November/December 2018

Fabiano de Azevedo Ribeiro
Lubieska Zanon
Marcelo Fundão
Thais Martinelli
Thassio Vidal
Luiz Evaristo Ricci Volpato

This article describes the multidisciplinary treatment of a 39-year-old man who experienced dentoalveolar trauma in a bicycle accident. A combination of orthodontic extrusion, implant placement, and a digital workflow ensured the precision, comfort, and esthetics of the final restorations.

2023 November/December; 71(6):73-77.

Samaddar Krittika
Kar Sudipta
Zahir Shabnam
Rao Dinesh

Potassium iodide (KI) has been reported to minimize the staining caused by silver diamine fluoride (SDF). This in vitro study used quantitative evaluation of color changes and silver and fluoride release to determine the effect of KI on the staining and caries-arresting properties of SDF. Results indicated that KI lost its stain-reducing property over time and reduced the effectiveness of SDF.

2023 November/December; 71(6):68-72.

Azam Valian
Seyedeh Mahsa Sheikh-Al-Eslamian
Foroogh Zolfagharzadeh
Farzaneh Sadeghi Mahounak

When 2 types of composite resin were immersed in coffee or tea after polishing with either aluminum oxide discs or diamond-impregnated spiral wheels, the color stability of all polished specimens was found to be clinically acceptable. The coloring agent had a greater effect on color stability than the polishing technique or type of composite resin, and coffee had a greater effect than tea.

2023 November/December; 71(6):61-67.

Bruna Chrispim
Larissa Fernanda Pottmaier
Joana Maia Moreira
Jussara Karina Bernardon
Guilherme Carpena Lopes

This case report describes esthetic rehabilitation in a 28-year-old patient whose maxillary anterior dentition featured irregular gingival contours, multiple restorations, unsatisfactory tooth shapes, and a single darkened tooth. Esthetic harmony was restored by combining periodontal recontouring with the placement of a lithium disilicate crown on the darkened central incisor and lithium disilicate veneers on the other teeth.  

2023 November/December; 71(6):56-60.

Kevin Rodriguez Lichtenberg
Oscar Arevalo
Eric Tranby
Madhuli Thakkar-Samtani
Suheily Aponte-Rodriguez
Lesbia Drukteinis

Dental providers’ familiarity with and attitudes toward alternative payment models and value-based care delivery were examined via a survey. While some dental providers understood alternative payment models and reported using them, most survey respondents were unfamiliar with both concepts.

2023 November/December; 71(6):48-55.

Daniel P. Turgeon
Rachel Novack

Panoramic images of North American adult patients were examined to determine the prevalence and presenting characteristics of zygomatic air cell defects. The prevalence in the entire sample was 2.1%, and there were no significant differences between prevalence rates based on the sex or age of the patient or the laterality (bilateral vs unilateral) or appearance (multilocular vs unilocular) of the lesion.

2023 November/December; 71(6):42-46.

Mariana Pires da Costa
Mariana Batista Ribeiro-Lages
Thais Rodrigues Campos Soares
Marcela Baraúna Magno
Lucianne Cople Maia

A bibliometric analysis characterized 222 in vivo studies on the use of mouthguards and the incidence of traumatic dental injuries in sports activities. The majority of studies came from the United States, were in adult and athlete populations, and evaluated frequency of mouthguard use.

2023 November/December; 71(6):32-40.

Yosra Gassara
Marwa Jebahi
Rihab Dakhli
Rim Kallala
Zohra Nouira

This in vitro study assessed the color stability of resins used for temporary prostheses. Specimens of self-curing acrylic resin, heat-curing acrylic resin (polymerized with either a pressure-curing or a flasking technique), and CAD/CAM polymethyl methacrylate resin were immersed for up to 28 days in cola, coffee, tea, or turmeric solution. The turmeric solution showed the greatest coloring ability, and the CAD/CAM specimens had the greatest color stability.

2023 November/December; 71(6):24-30.

Suephie Nazemian
John K. Brooks
Monica P. Schneider
Nasir Bashirelahi

Clear aligner therapy continues to gain in popularity, and in-house fabrication of aligners using 3D printers can offer practitioners enhanced control and improve patient comfort. This article reviews the materials, methods, advantages, disadvantages, and procedural outcomes associated with in-house fabrication of aligners.

2023 November/December; 71(6):20-23.

Camille V. Gannam
Katherine L. Chin
Roopa P. Gandhi

Dental providers should be skilled in assessing an individual patient’s risk for dental caries so that effective and minimally invasive preventive strategies can be employed to address the etiology of dental caries. Validated assessment strategies, such as the caries risk assessment model, allow dental providers to implement a systematic and evidence-based approach to assess changes in the caries risk status of patients in an effort to prevent disease.

2018 November/December; 66(6):12-17.

Beau D. Meyer
Jung-Wei Chen
Jessica Y. Lee

Most children are able to cooperate during treatment when dentists use traditional, communicative behavior guidance techniques, but some children may require pharmacologic techniques such as procedural sedation or general anesthesia. This article presents essential information—with an emphasis on best practices and patient safety—for dentists who are considering pharmacologic behavior guidance for the children they treat.

2018 November/December; 66(6):19-22.

Glenn Canares
Kuei-Ling Hsu
Vineet Dhar
Bina Katechia

This article provides general dentists with simple care pathways for evidence-based early childhood caries chronic disease management (ECC-CDM). There are limits to the long-term success of restorative care alone, and the care pathways in the ECC-CDM model include additional treatment modalities such as fluoride varnish, silver diamine fluoride, interim therapeutic restorations, and sealants as well as supplementary strategies such as active surveillance, counseling, recalls, and deferring treatment.

