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Special Patient Care
Leveraging big electronic data to identify oral care disparities in individuals with serious mental illness
Vaishali Singhal
Yuane Jia
Ni Gao
Jill York
Michal Gold-Rosenbach
Nysa Ginu
Rhea Arya
Jay Sureshbhai Patel
This study used data from a clinic at a US dental school to examine disparities in oral healthcare between patients with serious mental illness (SMI) and a group without SMI. Individuals with SMI had higher incidence rate ratios of removable prosthodontics, oral and maxillofacial surgery, and adjunctive general services, suggesting that their dental conditions dictated more invasive treatments.
2025 July/August; 73(4):68-77.
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Implants
Effect of submucosal dexamethasone injection on pain and swelling after immediate implant placement: a randomized clinical trial
Najmehsadat Valedsaravi
Ali Semnani
Masood Moghadam
Faezeh Semnani
A randomized clinical trial examined the impact of a single submucosal dexamethasone injection on pain and swelling following implant placement. Submucosal administration of dexamethasone following implant surgery led to significant decreases in postoperative pain and swelling but did not produce a significant increase in patients’ overall level of satisfaction after surgery.
2025 July/August; 73(4):62-67.
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Pediatric Dentistry
Bilingual interactions: challenges faced by dental providers and interpreters at a pediatric dental clinic
David O. Danesh
Vanessa Short
Homa Amini
In a qualitative study on the experiences of dental providers and interpreters during bilingual patient encounters, both groups identified miscommunication as an area of challenge. Providers also cited not knowing if the interpretation was correct and interpreters’ misunderstanding of their role, while interpreters mentioned navigating cultural differences and providers’ failure to respect the patient.
2025 July/August; 73(4):54-60.
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Oral Medicine, Oral Diagnosis, Oral Pathology
Osteoporotic bone marrow defect mimicking odontogenic cysts: report of 2 cases
John K. Brooks
Muhammad J. Qazi
Ahmed S. Sultan
Mohammad Tofigh
Azin Parsa
This report presents 2 unusual cases of osteoporotic bone marrow defect (OBMD) with lesions that exhibited well-corticated perimeters and resembled a cystic process. Histopathologically, OBMDs contain various stages of development of hematopoietic cells, fatty marrow, and spicules of normal trabeculated bone. OBMD should be included in the differential diagnosis of cyst-like lesions of the jaws.
2025 July/August; 73(4):50-53.
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SELF-INSTRUCTION
Restorative Dentistry
Treatment of tooth wear using a digital workflow and occlusal veneers: a case report
Alyssa Teixeira Obeid
Francisco Fernando Massola Filho
Thomas de Oliveira Maciel
Rafael Francisco Lia Mondelli
Marilia Mattar de Amoêdo Campos Velo
This case report describes treatment of posterior tooth wear, anterior canine guidance, and an noncarious cervical lesion using a digital workflow and a combination of direct, indirect, and direct-indirect techniques. Tabletop restorations were used to treat posterior tooth wear, and reanatomization was performed for the anterior teeth to restore canine guidance.
2025 July/August; 73(4):44-48.
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Self-Instruction Exercise No. GD549
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Fixed Prosthodontics
Zirconia resin-bonded fixed partial denture with countersunk holes: a pilot study
David G. McMillan
Tyler Peterson
Gerald Greenan
Joel Janis
This pilot study assessed the retention and durability of 9 zirconia resin-bonded fixed partial dentures (RBFPDs) with countersunk holes in the zirconia wings. The overall survival rate was 55.6%, and debonding occurred in 4 cases, including wing fracture in 1 case. The prostheses did not appear to show any advantage compared with rates previously reported for zirconia RBFPDs without holes in the wings.
2025 July/August; 73(4):38-43.
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Restorative Dentistry
Silver-modified atraumatic restorative technique (SMART) with conventional stainless steel crowns for management of dental caries: a case series
Mridula Goswami
Babita Jangra
This series of 3 cases describes successful application of silver diamine fluoride to carious primary molars and subsequent placement of stainless steel crowns using a conventional technique with local anesthesia and minimal tooth preparation.
2025 July/August; 73(4):32-37.
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Endodontics
Glass fiber post removal using cone beam computed tomography combined with guided endodontics: a case report
Victor Aquino Wanderley
João Victor Frazão Câmara
Lethycia Almeida Santos
Carolina Ruis Ferrari
Bernardo Barbosa Freire
This case report illustrates the effectiveness of combining guided endodontics with data from cone beam computed tomographic images for removal of a glass fiber post. Guided endodontics enabled removal of the post with greater precision and efficiency, facilitating the completion of endodontic retreatment without unnecessary removal of dentin.
2025 July/August; 73(4):28-31.
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SELF-INSTRUCTION
Oral Medicine, Oral Diagnosis, Oral Pathology
Influence of ambient light viewing conditions on imaging diagnosis of simulated internal root resorption in different devices
Ludmila Santos Palma
Daniel Adrian Silva Souza
Fernanda Bulhões Fagundes
Laise Fernandes Tourinho
Frederico Sampaio Neves
Taruska Ventorini Vasconcelos
This in vitro study aimed to analyze the influence of ambient lighting on the detection of simulated internal root resorption in images viewed on a desktop computer, laptop, or smartphone. Neither the ambient lighting nor the type of device influenced the diagnosis of internal root resorption, allowing for flexibility in diagnostic conditions and the use of portable devices in clinical settings.
2025 July/August; 73(4):21-26.
Full Article (PDF)
Self-Instruction Exercise No. GD548
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Endodontics
A case of canalis sinuosus mimicking internal root resorption in periapical radiographs
Adam D. Bennett
Michelle Briner
Mary P. Walker
Kenneth J. Frick
A 2-dimensional radiograph following trauma to the anterior maxilla revealed a well-defined radiolucency suggestive of internal root resorption on the lateral incisor of a 25-year-old man. Cone beam computed tomographic imaging revealed that the radiolucency was the canalis sinuosus, highlighting the importance of 3-dimensional assessment of confounding findings in the anterior maxilla.
2025 July/August; 73(4):16-20.
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Oral Medicine, Oral Diagnosis, Oral Pathology
Oral mucosal adverse events following administration of an immune checkpoint inhibitor: a case report
Mamdouh O. Kachlan
John K. Brooks
Paolo J. Fantozzi
Gianluca Tenore
Umberto Romeo
Daniele Pergolini
Ahmed S. Sultan
This case report describes the emergence of oral immune-related adverse events following the administration of pembrolizumab, an immune checkpoint inhibitor (ICI), for cutaneous melanoma. Patients undergoing prolonged ICI therapy should be informed about the potential for oral complications and the need for close monitoring by oral healthcare providers.
2025 July/August; 73(4):10-14.
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