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 TrustFull Article (PDF)
Roger D. Winland
2018 November/December; 66(6):5.
Guest Editorial We still need your help!Full Article (PDF)
2018 November/December; 66(6):8.
Pharmacology Attention-deficit/hyperactivity disorder: clinical pharmacology and dental implicationsFull Article (PDF)
Mohammad M. Mousavian
Elliot V. Hersh
2018 November/December; 66(6):9-11.
Oral Diagnosis Oropharyngeal mass and Red spot on gingivaFull Article (PDF)
Tanya M. Gibson
2018 November/December; 66(6):76, 78-79.
Special Section: A Collaboration Between the American Academy of Pediatric Dentistry and the Academy of General Dentistry
Pediatric Dentistry Caries risk assessmentFull Article (PDF)
Camille V. Gannam
Katherine L. Chin
Roopa P. Gandhi
Dental providers should be skilled in assessing an individual patient’s risk for dental caries so that effective and minimally invasive preventive strategies can be employed to address the etiology of dental caries. Validated assessment strategies, such as the caries risk assessment model, allow dental providers to implement a systematic and evidence-based approach to assess changes in the caries risk status of patients in an effort to prevent disease.
2018 November/December; 66(6):12-17.
Self-Instruction Exercise No. 429
Pediatric Dentistry Pharmacologic management for pediatric dental patients in the 21st centuryFull Article (PDF)
Beau D. Meyer
Jessica Y. Lee
Most children are able to cooperate during treatment when dentists use traditional, communicative behavior guidance techniques, but some children may require pharmacologic techniques such as procedural sedation or general anesthesia. This article presents essential information—with an emphasis on best practices and patient safety—for dentists who are considering pharmacologic behavior guidance for the children they treat.
2018 November/December; 66(6):19-22.
Self-Instruction Exercise No. 430
Pediatric Dentistry Evidence-based care pathways for management of early childhood cariesFull Article (PDF)
This article provides general dentists with simple care pathways for evidence-based early childhood caries chronic disease management (ECC-CDM). There are limits to the long-term success of restorative care alone, and the care pathways in the ECC-CDM model include additional treatment modalities such as fluoride varnish, silver diamine fluoride, interim therapeutic restorations, and sealants as well as supplementary strategies such as active surveillance, counseling, recalls, and deferring treatment.
2018 November/December; 66(6):24-28.
Pediatric Dentistry Pulp therapy for primary and immature permanent teeth: an overviewFull Article (PDF)
The purpose of this review is to aid dental professionals in correctly establishing a pulpal diagnosis and selecting the appropriate method of pulp therapy to achieve a successful outcome in pediatric patients. Contemporary views on indications and pulp medicaments are discussed, and step-by-step procedures for pulp treatment of both primary and immature permanent teeth are described.
2018 November/December; 66(6):30-38.
Pediatric Dentistry Behavior guidance: that was then but this is nowFull Article (PDF)
Martha H. Wells
Larry D. Dormois
Janice A. Townsend
Building and honing behavior guidance skills are part of the process by which dentists help turn child patients into fearless adult patients with excellent oral health. This article reviews basic techniques for behavior guidance and offers practical examples of implementing these approaches in daily practice.
2018 November/December; 66(6):39-45.
Pediatric Dentistry Obstructive sleep apnea syndrome in childrenFull Article (PDF)
Obstructive sleep apnea syndrome (OSAS), characterized by prolonged partial upper airway obstruction and/or intermittent complete obstruction during sleep, is prevalent in children. OSAS has important central nervous system, cardiovascular, and metabolic consequences that can affect a child’s quality of life. Dental practitioners also can play a crucial role in the diagnosis, treatment, and management of this condition.
2018 November/December; 66(6):46-50.
Pediatric Dentistry Temporomandibular disorders in children and adolescentsFull Article (PDF)
Temporomandibular disorders (TMDs) affect the muscles of mastication, temporomandibular joints, and associated structures. Recent studies have reported a growing prevalence of signs and symptoms of TMDs in children and adolescents, although unified diagnostic criteria for children are still needed. TMDs usually are the result of a combination of influences, including trauma, occlusion, systemic and genetic factors, and psychological factors. Reversible options should prevail as the treatments of choice.
