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Editorial Board
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1
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Table of Contents
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2-3
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| Commentary |
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In opposition to the increase in the number and size of dental schools
The discussion about new schools reminds me of the Wimpy character in Popeye who famously said, “I’ll gladly pay you Tuesday for a hamburger today.” Everyone knows that he never has, or will, pay on T...
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Jerold S. Goldberg
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4-5
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Taking time to gather evidence
Evidence-based dentistry is being widely encouraged, with whole systems developed to rate the hierarchy of evidence. One aspect that has been left out is time, which is especially important in evident...
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5-6
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What is important?
The amount of material to be covered at the undergraduate level can be overwhelming for both the student who must learn it and the faculty who must prepare and teach it. In the current dental school c...
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6-7
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| The Front Office |
| Communication |
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Techniques dentists use
Between patients and dentists, interpersonal relationships, particularly their communication aspects, are often as important to the patient as technical aspects of dental care. Good communication can ...
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8-9
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Staff conflict resolution
Ideally, all staff members in a dental office should get along well and work together harmoniously while performing their specific tasks perfectly. Because this is unrealistic, it is important to reco...
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9-10
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| Confidentiality |
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Protecting patients’ private information
In the case of Paul v Providence Health System-Oregon, 240 P.3d 1110 (Ore. Ct. App., 2010), the patient files of a dentist had been inside a briefcase securely locked overnight in the dentist’s car. T...
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10-11
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| Ethics |
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Contributory negligence
Having patients fail to follow through with recommended treatments, not seek consultations, or miss scheduled appointments are part of the reality of dental practice. Contributory negligence is the te...
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11-12
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Overtreatment
If in the course of managing a postgraduate periodontics program in a dental school, a practitioner encounters patients who have been advised by a periodontist to undergo full-mouth periodontal surger...
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12-13
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| Extracts |
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Decisions, decisions . . .
The way we make decisions changes with age at a fundamental physiological level. The brain approaches decision making and other tasks differently, and we need to understand it to be able to work withi...
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13
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| The Big Picture |
| Oral-Systemic Health |
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Periodontal issues
Many changes are taking place that affect the practice of dental hygiene. These include caring for underserved populations, changing workforce models, collaborating with other professionals, and recog...
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14
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| Dental Care Financing |
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Costs of supportive periodontal care
In supportive periodontal care (SPC), the patient’s efforts to control periodontal infections and avoid re-infections are supplemented by professional therapeutic measures. As a result, there is an ab...
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15-16
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Cost-effectiveness analysis
Cost-effectiveness modeling is being used more often to provide estimates of long-term clinical and economic outcomes that are not obtained through clinical studies. Such analysis provides clear, stan...
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17
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| Hands On |
| Obstructive Sleep Apnea |
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Maxillomandibular advancement surgery
The negative effects of obstructive sleep apnea (OSA) are well known. Even mild levels show correlations with cardiovascular complications, excessive daytime sleepiness and fatigue, and a significantl...
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18-19
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| Oral Medicine |
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Oral piercing
Many tribal societies in Africa, Asia, and South America have practiced body piercing for centuries, but the art has recently become popular among teenagers and young adults in Western societies. In a...
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19-21
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Taste disruption
Taste is often considered a minor sense because it provides information about only a few stimulus qualities. Considerably less medical and clinical research has been focused on taste because it is rar...
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21-22
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| Oral Surgery |
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Dental extractions in anticoagulated patients
To safely perform dental extractions in patients taking oral anticoagulant therapy (OAT) requires establishing a balance between the risk of thromboembolic events and the risk of postoperative bleedin...
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23-24
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Risk management
Each dental practitioner should consider the importance of communication, competence, and consent when planning oral surgery. Success or failure can depend on communication skills. In addition, it is ...
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24-26
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| Pediatric Dentistry |
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Drawing measures anxiety
Pediatric dentists are especially interested in determining what children feel and how they will behave in the dental chair. Generally, they observe the child’s behavior and emotional status for cues ...
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26-28
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| Prosthodontics |
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Rest seat design
As people are living longer and retaining more teeth into their later years, dentists are being called on increasingly to provide oral rehabilitation. Occlusal arrangements may be complex in these oft...
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28-30
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Impression materials
The success of prosthetic devices depends on the dimensional accuracy and detail reproduction of impressions and corresponding models that are used to create the restoration. Impressions are obtained ...
