Pub Date : 2018-11-07DOI: 10.12974/2311-8695.2018.06.5
K. Gulsahi
{"title":"Healing of a Large Periapical Lesion and Adjacent Cortical Bone: Cone-Beam CT Aided Diagnosis and Treatment","authors":"K. Gulsahi","doi":"10.12974/2311-8695.2018.06.5","DOIUrl":"https://doi.org/10.12974/2311-8695.2018.06.5","url":null,"abstract":"","PeriodicalId":76664,"journal":{"name":"The Journal of the American College of Dentists","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88313404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-07DOI: 10.12974/2311-8695.2018.06.6
Meryem Hurbag
{"title":"Flexural Strength and Fracture Resistance of Leucite-Reinforced Glass Ceramic for Dental CAD/CAM","authors":"Meryem Hurbag","doi":"10.12974/2311-8695.2018.06.6","DOIUrl":"https://doi.org/10.12974/2311-8695.2018.06.6","url":null,"abstract":"","PeriodicalId":76664,"journal":{"name":"The Journal of the American College of Dentists","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83500833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-07DOI: 10.12974/2311-8695.2018.06.3
J. Jayawardena
{"title":"Clinical Significance of Impacted Supernumerary Teeth of a Group of Sri Lankan Children Aged 7 to 13 Years","authors":"J. Jayawardena","doi":"10.12974/2311-8695.2018.06.3","DOIUrl":"https://doi.org/10.12974/2311-8695.2018.06.3","url":null,"abstract":"","PeriodicalId":76664,"journal":{"name":"The Journal of the American College of Dentists","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74182556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-31DOI: 10.1017/9781108644556.018
D. W. Chambers
A decision is a commitment of resources under conditions of risk in expectation of the best future outcome. The smart decision is always the strategy with the best overall expected value-the best combination of facts and values. Some of the special circumstances involved in decision making are discussed, including decisions where there are multiple goals, those where more than one person is involved in making the decision, using trigger points, framing decisions correctly, commitments to lost causes, and expert decision makers. A complex example of deciding about removal of asymptomatic third molars, with and without an EBD search, is discussed.
{"title":"Decision making.","authors":"D. W. Chambers","doi":"10.1017/9781108644556.018","DOIUrl":"https://doi.org/10.1017/9781108644556.018","url":null,"abstract":"A decision is a commitment of resources under conditions of risk in expectation of the best future outcome. The smart decision is always the strategy with the best overall expected value-the best combination of facts and values. Some of the special circumstances involved in decision making are discussed, including decisions where there are multiple goals, those where more than one person is involved in making the decision, using trigger points, framing decisions correctly, commitments to lost causes, and expert decision makers. A complex example of deciding about removal of asymptomatic third molars, with and without an EBD search, is discussed.","PeriodicalId":76664,"journal":{"name":"The Journal of the American College of Dentists","volume":"78 1 1","pages":"44-51"},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/9781108644556.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49534401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-19DOI: 10.12974/2311-8695.2017.05.02.1
K. Gulsahi
Endodontic diagnosis and accomplished root canal therapy significantly related to accurate radiographic examination. Currently, intraoral periapical radiography is the first imaging choice of the management of endodontic disease. However, with the development of cone beam computed tomography (CBCT), three-dimensional imaging of the maxillofacial area can be obtained. CBCT allows the more definite diagnosis of periapical pathologies, root fractures, external and internal of root resorptions than 2-dimensional radiographs. However, CBCT imaging is not recommended in every clinical cases due to higher radiation dose than 2-dimensional radiographs. In this review article the aim was to emphasize the clinical implementations of CBCT in endodontics.
