bluuebunny/crossref_metadata_2025 huggingface dataset:
A Case of Extensive Maxillary Benign Cementoblastoma
Authors: de Amorim Rivadávio Fernandes Batista , Silveira Éricka Janine Dantas , França Mariana Nóbrega , Guimarães Maria do Carmo Machado , Júnior Normeu Lima , de Carvalho Daniel Rey
Published: July 2019

Aim

The aim of the present paper is to report a case of benign cementoblastoma (BC) involving multiple maxillary teeth and discuss the importance of its diagnosis in clinical oral practice.

Background

BC is a rare, benign odontogenic neoplasm of ectomesenchymal origin. This neoplasm has characteristic radiologic and microscopic features, and it is intimately associated with the roots of teeth.

Case Report

The intra-oral examination in a 21-year-old white man revealed a palatine growth in the premolar-molar region. Dental panoramic and periapical radiographies showed a mixed radiodense/radiolucent lesion closely associated with the roots of three maxillary teeth. A biopsy was undertaken and confirmed the clinical hypothesis.

In most cases, initial BC is asymptomatic and early diagnosis can be performed by routine radiographic examination. BC was considered as an indolent lesion for several years. Nevertheless, recent studies have demonstrated that some BCs may exhibit aggressive biological behavior and can affect several teeth.

Clinical Significance

Because a benign cementoblastoma represents an odontogenic lesion, general practicing professionals must be able to identify the main features of this tumor. This case corroborates some papers that have demonstrated a possible aggressive behavior of BC. Therefore, a brief update concerning the clinical and radiographic features of this unique tumor is also provided.

Citation

Amorim RFB, Silveira EJD, França MN, Guimarães MCM, Lima Júnior N, Carvalho DR. A Case of Extensive Maxillary Benign Cementoblastoma. J Contemp Dent Pract [Internet]. 2010 May; 11(3):056-062. Available from: http://www.thejcdp.com/journal/view/ volume11-issue3-amorim
Tooth Autotransplantation in Orthodontic Patients
Authors: Tair Jawad A. Abu , Rahhal Ahmad
Published: July 2019

Aim

The aims of this report are to present three cases of autotransplantation along with a review of the indications, selection criteria for patient donor and recipient sites, and the major steps in the surgical procedure.

Background

Autogenous tooth transplantation, or autotransplantation, is the surgical movement of a tooth from one location in the mouth to another in the same individual. It can be a good treatment option in many cases if the dentist knows the implications, indications, and contraindications.

Case Descriptions

Three cases with different treatment indications and plans are presented. All showed autotransplantation of teeth as part of orthodontic treatment. It emphasized the benefits of this treatment modality such as new bone formation and lower costs. One case, a rare example of multiple congenitally missing teeth treated by autotransplantation, also was presented.

As shown in these case reports, there are instances where the autotransplantation of teeth is appropriate and may possibly simplify future planned orthodontic or prosthodontic treatment.

Clinical Significance

Tooth autotransplantation is an easy and good treatment option, applicable in a lot of cases, substituting different types of prostheses, including dental implants.

Citation

Abu Tair JA, Rahhal A. Tooth Autotransplantation in Orthodontic Patients. J Contemp Dent Pract [Internet]. 2010 May; 11(3):063-070. Available from: http://www.thejcdp. com/journal/view/volume11-issue3-abu_tair.
Tooth Loss Among Nigerians Treated in Teaching Hospitals: A National Pilot Study
Authors: Udoye Christopher I. , Olusile Adeyemi O. , Oziegbe Elizabeth O. , Esan Temitope A. , Ojo Michael A. , Olasoji Hector O.
Published: July 2019

Aim

The aim of this study was to identify the causes and patterns of tooth loss among Nigerian adults.

Background

Tooth loss continues to be a major problem in clinical dentistry and has received significant attention in everyday dental practice. In Nigeria there is a discernible lack of current data that would explain the reasons and patterns of tooth loss from its different geopolitical zones.

Methods and Materials

The reasons for tooth extractions during a period of 12 months were obtained from the hospital records of teaching and specialist hospitals in Nigeria's six geopolitical zones and the Federal Capital Territory (FCT). Data were analyzed using Statistical Package for the Social Sciences for Windows (SPSS) version 9.0.

Results

A total of 4,204 teeth were extracted from 3,431 patients. Of these teeth 52.4 percent were lost due to dental caries while 30.2 percent were removed because of periodontal disease, 5.0 percent were missing as a result of trauma, and 3.9 percent were impacted and required extraction. The remaining 8.5 percent were extracted for a variety of reasons such as orthodontic treatment, overeruption, neoplasms, supernumerary teeth, attrition, a cystic lesion, and hypoplasia. Dental caries was the most common diagnosis given for tooth loss in the South-South (79 percent), South- East (68 percent), North-East (47 percent), North- West (69 percent), and North-Central (35 percent) zones followed by periodontal disease. In contrast, periodontal disease was the most common cause of tooth loss in the South-West zone (65 percent) and in the FCT (55 percent), followed by dental caries at 22 percent and 33 percent, respectively.

Conclusion

Although teeth were extracted based on a variety of diagnoses, dental caries was identified as the common reason cited for tooth loss in Nigeria and to a lesser extent periodontal disease. Also different reasons were given for tooth loss among the various geographical zones.

Clinical Significance

Tooth loss among Nigerians was attributed largely to dental caries and secondarily to periodontal disease. Both conditions can be prevented if diagnosed early enough and treatment is instituted in a timely manner.

