July 2013

Table of Contents


  • Editorial Fostering change

    Roger D. Winland, DDS, MS, MAGD

    2013 July;61(4):8.
    Full Article (PDF)
  • Answers Self-Instruction exercises No. 306, 307, 308, 309, 310, 311

    2013 July;61(4):78.
    Full Article (PDF)

Clinical Articles

  • Infectious Disease Microbiological evaluation of ultrasonic nebulization for disinfecting dental impressions

    Marcio Jose Mendonca, DDS, MSc, PhD
    Renata Santos Rafael, DDS
    Veridiana Camilotti, DDS, MSc, PhD
    Rafael Andrade Menolli, MSc
    Eliseu Augusto Sicoli, DDS, MSc, PhD
    Nancielli Teixeira, DDS
    Mario Alexandre Coelho Sinhoreti, DDS, MSc, PhD

    2013 July;61(4):10.

    This study compared the microbicidal effect of 2% glutaraldehyde and 0.2% peracetic acid for the disinfection of dental impressions made with vinyl polysiloxane, using 2 methods: immersion and ultrasonic nebulization. The results indicate that ultrasonic nebulization is an effective microbicidal method for polyvinylsiloxane impressions when either solution was used.
    Full Article (PDF)

    Periodontics Gingival biotype: a review

    Zeinab Rezaei Esfahrood, DDS, MS
    Mahdi Kadkhodazadeh, DDS, MS
    Mohammad Reza Talebi Ardakani, DDS, MS

    2013 July;61(4):14.

    Different tissue biotypes respond differently to inflammation and to surgical and restorative treatment; thus it is crucial to identify tissue biotype before treatment. This article reviews the characteristics of various gingival biotypes and the many ways to determine them.
    Full Article (PDF)
    Self-Instruction Exercise No. 331
  • The Science of Color Comparison of the efficiency of photography-assisted shade selection to visual shade selection

    K. Prabhu, MDS
    Padma Ariga, MDS
    Jacob Mathew Philip, MDS
    2013 July;61(4):19.

    This study sought to compare the efficacy of digital photographs and graphic software for shade matching. Shade selection done with digital photography and graphic software using color differences formulas offered better and statistically significant shade matching compared to conventional visual shade selection and visual shade selection assisted by digital photography.
    Full Article (PDF)
  • Multidisciplinary Topics Treatment of root perforations with resin ionomer cement and connective tissue graft: a case report

    Leogenes M. Santiago, DDS, MSc
    Bruna de C. Farias, DDS, MSc
    Alessandra de A. T. Carvalho, DDS, MSc, PhD
    Catia Maria Fonseca Guerra, DDS, MSc, PhD
    Renata Cimoes, DDS, MSc, PhD

    2013 July;61(4):24.

    This is a case report of iatrogenic root perforation on an anterior tooth that required combined restorative, periodontal, surgical, and endodontic approaches. This report shows that a subepithelial connective tissue graft can successfully treat root perforations associated with a resin ionomer-restored root surface. 
    Full Article (PDF)
  • Growth & Development Green teeth in a premature infant following hemolytic jaundice

    M. Rammal, DDS
    M. Meador, DMD
    M. Rodriguez, DMD
    B. Lish, DDS

    2013 July;61(4):28.

    This article presents a case of a patient with a medical history of hemolytic jaundice. Green staining of the dentition is a phenomenon associated with the deposition of bilirubin in the matrix of hard tissue during formation.
    Full Article (PDF)

    Implants Single tooth replacement utilizing implants in the esthetic zone: a case report

    Nicholas Egbert, DDS, MDS, FACP
    Swati Ahuja, BDS, MDS
    Robert Brandt, DDS, MS
    Vinay Jain, BDS, MDS
    Russell Wicks, DMD, MS

    2013 July;61(4):30.

    Careful evaluation is necessary before placing a single tooth in the esthetic zone. This case involved the presurgical location of the facial free gingival margin of the implant-supported crown, in relation to the adjacent teeth.
    Full Article (PDF)
  • Information Technology/Computers Unique CAD/CAM three-quarter crown restoration of a central incisor: a case report

    Marvin B. Golberg, DDS
    Sharon C. Siegel, DDS, MS
    Niloufar Rezakani, DMD

    2013 July;61(4):36.

    This case report describes the restoration of a central incisor that was previously restored with an unesthetic three-quarter gold crown. A CAD/CAM three-quarter crown was planned to conserve tooth structure. After preparation, the tooth was scanned for a CAD/CAM crown in order to fabricate a ceramic restoration, which was then milled and bonded, producing an esthetic result.
    Full Article (PDF)
  • Periodontics Treatment of oral malodor and periodontal disease using an antibiotic rinse