{"title":"Importance of Cone-Beam CT in Endodontics","authors":"K. Gulsahi","doi":"10.12974/2311-8695.2017.05.02.1","DOIUrl":"https://doi.org/10.12974/2311-8695.2017.05.02.1","url":null,"abstract":"Endodontic diagnosis and accomplished root canal therapy significantly related to accurate radiographic examination. Currently, intraoral periapical radiography is the first imaging choice of the management of endodontic disease. However, with the development of cone beam computed tomography (CBCT), three-dimensional imaging of the maxillofacial area can be obtained. CBCT allows the more definite diagnosis of periapical pathologies, root fractures, external and internal of root resorptions than 2-dimensional radiographs. However, CBCT imaging is not recommended in every clinical cases due to higher radiation dose than 2-dimensional radiographs. In this review article the aim was to emphasize the clinical implementations of CBCT in endodontics. ","PeriodicalId":76664,"journal":{"name":"The Journal of the American College of Dentists","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90556876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-19DOI: 10.12974/2311-8695.2017.05.02.2
M. Kharma, Ossama Alkhatib, Mohamad Sadek Alalwani, W. Albishi, Shahd Alalwi
Aim: This article aims to provide a brief overview of various salivary biomarkers and their importance in early detection of oral cancer. Background: The tumor markers are playing an important role in cancer detection and management. The cancer biomarker is produced either by the tumor itself or by other tissues, and consider as molecular signature indicating the physiologic and pathologic changes in a particular tissue or cell during the development of cancer. The direct contact between the saliva and the oral cancer lesions makes the salivary biomarkers the best sensitive and specific test for primairy screening method in diagnosis, staging and follow-up of oral cancer. Materials and Methods: Studies were conducted by searching for reviews in salivary biomarkers of oral malignancy in the past 5 years in Google Scholar, Medline, and PubMed. The references were also crosschecked for the relation of salivary biomarkers and oral cancer. Articles were identified and subjected to qualitative and quantitative analyses. Review Results: More than 100 potential Oral squamous cell carcinoma (OSCC) salivary biomarkers have been reported in the literature. The proteomics analysis of saliva proteins is significance for early diagnosis of Oral squamous cell carcinoma (OSCC). Saliva contains reliable amounts of cells, mainly exfoliated from the oral cancer, which can provide early diagnosis and detection of oral malignancy. Conclusion: The goal of cancer screening is to detect tumor at an early stage, when treatment is most likely to be successful. Salivary biomarkers will help to differentiate patients who clinically have no detectable disease but are potential candidates for oral cancer.
{"title":"Importance of Salivary Biomarkers in the Detection of Oral Cancer (Review Article)","authors":"M. Kharma, Ossama Alkhatib, Mohamad Sadek Alalwani, W. Albishi, Shahd Alalwi","doi":"10.12974/2311-8695.2017.05.02.2","DOIUrl":"https://doi.org/10.12974/2311-8695.2017.05.02.2","url":null,"abstract":"Aim: This article aims to provide a brief overview of various salivary biomarkers and their importance in early detection of oral cancer. Background: The tumor markers are playing an important role in cancer detection and management. The cancer biomarker is produced either by the tumor itself or by other tissues, and consider as molecular signature indicating the physiologic and pathologic changes in a particular tissue or cell during the development of cancer. The direct contact between the saliva and the oral cancer lesions makes the salivary biomarkers the best sensitive and specific test for primairy screening method in diagnosis, staging and follow-up of oral cancer. Materials and Methods: Studies were conducted by searching for reviews in salivary biomarkers of oral malignancy in the past 5 years in Google Scholar, Medline, and PubMed. The references were also crosschecked for the relation of salivary biomarkers and oral cancer. Articles were identified and subjected to qualitative and quantitative analyses. Review Results: More than 100 potential Oral squamous cell carcinoma (OSCC) salivary biomarkers have been reported in the literature. The proteomics analysis of saliva proteins is significance for early diagnosis of Oral squamous cell carcinoma (OSCC). Saliva contains reliable amounts of cells, mainly exfoliated from the oral cancer, which can provide early diagnosis and detection of oral malignancy. Conclusion: The goal of cancer screening is to detect tumor at an early stage, when treatment is most likely to be successful. Salivary biomarkers will help to differentiate patients who clinically have no detectable disease but are potential candidates for oral cancer. ","PeriodicalId":76664,"journal":{"name":"The Journal of the American College of Dentists","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84667958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-19DOI: 10.12974/2311-8695.2017.05.02.4
Elifnur Guzelce, O. Karacaer
The first choice for anterior rehabilitation has been metal-free materials due to their successful esthetic results. Dentists and dental technicians today require materials that offer high strength, outstanding esthetics and efficient productivity. IPS e-max lithium disilicate can now be processed with CAD/CAM technology or traditionally pressed or contemporarily. Thus, its strength and versatility, the material used for the following practice anterior/posterior crowns, anterior three-unit bridgework (press only), inlays/onlays, veneers, thin veneers, implant restorations, telescopic crowns. The case presented in this report illustrates the rehabilitation of maxillary anterior teeth with IPS e-max press ceramic bridge and laminate veneers.
