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General Dentistry

B V Karthikeyan, Divya Khanna, Kamedh Yashawant Chowdhary, M Lv Prabhuji
Harmony between hard and soft tissue morphologies is essential for form, function, and a good esthetic outlook. Replacement grafts for correction of soft tissue defects around the teeth have become important to periodontal plastic and implant surgical procedures. Among a multitude of surgical techniques and graft materials reported in literature, the subepithelial connective tissue graft (SCTG) has gained wide popularity and acceptance. The purpose of this article is to acquaint clinicians with the current understanding of the versatile SCTG...
November 2016: General Dentistry
Hercules Bezerra Dias, Emanuelle Teixeira Carrera, Alessandra Nara de Souza Rastelli
Due to increasing consumer knowledge about the health benefits associated with anthocyanin-rich foods and beverages-such as acai and blueberry juices-the growing consumption of these products should be a source of concern for dentists. Since anthocyanins are colorants that can discolor teeth and restorations, the aim of this study was to investigate the staining effects of 2 anthocyanin-rich beverages on a nanofilled composite resin. Specimens were prepared, separated into 3 groups, and immersed in either artificial saliva or 1 of the 2 staining solutions (blueberry or acai juice) at 37°C for 7 days...
November 2016: General Dentistry
Fernanda de Carvalho Panzeri Pires-de-Souza, Marta Maria Martins Giamatei Contente, Carla Cecilia Alandia-Román, Sergio Augusto de Freitas Vicente, Rafaella Tonani
The aim of this study was to evaluate the effect of 16% carbamide peroxide and 1.23% acidulated phosphate fluoride application and their association with a change in color (ΔE*) and brightness of dental ceramic submitted to different finishing procedures. A total of 120 test specimens were fabricated and randomly divided into 3 groups (n = 40) according to the type of finishing: glazing; polishing; or polishing and glazing. Initial color and brightness readouts were taken, and the finished specimens were divided into groups (n = 10) according to the treatment to which they were submitted: fluoride; bleaching; bleaching and fluoride; or control...
November 2016: General Dentistry
Rahul S Kulkarni, Sandeep K Pimpale, Suryakant N Powar
Dental fluorosis results from excess fluoride ingestion during tooth formation and is commonly seen in certain endemic areas. Its clinical manifestations may range from white opaque patches of enamel in mild cases to pitting and loss of enamel in severe cases. The treatment of fluorosis is important not only because of esthetic and functional concerns but also to help improve a patient's self-esteem; therefore, a multidisciplinary approach is often necessary. This article describes a multidisciplinary approach to complete-mouth rehabilitation of a patient affected with fluorosis...
November 2016: General Dentistry
Flávia Pardo Salata Nahsan, Luciana Mendonça da Silva, Thiago Mendes de Lima, Verônica Pereira de Lima Bertocco, Fabíola Mendonça da Silva Chui, Leandro de Moura Martins
Enamel alterations, such as amelogenesis imperfecta, can compromise the harmony of the smile and the patient's self-esteem and may cause tooth sensitivity. A simple and effective treatment approach uses the natural stratification of composite resins to mask deficient enamel formation and mimic the natural appearance of the substrate. The operative steps and principles for restorative success are described in this case report with 36-month follow-up.
November 2016: General Dentistry
Lucas Guimarães Abreu, Camilo Aquino Melgaço, Elizabeth Maria Bastos Lages, Saul Martins Paiva
The aim of this study was to evaluate the impact of malocclusion on the oral health-related quality of life (OHRQoL) of 120 Brazilian adolescents with the Child Perceptions Questionnaire for 11 to 14 year olds (CPQ11-14). Malocclusion was evaluated by 2 calibrated dentists using the Dental Aesthetic Index. Adolescents' sex and age and the families' monthly income were recorded and considered as confounding variables. A total of 117 adolescents completed the CPQ11-14, for a response rate of 97.5%. The multivariate model demonstrated that adolescents diagnosed with malocclusion (n=77) were significantly more likely to report a negative impact on the overall CPQ11-14 score (prevalence ratio [PR] = 1...
November 2016: General Dentistry
Sarmad Bakuri, Sharon K Lanning, Al M Best, Robert Sabatini, John Gunsolley, Thomas C Waldrop
Dietary supplement effects and drug interactions can lead to significant adverse health events, thus potentially impacting the safe delivery of oral healthcare. This study sought to determine the frequency of, and factors impacting, dietary supplement use among 209 dental patients and whether the design of a medical history questionnaire influences reporting of supplement use. Patients were randomly allocated to 1 of 2 groups in which they completed either a standard medical history questionnaire (n = 107) or the same questionnaire with an additional item about dietary supplement use (n = 102)...
November 2016: General Dentistry
Marília De Lima Soares, Geane Bandeira Porciúncula, Mara Ilka Holanda Medeiros De Lucena, Luiz Alcino Monteiro Gueiros, Jair Carneiro Leão, Alessandra De Albuquerque Tavares Carvalho
Lasers demonstrate excellent therapeutic action and are often employed in dentistry for the treatment of diverse clinical conditions. The aim of this study was to compare the efficacy of neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser, gallium-aluminum-arsenide (GaAlAs) laser, and 2% neutral fluoride gel in the treatment of dentinal hypersensitivity. Twenty-three patients were evaluated, involving a total of 48 quadrants with at least 1 tooth with dentinal hypersensitivity (89 teeth total). Pain intensity was recorded on a visual analog scale at the time of clinical examination (baseline), immediately after treatment, and 1 week posttreatment...
