General Dentistry is the award-winning, peer-reviewed journal of the Academy of General Dentistry. Published bimonthly, General Dentistry features clinical articles spanning the breadth of topics relevant to general dentists, including unique diagnostic case reports, novel solutions to common treatment dilemmas, evidence-based best practices, and the science to help you choose the best materials, technology and procedures for your patients and your practice.
Table of Contents
Editorial Contentment and collaborationFull Article (PDF)
Roger D. Winland
2017 November/December; 65(6):6.
Guest Editorial Dentists and primary care physicians: opportunities for closer collaborationFull Article (PDF)
2017 November/December; 65(6):8-9.
Pain Management Dental procedures and neuropathic painFull Article (PDF)
Christopher J. Spencer
2017 November/December; 65(6):10-13.
Pediatric Dentistry Space maintenance for the pediatric patientFull Article (PDF)
Jane A. Soxman
2017 November/December; 65(6):14-16.
Public Health Addressing the opioid public health crisis through educationFull Article (PDF)
2017 November/December; 65(6):17-19.
Minimally Invasive Dentistry Mesenchymal stem cells: the marriage of minimally invasive biomimetic dentistry with medicineFull Article (PDF)
Mark I. Malterud
2017 November/December; 65(6):20-22.
Self-Instruction Answers Exercises No. 394, 395, and 396 from the November/December 2016 issueFull Article (PDF)
2017 November/December; 65(6):79.
Special Section: A collaboration between General Dentistry and American Family Physician
Oral Medicine, Oral Diagnosis, Oral Pathology Oral manifestations of systemic diseaseFull Article (PDF)
Heidi L. Gaddey
Many systemic diseases can be identified based on changes within the oral cavity. This article reviews common oral cavity findings in adult and pediatric patients and the systemic diseases with which they may be associated.
2017 November/December; 65(6):23-29.
Health and Nutrition The effects of oral health on systemic healthFull Article (PDF) Self-Instruction Exercise No. 411
Shawn F. Kane
Many diseases and medications impact the oral cavity, and pathologic conditions in the mouth can have a systemic impact. Although it is unclear whether there is true causality or just an association, the consequences of such chronic conditions are well understood, and dentists and physicians must increase their collaboration to maximize the benefit to patients.
2017 November/December; 65(6):30-34.
Multi-Disciplinary Topics Nutrition for oral health and oral manifestations of poor nutrition and unhealthy habitsFull Article (PDF) Self-Instruction Exercise No. 412
A nutritionally deficient diet can cause or contribute to numerous pathoses of the oral cavity. Unhealthy habits can also damage the dentition. Knowledge of these relationships will enable the dentist to question patients about dietary habits and provide guidance to encourage a healthy lifestyle.
2017 November/December; 65(6):36-43.
Endodontics Removal of calcium hydroxide intracanal medicament by different irrigants and irrigating techniques: a cone beam computed tomography analysisFull Article (PDF)
James L. Gutmann
Cone beam computed tomography was used to evaluate the removal of calcium hydroxide (Ca[OH]2) from root canals after use of different irrigation activation protocols. While none of the protocols could completely remove Ca(OH)2, protocols using strong chelators were the most effective.
2017 November/December; 65(6):45-49.
Basic Science Cardiovascular considerations for the dental practitioner. 1. Review of cardiac anatomy and preoperative evaluationFull Article (PDF)
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.
2017 November/December; 65(6):50-55.
Special Patient Care Dental management of patients with inherited bleeding disorders: a multidisciplinary approachFull Article (PDF) Self-Instruction Exercise No. 413
Dental extraction in a patient with clotting factor defects such as hemophilia A or von Willebrand disease can result in a delayed bleeding episode. This article discusses how to manage patients with inherited bleeding disorders.
2017 November/December; 65(6):56-60.
Oral Medicine, Oral Diagnosis, Oral Pathology Detection of an unusual inverted schneiderian papilloma by cone beam computed tomographyFull Article (PDF)
Rafael Binato Junqueira
Vinícius Dilly Almeida
Gustavo Brandão Grossi
Jamilly Aparecido Sperandio
Lays Kelmer Costa
Francielle Silvestre Verner
A 47-year-old man who, exhibiting nasal obstruction on the right side, oroantral communication, and facial asymmetry, was evaluated with cone beam computed tomography and found to have an inverted schneiderian papilloma.