    Ken Southward, DDS, FAGD
    Anne Bosy, RDH, MEd, MSc

    2013 July;61(4):41.

    The study’s goal was to determine the effectiveness of an antibiotic rinse preparation, containing metronidazole and nystatin, in decreasing oral malodor and periodontal disease for individuals whose chief complaint was halitosis. The results indicated a substantial decrease in both halitosis and periodontal disease markers, which was accomplished without the risk of the systemic effects of an oral antibiotic.
    Full Article (PDF)
  • Pharmacotherapeutics The effect of a mouthrinse containing chlorine dioxide in the clinical reduction of volatile sulfur compounds

    Leo Guimaraes Soares, DDS, PhD
    Roberto Luiz Guaitolini, DDS, MS
    Sergio de Carvalho Weyne, DDS, PhD
    Marcio Eduardo Vieira Falabella, DDS, PhD
    Eduardo Muniz Barretto Tinoco, DDS, PhD
    Denise Gomes da Silva, DDS, PhD

    2013 July;61(4):46.

    This study evaluate the efficacy of a mouthrinse containing 0.3% chlorine dioxide in reducing oral volatile sulfur compounds (VSCs). The VSC reduction rate of the test mouthrinse was superior to a placebo and a 0.07% cetylpyridinium chloride solution. There was no difference between the test mouthrinse and a 0.2% chlorhexidine gluconate solution in VSC reduction rates.
    Full Article (PDF)
  • Pharmacotherapeutics A clinically significant drug interaction between warfarin and amoxicillin resulting in persistent postoperative bleeding in a dental patient

    Jason H. Goodchild, DMD
    Mark Donaldson, BSP, PHARMD, FASHP, FACHE

    2013 July;61(4):50.

    This article reviews the case of a 66-year-old man who developed an elevated international normalized ratio and sustained clinically significant bleeding as a result of a drug-drug interaction between warfarin and amoxicillin. An objective causality assessment revealed that this adverse drug event, secondary to the warfarin and amoxicillin interaction, was probable.
    Full Article (PDF)
  • Tooth Whitening/Bleaching Effect of pH values of two bleaching gels on enamel microhardness

    Natalia Costa Araujo, PhD
    Manuella Uilmann Silva da Costa Soares, PhD
    Marcela Maria Nery, MD
    Wagno da Silva Sales
    Marleny Elizabeth Martinez Gerbi, PhD

    2013 July;61(4):55.

    This study evaluated the influence of bleaching gel pH and the effect of remineralizing gels after bleaching in different time intervals. The results indicate that it is important to consider the bleaching agent’s pH and composition when treating patients with reduced salivary secretion.
    Full Article (PDF)

    Operative (Restorative) Dentistry Analysis of total microbiota in dentin after mechanical or papain-based chemomechanical caries removal

    Sandro Marco Stefanini de Almeida, DDS, MS
    Fabiana Mantovani Gomes Franca, ScD, MS
    Flavia Martao Florio, DDS, MS, ScD
    Glaucia Maria Bovi Ambrosano, AGR ENG, MS, ScD
    Roberta Tarkany Basting, DDS, MS, ScD, PhD

    2013 July;61(4):59.

    This study performed an in vivo analysis of the total number of microorganisms in dentin after the use of conventional or chemomechanical (papain gel) caries removal methods. For both groups, the total count of microorganisms in dentin decreased 45 days after placing the temporary cavity sealing.
    Full Article (PDF)
    Self-Instruction Exercise No. 333
  • Oral Medicine, Oral Diagnosis, Oral Pathology Clinical identification of head and neck lymphadenopathy: a diagnostic obligation

    Morton I. Lieberman, DDS
    Thomas H. Ward, DMD, MPH, FACD
    Michael A. Siegel, DDS, MS, FDS RCSEd

    2013 July;61(4):65.

    The purpose of this article is to reinforce the need for all dental clinicians to perform a complete lymph node examination on every patient, and provides the rationale for lymph node examination, the palpation techniques for the clinician to utilize, and the anatomic locations and descriptions of lymph nodes.
    Full Article (PDF)
  • Prosthodontics/Fixed An indirect approach for closing the space between a pontic and the alveolar ridge on an existing prosthesis

    Eric Danko, DMD, MBA, FAGD, ABGD
    Jason Roe, DDS, FACP

    2013 July;61(4):69.

    This article describes an alternative method for closing the area between a pontic and the alveolar ridge. An existing restoration could be maintained by resin-bonding an onlay to the intaglio surface of the pontic.
    Full Article (PDF)
  • Bone Grafting/GTR Surgery Bioactive glass and connective tissue graft used to treat intrabony periodontal defects

