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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

Departments

  • Editorial A semiretired general dentist’s journey

    Roger D. Winland
    2018 May/June; 66(3):5.

    Full Article (PDF)
  • Pharmacology Lidocaine turns 70: the evolution of dental local anesthesia

    Mark Donaldson
    Jason H. Goodchild
    2018 May/June; 66(3):6-9.

    Full Article (PDF)
  • Pain Management Oral dysesthesia: uncomfortable aberrant sensations

    Christopher J. Spencer
    2018 May/June; 66(3):10-13.

    Full Article (PDF)
  • Restorative Dentistry Centric relation records for implant overdentures

    Roger A. Solow
    2018 May/June; 66(3):14-16.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. 402, 403, and 404 from the May/June 2017 issue

    2018 May/June; 66(3):inside back cover.

    Full Article (PDF)

Clinical Articles

  • SELF-INSTRUCTION

    Special Patient Care The role of dental care providers in the management of patients prescribed bisphosphonates: brief clinical guidance

    Hassan H. Abed 
    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.
     
    Full Article (PDF)
    Self-Instruction Exercise No. 420
  • Endodontics Root canal preparation in 3-rooted maxillary premolars through hand, rotary, and reciprocating techniques: a microcomputed tomography evaluation

    Daiana Flores Gonçalves Giannastasio
    Roberta Kochenborger Scarparo
    Júlia Eick Iglesias
    Rafael Chies Hartmann
    Vânia Fontanella
    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.
     
    Full Article (PDF)
  • SELF-INSTRUCTION

    Basic Science Evaluation of the marginal integrity of a bioactive restorative material

    Barry M. Owens
    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.
     
    Full Article (PDF)
    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 tomography

    Eliana Dantas da Costa 
    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.
     
    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Clinical characterization and treatment outcome of patients with burning mouth syndrome

    Abdulaziz Hakeem
    Sarah G. Fitzpatrick
    Indraneel Bhattacharyya
    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.
     
    Full Article (PDF)
  • SELF-INSTRUCTION

    Endodontics Bioactive endodontic materials for everyday use: a review

    Ryan M. Walsh
    Jianing He
    Jordan Schweitzer
    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.
     
    Full Article (PDF)
    Self-Instruction Exercise No. 422
  • Pediatric Dentistry Delayed tooth reimplantation with 4-year follow-up: the management of ankylosis during facial growth

    Franciny Querobim Ionta
    Priscilla Santana Pinto Gonçalves 
    Heitor Marques Honório
    Gabriela Cristina de Oliveira 
    Catarina Ribeiro Barros de Alencar 
    Natália Mello Santos
    Thais Marchini de Oliveira
    Daniela Rios

    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.
     
    Full Article (PDF)
  • Restorative Dentistry Effect of fiber inserts on gingival margin microleakage of Class II bulk-fill composite resin restorations

    Fereshteh Shafiei
    Maryam Doozandeh
    Vahid Karimi

    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.
     
    Full Article (PDF)
  • Endodontics Effect of root canal obturation with calcium silicate materials on pH change in simulated root resorption defects

    Vivek Aggarwal
    Mamta Singla
    Sanjay Miglani
    Ritu Sharma

    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.
     
    Full Article (PDF)
  • Basic Science Depth of cure of proximal composite resin restorations using a new perforated metal matrix

    Duke P. Nguyen
    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.
     
    Full Article (PDF)
  • Basic Science Potential erosive effect of mouthrinses on enamel and dentin

    Alex J. Delgado
    Anna Paula Dias Ribeiro
    Alejandro Quesada
    Luis E. Rodríguez
    Rosa Hernández
    Bonita Wynkoop
    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.
     
    Full Article (PDF)
  • Restorative Dentistry Conservative approach for molar-incisor hypomineralization: a case report and 7-year follow-up

    Camila Porto Pessôa
    Luciana Pion
    Alessandra Reyes 
    Ronilza Matos 
    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.
    Full Article (PDF)

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