March/April 2022

Timothy F. Kosinski

2022 March/April;70(2):5.

Toni M. Roucka

2022 March/April;70(2):6-8.

Mark Donaldson
Jason H. Goodchild

2022 March/April;70(2):9-13.

2022 March/April;70(2):74-77.

Tanya M. Gibson

2022 March/April;70(2):78,80.

2022 March/April;70(2):79.

Samantha Nelson
Mariah Heft-Allen
Nagamani Narayana

This retrospective study aimed to assess the diagnostic accuracy of clinicians identifying leukoplakia and the diagnostic terminology used to indicate leukoplakic lesions. The percentage of histologically correct diagnosis of leukoplakia improved over the years studied, but clinicians continued to misclassify identifiable pathoses such as lichen planus, lichenoid mucositis, and fibroma as leukoplakia. 

2022 March/April;70(2):14-17.

Fazele Atarbashi-Moghadam
Hassan Mir Mohammad Sadeghi
Saede Atarbashi-Moghadam

This article presents the case of a patient with a peri-implant oral squamous cell carcinoma (OSCC) mimicking peri-implantitis. After implant removal did not resolve a radiolucency around a loosened implant, histopathologic and immunohistochemical analyses of biopsy specimens resulted in a diagnosis of OSCC, highlighting the importance of the differential diagnosis for early detection of OSCC.

2022 March/April;70(2):19-21.

Christopher J. Walinski
Sabrina M. Mellusi 
Ashley E. Brodeur
Emily Marchick
Daniel Katz
Meade van Putten

This article summarizes the findings of systematic reviews conducted by the Multinational Association of Supportive Care in Cancer and the International Society of Oral Oncology on interventions to prevent and treat oral mucositis arising from radiotherapy and chemotherapy. A case of oral mucositis treated with lasers is presented to illustrate a promising new treatment. 

2022 March/April;70(2):22-26.

Ana Carolina dos Santos Menezes
Lísia Daltro Borges Alves
Fernanda Vieira Heimlich
Rachel de Carvalho Silveira de Paula Fonseca
Héliton Spíndola Antunes
Débora Lima Pereira

This case report describes a patient with previously diagnosed and treated invasive ductal breast carcinoma who developed a metastatic lesion in the maxillary gingiva. In addition, a literature review discusses articles pertaining to metastatic breast cancer manifestations in the gingiva. 

2022 March/April;70(2):28-32.

Patricia Barros
Mohammed N. Islam
Sarah G. Fitzpatrick
Donald M. Cohen
Indraneel Bhattacharyya
Saja A. Alramadhan

This retrospective case series describes the oral manifestations of leukemia to aid in the earlier diagnosis or recognition of relapse. In this cohort of 10 patients, 6 cases occurred in men, and the mean age of the patients was 58 years. The gingiva was the most frequently biopsied site. Importantly, 4 of the patients (40%) had no prior diagnosis of leukemia.  

2022 March/April;70(2):33-36.

Nicole Piscatelli
Nicole Hinchy
Jennifer Frustino
Laura Reed
James Zemer
Naheed Alam
Paul Hosking
Maureen Sullivan

This case report describes oral soft tissue lesions as the first signs of multiple myeloma following a solid-organ transplantation. Awareness of the patient’s medical history and an understanding of the maxillofacial manifestation of multiple myeloma are important to ensure diagnosis in the early stages of disease.

2022 March/April;70(2):37-40.

Jonathan E. Journo
Karl F. Woodmansey
Ryan M. Walsh

Invasive cervical resorption occurred in multiple teeth in a patient with scleroderma, a chronic connective tissue disease. This case report details the findings of imaging studies and discusses the possible relationships between these diseases.

2022 March/April;70(2):41-44.

Maryam Baharvand
Hamed Mortazavi
Mojgan Eshaghian
Homa Mirzaei

The aim of this study was to investigate whether an association exists between the severity of sublingual varices and the presence of hypertension. Logistic regression analysis showed that patients with more pronounced sublingual varicosity had a greater risk of hypertension than did patients with few varices.

2022 March/April;70(2):46-49.

Oriana Elara Barelli Paganelli
Pâmela Letícia Santos
Rubens Spin-Neto
Valfrido Antonio Pereira Filho
Rogério Margonar

This clinical study compared the stability of mandibular implants with Morse taper and external hexagon connections placed under an immediate loading protocol. The results suggested that both Morse taper and external hexagon prosthetic connections provide good stability for immediate functional loading. 

2022 March/April;70(2):50-54.

Joseph A. DeBenedictis

Spontaneous medication-related osteonecrosis of the jaw was successfully treated with a bimodal nonsurgical and surgical approach in a patient with a complicated medical history and multiple medical considerations. The initial nonsurgical approach allowed time for the influence of antiresorptive medication to dissipate and ensured optimal conditions for surgery. 

2022 March/April;70(2):55-58.

Brunno Santos de Freitas Silva
Andressa Hajjar Daher
Amanda Luysa Roriz Pinto
Eduarda Helena Souza e Silva
Rogério Ribeiro de Paiva
Wilson José Mariano-Júnior
Fernanda Paula Yamamoto-Silva

This case report describes reactional osteogenesis associated with the residual roots of the maxillary left first molar. Volumetric analysis established the diagnosis and facilitated removal of the focus of infection associated with the reactional bone formation. Three-dimensional imaging examinations of the maxillary sinus are crucial in the presence of infectious processes in the posterior region of the maxilla.

2022 March/April;70(2):59-61.

Natan Mecler
Rafael Martins Rodrigues
Alexandre Marques Paes da Silva
Antônia Cristiane Fernandes
Bernardo Mattos Almeida
Lucio de Souza Gonçalves
Antonio Canabarro
Dennis de Carvalho Ferreira

To evaluate factors that may influence decision-making about the treatment of periodontally compromised teeth, researchers presented dental students and dentists with 2 clinical scenarios, including radiographs. For the majority of participants, the decision in both scenarios was to maintain the compromised teeth rather than extract; however, the results suggested that that the years of experience of the individual and the specialty of the practitioner can influence decision-making. 

2022 March/April;70(2):62-68.

Jaganathan Vijayakumar
Shekar Shobana
Mahendran Kavitha

This article describes the management of a maxillary lateral incisor with complicated anatomy. After unsuccessful endodontic treatment, radiography revealed a palatoradicular groove and an accessory root. Spiral computed tomography confirmed that the accessory root had no root canal, so it was maintained in retreatment, and the groove in the main root was saucerized and restored with glass ionomer cement.

2022 March/April;70(2):69-72.