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General Dentistry

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https://www.readbyqxmd.com/read/29099376/interdental-papilla-formation-after-diastema-closure
#1
Leticia Ferreira de Freitas Brianezzi, Bárbara Margarido Brondino, Giuliana Campo Chaves, Sérgio Kiyoshi Ishikiriama, Adilson Yoshio Furuse
Due to improvements in esthetic dentistry, the number of patients seeking to obtain a more harmonious smile has increased. A 40-year-old woman was referred for treatment because she was dissatisfied with the effect that diastemas and a conoid tooth had on her smile. Her maxillary anterior teeth were relatively short, resulting in a compromised esthetic relationship between height and width. Orthodontic treatment for better distribution of her teeth was recommended to the patient, but she refused, wanting faster and less expensive treatment...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099375/the-effect-of-immediate-and-delayed-polishing-on-the-color-stability-of-a-composite-resin
#2
Roselaine Terezinha Pozzobon, Thaís Camponogara Bohrer, Patrícia Eliana Fontana, Leticia Brandão Durand, Marcela Marquezan
Polishing techniques are known to enhance the longevity and appearance of composite resin restorations. However, the influence of the timing of polishing on the final results of a restoration is not well documented. The aim of this study was to determine the effect of immediate and delayed polishing on the color stability of a composite resin. Sixty composite resin specimens were fabricated and randomly divided into 2 groups according to immersion solutions: group 1, deionized water (control); and group 2, coffee (as staining solution)...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099374/traumatic-bone-cyst-of-an-anterior-mandible-with-previous-symphyseal-fracture-in-a-pediatric-patient-a-rare-finding-and-etiopathologic-correlation
#3
Kumar Nilesh, Aaditee V Vande, Shivsagar Tewary, K V Suresh
Traumatic bone cysts (TBCs) are uncommon intraosseous lesions, classified as pseudocysts because they lack an epithelial membrane lining. The etiology of a pseudocyst has not been determined. Various hypotheses have been put forward to explain its pathogenesis, of which the traumatic-hemorrhagic theory is the most commonly accepted. Minor trauma, insufficient to cause fracture or iatrogenic injury, is commonly implicated as the stimulus initiating cyst formation. A TBC presenting after jaw fracture has been rarely reported in the literature...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099373/fluorination-of-zirconia-surfaces-impairs-bonding-to-resin-cement
#4
Leandro Tolomelli Carraro Franco, Marina Amaral, Rafael Pino Vitti, Alecsandro Moura Silva, Laís Regiane Silva-Concílio, Ana Christina Claro Neves
The aim of this study was to evaluate the fluorination of a zirconia surface as an alternative treatment for bonding to resin cement; the null hypothesis was that fluorination would not improve adhesion values. Four different surface treatments were performed on the surface of yttria-stabilized tetragonal zirconia polycrystal discs (N = 80): Ctrl (control), no treatment; SB, sandblasting with 50-μm alumina particles; SBS, sandblasting with 30-μm silica-modified alumina particles and application of silane; and SF, fluorination with sulfur hexafluoride-containing plasma...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099372/rare-isolated-oral-manifestations-of-secondary-syphilis-in-an-adolescent
#5
Cínthia M Ribeiro, Marina L de Carli, Felipe F Sperandio, Evandro M S Magalhães, João Adolfo C Hanemann
Syphilis is a sexually transmitted infection caused by Treponema pallidum. The disease can manifest clinically through 3 different stages: primary, secondary, and tertiary. This report describes an uncommon case of secondary syphilis in a 16-year-old boy who showed only oral clinical manifestations. The infection was diagnosed through serologic tests. Treatment with intramuscular benzathine penicillin G led to complete remission of the oral lesions 3 weeks after initiation of treatment. The current case demonstrates the importance of laboratory tests in establishing an accurate diagnosis of syphilis and thereby avoiding unnecessary biopsies...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099371/abuse-potential-of-gabapentin-in-dentistry
#6
Mea A Weinberg, Stuart L Segelnick, Joseph S Insler
