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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.


Self-Instruction
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Table of Contents

Departments

  • Editorial Go, slow, or stop: obeying the signs

    Timothy F. Kosinski

    2024 September/October; 72(5):5.

    Full Article (PDF)
  • Pharmacology Managing anticoagulant medications around dentistry

    Mark Donaldson
    Jason H. Goodchild

    2024 September/October; 72(5):6-9.

    Full Article (PDF)
  • Oral Diagnosis Ragged bony destruction and Expansile mass of mixed density

    Galal Omami

    2024 September/October; 72(5):78,80.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD515, GD516, and GD517 from the September/October 2023 issue

    2024 September/October; 72(5):79.

    Full Article (PDF)

Clinical Articles

  • SELF-INSTRUCTION

    Endodontics Nonsurgical management of large periapical lesions: case reports and review of the literature

    Shubham Tripathi 
    Pallav Patni
    Pradeep Jain 
    Swadhin Raghuwanshi
    Sanket Hans Pandey

    This article presents 2 clinical cases and a review of the literature concerning nonsurgical endodontic treatment of large periapical lesions. In both cases, the lesions were successfully treated with root canal treatment, antimicrobial medications, and mineral trioxide aggregate sealing. The success rates for this treatment are reported to be as high as 94%.

    2024 September/October; 72(5):10-18.

    Full Article (PDF)
    Self-Instruction Exercise No. GD533
  • SELF-INSTRUCTION

    Periodontics Treatment of deep gingival recession in homologous molars using a modified laterally positioned flap and subepithelial connective tissue graft: a case report

    Maria Caroline Rios Piecha 
    Rodrigo Könsgen Rossales
    Tiago Schlindvein de Araujo 
    Thiago Marchi Martins

    The modified laterally positioned flap technique was used in combination with a subepithelial connective tissue graft for root coverage of homologous mandibular molars with deep gingival recession. Follow-up examinations 1 year after the procedures revealed satisfactory root coverage, tissue gain, and an absence of postoperative gingival recession at the flap donor sites.

    2024 September/October; 72(5):20-25.

    Full Article (PDF)
    Self-Instruction Exercise No. GD534
  • Pediatric Dentistry Multidisciplinary approach to multiple dental anomalies in pediatric patients: a case report with 4-year follow-up

    Florense Gabriela da Silva 
    Priscila Hernández de Campos
    Mayara Rangel 
    Cássio José Fornazari Alencar
    Tatiane Fernandes Novaes 
    Michele Baffi Diniz
    Renata Oliveira Guaré

    This article describes the multidisciplinary treatment and follow-up of a 5-year-old boy with a supernumerary microdont in the mandibular posterior, an odontoma in the maxillary anterior, and severe dentoalveolar ankylosis of the primary mandibular right second molar. Early diagnosis and a combination of pediatric surgery and orthodontic approaches provided a successful outcome.

    2024 September/October; 72(5):27-30.

    Full Article (PDF)
  • Implants Hybrid-resolution facial and dental scanning: a cost-effective approach to utilizing 3D facial data in anterior dental implant restoration

    Adam P. Tow

    The author proposes a method for combining low-cost, lower resolution facial scanning and standard high-resolution intraoral scanning into a fully digital representation of the teeth and face. The data from a free smartphone application for 3D scanning are meshed with data from a traditional intraoral scanner to incorporate all necessary information without the cost of additional scanning equipment.

    2024 September/October; 72(5):31-37.

    Full Article (PDF)
  • SELF-INSTRUCTION

    Basic Science Effect of mouthwashes on the color stability of a nanohybrid composite resin

    Giovanna Pinto Wallace da Silva 
    Vitória Uchôa Mesquita
    Danielson Guedes Pontes

    The effect of different mouthwashes on the color stability of a nanohybrid composite resin was assessed in vitro. The color change for all mouthwash groups was negligible after 30 days, but all experimental groups differed significantly from the control group after 90 days, and the specimens showed a clinically unacceptable level of color change. 

