General Dentistry is the award-winning, peer-reviewed journal of the Academy of General Dentistry. Published bimonthly, General Dentistry features clinical articles spanning the breadth of topics relevant to general dentists, including unique diagnostic case reports, novel solutions to common treatment dilemmas, evidence-based best practices, and the science to help you choose the best materials, technology and procedures for your patients and your practice.
Table of Contents
Editorial A creative teamFull Article (PDF)
2018 March/April; 66(2):5.
Letter to the Editor Horse or zebra?Full Article (PDF)
Jeffery B. Price
Eliana Dantas da Costa
Gina Delia Roque-Torres
Priscila Dias Peyneau
Luís Roberto Godolfim
Francisco Haiter Neto
Solange Maria de Almeida
2018 March/April; 66(2):6.
Public Health Beyond restorative dentistry: preventive and interim care for underserved populationsMario RamosFull Article (PDF)
Constanza E. Fernández
2018 March/April; 66(2):7-9.
Pharmacology Considerations for the management of patients with generalized anxiety disorder in the dental settingFull Article (PDF)
2018 March/April; 66(2):10-13.
Ethics Surrogate decision-makingFull Article (PDF)
Toni M. Roucka
2018 March/April; 66(2):14-16.
Prosthodontics The retread procedure: a new hybrid appliance with fewer appointments and less costFull Article (PDF)
Samuel M. Strong
2018 March/April; 66(2):17-19.
Minimally Invasive Dentistry Creating the foundation: minimally invasive periodontal therapyMark I. MalterudFull Article (PDF)
2018 March/April; 66(2):20-22.
Pharmacology What do you really need to know about bisphosphonates?Jason H. GoodchildFull Article (PDF)
2018 March/April; 66(2):23-26.
Oral Diagnosis Recurrent palatal swelling and Radiopaque mass of the mandibular condyleFull Article (PDF)
2018 March/April; 66(2):74-75.
2017 Reviewers General Dentistry expresses its gratitude for 2017 peer reviewers.Full Article (PDF)
2018 March/April; 66(2):76-79.
Basic Science Mouthwashes: an in vitro study of their action on microbial biofilms and cytotoxicity to gingival fibroblastsJonatas Rafael de OliveiraFull Article (PDF)
Kely Karina Belato
Felipe Eduardo de Oliveira
Antonio Olavo Cardoso Jorge
Samira Esteves Afonso Camargo
Luciane Dias de Oliveira
In an in vitro study, commercial mouthwashes demonstrated antibiofilm activity on Candida albicans, Staphylococcus aureus, Enterococcus faecalis, Streptococcus mutans, Escherichia coli, and Pseudomonas aeruginosa. The mouthwashes were more effective on bacteria than on C albicans. Cytotoxic effects on gingival fibroblasts were also observed.
2018 March/April; 66(2):28-34.
Self-Instruction Exercise No. 417
Basic Science Effect of composite warming on shear bond strengthThomas F. McDanielFull Article (PDF)
Thomas W. Sigrist
Gary M. Johnson
This study compared the shear bond strengths of room temperature (22°C) and prewarmed (54°C) restorative composite resin bonded to both enamel and dentin and found no statistically significant difference between the groups. Warming did not appear to affect the bond strength, but the material was subjectively judged to be easier to handle in the prewarmed composite group.
2018 March/April; 66(2):36-39.
Oral Medicine, Oral Diagnosis, Oral Pathology Medication use and medical history of 155 patients with oral lichenoid lesions: a retrospective studyMashael AlqahtaniFull Article (PDF)
Tina R. Woods
Molly H. Smith
Donald M. Cohen
Mohammed N. Islam
Sarah G. Fitzpatrick
An investigation of the medication profile and medical history of 155 patients with biopsy-proven oral lichen planus (OLP) or oral lichenoid lesions (OLLs) revealed that multiple medical conditions and polypharmacy are common. Although causation cannot be fully assessed, clinicians should consider the possibility of medication as a complicating factor in patients with OLP or OLLs.
2018 March/April; 66(2):40-45.
Self-Instruction Exercise No. 418
Oral Medicine, Oral Diagnosis, Oral Pathology Use of trichloroacetic acid for management of oral lesions caused by human papillomavirusFull Article (PDF)
Martha Carmona Lorduy
Jonathan Harris Ricardo
Yurtiza Hernández Arenas
Wanda Medina Carmona
A prospective cohort study of 20 patients with lesions caused by human papillomavirus (HPV) found that 65% of patients had focal epithelial hyperplasia, 20% had common warts, and 15% had condylomata acuminata. Application of trichloroacetic acid (TCA) to the HPV-associated oral lesions proved to be an effective nonsurgical treatment; most lesions were resolved within 45 days (3 TCA applications of 30-60 seconds each).
