casein phosphopeptide–amorphous calcium phosphate paste, and 1.23% acidulated phosphate fluoride gel (alone or with laser treatment).

    Full Article (PDF)