General dentistry最新文献

{"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}

{"title":"Knowledge of pregnant women and healthcare professionals regarding oral health during pregnancy: a data mining analysis.","authors":"Mayara Costa Motta, Marcia Barcelos Gomes, Mariana Leonel Martins, Andréa Fonesca-Gonçalves","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This review reports on the knowledge of pregnant women and healthcare professionals regarding oral health during pregnancy (OHP) through a data mining analysis of the literature. Searches were conducted in 6 electronic databases to select observational and interventional studies that assessed the knowledge of pregnant women and healthcare professionals regarding OHP. The collected data included the year and country of publication, data collection instrument, study type, participants, knowledge level, and factors associated with knowledge. A total of 85 studies published from 1984 to 2023 were included in the analysis, 53 (62.3%) of which were issued in the last decade. The highest number of publications originated from Brazil (n = 24; 28.2%). Questionnaires alone (n = 68; 80.0%) and observational studies (n = 80; 94.1%) were the most frequent instrument and type of study, respectively. In almost half of the studies (n = 42; 49.4%), the participants were pregnant women; other frequently studied groups were dentists (n = 19; 22.3%), gynecologists/obstetricians (n = 14; 16.4%), and midwives (n = 13; 15.3%). In 29 (76.3%) observational studies, the knowledge of pregnant women was poor. Some observational studies of dentists found that they had good (6/19; 31.6%) or moderate (2/19; 10.5%) knowledge of the subject, but more than half (11/19; 57.9%) indicated that dentists had poor knowledge. Most studies reported that gynecologists/obstetricians (10/14; 71.4%) and midwives (n = 10/12; 83.3%) demonstrated poor knowledge. However, 4 of 5 interventional studies (80.0%) found an improvement in the OHP knowledge of pregnant women (3/4; 75.0%) or midwives (1/1; 100.0%) after health education measures. Lower education level, lower income, and infrequent dental visits were associated with less knowledge of OHP among pregnant women. Longer practice duration, ongoing oral health education, and higher academic qualifications were associated with greater knowledge of OHP among professionals. Studies suggest that pregnant women and healthcare professionals have limited knowledge of OHP but demonstrate increased awareness after education interventions.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 2","pages":"24-33"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624228","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":"Esthetic planning for the correction of dental morphology: a case report.","authors":"Jefferson Pires da Silva Júnior, Renata Cristófori Vilas Bôas, Rafael Pinto de Mendonça, Cauã Santiago Figueiredo, Letícia de Miguel Nazario, Eduardo Bresciani, Sérgio Eduardo de Paiva Gonçalves","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The search for restorative procedures that deliver smile harmony is increasingly common in restorative dentistry. Composite resin is a conservative restorative material that can be used as an additive treatment, correcting dental contours and offering a close optical match to the substrate. This report describes a case of composite resin recontouring in which the morphology of the anterior teeth was corrected through the closure of diastemas, enabling conservative restoration of harmony in the patient's smile. A 25-year-old woman sought care because she was dissatisfied with the esthetics of her smile. The extraoral examination revealed a mesofacial profile and proportionate distribution of the facial thirds. The intraoral examination revealed the presence of multiple diastemas in the region of the maxillary incisors. The treatment plan was developed to prioritize minimally invasive interventions, including in-office dental whitening and additive recontouring with direct composite resin restorations on all of the maxillary incisors and canines. After the dental whitening stage, a diagnostic and functional restorative wax-up was fabricated and used to create a smile design that followed the principles of the golden proportion. The patient approved the mock-up, and the restorative sequence was performed using a palatal guide. Composite resin was added only in the areas necessary to close the diastemas. The successful esthetic and functional results in this patient suggest that strategic contouring to close interdental spaces is a viable and conservative solution for restoring smile harmony without dental overcontouring, thereby contributing to the health of periodontal tissues.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 1","pages":"51-55"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624176","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":"Esthetic treatment of molar-incisor hypomineralization with a combination of minimally invasive and restorative procedures: a case report.","authors":"Carolina Alves Andrade, Danielle Lieda Cunha Fróes, Flávia Barroso Castelani, Adriana de Oliveira Silva, Márcio Grama Hoeppner, Eloísa Helena Aranda Garcia de Souza","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Molar-incisor hypomineralization (MIH) is a qualitative enamel alteration that asymmetrically affects the first molars and may also affect permanent incisors, clinically presenting as demarcated opacities with white, yellow, or brown discoloration. This condition can lead to increased risk of caries, esthetic impairment, fractures, and tooth loss. The aim of this case report is to describe the implementation of an esthetic treatment involving dental bleaching, resin infiltration (RI), and composite resin restoration for a patient with MIH. A 26-year-old woman presented with yellow and brown stains and structural loss in the maxillary right lateral incisor (tooth 7) and left central incisor (tooth 9); yellowish stains on the buccal surface of the mandibular left first molar (tooth 19) and maxillary right first molar (tooth 3); tooth loss of the maxillary left first molar (tooth 14); a full-metal crown on the mandibular right first molar (tooth 30); and milky white stains on the mandibular central incisors (teeth 24 and 25) and maxillary left lateral incisor (tooth 10). Additionally, maxillary hypoplasia and crowding were present. The treatment comprised at-home dental bleaching with 10% carbamide peroxide for 4 weeks, followed by RI of teeth 24, 25, and 26 (mandibular right lateral incisor) using the Icon resin infiltration system and composite resin restoration of teeth 7 and 9. The combination of dental bleaching, RI, and composite resin restorations proved to be effective in improving esthetics and consequently the quality of life for this patient with staining and minor structural loss caused by MIH.