2017 November/December; 65(6):62-64.
Oral Medicine, Oral Diagnosis, Oral Pathology Hodgkin lymphoma diagnosed during dental treatment: the importance of neck palpationFull Article (PDF)
Marisol Miranda Galvis
Leonardo Amaral dos Reis
Alan Roger Santos-Silva
Pablo Agustin Vargas
Marcelo Brum Corrêa
Marcio Ajudarte Lopes
The most common clinical presentation of Hodgkin lymphoma is adenopathy, which generally affects cervical and supraclavicular nodes. The case of a 17-year-old girl who was diagnosed with Hodgkin lymphoma during dental treatment highlights the importance of a complete physical examination in dental practice.
2017 November/December; 65(6):65-68.
Oral Medicine, Oral Diagnosis, Oral Pathology Metachronous ameloblastic fibro-odontoma and dentigerous cyst in the posterior mandibleFull Article (PDF)
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
A 13-year-old boy presented with asymptomatic swelling in his right posterior mandible and was diagnosed with ameloblastic fibro-odontoma (AFO), a rare mixed odontogenic tumor, usually appearing as a well-circumscribed radiolucency with radiopaque foci and slow growth. Eight months after excision of the AFO, a dentigerous cyst involving the unerupted mandibular left third molar developed.
2017 November/December; 65(6):69-72.
Anesthesia and Pain Management Abuse potential of gabapentin in dentistryFull Article (PDF)
Mea A. Weinberg
Stuart L. Segelnick
Joseph S. Insler
Gabapentin, widely prescribed for orofacial pain, was once thought to have no potential for abuse; however, the last decade has seen a dramatic rise in nonmedical use of gabapentin. Dental prescribers must be aware of the potential for abuse of gabapentin and weigh its benefits against its risks.
2017 November/December; 65(6):73-75.
Oral Medicine, Oral Diagnosis, Oral Pathology Rare isolated oral manifestations of secondary syphilis in an adolescentFull Article (PDF)
Cínthia M. Ribeiro
Marina L. de Carli
Felipe F. Sperandio
Evandro M.S. Magalhães
João Adolfo C. Hanemann
Syphilis, a sexually transmitted infection caused by Treponema pallidum, can manifest clinically through 3 stages: primary, secondary, and tertiary. This report describes an uncommon case of secondary syphilis in a 16-year-old boy who showed only oral manifestations. Treatment with penicillin led to complete remission of the oral lesions within 3 weeks.
2017 November/December; 65(6):76-78.
Basic Science Fluorination of zirconia surfaces impairs bonding to resin cementFull Article (PDF)
Leandro Tolomelli Carraro Franco
Rafael Pino Vitti
Alecsandro de Moura Silva
Laís Regiane Silva-Concílio
Ana Christina Claro Neves
To evaluate surface fluorination as an alternative treatment for bonding of zirconia ceramic to resin cement, zirconia discs were subjected to 1 of 4 different surface treatments. Bond strength testing revealed that fluorination with sulfur hexafluoride did not promote a stable bond strength between zirconia and resin cement.
2017 November/December; 65(6):e1-e4.
Oral Medicine, Oral Diagnosis, Oral Pathology Traumatic bone cyst of an anterior mandible with previous symphyseal fracture in a pediatric patient: a rare finding and etiopathologic correlationFull Article (PDF)
Aaditee V. Vande
A traumatic bone cyst (TBC) of the anterior mandible was found in a boy with a previous history of trauma and fracture of the symphysis. A literature review is presented to corroborate the traumatic-hemorrhagic theory for the etiology of TBC.
2017 November/December; 65(6):e5-e8.
Basic Science The effect of immediate and delayed polishing on the color stability of a composite resinFull Article (PDF)
Roselaine Terezinha Pozzobon
Thaís Camponogara Bohrer
Patrícia Eliana Fontana
Leticia Brandão Durand
This study compared the effects of immediate or delayed polishing on the color stability of a composite resin before and after storage in water or coffee. Color stability was not influenced by the timing of polishing, and all groups showed unacceptable discoloration after exposure to coffee. The timing of final polishing may therefore be based on the preferences of the clinician.
2017 November/December; 65(6):e9-e12.
Esthetics/Cosmetic Dentistry Interdental papilla formation after diastema closureFull Article (PDF)
Leticia Ferreira de Freitas Brianezzi
Bárbara Margarido Brondino
Giuliana de Campo Chaves
Sérgio Kiyoshi Ishikiriama
Adilson Yoshio Furuse
A 40-year-old woman had diastemas, a conoid tooth, and relatively short maxillary anterior teeth, compromising the esthetics of her smile. Treatment included bleaching and composite resin restorations. At a 1-year follow-up, there were no black spaces or signs of periodontal inflammation, indicating that adequate space had been left for formation of interdental papilla.
2017 November/December; 65(6):e13-e16.