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 Help wantedTimothy F. KosinskiFull Article (PDF)
2023 September/October; 71(5):6.
Pharmacology Know your MATE: Medication Access and Training Expansion ActMark DonaldsonFull Article (PDF)
Jason H. Goodchild
2023 September/October; 71(5):7-10.
Oral Diagnosis Midline maxillary radiolucency and Generalized radiopacitiesGalal OmamiFull Article (PDF)
2023 September/October; 71(5):78,80.
Self-Instruction Answers Exercises No. GD498, GD499, and GD500 from the September/October 2022 issue2023 September/October; 71(5):79.Full Article (PDF)
Oral Medicine, Oral Diagnosis, Oral Pathology Assessment of the correlation between mandibular radiomorphometric patterns and dual-energy X-ray absorptiometry measurements for screening bone mineral densityLuciana MunhozFull Article (PDF)
Marcos Antônio Lima dos Santos
Carlos Antonio Vicentin Junior
Rafael Pereira de Mendonça
Plauto Christopher Aranha Watanabe
Emiko Saito Arita
This study investigated the correlation between femoral and lumbar spine bone mineral density and visual, qualitative mandibular bone pattern assessments. Radiomorphometric patterns assessed with panoramic radiographs correlated with dual-energy X-ray absorptiometry values, suggesting that these patterns are suitable for screening patients at risk of low bone mineral density.
2023 September/October; 71(5):11-16.
Self-Instruction Exercise No. GD515
Oral Medicine, Oral Diagnosis, Oral Pathology Comparison of inflammation in the tongue with inflammation of the aorta and coronary arteries: an autopsy study of the histologic features and immunohistochemical markersBruno Henrique dos Reis Souza OliveiraFull Article (PDF)
Beatriz Junqueira Mattar
Káthia Maria Duarte Ono
Thiago Lima Pereira
Renata Margarida Etchebehere
Douglas Reis Abdalla
Rodrigo César Rosa
Sanivia Aparecida de Lima Pereira
In a study of autopsied humans, inflammation in the submucosa, spongiosis, and higher immunostaining by IL-6 on the tongue were associated with higher immunostaining by IL-1α in the aorta. More intense presence of IL-6 in the tongue was also associated with increases in IL-6 and TNF-α in the aorta. Since these cytokines contribute to the process of atherosclerosis, it seems possible that proper treatment of lingual infections could reduce the risk of atherosclerosis.
2023 September/October; 71(5):18-23.
Self-Instruction Exercise No. GD516
Oral and Maxillofacial Surgery Clinical comparison of conventional suture and tissue adhesive in third molar surgeries: a systematic reviewAída Juliane Ferreira dos SantosFull Article (PDF)
João Luiz Gomes Carneiro Monteiro
Sandra Lúcia Dantas Moraes
Belmiro Cavalcanti do Egito Vasconcelos
Eduardo Piza Pellizzer
This systematic literature review analyzed the effectiveness of cyanoacrylate adhesive as a substitute for conventional sutures after third molar extraction. The search process identified 5 randomized clinical trials with a total of 236 patients. Lower levels of postoperative pain were reported for cyanoacrylate in 3 studies, and lower rates of bleeding were reported in all studies.
2023 September/October; 71(5):25-29.
Prosthodontics Nasal patency and mandibular movement: clinical application in prosthodonticsEnoch T. NgFull Article (PDF)
Steven R. Olmos
This case report describes a patient with persistent mandibular deviation during speech who experienced clinically significant improvement—mandibular movement without deviation—after improvements to nasal resistance.
2023 September/October; 71(5):30-33.
Oral Medicine, Oral Diagnosis, Oral Pathology Pseudopathologic findings on panoramic radiographs and utility of follow-up cone beam computed tomographic scans: a case seriesJohn K. BrooksFull Article (PDF)
Jeffery B. Price
This article presents 4 cases of pseudopathologic disorders found on intraoral and panoramic radiographs. Subsequent use of cone beam computed tomography determined that the initial concerning findings represented anatomical or radiographic anomalies rather than pathologic processes, eliminating the need for surgical intervention.