November 2016: General Dentistry
Pedro Thalles Bernardo de Carvalho Nogueira, Ozawa Brasil, Antonio Dionízio de Albuquerque Neto, Luciano Leocádio Teixeira Nogueira Filho, Bruna Lopes Souza, José Rodrigues Laureano Filho
Leukoplakia is a nondetachable, potentially malignant, white lesion that is commonly found in smokers of advanced age. Leukoplakia occurs more frequently in men; however, there is a higher index of dysplastic changes and malignant transformation in women. The proposed treatments for this disease range from monitoring to surgical excision. Cryosurgery has been reported as an alternative to conventional surgery. Cryosurgery destroys the tissues of a potentially malignant lesion through the application of low temperatures...
November 2016: General Dentistry
Esdras Campos França, Lucas Guimarães Abreu, Saul Martins Paiva, Alexandre Fortes Drummond, Maria Esperanza Cortes
Marfan syndrome is an autosomal-dominant genetic disorder that affects connective tissues. Diagnosis is based on genetic history as well as major and minor clinical criteria. This article presents a case of Marfan syndrome, emphasizing the clinical manifestations of the disease, and provides an overview of oral management. Knowledge of the etiopathologic and clinical aspects of this condition is essential to providing dental treatment aimed at improving the quality of life of affected individuals.
November 2016: General Dentistry
Miles R Cone
The field of dentistry is an ever-evolving discipline. A marked rise in the use of endosseous implants, adhesive ceramic bonding, and composite resins, as well as continued patient desire for minimally invasive procedures, has created a new conservative era in the practices of many restorative dentists. These trends, coupled with the significant financial impact associated with the reconstruction of failing, worn, and esthetically compromised dentitions, have facilitated a paradigm shift in the way that individual patient cases are being treatment planned today...
November 2016: General Dentistry
Aaron J Omura, Vaibhav Latthe, Mark M Marin, David R Cagna
At the heart of prosthodontic treatment planning must be a sound understanding of the quality and reliability of the prosthodontic foundation. Implant prosthodontics relies almost entirely on the biological and mechanical properties of an osseous foundation. Initiation of therapy in the absence of a healthy and stable prosthodontic foundation risks unintended and suboptimal treatment outcomes. For conventional removable partial denture (RPD) therapy, consideration must be given to interactions between the soft and hard tissues available to support and stabilize planned prostheses...
November 2016: General Dentistry
Jonathan P Wiens
Temporomandibular disorders (TMDs) represent a broad spectrum of conditions associated with the temporomandibular joints and the neuromuscular system. Evidence-based diagnostic criteria for various TMDs are emerging, while corresponding treatment procedures remain less clear. As a result, the clinician may be uncertain how to best care for TMD patients. The objectives of this evidence-based review were to outline the various types of occlusal devices, assess the efficacy of occlusal splints in treating TMD patients, and create a treatment rubric based on diagnostic criteria and condition severity...
November 2016: General Dentistry
Nadim Z Baba, Hamad S AlRumaih, Brian J Goodacre, Charles J Goodacre
Recently, the use of computer-aided design/computer-aided manufacturing (CAD/CAM) to produce complete dentures has seen exponential growth in the dental market, and the number of commercially available CAD/CAM denture systems grows every year. The purpose of this article is to describe the clinical and laboratory procedures of 5 CAD/CAM denture systems.
November 2016: General Dentistry
Mark C Hutten
As the baby boom generation ages, it is projected that by 2050 the number of Americans older than 65 years of age will increase to a staggering 88 million. Those Americans 85 years and older will soon represent the fastest growing segment of the population, predicted to surge to 20 million by 2060. Management of chronic disease processes affecting older Americans will consume 86% of the nation's healthcare expenditures. Dentists and specialists alike must understand these disease processes and become active members of the healthcare team...
November 2016: General Dentistry
Larry Williams
No abstract text is available yet for this article.
November 2016: General Dentistry
Jason H Goodchild, Mark Donaldson
No abstract text is available yet for this article.
November 2016: General Dentistry
Carl F Driscoll
No abstract text is available yet for this article.
November 2016: General Dentistry
Roger D Winland
No abstract text is available yet for this article.
November 2016: General Dentistry
Amit Malhotra, Jyoti Ahlawat, Chirag Bansal, Divya Tahiliani
Aberrations in the internal dental anatomy present challenges for clinicians performing endodontic therapy. These challenges have been partly resolved in recent years by a more comprehensive knowledge of root canal anatomy as well as advancements in the endodontic armamentarium. The aim of this case series is to describe successful root canal treatment, under magnification, in 3 cases of mandibular first molars with 6 root canals. Two of these teeth had 2 roots (mesial and distal) with 3 canals in each root; the third tooth had 3 root canals located mesially and 3 present distally as well as a radix entomolaris...
September 2016: General Dentistry
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