{"title":"Esthetic Rehabilitation with Combined All-Ceramic Applications: A Case Report","authors":"Elifnur Guzelce, O. Karacaer","doi":"10.12974/2311-8695.2017.05.02.4","DOIUrl":"https://doi.org/10.12974/2311-8695.2017.05.02.4","url":null,"abstract":"The first choice for anterior rehabilitation has been metal-free materials due to their successful esthetic results. Dentists and dental technicians today require materials that offer high strength, outstanding esthetics and efficient productivity. IPS e-max lithium disilicate can now be processed with CAD/CAM technology or traditionally pressed or contemporarily. Thus, its strength and versatility, the material used for the following practice anterior/posterior crowns, anterior three-unit bridgework (press only), inlays/onlays, veneers, thin veneers, implant restorations, telescopic crowns. The case presented in this report illustrates the rehabilitation of maxillary anterior teeth with IPS e-max press ceramic bridge and laminate veneers. ","PeriodicalId":76664,"journal":{"name":"The Journal of the American College of Dentists","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81397987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-19DOI: 10.12974/2311-8695.2017.05.02.5
N. Musurlieva, M. Stoykova, S. Novakova
In their work, dentists sometimes allow malpractices to occur. The aim of this study is to investigate the nature of the “adverse consequences” that may serve as grounds for claims from patients to the Professional Ethics Commission (PEC) and the Regional College (RC) of the Bulgarian Dental Association (BDA) in Plovdiv, Bulgaria. Material and methods: The documental method has been applied in investigating retrospectively 42 claims from patients to PEC-Plovdiv, filed in the period from 2011 to 2016, and the findings have been compared to those of similar investigations in Tehran and Turkey. Results and discussion: After an in-depth analysis, it was established that the actions that had resulted in claims filed with PEC-Plovdiv, were ‘errors’ in: prosthetics – 34%; surgical treatment – 6%; infringement of the rights of the patient (mostly – administered treatment without the informed consent of the patient) – 10%; mounting implants – 50% (prostheses and surgical treatment as part of implantology are also included here). According to foreign publications, errors in prostheses and surgical interventions are the most common. The same errors have been found to be the most common in Plovdiv, too, in addition to errors in implantology. In Bulgaria, as well as in many other countries, there is no register of dental malpractices. Conclusion: The adverse consequences of dental treatment have been established to be of the same origin in the 3 surveyed regions. The safety strategies are designed to prevent unintentional injuries to the patient.
{"title":"A Study Into Malpractices in the Dental Practice in the Town Of Plovdiv – Bulgaria Over A 5-Year Period","authors":"N. Musurlieva, M. Stoykova, S. Novakova","doi":"10.12974/2311-8695.2017.05.02.5","DOIUrl":"https://doi.org/10.12974/2311-8695.2017.05.02.5","url":null,"abstract":"In their work, dentists sometimes allow malpractices to occur. The aim of this study is to investigate the nature of the “adverse consequences” that may serve as grounds for claims from patients to the Professional Ethics Commission (PEC) and the Regional College (RC) of the Bulgarian Dental Association (BDA) in Plovdiv, Bulgaria. Material and methods: The documental method has been applied in investigating retrospectively 42 claims from patients to PEC-Plovdiv, filed in the period from 2011 to 2016, and the findings have been compared to those of similar investigations in Tehran and Turkey. Results and discussion: After an in-depth analysis, it was established that the actions that had resulted in claims filed with PEC-Plovdiv, were ‘errors’ in: prosthetics – 34%; surgical treatment – 6%; infringement of the rights of the patient (mostly – administered treatment without the informed consent of the patient) – 10%; mounting implants – 50% (prostheses and surgical treatment as part of implantology are also included here). According to foreign publications, errors in prostheses and surgical interventions are the most common. The same errors have been found to be the most common in Plovdiv, too, in addition to errors in implantology. In Bulgaria, as well as in many other countries, there is no register of dental malpractices. Conclusion: The adverse consequences of dental treatment have been established to be of the same origin in the 3 surveyed regions. The safety strategies are designed to prevent unintentional injuries to the patient. ","PeriodicalId":76664,"journal":{"name":"The Journal of the American College of Dentists","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90673060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-19DOI: 10.12974/2311-8695.2017.05.02.3
K. Gulsahi
The dentist can evaluate and precisely diagnose many oral diseases by radiographs. Correct and detailed clinical and radiographic evaluation is crucial for a successful treatment. The correct diagnosis and therapy depends on the fact that the dentist must properly use every instrument and interpret the results correctly. This case series emphasize 3 cases which presents challenging clinical circumstances for a clinician to diagnose and treatment planning.