2018 March/April; 66(2):47-49.
Self-Instruction Exercise No. 419
Oral Medicine, Oral Diagnosis, Oral Pathology Conservative management of a rootless premolar: a case report with 4-year follow-upMahesh RamakrishnanFull Article (PDF)
A 9-year-old girl presented with a prematurely erupted and grossly carious permanent second premolar. The premolar was treated with a stepwise excavation, and a stainless steel crown was adapted to prevent microleakage and restoration failure. A 4-year follow-up evaluation showed remarkable healing and complete root formation.
2018 March/April; 66(2):51-53.
Endodontics The effect of endodontic access on the failure load of lithium disilicate and resin nanoceramic CAD/CAM crownsFull Article (PDF)
This study evaluated the effect of endodontic access preparation and repair on lithium disilicate and resin nanoceramic CAD/CAM crowns. For the lithium disilicate crowns, the failure load was significantly higher for intact than for repaired specimens (P = 0.002). However, there was no significant difference between intact and repaired specimens for resin nanoceramic. Repairs may work under normal occlusal loads, but replacement is recommended where parafunctional occlusal loading is suspected, the crown was not adhesively cemented, or there is a defect in the crown.
2018 March/April; 66(2):54-59.
Implants Piezoelectric ridge split and immediate implant placement in an atrophic mandible: a 3-year follow-upAshish VermaFull Article (PDF)
Ridge split procedures are a means to improve the chances for success of dental implants in narrow alveolar ridges. This case report presents a 3-year follow-up of 2 posterior implants placed immediately after a ridge split procedure that was performed with a piezoelectric surgical unit.
2018 March/April; 66(2):60-63.
Restorative Dentistry The effect of time between curing and tea immersion on composite resin discolorationFull Article (PDF)
This study evaluated the discoloration of 3 composite resins when immersed in tea solution at different timepoints up to 24 hours after curing. All discoloration was within clinically acceptable limits, but results suggested that patients should avoid the intake of colored beverages for at least 12 hours after a restoration. This restriction can decrease to 1 hour for microfilled composites.
2018 March/April; 66(2):64-68.
Dentinal Hypersensitivity & Treatment Photobiomodulation versus direct restoration in a patient presenting with dentinal hypersensitivity: a 6-month follow-upBrunna Haddad AnhesiniFull Article (PDF)
Eric Mayer dos Santos
Luciana Fávaro Francisconi-dos-Rios
Patricia Moreira de Freitas
Carlos de Paula Eduardo
Ana Cecília Corrêa Aranha
This case report discusses the indications that led to the selection of different treatments for dentinal hypersensitivity in a single patient. Taking into account the different degrees of tooth wear and levels of pain, the right canine and first premolar were restored with composite resin to create a mechanical barrier against stimuli, while the left lateral incisor and canine were irradiated with a low-power laser to reduce pain levels and depolarize nerve fibers. Both treatments provided satisfactory results.
2018 March/April; 66(2):69-73.
Implants The influence of dental implants in periapical and panoramic radiographs and cone beam computed tomography images: a clinical studyFull Article (PDF)
Rafael Perdomo Felix
Rosemary Sadami Arai Shinkai
Maria Ivete Bolzan Rockenbach
This study analyzed the influence of dental implants on the radiographic density of the peri-implant region. Mean grayscale values were calculated in 6 areas adjacent to implants on corresponding periapical radiographs, panoramic radiographs, and cone beam computed tomography (CBCT) images. Although all images demonstrated artifacts, CBCT images suffered the greatest interference from dental implants.
2018 March/April; 66(2):e1-e6.
Esthetics/Cosmetic Dentistry Effectiveness of whitening mouthwashes on tooth color: an in vitro studyFull Article (PDF)
Flávia Pardo Salata Nahsan
Maria Janete Oliveira Reis
Luciana Fávaro Francisconi-dos-Rios
Luiz Renato Paranhos
In an in vitro study of the effects of whitening mouthwash on tooth color, 48 bovine teeth were immersed in artificial saliva (control), Colgate Luminous White, or Oral-B 3D White daily for 30 days. Assessment of L*, a*, and b* values and overall color change (ΔE*) showed that the whitening mouthwashes did not improve color after 14 and 30 days.
2018 March/April; 66(2):e7-e10.
Basic Science Influence of plasma-based dry etching on the bond strength of Y-TZP ceramicHugo Cezar Nogueira AlvimFull Article (PDF)
Laís Regiane da Silva-Concílio
José Renato Cavalcanti de Queiroz
Rafael Pino Vitti
Ana Christina Claro Neves
This study evaluated the bond strength between an yttria-stabilized tetragonal zirconia polycrystal ceramic and a luting agent. The ceramic was submitted to different surface treatments, including sandblasting and plasma etching, and bond strengths were tested before and after thermocycling. Plasma etching improved bond strength values before thermocycling, but all groups showed lower bond strength values after thermocycling.
2018 March/April; 66(2):e11-e15.