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 1","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624182","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":"Three key reasons to add local anesthetic buffering to your clinical practice.","authors":"Jason H Goodchild, Mark Donaldson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 1","pages":"10-13"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624254","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":"Hyperpigmentation of the oral mucosa caused by dietary beta carotene: a case report.","authors":"John K Brooks, Jennifer H Kim, Daniel B Mazza, Ahmed S Sultan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chronic ingestion of foods containing elevated levels of beta carotene, a common dietary staple endemic in West Africa, may promote the development of yellow to orange hyperpigmentation of the oral mucosa and skin. This benign condition, known as carotenemia or hypercarotenemia, has received little attention in the general dental literature. The aim of this case report is to increase awareness of this phenomenon by describing the clinical presentation of a patient from Nigeria with conspicuous yellow discoloration of the floor of the mouth and soft palatal mucosa. Attending clinicians should seek clinicopathologic correlations of yellow mucocutaneous discoloration, most notably jaundice associated with hepatitis. In this case, the patient's normal liver biomarkers, absence of dermal manifestations, and high intake of beta carotene-rich foods led to a diagnosis of carotenemia.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 1","pages":"30-33"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624199","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":"Multimodal management of a persistent labial hemangioma: a case report.","authors":"Ivan José Correia-Neto, Diego Tetzner Fernandes, Sebastião Silvério Sousa-Neto, Isabel Schausltz Pereira Faustino, Pablo Agustin Vargas, Alan Roger Santos-Silva, Márcio Ajudarte Lopes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hemangiomas are benign vascular tumors that are relatively unusual in the oral cavity. The management of labial hemangiomas may be challenging for functional and esthetic reasons. In the present case, a 12-year-old boy with a large congenital hemangioma in the area of the upper lip was referred due to esthetic concerns and a history of treatment failure. The lesion was not pulsatile on palpation, and sclerotherapy with 5% ethanolamine oleate was proposed. Although the lesion became less purple after 6 sessions of sclerotherapy, indicating a decrease in vascularization, the size remained almost the same. Therefore, surgery was considered to improve lip symmetry. Arteriography showed the lesion was supplied by branches of the facial artery, which were then embolized with 3% polidocanol foam. Subsequently, the patient underwent 2 surgical interventions with a high-power diode laser, and satisfactory results were obtained. In cases of refractory labial hemangioma, treatment may require a combination of different techniques to avoid complications such as lip disfigurement, feeding difficulties, speech impairment, and psychosocial concerns.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 1","pages":"24-28"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624237","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":"Prevention of common issues with overdentures and all-on-X hybrids: lessons learned from 30 years of implant prosthetics, part 2.","authors":"Samuel M Strong","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 1","pages":"14-17"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624244","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":"Coronal microleakage of endodontic access restorations in zirconia crowns.","authors":"Kyle W Ragsdale, Richard S Adcook, Andrew J Avillo, Krystal H Burns, Marina Hernandez-Feldpausch, Jennifer C Steigerwald, Jayson H Huber, Nicholas J Hamlin, Noel E Dickens, Jeffrey J Kim","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Inadequate marginal sealing in endodontically treated teeth can lead to microleakage and treatment failure. The purpose of this in vitro study was to quantify and compare the quality of the marginal seal when different materials and bonding techniques were used to restore endodontic access cavities in zirconia cylinders. Fifty custom zirconia cylinders (10.0 mm in diameter × 14.0 mm in height; wall thickness of 1.5 mm) were prepared with simulated endodontic access cavities (5.0 mm in diameter). The cylindrical specimens were divided into 5 groups, each assigned a different method of access cavity restoration (n = 10 per group): direct glass ionomer cement restorations; direct composite resin restorations adhesively bonded without prior aluminum oxide (Al₂O₃) particle abrasion of the zirconia surface; direct composite resin restorations adhesively bonded after Al₂O₃ particle abrasion of the zirconia surface; custom zirconia inlays adhesively bonded without Al₂O₃ particle abrasion of the zirconia surface or inlay; and custom zirconia inlays adhesively bonded after Al₂O₃ particle abrasion of the zirconia surface and inlay. Specimens were immersed in 2% methylene blue solution and stored in a humidified incubator at 37°C, and dye penetration was quantified with a spectrophotometer (at 450 nm) every 7 days for 28 days. Statistical analysis was conducted using 2-way analysis of variance with the Tukey test and chi-square analysis. Statistically significant differences in dye penetration were observed, with microleakage influenced by the restoration material and bonding protocol. Zirconia inlays placed after Al₂O₃ abrasion exhibited the least leakage, showcasing significantly superior sealing compared with direct composite resin restorations without Al₂O₃ abrasion. The results indicated that Al₂O₃ particle abrasion is essential for secure bonding of restorations to zirconia. The results of the study confirm that glass ionomer cement should be avoided for long-term restoration of access cavities in zirconia restorations due to its inferior microleakage prevention. Instead, composite resins and zirconia are favored, with Al₂O₃ air abrasion showing the potential to enhance marginal seal in endodontically treated teeth.</p>","PeriodicalId":12571,"journal":{"name":"General dentistry","volume":"73 1","pages":"36-43"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624165","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}