{"title":"Glucometers: a primer for the general dentist.","authors":"Jason H Goodchild, Mark Donaldson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"6-11"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624283","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}
{"title":"Reflecting on the cycles of life and practice.","authors":"Timothy F Kosinski","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624317","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}
Temitope T Omolehinwa, Naser Alkandari, Faizan Alawi, Miriam R Robbins
{"title":"Atypical character of oral mucosal lesions in a patient with AIDS and intrahepatic cholangiocarcinoma.","authors":"Temitope T Omolehinwa, Naser Alkandari, Faizan Alawi, Miriam R Robbins","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This case report describes the co-occurrence of an atypical presentation of gingival papillary hyperplasia and intrahepatic cholangiocarcinoma in a patient with HIV. The article also highlights the role of dentists in the multidisciplinary management of patients with HIV and emphasizes the need for clinicians to perform a thorough review of systems and laboratory test findings. Such information, in addition to findings on oral examination, could aid in the diagnosis of systemic diseases and prompt early referral to treating physicians.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624271","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}
Hussain Dashti, Saja A Alramadhan, Menther Abdulrahim, Devipriya Sundaram, Aref Ghayyath Alawadhi, Miriam Baghdady
{"title":"Orofacial radiographic manifestations in patients with sickle cell disease.","authors":"Hussain Dashti, Saja A Alramadhan, Menther Abdulrahim, Devipriya Sundaram, Aref Ghayyath Alawadhi, Miriam Baghdady","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sickle cell disease (SCD) may manifest with various phenotypes. Radiographic imaging plays a critical role in diagnosing and managing complications associated with SCD. This study aims to investigate orofacial radiographic features in patients with SCD and to compare these findings with those in matched healthy controls. A total of 52 patients with SCD were included, along with 52 healthy individuals in an age- and sex-matched control group. The demographic data and medical histories of the participants were recorded. Panoramic, cephalometric, periapical, and bitewing radiographs were obtained by certified dental practitioners. Radiographic features were identified and compared between the study and control groups as well as across SCD subtypes. These features were then correlated with the systemic complications reported by the patients. Data were analyzed using chi-square and Fisher exact tests (P < 0.05). Patients with SCD exhibited generalized osteopenia, enlarged medullary spaces, thinning/scalloping of the inferior border of the mandible, and radiopaque lesions significantly more frequently than did individuals in the control group. No statistically significant differences were found among the SCD subtypes, and there were no significant correlations between radiographic features and disease complications. Identification of these radiographic indicators and greater knowledge of their pathogenesis and association with systemic complications will enhance the role of dentists in the comprehensive medical care of patients with SCD.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624314","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}
{"title":"Ovoid radiopacity and Palatal swelling.","authors":"Tanya M Gibson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"78-80"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624315","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}
Carsen McDaniel, Andrew S Ryser, Steven E Handel, Jennifer V Sabol, Thomas M Johnson
{"title":"Implant treatment planning using digital custom abutments.","authors":"Carsen McDaniel, Andrew S Ryser, Steven E Handel, Jennifer V Sabol, Thomas M Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ideal implant positioning sets up the implant for long-term biologic and prosthetic success. Malpositioned implants can lead to adjunctive treatment that not only increases time and costs but also can put implants at an increased risk for peri-implantitis, compromise the prosthetic restorability, and negatively affect esthetics. This article describes a novel technique for digital planning to ensure ideal implant positioning and to determine if adjunct treatment is needed prior to implant placement.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"12-15"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624223","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}
{"title":"An unusual presentation of a traumatic bone cyst: a mixed-density variant in the mandibular ramus.","authors":"Archna Nagpal, Rama Zouabi, Aditya Tadinada","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A traumatic bone cyst is a pseudocyst, lacking an epithelial lining, and may contain fluid, connective tissue, or both. The pathogenesis of traumatic bone cyst remains unknown, but the most accepted explanation is the traumatic hemorrhagic theory. A traumatic bone cyst typically presents as a radiolucent lesion. However, it can pose both diagnostic and therapeutic challenges when it manifests as a mixed entity in an unusual location. The present report describes an exceptional case of a mixed-density traumatic bone cyst involving the mandibular ramus and coronoid process of an 18-year-old man. Such lesions may present a challenge for accurate diagnosis and appropriate management. Traumatic bone cyst should be included in the differential diagnosis of mixed-density lesions, particularly because the treatment of traumatic bone cysts is more conservative than that of other odontogenic and nonodontogenic jaw lesions.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"50-55"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624268","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}
