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 semiretired general dentist’s journeyFull Article (PDF)
Roger D. Winland
2018 May/June; 66(3):5.
Pharmacology Lidocaine turns 70: the evolution of dental local anesthesiaFull Article (PDF)
Jason H. Goodchild
2018 May/June; 66(3):6-9.
Pain Management Oral dysesthesia: uncomfortable aberrant sensationsFull Article (PDF)
Christopher J. Spencer
2018 May/June; 66(3):10-13.
Restorative Dentistry Centric relation records for implant overdenturesFull Article (PDF)
Roger A. Solow
2018 May/June; 66(3):14-16.
Self-Instruction Answers Exercises No. 402, 403, and 404 from the May/June 2017 issueFull Article (PDF)
2018 May/June; 66(3):inside back cover.
Special Patient Care The role of dental care providers in the management of patients prescribed bisphosphonates: brief clinical guidanceHassan H. AbedFull Article (PDF)
Elham N. Al-Sahafi
Dentists must be aware of the signs of medication-related osteonecrosis of the jaw (MRONJ). Patients suspected of having MRONJ should be referred to an oral surgeon to avoid complications. A bisphosphonate “drug holiday” during dental treatment is not effective in reducing the risk of MRONJ.
2018 May/June; 66(3):18-24.
Self-Instruction Exercise No. 420
Endodontics Root canal preparation in 3-rooted maxillary premolars through hand, rotary, and reciprocating techniques: a microcomputed tomography evaluationDaiana Flores Gonçalves GiannastasioFull Article (PDF)
Roberta Kochenborger Scarparo
Júlia Eick Iglesias
Rafael Chies Hartmann
Renata Dornelles Morgental
Fabiana Vieira Vier-Pelisser
Microcomputed tomography revealed that hand, rotary, and reciprocating instrumentation produced similar apical enlargements in 3-rooted maxillary premolars. Reciprocating instrumentation presented some advantages over hand preparation regarding centering ability.
2018 May/June; 66(3):26-31.
Basic Science Evaluation of the marginal integrity of a bioactive restorative materialBarry M. OwensFull Article (PDF)
Jeffrey G. Phebus
William W. Johnson
This study compared the marginal microleakage of a bioactive composite resin with that of a universal hybrid composite resin and a resin-modified glass ionomer in standard Class V preparations. The specimens in the bioactive material group exhibited greater microleakage at the coronal and apical margins than the specimens in the other groups, but the difference was not statistically significant. In all groups, microleakage was greater at the apical than the coronal margins.
2018 May/June; 66(3):32-36.
Self-Instruction Exercise No. 421
Oral Medicine, Oral Diagnosis, Oral Pathology Foreign bodies in the interior of the maxillary sinus: diagnosis by cone beam computed tomographyEliana Dantas da CostaFull Article (PDF)
Priscila Dias Peyneau
Francielle Silvestre Verner
Solange Maria de Almeida
Glaucia Maria Bovi Ambrosano
The present article reports 3 cases in which foreign bodies inside the maxillary sinus were associated with dental treatment. Foreign bodies can migrate to the maxillary sinus during or after dental procedures such as dental extraction, implant placement, and endodontic treatment. Diagnosis and treatment are facilitated by the use of cone beam computed tomography.
2018 May/June; 66(3):38-40.
Oral Medicine, Oral Diagnosis, Oral Pathology Clinical characterization and treatment outcome of patients with burning mouth syndromeAbdulaziz HakeemFull Article (PDF)
Sarah G. Fitzpatrick
Mohammed N. Islam
Donald M. Cohen
A retrospective study of the clinical records of a large university referral center explored the demographic and clinical information, as well as treatment outcomes for patients with burning mouth syndrome. Although treatment effectiveness varied, and some regimens were used too infrequently to assess, many patients reported relief of symptoms. The most effective treatments were α-lipoic acid, clonazepam, oral disintegrating clonazepam, and topical vitamin E.
2018 May/June; 66(3):41-47.
Endodontics Bioactive endodontic materials for everyday use: a reviewRyan M. WalshFull Article (PDF)
Lynne A. Opperman
Karl F. Woodmansey
Bioactive bioceramic endodontic materials promote pulpal and periapical tissue healing. This article highlights the differences among commercially available bioactive tricalcium silicate bioceramics in order to enable dentists to make appropriate decisions in product selection.