    2024 September/October; 72(5):38-41.

    Full Article (PDF)
    Self-Instruction Exercise No. GD535
  • Implants A new guide for enhancing dental implant placement: an in vitro assessment of accuracy

    Heliasadat Haeriboroojeni 
    Reza Amid
    Anahita Moscowchi 
    Mahdi Kadkhodazadeh
    Aida Kheiri

    A new surgical guide was designed to control the mesiodistal distance between implant osteotomies and adjacent teeth as well as the osteotomy depth. To assess its accuracy, the guide was used to prepare implant osteotomies in partially edentulous models, and the actual osteotomy dimensions were compared to the predicted values. The guide had high accuracy in achieving linear interosteotomy mesiodistal distances and osteotomy depths.

    2024 September/October; 72(5):43-48.

    Full Article (PDF)
  • Basic Science Influence of radiant exposure and material shade on the degree of conversion and microhardness of a resin-based composite

    Rafael da Silva Beolchi 
    Taís Scaramucci
    Sandra Ribeiro Cunha 
    Milena Traversa Palazon
    Roberto Ruggiero Braga 
    Carlos Alberto Kenji Shimokawa

    This study assessed the influence of radiant exposure and material shade on the degree of conversion (DC), microhardness (Knoop hardness number [KHN]), and top to bottom surface hardness ratio of a resin-based composite. Increased radiant exposure levels led to increased DC and KHN values for both shades. Shade did not affect DC, but the bottom surface of the darker shade showed lower KHN values at each radiant exposure level. 

    2024 September/October; 72(5):49-53.

    Full Article (PDF)
  • Restorative Dentistry Restoration with a posterior CAD/CAM onlay after failure of a direct resin-based composite restoration: a case report

    Guilherme Anziliero Arossi 
    Raj Patel
    Adam Eisner 
    Mary Anne S. Melo

    This case report describes the replacement of a failing direct resin-based composite restoration with an indirect lithium disilicate onlay fabricated and placed in a single appointment via a CAD/CAM workflow. The technique used was efficient, minimally invasive, and showed good results at the 4-month follow-up examination. 

    2024 September/October; 72(5):54-59.

    Full Article (PDF)
  • Orthodontics The use of miniplates for nontraditional orthodontic treatment: clinical considerations for referring general dentists

    Lina Sharab 
    Katie Jo Hunt
    Joseph Van Sickels 
    Judson Knight
    George Jeryn Jacob

    Mandibular third molar extraction procedures present the opportunity to place miniplates for anchorage of distalizing appliances, avoiding the need for orthognathic surgery or premolar extractions. This article describes 3 cases in which miniplates were placed during the removal of impacted third molars, offering the patients less invasive, nontraditional treatment options for molar distalization.

    2024 September/October; 72(5):60-65.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Severe radiographic artifact created by a large fenestration of the skin and labial mucosa following placement of a plate piercing: a case report

    John K. Brooks 
    Proma Ahmed
    Azin Parsa 
    Jeffery B. Price

    The objective of this article is to describe a previously unreported radiographic anomaly produced by a large oral piercing site below the lower lip. The radiolucency was ultimately attributed to an extensive aperture created by a series of sequentially larger soft tissue expanders.

    2024 September/October; 72(5):66-69.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Practical management recommendations for incidental otolaryngologic findings on cone beam computed tomography

    Yoni Sacknovitz 
    Michael Ghiam
    King Chong Chan 
    Jonathan B. Overdevest

    This literature review provides a comprehensive summary of incidental findings on CBCT and an algorithm for determining the acuity of referral requirements for different findings. The results are grouped into 4 anatomical areas, and each area has been subdivided into diagnoses and their common imaging findings to facilitate appropriate clinical management.  

    2024 September/October; 72(5):70-77.

    Full Article (PDF)

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