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 Take action to make things happenFull Article (PDF)
Roger D. Winland
2017 July/August; 65(4):6.
Restorative Dentistry Relative displacement of implant-supported crowns with dental arch maturationFull Article (PDF)
Roger A. Solow
2017 July/August; 65(4):7-11.
Pharmacology Is clindamycin dangerous?Full Article (PDF)
Jason H. Goodchild
2017 July/August; 65(4):12-15.
Endodontics Endodontics: getting back to the basicsFull Article (PDF)
2017 July/August; 65(4):16-18.
Oral Diagnosis Yellow nodule of vestibule and Blue lesion of gingivaFull Article (PDF)
Douglas D. Damm
2017 July/August; 65(4):76
Self-Instruction Answers Exercises No. 388, 389, 390, and 995 from the July/August 2016 issue2017 July/August; 65(4):79.Full Article (PDF)
Anesthesia and Pain Management Analgesic efficacy and safety of transdermal and oral diclofenac in postoperative pain management following dental implant placementFull Article (PDF) Self-Instruction Exercise No. 407
Raja Rajeswari S.
Triveni M. Gowda
Tarun A.B. Kumar
Dhoom S. Mehta
2017 July/August; 65(4):69-74.
This study compared the efficacy and safety of transdermal and oral administration of diclofenac for postoperative pain management in patients undergoing dental implant placement. The transdermal patch provided the same pain relief as the oral medication with fewer side effects.
Protocol for measurement of enamel loss from brushing with an anti-erosive toothpaste after an acidic episodeFull Article (PDF)
Jose Estevam Vieira Ozorio
2017 July/August; 65(4):63-68.
This in vitro study showed that enamel loss from brushing with toothpaste was greater than enamel loss from brushing with water. A 1-hour immersion in artificial saliva reduced enamel loss when teeth were brushed with water but not with toothpaste, confirming the abrasive action of toothpaste on acid-softened enamel.
Basic Science Microleakage of Class II composite resin restorations with self-adhesive composite resin linersFull Article (PDF)
2017 July/August; 65(4):41-47.
In a study investigating the microleakage of Class II composite restorations, prepared cavities were restored with a conventional flowable composite resin or 1 of 2 self-adhesive composites with or without their respective self-etching adhesives. None of the restorative techniques was capable of preventing microleakage completely, but the additional application of bonding agents improved the marginal seal of self-adhesive composites.
Effect of surface treatments on the bond strength of self-etching adhesive agents to dentinFull Article (PDF)
M. Jacinta M.C. Santos
Max Doria Costa
Heleine Maria Chagas Rêgo
José H. Rubo
Gildo C. Santos, Jr
2017 July/August; 65(4):e1-e6.
This study investigated the influence of surface treatments (acid etching, ultrasonic vibration, sandblasting, and pumice cleaning) on the shear bond strength (SBS) of 3 self-etching adhesives to dentin. In the Scotchbond Universal and Clearfil S3 Bond Plus groups, the SBSs of surface treatment and control (distilled water) subgroups were not significantly different. In the Clearfil SE Bond group, mean SBSs were significantly higher with use of vibration or pumice.
Dentinal Hypersensitivity & Treatment The potential of low-power laser for reducing dental sensitivity after in-office bleaching: a case reportFull Article (PDF)
Eric Mayer dos Santos
Brunna Haddad Anhesini
Carlos Alberto Kenji Shimokawa
Ana Cecília Corrêa Aranha
Carlos de Paula Eduardo
Patricia Moreira de Freitas
2017 July/August; 65(4):e8-e11.
This case report describes the application of laser phototherapy to reduce sensitivity after in-office, light-activated dental bleaching with 35% hydrogen peroxide. Dental sensitivity reported by the patient immediately and 24 hours after bleaching was substantially reduced by application of an infrared low-power laser.
Esthetics/Cosmetic Dentistry Color assessment after bleaching with hydrogen peroxide versus ozone: a randomized controlled clinical trialFull Article (PDF)
2017 July/August; 65(4):e12-e17.
CIE L*a*b* coordinates were used to evaluate color changes in teeth bleached with either hydrogen peroxide (HP) or ozone (OZ). No visible color changes were observed in either the HP or the OZ group immediately postbleaching. The greatest visible change was found in the HP group 48 hours postbleaching.