Citation

Esan TA, Olusile AO, Ojo MA, Udoye CI, Oziegbe EO, Olasoji HO. Tooth loss among Nigerians treated in teaching hospitals: A National Pilot Study. J Contemp Dent Prac [Internet], 2010 October;11(5):017-024. Available from: http://www. thejcdp.com/journal/view/volume11-issue5-esan
Smear Layer Removal for Collagen Fiber Exposure after Citric Acid Conditionings
Authors: Leite Fabio Renato Manzolli , Sampaio José Eduardo Cezar , Dantas Andrea Abi Rached , Cavassim Rodrigo , Zandim Daniela Leal
Published: July 2019

Aim

The aim of the present study was to compare the removal of the smear layer and exposure of collagen fibers of the root surface following the application of five citric acid solution concentrations.

Methods and Materials

Two hundred seventy (270) samples were equally divided into six groups (n=45) for treatment with saline solution (control) and five different concentrations of citric acid (0.5, 1, 2, 15, and 25 percent). Three acid application methods were used (passive, brushing, and burnishing) as well as three application periods (1, 2, and 3 minutes). A previously trained, calibrated (kappa score = 0.93), and blind examiner subsequently scored scanning electron micrographs (SEMs) of the samples. Statistical analyses were performed by using Kruskal-Wallis and Dunn's post-hoc tests.

Results

According to the results obtained and within the limitations of the methodology used, the citric acid applications were more effective than the control treatment of applying saline solution (p<0.05). However, no statistically significant differences were observed among the three application methods and three application periods. Descriptive analyses showed that best results for exposure of collagen fibers were obtained with the application of citric acid at 25 percent by brushing for 1 or 3 minutes.

Conclusions

The best results for exposure of collagen fibers in this study were obtained with application of citric acid at 25 percent by brushing for 1 or 3 minutes, even though there were no statistically significant differences among the groups.

Clinical Significance

The best results for exposure of collagen fibers on root surfaces noted in this study were obtained with application of citric acid at 25 percent by brushing for 1 or 3 minutes.

Citation

Cavassim R, Leite FRM, Zandim DL, Dantas AAR, Sampaio JEC. Smear Layer Removal for Collagen Fiber Exposure after Citric Acid Conditionings. J Contemp Dent Pract [Internet]. 2010 December; 11(6):001-008. Available from: http://www.thejcdp.com/journal/view/volume11- issue6-cavassim
Occlusal Rehabilitation in a Partially Edentulous Patient with Lost Vertical Dimension Using Dental Implants: A Clinical Report
Authors: Moeintaghavi Amir , Madani Azam Sadat , Rezaeei Maryam
Published: July 2019

Aim

This clinical report describes the occlusal rehabilitation of a partially edentulous patient with lost vertical dimension.

Background

The patient did not want a removable partial denture. Implants, fixed restorations with occlusal plane correction, were used to restore the anterior and posterior support and treat the severely worn dentition. However, a partially edentulous patient may be unable to recover normal function, esthetics, comfort, or phonetics with a conventional removable dental prosthesis. The use of dental implants–supported fixed prosthesis offers a multitude of benefits over a tooth–soft tissue supported removable partial denture prosthesis.

This clinical report describes an organized approach to an occlusal reconstruction of a severely worn dentition, partially edentulous patient with fixed restorations, implants, occlusal plane correction, and recovery of the vertical dimension. The treatment offered the patient improved esthetics and the restoration of oral function.

Clinical Significance

The main indications for implant-supported restorations in a partially edentulous patient are the elimination of the freeend distal extension and the benefit from fixed restorations. Success with implant-supported prosthodontics needs the same or more attention to detail and careful treatment planning for conventional fixed prosthodontics; a team approach is recommended.

Citation

Madami AS, Moeintaghavi A, Rezaeei M. Occlusal Rehabilitation in a Partially Edentulous Patient with Lost Vertical Dimension Using Dental Implants: A Clinical Report. J Contemp Dent Pract (internet]. 2010 December; 11(6):058-064. Available from http://www.thejcdp. com/journal/view/volume11-issue6-rezaeei
The Effects of Orthodontic Movement on a Subepithelial Connective Tissue Graft in the Treatment of Gingival Recession
Authors: Taffarel Ivan Pedro , Avila Ana Leticia Rocha , Silva Gabriela Molina , Añez Maria Cecilia Galacini
Published: July 2019

Aim

The purpose of this article is to report on the five-year follow-up of a case involving treatment of gingival recession with a subepithelial connective tissue graft prior to orthodontic tooth movement.

Background

Gingival recession has a global prevalence that varies from 3 to 100 perpcent depending on the population studied and the method of analysis. In addition, the frequency of recession seems to be positively correlated with age. Planned orthodontic tooth movement is not necessarily an etiological factor for gingival recession, so long as it does not move the tooth out of its alveolar process. When the tooth is shifted without adequate biomechanical control, bone dehiscence can develop, and the recession can occur as a consequence of the orthodontic treatment.

Case Description

A 19.6-year-old female patient was referred for orthodontic treatment due to severe anterior-inferior dental crowding and a mandibular right lateral incisor in linguoverson and 4.0 mm of gingival recession on the labial surface. Normal gingival architecture was restored with a subepithelial connective tissue graft used to cover the 4.0 mm defect, after which orthodontic treatment repositioned the malposed incisor into its correct occlusal alignment. Individualized torque was applied to the mandibular right central incisor during the orthodontic treatment. The patient was reevaluated five years after completion of the orthodontic treatment.