Gabapentin is an anticonvulsant drug widely prescribed for various ailments, including orofacial pain. It was once thought to have no potential for abuse; however, the last decade has seen a dramatic rise in the nonmedical use of gabapentin, particularly among opioid-dependent patients. Gabapentin is sedating and interacts with other sedating medications such as opioids, which can lead to impairment and accidents and may raise the risk of overdose. Dentists must be aware of the potential for abuse of gabapentin and weigh its benefits against its risks when prescribing the drug...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099370/metachronous-ameloblastic-fibro-odontoma-and-dentigerous-cyst-in-the-posterior-mandible
#7
Mário Rodrigues de Melo Filho, Sabina Pena Borges Pêgo, Claudio Marcelo Cardoso, Breno Amaral Rocha, Hercílio Martelli-Júnior, Isadora Luana Flores, Luis Antônio Nogueira Dos Santos, Livia Máris Ribeiro Paranaiba
An ameloblastic fibro-odontoma (AFO) is a rare mixed odontogenic tumor with histologic features of an ameloblastic fibroma in conjunction with the presence of dentin and enamel. It usually appears as a well-circumscribed radiolucency with radiopaque foci and slow growth and is commonly seen in children and young adults. A 13-year-old boy presented with an asymptomatic swelling in the posterior right region of the mandible and the right ascending ramus. The clinical, imaging, and histopathologic findings confirmed the diagnosis of an AFO...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099369/hodgkin-lymphoma-diagnosed-during-dental-treatment-the-importance-of-neck-palpation
#8
Marisol Miranda Galvis, Leonardo Amaral Dos Reis, Alan Roger Santos-Silva, Pablo Agustin Vargas, Marcelo Brum Corrêa, Marcio Ajudarte Lopes
Hodgkin lymphoma (HL) is a malignant lymphoproliferative disease that originates from alterations in germinal center B cells. HL generally affects cervical and supraclavicular nodes, and the most common clinical presentation is adenopathy. It can be symptomatic and detected by the patient or asymptomatic and identified during a physical examination. This article reports the case of a 17-year-old girl who was diagnosed with HL during dental treatment, highlighting the importance of a complete physical examination in dental practice...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099368/detection-of-an-unusual-inverted-schneiderian-papilloma-by-cone-beam-computed-tomography
#9
Rafael Binato Junqueira, Vinícius Dilly Almeida, Gustavo Brandão Grossi, Jamilly Aparecido Sperandio, Lays Kelmer Costa, Francielle Silvestre Verner
An inverted schneiderian papilloma (ISP) is a rare neoplasm that affects the nasal cavity or a paranasal sinus, especially the maxillary sinus. Although histologically benign, the lesion has a high potential for local destruction, has a high recurrence rate, and presents the possibility of malignant transformation into squamous cell carcinoma. To determine the extent of the injury and possible impairment of adjacent maxillofacial structures, accurate imaging, such as cone beam computed tomography (CBCT), is necessary...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099367/dental-management-of-patients-with-inherited-bleeding-disorders-a-multidisciplinary-approach
#10
Hassan Abed, Abdalrahman Ainousa
Bleeding disorders can be inherited or acquired and demonstrate different levels of severity. Dentists may be called on to treat patients who have bleeding disorders such as hemophilia A and von Willebrand disease (vWD). Dental extraction in any patient with clotting factor defects can result in a delayed bleeding episode. Local hemostatic measures provide effective results in a majority of cases but are insufficient in patients with severe hemophilia A and vWD. Therefore, consultation with the patient's hematologist is required to ensure preoperative prophylactic coverage...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099366/cardiovascular-considerations-for-the-dental-practitioner-1-review-of-cardiac-anatomy-and-preoperative-evaluation
#11
Kenneth Kufta, Mana Saraghi, Helen Giannakopoulos
Cardiovascular disease is the most prevalent chronic medical condition in patients treated in a dental setting. Therefore, dental practitioners must have a sound understanding of cardiovascular anatomy and physiology. Dentists also should be equipped to perform an effective preoperative cardiovascular examination and determine when medical consultation is necessary in higher risk patients. This article provides an overview of cardiovascular anatomy and physiology and discusses evaluation of cardiac risk factors with the aim of enabling dentists to effectively assess patients for potential cardiovascular events, thereby avoiding cardiovascular emergencies in the dental setting...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099365/removal-of-calcium-hydroxide-intracanal-medicament-by-different-irrigants-and-irrigating-techniques-a-cone-beam-computed-tomography-analysis