2018 November/December; 66(6):51-55.
Occlusion Masticatory evaluation of anterior open bite malocclusion using the colorimetric capsule methodFull Article (PDF)
Eduardo Carpinski Corrêa
Fernando Akio Maeda
Andre Luís Ribeiro de Miranda
Paulo Eduardo Guedes Carvalho
Lucas Hian da Silva
Fernando César Torres
This study of patients aged 7-11 years aimed to assess the masticatory function of 51 children with anterior open bite and 55 children with normal overbite. In this colorimetric evaluation, fuchsin granules in capsules were ground during chewing and then used to produce a solution, which was examined via spectrophotometry. Greater light absorbance of the solution indicated greater masticatory efficiency. Children with an anterior open bite exhibited less masticatory efficiency than those with a normal overbite.
2018 November/December; 66(6):56-59.
Self-Instruction Exercise No. 431
Endodontics Contemporary endodontic treatment choices for adult patients with dens evaginatus and apical periodontitis: a case report with a 2-year follow-upFull Article (PDF)
Nadia M. Chugal
Gerald N. Glickman
James L. Gutmann
This case report describes regenerative endodontic therapy and mineral trioxide aggregate (MTA) apexification in 2 mandibular premolars in a single patient. Regenerative endodontic therapy was performed after debridement and placement of calcium hydroxide in 1 root canal, while an apical plug of MTA was placed prior to gutta percha in the other. Follow-up revealed complete healing in both premolars.
2018 November/December; 66(6):61-64.
Basic Science Polish retention of ceramic-polymer CAD/CAM materialsFull Article (PDF)
Robert J. Terwilliger
Jeffrey P. Jessup
Nancy C. Motyka
Kraig S. Vandewalle
The surface roughness values of 4 ceramic polymers (Enamic, Lava Ultimate, CeraSmart, and Block HC) were compared to that of a lithium disilicate material (IPS e.max CAD) after simulated toothbrushing. After an equivalent of 8 years of brushing, IPS e.max CAD and Enamic had the lowest area surface roughness (Sa) values, while Block HC had the greatest. Lava Ultimate and CeraSmart had intermediate Sa values. IPS e.max CAD was the only material to show no statistically significant increase in surface roughness after simulated toothbrushing.
2018 November/December; 66(6):65-70.
Fixed Prosthodontics Implant-supported double-bar overdenture to reestablish lip support in an atrophic maxilla: a case reportFull Article (PDF)
Cibele Oliveira de Melo Rocha
Norberto Martins de Oliveira Junior
Marco Antonio Compagnoni
Gelson Luis Adabo
João Neudenir Arioli Filho
In patients with bone atrophy, overextension of the buccal flange to provide adequate lip support can make it difficult to clean under implant-supported fixed maxillary complete dentures. This case report describes fabrication of overdentures with a double-bar system that offered rigidity, retention, and stability while allowing for prosthesis removal to facilitate oral hygiene.
2018 November/December; 66(6):71-75.
Oral Medicine, Oral Diagnosis, Oral Pathology Current management concepts for bisphosphonate-related osteonecrosis of the jaw: a reviewFull Article (PDF)
Bisphosphonates are associated with rare, serious complications, including bisphosphonate-related osteonecrosis of the jaw (BRONJ). To reduce the risk of BRONJ, teeth that are likely to cause infection should be treated and dentures or restorations that may cause trauma should be replaced or repaired before initiation of bisphosphonate therapy. This article presents current approaches to treatment of BRONJ.
2018 November/December; 66(6):e1-e5.
Restorative Dentistry Effect of polyethylene fiber reinforcement on marginal adaptation of composite resin in Class II preparationsFull Article (PDF)
This study evaluated the effect of incorporating polyethylene fibers in a composite resin on gingival marginal adaptation. Scanning electron microscopic evaluation revealed that the incorporation of polyethylene fibers improved gingival marginal adaptation in Class II slot preparations.
2018 November/December; 66(6):e6-e10.
Oral Medicine, Oral Diagnosis, Oral Pathology Oral squamous cell carcinoma: early detection and improved 5-year survival in 102 patientsFull Article (PDF)
James J. Sciubba
This retrospective study analyzed patient demographics and lesion characteristics associated with oral squamous cell carcinoma that was initially assessed using a transepithelial oral brush biopsy and subsequently confirmed by incisional biopsy. The majority of patients were without traditional risk factors. Almost half of the cancers presented as white lesions, one-third presented with lesions smaller than 5 mm, and about three-fourths initially presented without pain or bleeding. The 5-year survival rate was approximately 94%.
2018 November/December; 66(6):e11-e16.