Results

At the five-year recall appointment, the patient exhibited normal tooth alignment and generalized normal gingival architecture; however, 2 mm of gingival recession was noted on the graft site.

This case demonstrated that periodontal surgical correction of facial gingival recession with a subepithelial graft may be performed prior to initiating orthodontic treatment.

Clinical Significance

The interdisciplinary association between orthodontics and periodontics contributes to good prognosis and acquisition or maintenance of the periodontal tissue health, masticatory function, esthetics, and patient satisfaction. The subepithelial connective tissue graft placed prior to the orthodontic movement showed satisfactory results five years after completion of the orthodontic treatment.

Citation

Tanaka OM, Avila ALR, Silva GM, Añez MCG, Taffarel IP. The Effects of Orthodontic Movement on a Subepithelial Connective Tissue Graft in the Treatment of Gingival Recession. J Contemp Dent Pract [Internet]. 2010 December; 11(6):073-079. Available from: http://www.thejcdp. com/journal/view/volume11-issue6-tanaka
Diagnostic Reliability of Fine Needle Aspiration Cytology against Histopathology for the Diagnosis of Oral Squamous Cell Carcinoma and Oral Leukoplakia
Authors: Olekar Santosh T , Sangeeta T , Kumar YS Prasanna , Gururaj M
Published: July 2019

Aim

The purpose of this study was to determine the possibility of using fine needle aspiration cytology (FNAC) as a primary diagnostic test in oral leukoplakia and squamous cell carcinoma.

Materials and methods

This study consisted of clinically diagnosed 15 cases of leukoplakia and 15 cases of oral squamous cell carcinomas. FNAC and biopsy were done on all the cases. A cytological and histopathological correlation was undertaken to determine the proportion of cancers. A 23-gauge sterile disposable needle was attached to a disposable syringe and introduced into the lesion at the proposed biopsy site in one movement. In leukoplakias, the center of the lesion or erythroplakic areas and, in squamous cell carcinomas, proliferative areas and edges of the ulcers were chosen.

Results

In leukoplakia group, out of 15 biopsy samples, one (6.67%) sample was negative and 14 (93.33%) were positive. Whereas out of 15 FNAC samples, 14 (93.33%) were negative and one (6.67%) sample was positive. In squamous cell carcinoma, out of 15 biopsy samples, no sample was negative and all (100.00%) were positive. Whereas out of 15 FNAC samples, two (13.33%) were negative and 13 (86.67%) sample were positive.

Conclusion

It is noted that FNAC can be employed as a sound diagnostic tool for rapid diagnosis of oral squamous cell carcinoma. It may be particularly useful in cases, where formal biopsy procedure is difficult or contraindicated due to medical reasons or in cases of advanced malignancy.

Clinical significance

FNAC has been shown to be reliable and safe technique in the diagnosis of malignant in the head and neck. When the aspirations are performed by cytopathologists, it is easy to perform a rapid staining of the first smear and within 10 to 15 minutes to ensure that the material is sufficient and diagnosable and to suggest a preliminary diagnosis.

How to cite this article

Olekar ST, Sangeeta T, Kumar YSP, Gururaj M. Diagnostic Reliability of Fine Needle Aspiration Cytology against Histopathology for the Diagnosis of Oral Squamous Cell Carcinoma and Oral Leukoplakia. J Contemp Dent Pract 2012;13(4):545-549.
Connecting to Success: Practice Management on the Net
Authors: Freydberg Barry K.
Published: July 2019

Profound changes in the way dental practices manage data, patient records, and communication are beginning to unfold. Sooner than most of us can imagine, secured patient medical and dental records will reside on the Internet. Additionally, communication between health care providers and patients will become virtually 100% electronic. As the Application Service Provider (ASP) dental models mature, practices will transition from paper to “paperless” to “web-based” management and clinical systems. This article examines and explains these future frontiers.

Citation

Freydberg BK. Connecting to Success: Practice Management on the Net. J Contemp Dent Pract 2001;(2)3: 050-061.
Selecting Equipment For The Ergonomic Four-Handed Dental Practice
Authors: Finkbeiner Betty Ladley
Published: July 2019

Practicing dental professionals are advised to work with equipment designed to address the need for productivity and stress reduction. Selection of dental equipment for use in an ergonomic, four-handed dentistry practice is integral to the success of the concept. In order for the dental assistant and dentist to work effectively as a team, they have to work in a safe, ergonomically sound working environment. This article examines various designs of dental equipment, the advantages and disadvantages of each, as well as identifies the criteria for equipment selection.

Citation

Finkbeiner BL. Selecting Equipment For The Ergonomic Four-Handed Dental Practice. J Contemp Dent Pract 2001 Nov;(2)4: 044-052.
Method for Immediate Measurement of In Vitro Bond Strength of Bonded Direct Esthetic Restorations
Authors: Talic Yousef Fouad
Published: July 2019

There are many different ways to measure the bond strength of direct esthetic restorations to various dental substrates. Unfortunately, most methods cannot measure bond strengths immediately after a restoration has been placed. This lack of clinically-relevant information seriously affects the clinician's ability to select and use various bonding agents and procedures. The aim of this article is to provide a very detailed method for immediate measurement of in vitro bond strengths of direct bonded esthetic restorations. It focuses on the steps that should be taken to select and prepare various tooth substrates for bond strength testing, the steps to “restore” various tooth substrates, and to measure the immediate in vitro bond strength. A fundamental understanding of a standardized testing protocol should provide clinicians with a clearer appreciation of bond strengths associated with various bonding procedures.

