September/October 2023

Table of Contents


  • Editorial Help wanted

    Timothy F. Kosinski

    2023 September/October; 71(5):6.

    Full Article (PDF)
  • Pharmacology Know your MATE: Medication Access and Training Expansion Act

    Mark Donaldson
    Jason H. Goodchild

    2023 September/October; 71(5):7-10.

    Full Article (PDF)
  • Oral Diagnosis Midline maxillary radiolucency and Generalized radiopacities

    Galal Omami

    2023 September/October; 71(5):78,80.

    Full Article (PDF)
  • Self-Instruction Answers Exercises No. GD498, GD499, and GD500 from the September/October 2022 issue

    2023 September/October; 71(5):79.

    Full Article (PDF)

Clinical Articles


    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 density

    Luciana Munhoz
    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.

    Full Article (PDF)
    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 markers

    Bruno Henrique dos Reis Souza Oliveira
    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.

    Full Article (PDF)
    Self-Instruction Exercise No. GD516
  • Oral and Maxillofacial Surgery Clinical comparison of conventional suture and tissue adhesive in third molar surgeries: a systematic review

    Aída Juliane Ferreira dos Santos
    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.

    Full Article (PDF)
  • Prosthodontics Nasal patency and mandibular movement: clinical application in prosthodontics

    Enoch T. Ng
    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.

    Full Article (PDF)
  • Oral Medicine, Oral Diagnosis, Oral Pathology Pseudopathologic findings on panoramic radiographs and utility of follow-up cone beam computed tomographic scans: a case series

    John K. Brooks
    Vandana Kumar
    Azin Parsa
    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.

    Full Article (PDF)

    Esthetics/Cosmetic Dentistry Shade matching and blending capabilities of a new single-shade composite: an in vivo study

    Thuyvi Amy Truong
    Thu Luu
    Andrew Avillo
    Richard Adcook
    Nicholas Hamlin

    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.

    Full Article (PDF)
    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 onlays

    Roger A. Solow

    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.

    Full Article (PDF)
  • Restorative Dentistry Direct vs indirect restorations for diastema closure: determining the suitable approach

    Marta Santos Oliveira de Valente
    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.

    Full Article (PDF)
  • Basic Science Assessment of the relationships between posterior root apices and the maxillary sinus floor: a comparison of panoramic radiography and cone beam computed tomography

    Roya Amani
    Maruf Noroozi
    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.

    Full Article (PDF)
  • Pediatric Dentistry Multidisciplinary management of a tooth with severe root dilaceration and enamel hypoplasia: a case report

    Lucas Fernando Oliveira Tomáz Ferraresso
    Isabele Küster
    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.

    Full Article (PDF)
  • Basic Science Prevalence, morphology, and morphometry of anatomical variations of the clivus: a cone beam computed tomographic study

    Lúcia de Fátima Antoniassi
    Igor Henrique Silva Pinheiro
    Letícia Carvalho Lima Teixeira
    Camila Camarini
    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.

    Full Article (PDF)