2018 November/December; 66(6):24-28.

Evelina Kratunova
Daniela Silva

The purpose of this review is to aid dental professionals in correctly establishing a pulpal diagnosis and selecting the appropriate method of pulp therapy to achieve a successful outcome in pediatric patients. Contemporary views on indications and pulp medicaments are discussed, and step-by-step procedures for pulp treatment of both primary and immature permanent teeth are described.

2018 November/December; 66(6):30-38.

Martha H. Wells
Larry D. Dormois
Janice A. Townsend

Building and honing behavior guidance skills are part of the process by which dentists help turn child patients into fearless adult patients with excellent oral health. This article reviews basic techniques for behavior guidance and offers practical examples of implementing these approaches in daily practice.

2018 November/December; 66(6):39-45.

Cristina Perez

Obstructive sleep apnea syndrome (OSAS), characterized by prolonged partial upper airway obstruction and/or intermittent complete obstruction during sleep, is prevalent in children. OSAS has important central nervous system, cardiovascular, and metabolic consequences that can affect a child’s quality of life. Dental practitioners also can play a crucial role in the diagnosis, treatment, and management of this condition.

2018 November/December; 66(6):46-50.

Cristina Perez

Temporomandibular disorders (TMDs) affect the muscles of mastication, temporomandibular joints, and associated structures. Recent studies have reported a growing prevalence of signs and symptoms of TMDs in children and adolescents, although unified diagnostic criteria for children are still needed. TMDs usually are the result of a combination of influences, including trauma, occlusion, systemic and genetic factors, and psychological factors. Reversible options should prevail as the treatments of choice.

2018 November/December; 66(6):51-55.

Eduardo Carpinski Corrêa
Fernando Akio Maeda
Andre Luís Ribeiro de Miranda
Paulo Eduardo Guedes Carvalho
Lucas Hian da Silva
Fernando César Torres

This study of patients aged 7-11 years aimed to assess the masticatory function of 51 children with anterior open bite and 55 children with normal overbite. In this colorimetric evaluation, fuchsin granules in capsules were ground during chewing and then used to produce a solution, which was examined via spectrophotometry. Greater light absorbance of the solution indicated greater masticatory efficiency. Children with an anterior open bite exhibited less masticatory efficiency than those with a normal overbite.

2018 November/December; 66(6):56-59.

Feng-Ming Wang
Nadia M. Chugal
Gerald N. Glickman
James L. Gutmann

This case report describes regenerative endodontic therapy and mineral trioxide aggregate (MTA) apexification in 2 mandibular premolars in a single patient. Regenerative endodontic therapy was performed after debridement and placement of calcium hydroxide in 1 root canal, while an apical plug of MTA was placed prior to gutta percha in the other. Follow-up revealed complete healing in both premolars.

2018 November/December; 66(6):61-64.

Kristie Partin-Agarwal
Robert J. Terwilliger
Wen Lien
Jeffrey P. Jessup
Nancy C. Motyka
Kraig S. Vandewalle

The surface roughness values of 4 ceramic polymers (Enamic, Lava Ultimate, CeraSmart, and Block HC) were compared to that of a lithium disilicate material (IPS e.max CAD) after simulated toothbrushing. After an equivalent of 8 years of brushing, IPS e.max CAD and Enamic had the lowest area surface roughness (S_a) values, while Block HC had the greatest. Lava Ultimate and CeraSmart had intermediate S_a values. IPS e.max CAD was the only material to show no statistically significant increase in surface roughness after simulated toothbrushing.

2018 November/December; 66(6):65-70.

Diogo Longhini
Cibele Oliveira de Melo Rocha
Norberto Martins de Oliveira Junior
Marco Antonio Compagnoni
Gelson Luis Adabo
João Neudenir Arioli Filho

In patients with bone atrophy, overextension of the buccal flange to provide adequate lip support can make it difficult to clean under implant-supported fixed maxillary complete dentures. This case report describes fabrication of overdentures with a double-bar system that offered rigidity, retention, and stability while allowing for prosthesis removal to facilitate oral hygiene.

2018 November/December; 66(6):71-75.

Erdem Kilic
Ozge Doganay

Bisphosphonates are associated with rare, serious complications, including bisphosphonate-related osteonecrosis of the jaw (BRONJ). To reduce the risk of BRONJ, teeth that are likely to cause infection should be treated and dentures or restorations that may cause trauma should be replaced or repaired before initiation of bisphosphonate therapy. This article presents current approaches to treatment of BRONJ.

2018 November/December; 66(6):e1-e5.

Vivek Aggarwal
Mamta Singla
Sanjay Miglani
Vikram Sharma
Sarita Kohli

This study evaluated the effect of incorporating polyethylene fibers in a composite resin on gingival marginal adaptation. Scanning electron microscopic evaluation revealed that the incorporation of polyethylene fibers improved gingival marginal adaptation in Class II slot preparations.

2018 November/December; 66(6):e6-e10.

James J. Sciubba
Babak Larian

This retrospective study analyzed patient demographics and lesion characteristics associated with oral squamous cell carcinoma that was initially assessed using a transepithelial oral brush biopsy and subsequently confirmed by incisional biopsy. The majority of patients were without traditional risk factors. Almost half of the cancers presented as white lesions, one-third presented with lesions smaller than 5 mm, and about three-fourths initially presented without pain or bleeding. The 5-year survival rate was approximately 94%.

2018 November/December; 66(6):e11-e16.