Citation

Talic YF. Method for Immediate Measurement of In Vitro Bond Strength of Bonded Direct Esthetic Restorations. J Contemp Dent Pract 2003 August;(4)3:011-023.
Time of Eruption of Primary Dentition in Saudi Children
Authors: Al-Jasser Nasser M. , Bello Lanre L.
Published: July 2019

The purpose of the present study was to determine the mean and standard deviation of eruption for primary dentition in children from Saudi Arabia and to compare it with another sample of full-term children who are clinically healthy between the ages of 4-40 months.

The results were significantly different from available literature on eruption patterns in children. Moreover, there is a slightly delayed eruption of primary teeth in Saudi children when compared to Caucasians. However, the order of eruption of primary teeth was the same as reported in other studies.

Citation

Al-Jasser NM, Bello LL. Time of Eruption of Primary Dentitionin Children from Saudi Arabia. J Contemp Dent Pract 2003 August;(4)3:065-075.
The Normal and Pathological Pigmentation of Oral Mucous Membrane: A Review
Authors: Ertaş Ümit , Çiçek Yasin
Published: July 2019

Pigmentation is both the normal and abnormal discoloration of oral mucous membrane. Pigmentation has multifactorial etiology. Most of the pigmentation is physiologic but sometimes it can be a precursor of severe diseases. Melanin pigment irregularities and color changes of the oral tissues could provide significant diagnostic evidence of both local and systemic disease.

The differential diagnosis, clinical, etiology, and histopathological features of pigmentation are discussed and the current literature is reviewed.

Citation

Çiçek Y. The Normal and Pathological Pigmentation of Oral Mucous Membrane: A Review. J Contemp Dent Pract 2003 August;(4)3:076-086.
Broken Appointment Behavior in a Dental School Enviornment
Authors: Awartani Fatin
Published: July 2019

The present study was designed to determine the prevalence of broken appointments of female and male patients scheduled for third, fourth, and fifth year dental students. Data was obtained from computers used for patient scheduling at two campuses of the dental college. The proportion of broken appointments at these facilities was computed using the X2-test to determine a difference between males and females. Results showed that male patients (14.9%) had a higher proportion of broken appointments than female patients (12.4%). Such differences among gender was statistically significant (p=4.218).

The highest percentage of broken appointments was during December of 2001. Thirty four percent of these broken appointments were in the Restorative Clinic at the Darraiyah Campus (DUC) serving primarily male patients and 24% in the Removable Partial Denture Clinic at the Malaz Campus (MUC) serving only female patients.

It was concluded the percentage of broken appointment s is considered to be unacceptable because of the negative impact on student learning and, ultimately, their academic progress.

Citation

Awartani F. Broken Appointment Behavior in a Dental School Environment. J Contemp Dent Pract 2003 November;(4)4:100-107.
Orthodontic Treatment Planning: Do Orthodontists Treat to Cephalometric Norms?
Authors: Al-Balkhi Khalid M.
Published: July 2019

Cephalometric norms are important to orthodontists in their diagnosis, treatment, and evaluation of orthodontic treatment outcomes. The purpose of the present study is to establish if orthodontists treat and finish their cases to the cephalometric means or norms.

Pre- and post-cephalometric radiographs and dental casts of 35 orthodontically treated cases were analyzed. The Kappa test, Wilcoxon Signed-Rank test, Paired t- test, and Z-test were used for the statistical analysis of the data. The result revealed that orthodontists do not reach the cephalometric mean values post-treatment. However, sagittal maxillomandibular relationship and interlabial gap are the main areas of improvements. This leads to improvement of soft tissue esthetics by camouflaging the skeletal and dental relationship.

Citation

Al-Balkhi KM. Orthodontic Treatment Planning: Do Orthodontists Treat to Cephalometric Norms? J Contemp Dent Pract 2003 November;(4)4:012-027.
Immediate and 24-Hour Bond Strengths of Two Dental Adhesive Systems to Three Tooth Substrates
Authors: Talic Yousef Fouad
Published: July 2019

Bond strengths of bonded composite resins to tooth substrates vary depending on when they were measured. Most bond strengths reported in the literature are a result of one hour, 24-hour, or longer periods of time that do not simulate actual clinical practice when occlusal adjustment and finishing and polishing procedures are performed within seconds after restoration placement.

There are many different ways to measure the bond strength of direct esthetic restorations to various dental substrates. This research uses a method published previously that compares immediate and 24-hour bond strengths of a single-bottle dental adhesive and a self-etching primer adhesive to prepared enamel, unprepared enamel, and prepared dentin substrates.

Significant differences were found between immediate and 24-hour bond strengths, but there were essentially no differences between substrates or adhesives.

Citation

Talic YF. Immediate and 24-Hour Bond Strengths of Two Dental Adhesive Systems to Three Tooth Substrates. J Contemp Dent Pract 2003 November;(4)4:028-039.
Microstomia Caused by Swallowing of Caustic Soda: Report of a Case
Authors: Martins Wilson Denis , Wastphalen Fernando Henrique , Westphalen Vania Portela Ditzel
Published: July 2019

A case of microstomia caused by swallowing caustic soda is presented. A 54-year old man developed a progressive stricture of the circumoral region following accidental ingestion of caustic soda when he was 9 years old. He was treated by a general surgeon who performed bilateral commissurotomies when he was 19 years old and lived normally until he needed major dental prosthetic treatment. His dentist was unable to perform the treatment due to the mouth stricture. The surgical option was to perform bilateral buccal mucosal flaps.