2023 September/October; 71(5):34-37.
Esthetics/Cosmetic Dentistry Shade matching and blending capabilities of a new single-shade composite: an in vivo studyThuyvi Amy TruongFull Article (PDF)
This article used direct (spectrophotometric) and indirect (digital photographic) measurements of color changes to assess the shade matching and blending capabilities of a single-shade restoration in vivo. The tested composite did not meet the acceptability threshold for any CIEDE2000 color difference standard. The incisal third showed better results than the middle or cervical thirds.
2023 September/October; 71(5):38-44.
Self-Instruction Exercise No. GD517
Restorative Dentistry Diagnosis, treatment planning, and comprehensive restoration of a patient with Costello syndrome: rationale and application of indirect composite resin onlaysRoger A. SolowFull Article (PDF)
Patients with a complex problem set involving multiple levels of altered structure challenge the clinician to develop an individualized, appropriate treatment plan. An overview of complex, comprehensive restorations and the clinical case of a patient with Costello syndrome illustrate essential diagnosis and treatment planning concepts.
2023 September/October; 71(5):46-52.
Restorative Dentistry Direct vs indirect restorations for diastema closure: determining the suitable approachMarta Santos Oliveira de ValenteFull Article (PDF)
Constantino Fernandes Neto
Alyssa Teixeira Obeid
Adilson Yoshio Furuse
Bella Luna Colombini Ishikiriama
Sergio Kiyoshi Ishikiriama
Marilia Mattar de Amoêdo Campos Velo
The objective of these case reports was to describe different approaches for diastema closure using direct and indirect techniques, focusing on the characteristics of the patient and the clinical requirements to guide the treatment.
2023 September/October; 71(5):53-57.
Basic Science Assessment of the relationships between posterior root apices and the maxillary sinus floor: a comparison of panoramic radiography and cone beam computed tomographyRoya AmaniFull Article (PDF)
Mir Mehdi Seyed Ashrafi
The relationships between the apices of posterior teeth and the maxillary sinus floor were evaluated, comparing the results of assessments performed with panoramic radiography and cone beam computed tomography (CBCT). When panoramic images indicate that premolar or molar roots are in contact with or have protruded into the sinus, the results are not definitive, and CBCT should be performed.
2023 September/October; 71(5):58-63.
Pediatric Dentistry Multidisciplinary management of a tooth with severe root dilaceration and enamel hypoplasia: a case reportLucas Fernando Oliveira Tomáz FerraressoFull Article (PDF)
João Felipe Besegato
Eduardo Augusto Pfau
Márcio Grama Hoeppner
Hypoplasia and root dilaceration were observed in a permanent maxillary left central incisor 9 years after dental trauma of the primary tooth. Restoration was carried out with composite resin and resin-modified glass ionomer cement, and the clinical outcomes after 10 years revealed that the treatment successfully preserved the natural tooth with good periodontal health conditions.
2023 September/October; 71(5):64-69.
Basic Science Prevalence, morphology, and morphometry of anatomical variations of the clivus: a cone beam computed tomographic studyLúcia de Fátima AntoniassiFull Article (PDF)
Igor Henrique Silva Pinheiro
Letícia Carvalho Lima Teixeira
Lilian Cristina Vessoni Iwaki
Elen de Souza Tolentino
Mariliani Chicarelli da Silva
A study of Brazilian adults used cone beam computed tomographic images to evaluate the prevalence and characteristics of 3 anatomical variants of the clivus: fossa navicularis magna, canalis basilaris medianus, and craniopharyngeal canal. The fossa navicularis magna was the most prevalent variation, especially in young adults aged 18 to 31 years. The variables sex and facial skeletal pattern did not affect the frequency of any variant.
2023 September/October; 71(5):70-76.