{"title":"The Legs of a Tripod: Correct Radiography, Correct Diagnosis and Correct Treatment","authors":"K. Gulsahi","doi":"10.12974/2311-8695.2017.05.02.3","DOIUrl":"https://doi.org/10.12974/2311-8695.2017.05.02.3","url":null,"abstract":"The dentist can evaluate and precisely diagnose many oral diseases by radiographs. Correct and detailed clinical and radiographic evaluation is crucial for a successful treatment. The correct diagnosis and therapy depends on the fact that the dentist must properly use every instrument and interpret the results correctly. This case series emphasize 3 cases which presents challenging clinical circumstances for a clinician to diagnose and treatment planning. ","PeriodicalId":76664,"journal":{"name":"The Journal of the American College of Dentists","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85052029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-27DOI: 10.12974/2311-8695.2017.05.01.4
Marsha Lisa Schlittler Ventura, Â. Bisol, L. Rasmussen, R. W. De Labio, R. Segato, Gustavo Viani, R. D. dos Santos, T. Okamoto, R. Okamoto, C. Sonoda, S. Payão
Aim: The complication in delayed replantation is root resorption that leads to loss of reimplanted teeth. This study was designed to evaluate the influence of stem cells from human exfoliated deciduous teeth (SHEDs) on the healing process of periodontal tissues after delayed tooth replantation in rats. Material and Methods: Forty-five rats had their right upper incisor extracted and maintained in dry storage for 60 minutes. Then dental papilla was removed; root canal was prepared and filled with calcium hydroxide paste and root surface treatment was processed. Rats were randomly assigned into three groups: Control group: the incisor was replanted without any substance in the dental socket. SHEDs group: the tooth was replanted after infusion of SHED, re-suspended in platelet-rich-fibrin in the dental socket; platelet-rich-fibrin group: the incisor was replanted with platelet-rich-fibrin in the dental socket. Animals were euthanized on days 15, 30 and 60 after replantation; histological and histomorphometric analyses were performed. Results: Root resorption was present in all experimental groups. No statistically significant differences were observed in the final period of study. The control group showed more replacement resorption but SHEDs group, showed dental tissues were more preserved. Inflammatory resorption nearly did not affect any group, as expected in this protocol (p<0.005). Conclusions: The findings of this study suggest that in the SHEDs group, teeth were more preserved with ankyloses occurrence, witch holds teeth in the socket for a longer period of time, when compared to replacement resorption or inflammatory resorption in the healing process of delayed replantation.
{"title":"Stem Cells from Human Exfoliated Deciduous Teeth in Delayed Tooth Replantation: Histologic and Histomorfometric Analyses in Rats","authors":"Marsha Lisa Schlittler Ventura, Â. Bisol, L. Rasmussen, R. W. De Labio, R. Segato, Gustavo Viani, R. D. dos Santos, T. Okamoto, R. Okamoto, C. Sonoda, S. Payão","doi":"10.12974/2311-8695.2017.05.01.4","DOIUrl":"https://doi.org/10.12974/2311-8695.2017.05.01.4","url":null,"abstract":"Aim: The complication in delayed replantation is root resorption that leads to loss of reimplanted teeth. This study was designed to evaluate the influence of stem cells from human exfoliated deciduous teeth (SHEDs) on the healing process of periodontal tissues after delayed tooth replantation in rats. \u0000Material and Methods: Forty-five rats had their right upper incisor extracted and maintained in dry storage for 60 minutes. Then dental papilla was removed; root canal was prepared and filled with calcium hydroxide paste and root surface treatment was processed. Rats were randomly assigned into three groups: Control group: the incisor was replanted without any substance in the dental socket. SHEDs group: the tooth was replanted after infusion of SHED, re-suspended in platelet-rich-fibrin in the dental socket; platelet-rich-fibrin group: the incisor was replanted with platelet-rich-fibrin in the dental socket. Animals were euthanized on days 15, 30 and 60 after replantation; histological and histomorphometric analyses were performed. \u0000Results: Root resorption was present in all experimental groups. No statistically significant differences were observed in the final period of study. The control group showed more replacement resorption but SHEDs group, showed dental tissues were more preserved. Inflammatory resorption nearly did not affect any group, as expected in this protocol (p<0.005).\u0000Conclusions: The findings of this study suggest that in the SHEDs group, teeth were more preserved with ankyloses occurrence, witch holds teeth in the socket for a longer period of time, when compared to replacement resorption or inflammatory resorption in the healing process of delayed replantation. ","PeriodicalId":76664,"journal":{"name":"The Journal of the American College of Dentists","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82239042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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