A review of the literature and the surgical technique are presented.

Citation

Martins WD, Westphalen FH, Westphalen VPD. Microstomia Caused by Swallowing of Caustic Soda: Report of a Case. J Contemp Dent Pract 2003 November;(4)4:091-099.
The Comparison of the Thickness of the Cementum Layer in Type 2 Diabetic and Non-diabetic Patients
Authors: Gokhan Kamer , Keklikoglu Nurullah , Buyilertan Mete
Published: July 2019

It has been suggested diabetes plays an important role in tooth loss. Studies examining the periodontal structures and the alveolar bone architecture in diabetics have revealed some alterations. However, mechanisms responsible for these alterations have not been elucidated completely. Established relationships between the cementum layer, which is resistant to resorption, and diabetes are few in number. The aim of this study was to compare the thickness of the cementum layer in Type 2 diabetic and non-diabetic subjects in order to improve the understanding of dental mobility in Type 2 diabetes and its effect on tooth loss. A total of 46 male patients with a mean age of 61.72 ± 5.45 yr. were included in this study (Type 2 diabetics, n=23; nondiabetics, n=23); undecayed. Single rooted premolar teeth extracted from 46 male patients were used to assess the alterations in the cementum layer in Type 2 diabetics. Histological preparations from extracted teeth were examined under light microscopy. In each tooth, the thickness of the cementum layer was measured by an oculometer in 4 different sites on the specimen with the largest pulp space including the pulp chamber and root canals. Statistical analyses were performed with student'sttest.

The average thickness of the cementum layer in the decalcified teeth extracted from non-diabetic patients was compared to the average thickness of the cementum layer in Type 2 diabetic patients. A significant difference was observed in every site of measurement between Type 2 diabetic and non-diabetic patients with regard to the thickness of the cementum layer (p < 0.05). The cementum layer was thicker at the apical part of the root and at the midpoint of the apical half, and thinner at the central part of the root and at the midpoint of the coronal half in Type 2 diabetic patients.

Citation

Gokhan K, Keklikoglu N, Buyukertan M. Comparison of the Thickness of the Cementum Layer in Type 2 Diabetic and Non-diabetic Patients. J Contemp Dent Pract 2004 May;(5)2:124-133.
Intentional Dental Reimplantation: A Case Report
Authors: Nuzzolese Emilio , Cirulli Nunzio , Lepore Maria M. , D'Amore Addolorata
Published: July 2019

It is well known dental reimplantation is indicated following traumatic avulsion by the preservation of cellular vitality in the periodontal ligament and under conditions of asepsis. The rate of endodontic success at five years reported in the literature ranges between 70% and 91%. However, intentional dental reimplantation is an effective strategy for the treatment of teeth that would be difficult, if not impossible, to treat using traditional root canal therapy. Different prognoses exist for intentional dental reimplantation and trauma-related reimplantation. This is due to such important variables such as the level of cellular vitality in the periodontal ligament; the degree of trauma to surrounding tissues, and the degree of asepsis when a tooth is removed. Surgical extraction is more favorable in this regard compared to a traumatic avulsion scenario. This paper presents a report of an intentional dental reimplantation of a maxillary right firstmolar.

Citation

Nuzzolese E, Cirulli N, Lepore MM, et. al. Intentional Dental Reimplantation: A Case Report. J Contemp Dent Pract 2004 August;(5)3:121-130.
Clinical Management of a Mandibular First Molar with Multiple Mesial Canals: A Case Report
Authors: Min Kyung san
Published: July 2019

A right mandibular first molar requiring root canal treatment was found to have three separate mesial canals. This case demonstrates an extraordinary anatomical configuration and supplements previous reports of the existence of such configurations in mandibular first molars.

Citation

Min KS . Clinical Management of a Mandibular First Molar with Multiple Mesial Canals: A Case Report. J Contemp Dent Pract 2004 August;(5)3:142-149.
The Effect of Menopause, Hormone Replacement Therapy (HRT), Alendronate (ALN), and Calcium Supplements on Saliva
Authors: Gurgan Timur , Gurgan Sevil , Yalcin Filiz
Published: July 2019

Purpose

In menopausal women many physiological changes take place, most of which are due to decreased estrogen production. It is known estrogen influences oral health in a number of ways and saliva undergoes variations depending upon the levels of this hormone.

Materials and Methods

The study was designed to evaluate the relationship of menopause, hormone replacement therapy (HRT), alendronate (ALN), and calcium supplements on salivary flow rate, saliva pH, and electrolytes. A group of a group of 14 osteoporotic women in menopause with an age average of 50.7 and 14 non-menopausal women with an age average of 42.4 and were selected as subjects. The oral status of the subjects was determined using the Community Periodontal Index of Treatment Needs (CPITN), the Decayed, Missing and Filled Teeth (DMFT) and the Decayed, Missing and Filled Surfaces (DMFS) indicies.

The non-stimulated whole saliva samples were subsequently collected from the women in both the control and experimental groups and then analyzed biochemically. The women comprising the experimental group received HRT supplemented with ALN and calcium; saliva collecting and analyzing procedures were repeated at the third and sixth months of the treatment.