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30-31
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| Restorative Dentistry |
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Fracture resistance for post-retained restorations
Endodontically treated teeth have a history of reduced resistance to fracture and diminished strength as compared with vital untreated teeth. Various factors contribute to this weakness including loss...
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32-33
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Crown lengthening
Crown-lengthening procedures are often applied when caries or fractures are extensive and are located subgingivally. With this therapy, dentists can expose the solid tooth structure and proceed with t...
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33-35
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Light-curing of resin-based composites
The most important factors in achieving successful resin-based composite (RBC) restorations are good bonding to tooth structure and adequate resin polymerization. Optimal polymerization relies on the ...
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35-37
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Porcelain laminate veneer
Dentists can be called upon to perform esthetic treatment of a single discolored anterior tooth. The most conservative approach is generally bleaching, followed by laminates that can mask or reduce th...
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37-39
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Incomplete versus complete caries excavation
It has been recommended that one should leave carious tissue on the axial floor of deep lesions rather than perform vigorous excavation because there is less pulpal damage, caries is halted, and the s...
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39-41
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| Sleep Disorders |
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Tongue-repositioning maneuver
Primary snoring is defined as snoring associated with changes in the caliber of the upper airway, causing reduced flow and increased airway resistance but no clinical symptoms or sleep disruption. Sno...
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41
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| Special Needs |
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Oral implant care for dependent persons
The use of endosseous oral implants to support mandibular dentures is considered the preferred treatment for edentulous patients with retention problems related to conventional mandibular dentures. Th...
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42-44
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| Temporomandibular Disorders |
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Seeking a diagnosis
It can be difficult to diagnose and manage temporomandibular disorders (TMDs). As with other chronic illnesses, the diagnosis will significantly affect how individuals think about themselves and how t...
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44-45
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| Treatment Planning |
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Ideal treatment
Dental offices used to be “drill and fill” practices, with little demand for elective dentistry or cosmetic procedures other than for the rich and famous. Orthodontics was generally limited to childre...
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45
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| Inquiry |
| Oral Medicine |
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Denture adhesive zinc
Millions of denture patients live in the United States and many use denture adhesives. Because zinc is an ingredient in denture adhesives, patients may inadvertently ingest more than the recommended d...
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46-47
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| Oral Surgery |
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Osteoradionecrosis in irradiated patients
Radiotherapy is an established treatment method for managing malignant disease of the head and neck. This modality targets all cells with a high turnover rate, regardless of whether they are malignant...
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47-48
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| Oral-Systemic Linkages |
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Tooth extraction after root canal therapy
After nonsurgical root canal treatment (NSRCT), between 59% and 73.5% of teeth that suffer a major untoward event are extracted within 2 to 8 years. These untoward events are usually caused by endodon...
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49-50
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| Orthodontics |
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Internet information
Successful orthodontic treatment depends on the establishment of a good relationship between the patient and the orthodontist. This begins with the consultation and treatment planning stages and conti...
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50-51
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| Periodontal Disease |
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Antimicrobials for aggressive periodontitis
In generalized aggressive periodontitis (GAgP), there is severe destruction of the supporting structures of the teeth that can cause edentulism early in life. This is a relatively rare disorder and li...
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51
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| Preventive Dentistry |
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Sugar, xylitol, toothbrushing, and fluoride
Caries remains a widespread public health problem and is mainly treated with restorative options, although the problem is preventable. At present, there are many aids to protect dental health but also...
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52
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| Remineralization |
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Calcium phosphate-based systems
Dental caries lesions progress through various stages based on a continual imbalance between pathologic and protective factors. The process involves the dissolution of apatite crystals and the loss of...
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53-54
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| Restorative Dentistry |
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Mild self-etch adhesives
The acid-etch technique is the most effective method for reliable and durable bonding to enamel. Self-etch adhesives have been developed to address demands for simplicity, rapid use, and low technique...
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54
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| Sealants |
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Cleaning tooth surfaces before sealing
Sealant manufacturers recommend that teeth be cleaned before acid etching and placement of a sealant. However, the method of cleaning is not always specified in the instructions for use. Whether seala...
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55
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| Sleep Apnea |
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Craniofacial changes with oral appliance therapy
The sleep-related breathing disorder obstructive sleep apnea/hypopnea syndrome (OSAHS) is characterized by disruptive snoring and repeated partial or complete upper airway obstructions. The severity i...
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55-56
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