Implants Four-year follow-up of a polymethyl methacrylate–based bone cement graft for optimizing esthetics in maxillary anterior implants: a case reportFull Article (PDF)
Érica Miranda De Torres
Luis Fernando Naldi
Karina De Oliveira Bernades
Alexandre Leite Carvalho
2017 July/August; 65(4):48-53.
A 19-year-old woman presented with deficient thickness of the alveolar ridge, loss of lip support, absence of gingival architecture, and improperly placed implants that compromised the esthetics of her maxillary anterior prosthesis. A correct emergence profile for a new prosthesis was created through a polymethyl methacrylate–based bone cement graft along with connective tissue grafts.
Oral health considerations in anorexia and bulimia nervosa. 1. Symptomatology and diagnosisFull Article (PDF)
Mohamed A. Bassiouny
2017 July/August; 65(4):34-40.
This article reviews anorexia nervosa and bulimia, summarizing telltale behavioral traits, systemic manifestations, and dental features to facilitate recognition and enable early and accurate diagnosis.
Multi-Disciplinary Topics Comparison of the effects of sodium bicarbonate jet prophylaxis on blood pressure in normotensive individuals and patients with controlled hypertension: a controlled clinical trialFull Article (PDF) Self-Instruction Exercise No. 405
Camila Lopes Ferreira
Andrea Carvalho De Marco
Thiago Rodrigues Lazzari
José Benedito Oliveira Amorim
Mauro Pedrine Santamaria
Maria Aparecida Neves Jardini
2017 July/August; 65(4):19-23.
The blood pressure (BP) of normotensive and hypertensive subjects treated with a sodium bicarbonate jet prophylaxis was measured before and at 3 timepoints after the procedure. While systolic BP was significantly increased in normotensive and hypertensive subjects after the procedure, it returned to initial values within 15 minutes in both groups. Diastolic BP, however, returned to initial values more slowly in the hypertensive group than in the normotensive group.
Oral Medicine, Oral Diagnosis, Oral Pathology Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: a case reportFull Article (PDF)
Mateus Barros Cavalcante
Amanda Laísa de Oliveira Lima
Raphael Teixeira Moreira
Emanuel Dias de Oliveira e Silva
Bruno de Lira Castelo Branco
2017 July/August; 65(4):25-29.
Necrotizing fasciitis (NF), a bacterial infection with rapid, aggressive progression and characterized by necrosis of tissues, generally affects individuals with immunologic and microvascular deficiencies. A case of NF in a 55-year-old man with diabetes is reported to highlight diagnosis, surgical treatment, drug therapy, and supportive measures.
Management of persistent lingual angioedema: a team approachFull Article (PDF)
Ralph H. Saunders, Jr
2017 July/August; 65(4):60-62.
An elderly man who suffered anoxic encephalopathy following a choking episode developed swelling of his tongue. The swelling was induced by an angiotensin-converting enzyme inhibitor (ACEI), which he was taking for hypertension. After cessation of the ACEI, persistence of the macroglossia was attributed to pressure from the incisors. Molt mouth props were placed to relieve venous obstruction.
Orofacial Pain Temporomandibular pain caused by sleep disorders: a review and case reportFull Article (PDF)
Daniel F. Babiec
2017 July/August; 65(4):30-33.
Patients often present to the dentist’s office with complaints of temporomandibular joint pain. However, patients with sleep-disordered breathing problems can exhibit similar signs and symptoms that can be misinterpreted as being dental in origin. Since dental treatment can actually worsen these medical conditions, dentists should consider the possibility that temporomandibular symptoms are related to sleep-disordered breathing.
Pediatric Dentistry Association between body mass index and dental age in Hispanic childrenFull Article (PDF) Self-Instruction Exercise No. 406
Dina A. Chehab
2017 July/August; 65(4):54-58.
The purpose of this study was to determine whether body mass index is associated with dental development in Hispanic children when compared to their age. Overweight/obese children were approximately 3.5 times more dentally advanced than average/underweight children. The older the child, the greater the difference.
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