Results

The most significant oral discomfort in women in the menopausal period was oral dryness, and this symptom was relieved after HRT with ALN and calcium supplements. The oral status of the nonmenopausal women was better than the women in menopause. The salivary flow rate was decreased in the menopausal period and increased after HRT, ALN, and calcium supplementation. The saliva pH values were not affected by menopause and HRT with ALN and calcium supplementation. The level of Na+ was increased with menopause and did not change with HRT supplemented with ALN and calcium, whereas the K+ level decreased in the menopausal period and remained constant after HRT with ALN and calcium. The Cl- level was not affected by menopause and the HRT supplemented with ALN and calcium. The Ca++ level was not different in the two groups of women and did not change after HRT supplemented with ALN and calcium.

Conclusion

HRT with ALN and calcium supplementation affected some factors in saliva positively.

Citation

Yalcin F, Gurgan S, Gurgan T. The Effect of Menopause, Hormone Replacement Therapy (HRT), Alendronate (ALN), and Calcium Supplements on Saliva. J Contemp Dent Pract 2005 May;(6)2:010-017.
The Subepithelial Connective Tissue Graft: Part II. Histologic Healing and Clinical Root Coverage
Authors: Breault Lawrence G. , Covington Lemuel L. , Bishop Barry G. , Sedon Constance L.
Published: July 2019

Periodontal plastic surgical techniques have evolved to meet the demands of today's dental patient. Free gingival grafts (FGGs), pedicle flaps, subepithelial connective tissue grafts (SCTGs), acellular dermal matrix (ADM) grafts, and guided tissue regeneration (GTR) have all been used to cover denuded root surfaces. FGGs have demonstrated inconsistent results. Pedicle flaps have provided consistent results, but adequate tissue must be present initially. ADM grafts have also demonstrated success, but long-term stability may be a problem. Presently, SCTGs and GTR should be considered the treatment of choice for root coverage. They are the most predictable with average root coverage as high as 98.9% and 92.3%, respectively.

Citation

Sedon CL, Breault LG, Covington LL, Bishop BG. The Subepithelial Connective Tissue Graft: Part II. Histologic Healing and Clinical Root Coverage. J Contemp Dent Pract 2005 May;(6)2:139-150.
The Art of Scientific Writing: How to Get Your Research Published!
Authors: Muñoz-Viveros Carlos A. , Naylor W. Patrick
Published: July 2019

Revised on 12/10/04 for The Journal of Contemporary Dental Practice

The purpose of this article is to provide potential authors with a contemporary guide to scientific writing. It is in essence a handbook that covers the planning for a scientific publication from inception of the project or study to manuscript preparation and, ultimately, acceptance by a journal. Major topics such as manuscript formatting, data analysis, use of charts, graphs and images, reference formats, and manuscript submission are presented.

Citation

Naylor WP, Muñoz-Viveros CA. The Art of Scientific Writing: How to Get Your Research Published! J Contemp Dent Pract 2005 May;(6)2:164-180.
Prosthetic Rehabilitation of a Child Affected from Anhydrotic Ectodermal Dysplasia: A Case Report
Authors: Muzio Lorenzo Lo , Bucci Paolo , Carile Francesco , Riccitiello Francesco , Scotti Claudio , Coccia Erminia , Rappelli Giorgio
Published: July 2019

The aim of this clinical report is to describe the management of a young patient, affected by ectodermal dysplasia, during a nine-year period. Dental treatment can vary depending on the severity of the disease (tooth size, morphology, and amount of available alveolar bone). New technologies, such as adhesive dentistry, and new materials, such as composite resin, represent current options in the management of the dental rehabilitation of patients affected by ectodermal dysplasia. Removable partial dentures were used to replace congenitally missing teeth, and composite resin materials were used to restore conical-shaped maxillary teeth to achieve a favorable esthetic result. This option minimized the sacrifice of healthy dental tissue. Prosthodontic and restorative treatment was provided for the psychological and social comfort of the young patient.

Citation

Lo Muzio L, Bucci P, Carile F, Riccitiello F, Scotti C, Coccia E, Rappelli G. Prosthetic Rehabilitation of a Child Affected from Anhydrotic Ectodermal Dysplasia: A Case Report. J Contemp Dent Pract 2005 August;(6)3:120-126.
Retention of Maxillary Molars with Class III Furcation Involvement Utilizing Glass-Ionomer: Two Case Reports
Authors: Reddy Krishnanjaneya Pathakota , Nayak Dilip Gopinath , Uppoor A Ashita Sadananda
Published: July 2019

Advanced furcation invasion has long been a treatment dilemma for the clinician. The present two case reports used a glass ionomer restorative material as a barrier in the treatment of maxillary Class III furcation defects. One year follow-up results showed a reduction in tooth mobility and probing depths and no bleeding on probing with the use of the glass ionomer. These case reports offer another option in the treatment of a seemingly hopeless periodontally involved maxillary molar.

Citation

Reddy KP, Nayak DG, Uppoor A AS. Retention of Maxillary Molars with Class III Furcation Involvement Utilizing Glass-Ionomer: Two Case Reports. J Contemp Dent Pract 2005 November; (6)4:160-167.
Adverse Reactions to Latex Products: Preventive and Therapeutic Strategies
Authors: Terezhalmy Geza T. , Huber Michaell A.
Published: July 2019

Evidence-based infection control/exposure control practices are evolutionary in nature. Elements of historical note were first recorded with the suggestions of Lister1 for guidelines on aseptic procedures. Others, like Semmelweis2, promoted the practice of hand washing by medical students and physicians prior to leaving autopsy suites and before entering the labor and delivery areas of hospitals. Halstead3 is credited with being the first to use surgical gloves in a clinical setting. While the use of latex surgical gloves became routine by the end of World War I, it wasn't until the adoption of universal precautions by the Centers for Disease Control4 in 1987 that the use of gloves was officially expanded to cover virtually all aspects of patient care. The ubiquitous use of latex gloves and other latex products in healthcare has resulted in a parallel increase in latex-associated adverse reactions. To provide for a safe environment for both oral healthcare providers and patients alike, clinicians must understand the basis for latex-related adverse reactions, recognize associated signs and symptoms, and initiate appropriate preventive and therapeutic strategies. The recommendations for preventing/minimizing latex allergy in the oral healthcare setting are based on current knowledge and a common sense approach to the problem. Evolving manufacturing technology and improvements in measurement methods (for latex proteins) may lead to changes in these recommendations in the future.