#12
Prasanna Neelakantan, Priyanka Sriraman, James L Gutmann
The aim of this study was to use cone beam computed tomography (CBCT) to evaluate the removal of calcium hydroxide (Ca[OH]2) from root canals after using different irrigation and activation protocols. Root canals (n = 128) were filled with Ca(OH)2 and scanned using CBCT. The Ca(OH)2 was removed after 1 week using 1 of 12 groups (G1-G12) according to the final irrigating solution: G1, 6% sodium hypochlorite (NaOCl) + 18% etidronic acid (EA) with no activation; G2, NaOCL + EA + passive ultrasonic irrigation (PUI); G3, NaOCl + EA + Finishing File (FF); G4, NaOCl + EA + NaviTip FX irrigation needle (NTFX); G5, 3% NaOCl + 17% ethylenediaminetetraacetic acid (EDTA) with no activation; G6, NaOCl + EDTA + PUI; G7, NaOCl + EDTA + FF; G8, NaOCl + EDTA + NTFX; G9, 3% NaOCl with no activation; G10, NaOCl + PUI; G11, NaOCl + FF; G12, NaOCL + NTFX...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099364/nutrition-for-oral-health-and-oral-manifestations-of-poor-nutrition-and-unhealthy-habits
#13
Matthew Pflipsen, Yevgeniy Zenchenko
The availability of proper nutrients is critical for the growth, development, maintenance, and repair of healthy dentition and oral tissues. Deficiencies particularly relevant to the dental practice are those in folate and other B complex vitamins; vitamins A, C, and D; calcium; fluoride; and protein. A lack of these nutrients affects nearly every structure in the oral cavity, causing or contributing to scurvy, cleft palate, enamel hypoplasia, poor mineralization, caries, and other pathoses. Damage to the dentition can also be observed in individuals with unhealthy habits; for example, a diet high in sugars will promote processes such as demineralization and caries...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099363/the-effects-of-oral-health-on-systemic-health
#14
Shawn F Kane
The oral cavity is the intersection of medicine and dentistry and the window into the general health of a patient. Hundreds of diseases and medications impact the oral cavity, and pathologic conditions in the mouth have a greater systemic impact than many providers appreciate. It is unclear whether there is true causality or just an association between periodontal disease and certain other systemic conditions, including atherosclerotic vascular disease, pulmonary disease, diabetes, pregnancy-related complications, osteoporosis, and kidney disease...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099362/oral-manifestations-of-systemic-disease
#15
Heidi L Gaddey
On examination, the oral cavity may exhibit manifestations of underlying systemic disease and serve as an indicator of overall health. Systemic diseases with oral findings include autoimmune, hematologic, endocrine, and neoplastic processes. Autoimmune disease may manifest as oral ulcerations, changes in the salivary and parotid glands, and changes in the tongue. Patients with hematologic illnesses may present with gingival bleeding or tongue changes such as glossitis, depending on the etiology. Oral changes associated with endocrine illness are variable and depend on the underlying condition...
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099361/mesenchymal-stem-cells-the-marriage-of-minimally-invasive-biomimetic-dentistry-with-medicine
#16
Mark I Malterud
No abstract text is available yet for this article.
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099360/addressing-the-opioid-public-health-crisis-through-education
#17
Gary Drahos, Larry Williams
No abstract text is available yet for this article.
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099359/space-maintenance-for-the-pediatric-patient
#18
Jane A Soxman
No abstract text is available yet for this article.
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099358/dental-procedures-and-neuropathic-pain
#19
Christopher J Spencer
No abstract text is available yet for this article.
November 2017: General Dentistry
https://www.readbyqxmd.com/read/29099357/dentists-and-primary-care-physicians-opportunities-for-closer-collaboration
#20
EDITORIAL
Jay Siwek
No abstract text is available yet for this article.
November 2017: General Dentistry
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