Wilson Daniel Bravo Torres, Danny Alexander Abril Pesántez, Alex Raúl Zhinin González
{"title":"Pathophysiology of referred pain in dentistry: a case report.","authors":"Wilson Daniel Bravo Torres, Danny Alexander Abril Pesántez, Alex Raúl Zhinin González","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article presents the clinical case of a 42-year-old woman with chronic pain in her left temporomandibular joint (TMJ) and limited mouth opening. The patient also reported anxiety and difficulty sleeping. Cone beam computed tomography revealed impacted maxillary third molars and hypertrophy of the nasal turbinates. An auriculotemporal nerve block performed with 2% lidocaine decreased the pain but did not eliminate it, suggesting that the TMJ was not the primary source of the patient's pain. At a follow-up appointment 24 hours after the nerve block, infiltration anesthesia was administered via a simple buccal injection at the level of the impacted left third molar. The infiltration anesthesia completely eliminated the TMJ pain, indicating that the patient was experiencing referred pain (also known as heterotopic pain). The patient's anxiety and disordered sleep (possibly the result of hypopnea arising from hypertrophic nasal turbinates) could have produced a central hypersensitivity that initiated or exacerbated the referred pain. The patient was advised to consult an otorhinolaryngologist to evaluate her respiratory and sleep problems and a psychiatrist to evaluate her anxiety state. In addition, extraction of the third molars and continued dental follow-up were proposed. Dentists may encounter patients with chronic referred pain in daily practice. Additional research is needed to better understand the mechanisms of referred pain and contributory psychological factors, which would allow dentists to identify and apply the best treatment strategies for these patients.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"35-38"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624316","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}
Zaid H Khoury, John K Brooks, Shevonne A Chude, Kathleen M Beckum, Ahmed S Sultan
{"title":"Secondary syphilis of the floor of the mouth masquerading as squamous cell carcinoma: a case report.","authors":"Zaid H Khoury, John K Brooks, Shevonne A Chude, Kathleen M Beckum, Ahmed S Sultan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this article is to extend the knowledge of an unusual presentation of oral syphilis. A 62-year-old man sought evaluation for a severely painful, deeply ulcerated lesion on the floor of the mouth. Two previous oral biopsies revealed nonspecific ulceration with inflammation. Despite these inconclusive results, a head and neck surgeon had advocated resection of the floor of the mouth due to a high suspicion for malignancy. One month after the outbreak of the oral ulceration, the patient developed a widespread cutaneous rash. Cutaneous biopsy and serologic studies confirmed a diagnosis of syphilis. The patient was subsequently treated with a 30-day regimen of oral doxycycline due to a penicillin allergy. At a 3-week follow-up, there was nearly complete resolution of the oral and cutaneous lesions. Early recognition and establishment of a correct diagnosis of syphilis may lead to timely pharmaceutical intervention, avoidance of unnecessary surgical intervention, improved patient outcomes, and reduction of disease transmission.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"46-49"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624319","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}
{"title":"Diagnosis and treatment of cemental tear: a case series.","authors":"Reji Mathew, Valeria Estrella, Jingyuan Fan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cemental tear, characterized by the separation of the cementum from the root surface of a tooth, is commonly observed in patients with localized periodontitis, particularly those with a complex medical history resulting in significant periodontal damage. This condition complicates both diagnosis and treatment, and cone beam computed tomography (CBCT) is a valuable tool for assessing the extent of damage and guiding treatment decisions. This report presents 3 clinical cases of cemental tear. Detailed radiographs and CBCT scans were used to determine the position and size of the lesion, providing guidance for surgical intervention, followed by histopathologic evaluation if the tissue sample was adequate for proper diagnosis. Case 1 involved a 78-year-old woman with swelling around the mandibular left central incisor (tooth 24). The CBCT images revealed no fractures. Debridement and flap surgery were performed, and the symptoms resolved. Case 2 involved a 68-year-old woman who presented with pain and mobility of the mandibular right second premolar (tooth 29), which had previously undergone endodontic treatment. The CBCT images confirmed a cemental tear. Treatment included flap elevation, removal of granulation tissue, and application of enamel matrix derivative, which alleviated the symptoms. Case 3 involved an 82-year-old woman with swelling and mobility of the maxillary right first premolar (tooth 5). The CBCT images revealed extensive bone loss. Flap elevation, removal of granulation tissue, and application of enamel matrix derivative resulted in significant healing. In all of these cases, the size and position of the cemental tears were evaluated by CBCT, facilitating timely intervention that is essential for preventing periodontal tissue damage, enhancing treatment effectiveness, and improving tooth survival rates.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"61-69"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624275","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}