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                                        Fixed Prosthodontics
                                    A systematic scoring system to determine the long-term prognosis for severely damaged teeth
                                Mahdi Kadkhodazadeh
 Reza Amid
 
 This article introduces a quantitative systematic risk assessment scoring system to determine the long-term prognosis for severely damaged teeth based on 5 factors: crown to root ratio, root condition, risk of furcation involvement, final restoration complexity, and esthetic results. This system is intended to simplify and organize the decision-making process and facilitate communication with patients.
 
 2022 November/December; 70(6):71-77.
 
 
 Full Article (PDF)
 
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                                        Basic Science
                                    Digital intraoral imaging: analysis of retakes and reduction in radiation exposure using rectangular collimation
                                Suvendra Vijayan
 Nilesh Shah
 Anitha Potluri
 
 This study evaluated the number of retakes needed when dental students switched from using round collimators to rectangular collimators for digital intraoral imaging. The use of rectangular collimators resulted in an initial increase in retakes, mostly due to placement errors; however, it also resulted in a significant reduction in radiation exposure, and retake rates normalized as students gained experience.
 
 2022 November/December; 70(6):66-70.
 
 
 Full Article (PDF)
 
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                                        Oral Medicine, Oral Diagnosis, Oral Pathology 
                                    Early detection of oral potentially malignant disorders using machine learning: a retrospective pilot study
                                Nour Issa
 Jonas Leonas
 Bruno C. Jham
 John C. Mitchell
 Maria C. Cuevas-Nunez
 
 A retrospective pilot study found that a machine learning model was able to differentiate between benign and oral potentially malignant lesions with a mean classification accuracy of 70%, sensitivity of 80%, and specificity of 60% when grayscale and enhanced color intraoral images were used, suggesting that machine learning may be a promising tool for identification of oral potentially malignant disorders.
 
 2022 November/December; 70(6):60-64.
 
 
 Full Article (PDF)
 
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                                        Periodontics
                                    Waistline to gumline: a retrospective analysis of body mass index in treated periodontitis patients undergoing periodontal maintenance therapy
                                Maria L. Geisinger
 Katie L. Martin
 James Parker Alison
 Kimberly D. Martin
 Michelle Robinson
 Nicolaas C. Geurs
 
 This study retrospectively evaluated associations between periodontal disease parameters and body mass index (BMI) in 418 treated periodontitis patients undergoing periodontal maintenance therapy. The analysis revealed that BMI was associated with age and missing teeth, and obese status was associated with a significantly higher number of sites with bleeding on probing.
 
 2022 November/December; 70(6):52-58.
 
 
 Full Article (PDF)
 
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                                        Special Patient Care
                                    Dental erosion as an indicator of gastroesophageal reflux disease
                                Andrew W. Ellis
 Amar Kosaraju
 Ryan R. Ruff
 Charles B. Miller
 James M. Francis
 Kraig S. Vandewalle
 
 In a study evaluating the association between dental erosion (DE) and gastroesophageal reflux disease (GERD) in 80 patients, the extent of DE was found to be positively associated with GERD symptoms. In some patients, DE was the only clinical indication of untreated or undertreated GERD. Dentists should consider referring patients with DE to physicians to ensure that systemic conditions are identified.
 
 2022 November/December; 70(6):46-51.
 
 
 Full Article (PDF)
 
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                                        Basic Science
                                    Evaluation of fluoride and calcium concentrations in drinking water from public water fountains on a university campus
                                Guillermo Tamayo-Cabeza
 Frank Lippert
 
 Evaluation of fluoride and calcium concentrations in drinking water from public water fountains on a university campus revealed that fluoride concentrations were within the optimal range recommended by the US Public Health Service, and calcium concentrations were consistent with those reported in previous surveillance studies.
 
 2022 November/December; 70(6):41-45.
 
 
 Full Article (PDF)
 
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                                    SELF-INSTRUCTION
                                
                                        Implants
                                    Scanning electron microscopic evaluation of microgap size in Morse taper implants with straight and angled abutments 
                                Mariana Bispo Costa
 Lorena Fernandes Ferreira
 Antonio Carlos Marqueti
 Wilton Mitsunari Takeshita
 Cleverson Luciano Trento
 
 Comparison of the microgap sizes at the interfaces between Morse taper implants and straight or angled abutments revealed that, overall, there were no statistically significant differences between the groups. However, the angled abutments showed greater sealing ability, as the mean value of the largest microgap was 1.43 µm compared with 1.64 µm in the straight abutment group.
 
 2022 November/December; 70(6):34-39.
 
 
 Full Article (PDF)
 Self-Instruction Exercise No. GD503
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                                        Orofacial Pain
                                    Nasal airway obstruction and orofacial pain: a multicenter retrospective analysis
                                Steven R. Olmos
 
 In a retrospective study investigating the relationship between nasal airway obstruction and symptoms of orofacial pain, nasal valve compromise was the most prevalent type of nasal airway obstruction found in the study population of 1393 patients. Nasal valve compromise showed a statistically significant comorbidity with capsulitis as well as facial and cervical myositis.
 
 2022 November/December; 70(6):28-33.
 
 
 Full Article (PDF)
 
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                                    SELF-INSTRUCTION
                                
                                        Oral Medicine, Oral Diagnosis, Oral Pathology 
                                    Oral and cutaneous pemphigus vulgaris: an atypical clinical presentation
                                Ilana M. Goldberg
 John K. Brooks
 Ioana Ghita
 Ahmed S. Sultan
 Jamie B. MacKelfresh
 
 This case report documents pemphigus vulgaris in an atypical patient, a 23-year-old woman with concomitant celiac disease. The patient was treated with systemic rituximab, which resulted in rapid improvement of the cutaneous lesions but only gradual improvement of the oral lesions after 2 infusions.
 
 2022 November/December; 70(6):22-26.
 
 
 Full Article (PDF)
 Self-Instruction Exercise No. GD502
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                                    SELF-INSTRUCTION
                                
                                        Practice Management and Human Relations 
                                    Malpractice allegations among US dentists: association of malpractice allegation with the severity of the alleged malpractice injury
                                Arealle E. Franklin
 Rochisha Singh Marwaha
 Pankil Shah
 Suman Challa
 
 Associations between malpractice allegations and the severity of the alleged malpractice injury were studied using information from the National Practitioner Data Bank from 2010 through 2020. The highest number of allegations was in the treatment-related allegations group, and the confounding variable graduation year had significant associations with major temporary and minor permanent injury.
 
 2022 November/December; 70(6):13-20.
 
 
 Full Article (PDF)
 Self-Instruction Exercise No. GD501