2018 May/June; 66(3):48-51.
Self-Instruction Exercise No. 422
Pediatric Dentistry Delayed tooth reimplantation with 4-year follow-up: the management of ankylosis during facial growthFranciny Querobim IontaFull Article (PDF)
Priscilla Santana Pinto Gonçalves
Heitor Marques Honório
Gabriela Cristina de Oliveira
Catarina Ribeiro Barros de Alencar
Natália Mello Santos
Thais Marchini de Oliveira
This case report reviews the consequences of delayed reimplantation (after 24 hours) of an avulsed maxillary central incisor. The article details the 4-year follow-up and the management of ankylosis during facial growth of the pediatric patient. A direct composite resin restoration was placed at the 3-year follow-up to improve esthetics until definitive treatment can be performed at the end of the growth period.
2018 May/June; 66(3):53-57.
Restorative Dentistry Effect of fiber inserts on gingival margin microleakage of Class II bulk-fill composite resin restorationsFereshteh ShafieiFull Article (PDF)
An in vitro study evaluated the effect of fiber inserts on enamel and dentin margin microleakage of bulk-fill and conventional composite resin restorations. Fiber reinforcement in composite resins might improve enamel sealing in shallow Class II cavities. The effect of fiber reinforcement on the dentin margins of deep cavities depended on the viscosity of the composite resin; fiber reinforcement was effective for flowable bulk-fill and conventional composite resin restorations.
2018 May/June; 66(3):58-63.
Endodontics Effect of root canal obturation with calcium silicate materials on pH change in simulated root resorption defectsVivek AggarwalFull Article (PDF)
This study evaluated the effect of 3 commercially available calcium silicate materials (CSMs) on pH in simulated root resorption defects. Intracanal placement of CSMs resulted in an initial pH of 9.0-9.7 inside the resorption defects; the pH gradually decreased to 8.0-8.5 over the span of 2 months. The CSM groups exhibited higher pH levels than the control group (unbuffered normal saline).
2018 May/June; 66(3):64-67.
Basic Science Depth of cure of proximal composite resin restorations using a new perforated metal matrixDuke P. NguyenFull Article (PDF)
Nancy C. Motyka
Erik J. Meyers
Kraig S. Vandewalle
This study compared the depth of cure obtained with a perforated metal matrix to that obtained with a conventional metal or clear matrix. When tri-sited light curing was applied, use of the perforated metal band did not result in significantly different depth of cure than either conventional metal or transparent bands. Tri-sited curing resulted in significantly greater depth of cure than occlusal-only curing.
2018 May/June; 66(3):68-74.
Basic Science Potential erosive effect of mouthrinses on enamel and dentinAlex J. DelgadoFull Article (PDF)
Anna Paula Dias Ribeiro
Luis E. Rodríguez
Deborah A. Dilbone
This study measured the pH values, titratable acidity (TA), and erosive potential of 6 commercial mouthrinses. Some of the tested mouthrinses had a pH lower than the critical pH of enamel and dentin. There was a significant association between an acidic pH value and higher TA. No statistically significant difference in enamel loss among the groups was observed, but certain tested mouthrinses presented an erosive potential for dentin.
2018 May/June; 66(3):75-79.
Restorative Dentistry Conservative approach for molar-incisor hypomineralization: a case report and 7-year follow-upFull Article (PDF)Camila Porto Pessôa
Cássio José Fornazari Alencar
Tatiane Fernandes Novaes
Mariana Minatel Braga
This case report describes a conservative approach for the rehabilitation of 4 teeth extensively damaged by molar-incisor hypomineralization. Resin-modified glass ionomer cement was inserted in acetate crowns to facilitate restoration of morphology, and the crowns were adapted to the molars. After the material was light cured, the acetate crowns were removed. Some restorations were repaired or replaced during 7 years of follow-up, but the patient reported no tooth sensitivity, and there was no recurrence of caries.
2018 May/June; 66(3):e1-e4.