    Tatiana Miranda Deliberador, DDS, PhD
    Daniel Rizzo Trotta, DDS
    Luis Gustavo Klug, DDS, MSc
    Joao Cesar Zielak, DDS, PhD
    Allan Fernando Giovanini, DDS, PhD

    2013 July;61(4):72.

    This case report presents an intrabony periodontal defect with bioactive glass and connective tissue graft used as a barrier. Probing depth and clinical attachment gain were reduced at 6 and 12 months post-treatment.
    Full Article (PDF)
  • Tooth Whitening/Bleaching Using chemical vapor deposition diamond finishing burs for conservative esthetic procedures

    Adilson Yoshio Furuse, DDS, MSc, PhD
    Leonardo Fernandes da Cunha, DDS, MSc
    Patricio Runnacles, DDS, MSc
    Rodrigo Pirolo, DDS, MSc
    Joao Cesar Zielak, DDS, MSc, PhD

    2013 July;61(4):75.

    The article demonstrates how chemical vapor deposition (CVD) diamond burs were used in a simple esthetic and cosmetic procedure to treat discolored anterior teeth. The results indicate that CVD diamond burs are appropriate for removing excess material at the gingival margins of resin composite restorations without damaging the periodontium.
    Full Article (PDF)
  • Prosthodontics/Removable Effect of chemical cleaning agents on the flexural strength of acrylic and hard denture line resins

    Sabrina Alessandra Rodrigues, DDS, MSD
    Juliana Maria Costa Nunez Pantoja, DDS, MSD, PHD
    Jessica Mie Ferreira Koyama Takahashi, DDS, MSD, PHD
    Rafael Leonardo Xediek Consani, DDS, MSD, PHD
    Marcelo Ferraz Mesquita, DDS, MSD, PHD

    2013 July;61(4):e1.

    The effects of the disinfectants, Efferdent and 0.5% sodium hypochlorite, and their effects on the flexural strength and modulus of elasticity of the hard denture liners, Kooliner and New Truliner, and a thermoacrylic resin, QC-20, were evaluated. The disinfectants changed the mechanical properties of the tested materials.
    Full Article (PDF)
  • Diagnosis and Treatment Planning Orthodontic extrusion: diagnosis and treatment with CBCT in a pediatric patient

    Rakesh N. Bahadure, MDS
    Nilima Thosar, MDS
    Monika Khubchandani, MDS

    2013 July;61(4):e5.

    This report describes a case in which a 10-year-old girl reported with an impacted, recessed central incisor. The CBCT examination compelled the treating dentists to maintain the central incisor by orthodontically extruding the tooth and then rebuilding it with a bonded composite restoration.
    Full Article (PDF)
  • Tooth Whitening/Bleaching Effect of whitening toothpaste on superficial roughness of composite resin

    Natalia Ventura da Cas, DDS
    Gabrielle Rodrigues Ruat, DDS, MS
    Renata Pla Rizzolo Bueno, DDS, MS
    Raquel Pachaly, DDS, MS
    Roselaine Terezinha Pozzobon, DDS, MS, PhD

    2013 July;61(4):e8.

    This study sought to evaluate the effect of different toothpastes—3 with whitening action, 1 without—on the average surface roughness (Ra) of a microhybrid composite resin. It was determined that brushing with toothpaste, regardless of formulation, significantly increased the Ra of the resin composite evaluated in this study.
    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Multiple oral radiopaque masses leading to Gardner’s syndrome diagnosis

    Aline Garcia Figueiredo Costa
    Rayana Ondina Biagioni Costa
    Lucinei Roberto de Oliveira, DDS, MSD, PhD
    Soraya de Mattos Camargo Grossmann, DDS, MSD, PhD

    2013 July;61(4):e12.

    This is a case of a 66-year-old woman who presented with intestinal poliposis, periosteal osteoma in the face, and fibromas and multiple endosteal osteomas in the maxilla, which are indications of Gardner’s syndrome. Patients with a suspected diagnosis of Gardner’s syndrome should be referred to a dermatologist, have a colonoscopy performed, and be followed up by a dentist.
    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Facial pigmentation associated with amiodarone

    Wilfredo Alejandro Gonzalez-Arriagada, DDS, MSc
    Alan Roger Santos Silva, DDS, PhD
    Pablo Agustin Vargas, DDS, PhD
    Oslei Paes de Almeida, DDS, PhD
    Marcio Ajudarte Lopes, DDS, PhD

    2013 July;61(4):e15.

    This report describes the case of a patient, with a diagnosis of cardiac arrhythmia, who presented with a stigmatizing blue-gray facial pigmentation and altered serum values of thyroid hormones associated with the intake of amiodarone. The patient was referred to her cardiologist.
    Full Article (PDF)