Citation

Huber MA, Terezhalmy GT. Adverse Reactions to Latex Products: Preventive and Therapeutic Strategies. J Contemp Dent Pract 2006 February;(7)1:097-106.
Blood Pressure Assessment Practices of Dental Hygienists
Authors: Hughes Cynthia T. , Thompson Ana L. , Collins Marie A.
Published: July 2019

An estimated 50 million Americans have high blood pressure (HBP), with 30% of them unaware of their condition. Both the American Dental Association (ADA) and the American Dental Hygienists’ Association (ADHA) have advocated including recording blood pressure during the dental appointment. Recording blood pressure is also a standard procedure in patient care. This study surveyed 236 dental hygienists attending a continuing education program to document their blood pressure assessment practices. The majority (55%) of participants indicated they rarely or never record blood pressure. The primary reason cited by 51% of the participants was a lack of time in the appointment. Based on these findings, a recommendation was made for dental offices to modify their patient check-in procedures to include recording blood pressure.

Citation

Hughes CT, Thompson AL, Collins MA. Blood Pressure Assessment Practices of Dental Hygienists. J Contemp Dent Pract 2006 May;(7)2:055-062.
A 24-Hour Dental Plaque Prevention Study with a Stannous Fluoride Dentifrice Containing Hexametaphosphate
Authors: White Donald J. , Kozak Kathy M. , Gibb Roger D. , Dunavent John M. , Klukowska Malgorzata , Sagel Paul A.
Published: July 2019

Recently, a novel antibacterial fluoride dentifrice containing stannous fluoride and sodium hexametaphosphate (Crest®PRO-HEALTH™) was introduced. A digital plaque image analysis (DPIA) technique was used to quantify in situ plaque formation in a population carrying out a phased intervention protocol that included: (1) an initial treatment regimen including toothbrushing with standard sodium fluoride dentifrice in conventional bid brushing, (2) a second treatment regimen where a modified hygiene regimen was applied using standard sodium fluoride dentifrice including a period of 24 hours of non-brushing, and (3) a third treatment regimen where the 24-hour non-brushing regimen was continued using the antimicrobial stannous fluoride/sodium hexametaphosphate dentifrice. The quantitative evaluation of plaque formation was assessed in morning measurements following either standard evening hygiene (treatment period 1) or 24 hours since brushing (treatment periods 2 and 3). Post-brushing plaque measurements were also taken in each treatment regimen. Sixteen subjects completed all three treatment regimens with no side effects or oral complaints. Morning plaque coverage in treatment period 1 was 13.3%. Plaque coverage significantly increased in treatment period 2 when pre-bedtime brushing was discontinued, with 24-hour growth covering 18.4% of the dentition. Intervention of the antimicrobial stannous fluoride/hexametaphosphate dentifrice in treatment period 3 provided significant inhibition of plaque regrowth over 24 hours (15.2% coverage, a 17% reduction vs. sodium fluoride dentifrice control). These results support the strong retention and lasting antimicrobial efficacy of high stabilized stannous fluoride/sodium hexametaphosphate dentifrices.

Citation

White DJ, Kozak KM, Gibb RD, Dunavent JM. A 24-Hour Dental Plaque Prevention Study with a Stannous Fluoride Dentifrice Containing Hexametaphosphate. J Contemp Dent Pract 2006 July;(7)3:001-011.
Oral Surgery with Fibrin Sealants in Patients with Bleeding Disorders: A Case Report
Authors: de Matos Bourguignon Filho Aguimar , dos Santos Renato Schroder , Costa José Renato , Puppin André Alberto Cãmara , de Rezende Robson Almeida , Beltrão Gilson Correia
Published: July 2019

Surgical treatment of patients with bleeding disorders requires careful planning. The use of fibrin sealants following a dental extraction in a patient with von Willebrand's disease is presented in this report. A female patient with von Willebrand's disease had an extraction of a maxillary right third molar. After evaluation by the surgeon and the hematologist, the surgery was performed with a topical application of fibrin sealant and systemic administration of antifibrinolytic drugs. Hemostasis was obtained without replacement of plasma clotting factor. New techniques of achieving hemostasis in patients with bleeding disorders using fibrin sealants have been successfully used in oral surgery without replacement of plasma clotting factors or changes in anticoagulant therapy.

Citation

Filho AMB, Dos Santos RS, Costa JR, Puppin AAC, De Rezende RA, Beltrão GC. Oral Surgery with Fibrin Sealants in Patients with Bleeding Disorders: A Case Report. J Contemp Dent Pract 2006 July;(7)3:106-112.
Clinical Evaluation of Post-Extraction Site Wound Healing
Authors: Adeyemo Wasiu Lanre , Ladeinde Akinola Ladipo , Ogunlewe Mobolanle Olugbemiga
Published: July 2019

Aim

The aim of this prospective study was to evaluate the clinical pattern of post-extraction wound healing with a view to identify the types, incidence, and pattern of healing complications following non-surgical tooth extraction.

Study Design

A total of 311 patients, who were referred for non-surgical (intra-alveolar) extractions, were included in the study. The relevant pre-operative information recorded for each patient included age and gender of the patient, indications for extraction, and tooth/teeth removed. Extractions were performed under local anesthesia with dental forceps, elevators, or both. Patients were evaluated on the third and seventh postoperative days for alveolus healing assessment. Data recorded were: biodata, day of presentation for alveolus healing assessment, day of onset of any symptoms, body temperature (°C) in cases of alveolus infection, and presence or absence of pain.

Results

Two hundred eighty-two patients (282) with 318 extraction sites were evaluated for alveolus healing. Healing was uneventful in 283 alveoli (89%), while 35 alveoli (11%) developed healing complications. These complications were: localized osteitis 26 (8.2%); acutely infected alveolus 5 (1.6%); and an acutely inflamed alveolus 4 (1.2%). Females developed more complications than males (p=0.003). Most complications were found in molars (60%) and premolars (37.1%). Localized osteitis caused severe pain in all cases, while infected and inflamed alveolus caused mild or no pain. Thirty patients (12%) among those without healing complications experienced mild pain.

Conclusions

Most of the post-extraction alveoli healed uneventfully. Apart from alveolar osteitis (AO), post-extraction alveolus healing was also complicated by acutely infected alveoli and acutely inflamed alveoli. This study also demonstrated a painful alveolus is not necessarily a disturbance of post-extraction site wound healing; a thorough clinical examination must, therefore, be made to exclude any of the complications.

Citation

Adeyemo WL, Ladeinde AL, Ogunlewe MO. Clinical Evaluation of Post-extraction Site Wound Healing. J Contemp Dent Pract 2006 July;(7)3:040-049.
Bilaterally Impacted Maxillary Central Incisors: Surgical Exposure and Orthodontic Treatment: A Case Report
Authors: Özer Mete , Şener Ismail , Bayram Mehmet
Published: July 2019

Maxillary central incisor impactions occur infrequently. Their origins include various local causes, such as odontoma, supernumerary teeth, and space loss. Supernumerary and ectopically impacted teeth are asymptomatic and found during routine clinical or radiological examinations. The surgical exposure and orthodontic traction of bilaterally impacted central incisors after removal of impacted supernumerary teeth is presented in this report.

Citation

Bayram M, Özer M, SŞener I. Bilaterally Impacted Maxillary Central Incisors: Surgical Exposure and Orthodontic Treatment: A Case Report. J Contemp Dent Pract 2006 September;(7)4:098-105.
Correlations Between Two Plaque Indices in Assessment of Toothbrush Effectiveness
Authors: Cugini MaryAnn , Thompson Maureen , Warren Paul R.
Published: July 2019

Background

The Rustogi et al. Modified Navy (RMNPI) and Turesky et al Modification of the Quigley Hein (TQHPI) plaque indices are commonly used to measure plaque removal. This study evaluated the possible correlations of both indices using data relative to a single use assessment of plaque removal using commercially available toothbrushes.

Methods

Single use crossover study designs have been previously reported. Disclosed plaque was scored pre- and post-brushing using both the RMNPI and the TQHPI. Sixty subjects, with an initial mean RMNPI score of 0.6 or greater, were enrolled and completed the study. No minimum score was required for TQHPI. After the initial scoring, the order for each index was randomized so that each subject was scored with either RMNPI followed by TQHPI or vice versa. Two manual toothbrushes [Oral-B® CrossAction® (CA) and Colgate® Navigator. (NA)] and one battery-powered brush (Crest® SpinBrush. Pro) (SBP) were evaluated in the trial. One examiner performed all clinical measurements. Pearson correlations were performed on whole mouth, buccal, and lingual plaque scores for the CA toothbrush.

Results

Strong positive correlations were found between the two plaque indices for pre- and post-brushing scores for the whole mouth and on lingual and buccal surfaces, where Pearson correlation coefficients ranged between 0.963 and 0.995. There was no correlation between the pre-brushing plaque score and the amount of plaque removed by brushing indicating that higher plaque levels before brushing do not necessarily predict that greater amounts of plaque will be removed during toothbrushing. Each toothbrush was found to be safe and significantly reduced plaque levels after a single brushing (t-test, p=0.0001). Significantly greater plaque reductions were found with the CA than the NA and SBP toothbrushes at whole mouth, lingual, and approximal surfaces for both indices (analysis of variance (ANOVA), p . 0.0002 for all comparisons).

Conclusions

Strong positive correlations were found between two plaque indices (the RMNPI and TQHPI) for pre- and post-brushing scores at whole mouth, lingual, and buccal surfaces as assessed using data from a single use assessment of plaque removal.

Efficacy data from this study demonstrated the CA toothbrush provided superior cleaning when compared to the NA manual toothbrush and SBP battery toothbrush.

Clinical Implications

Two commonly used indices for assessing plaque removal in clinical studies are RMNPI and TQHPI. However, each index differs in the way plaque is scored. This study used both indices to assess comparative toothbrush efficacy and showed a strong correlation between indices for both pre- and postbrushing plaque scores. The result suggests that both indices demonstrate sufficient sensitivity to differentiate toothbrush efficacy.

Citation

Cugini M, Thompson M, Warren PR. Correlations Between Two Plaque Indices in Assessment of Toothbrush Effectiveness. J Contemp Dent Pract 2006 November;(7)5:001-009.