Practical Reviews

General Dentistry - February 28, 2009 - Vol. 03 - No. 11

Issue Release Date: Sunday, February 01, 2009

 General Dentistry
Financial Disclosures
Vol. 3 No. 11
It is the policy of Oakstone Medical Publishing to ensure balance, independence, objectivity, andscientific rigor in all its educational activities. Everyone in a position to control the content ofthis educational activity has disclosed all relevant financial relationships with any commercialinterest. Oakstone has resolved any real or potential conflicts of interest and has disclosed tothe learners, as follows, any commercial interest, financial interest, and/or other relationshipwith manufacturers of pharmaceuticals, laboratory supplies, and/or medical devices and withcommercial providers of medically related services relevant to the content of this CME activity.Grant/Research: Dr Gregori M. Kurtzman reports: Pentron Clinical Technologies,and Resilon Research LTD.Consultant: Dr Gregori M. Kurtzman reports: Pentron Clinical Technologies, Resilon ResearchLTD, Bident, Dentsply, and Heraeus Kulzer.Honoraria: Dr Gregori M. Kurtzman reports: Pentron Clinical Technologies, Resilon ResearchThe following faculty report no relevant financial interests: Drs Ryaz Ansari, Ralph J. Bozza,Bruce Dougherty, and Dennis Flanagan.


Temporary Closure in Endodontics Can Vary

Madarati A, Rekab MS, et al: Aust Endod J; 2008;34 (December): 89-93
Timely endodontic treatment is important. Patients should probably not go >2 weeks between appointments to ensure a clean canal space and successful treatment outcome.
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When Should Oral Appliances Be Used for TMD?

Klasser GD, Greene CS: Oral Surg Oral Med Oral Pathol Oral Radiol Endod; 2009;107 (February): 212-223
Abundant research shows that hard splints and flat plane occlusion are the most effective treatment of TMD.
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Are You Using Self-Etch Dentin Adhesive?

Kubo S, Yokota H, et al: J Dent; 2009;37 (January): 149-155
It has been have reported that narrow gaps, crevices, ditches, and ''microleakage'' do not lead to recurrent caries.
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Finding MB2 Canal Important
Key PickKey Reviews are selected for their clinical importance or significance and are marked with a key icon.

Alaçam T, Tinaz AC, et al: Aust Endod J; 2008;34 (December): 106-109
In about 65% of first molars, we may miss the MB2 if it exists but still may have a successful outcome.
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Dental Treatment Protocol for Pregnant Patients

Huebner CE, Milgrom P, et al: J Am Dent Assoc; 2009;140 (February): 211-222
Pregnant patients can be treated in any trimester. It is important to remember that certain medications are contraindicated, such as Periostat and PerioChip.
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Preserving Teeth With Endodontics vs Extraction and Implant

Woodmansey KF, Ayik M, et al: J Endod; 2009;35 (January): 10-14
Mastication is a good test method to compare clinical function between endodontics and implants.
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Implants Perform Better in Fresh Sockets

Botticelli D, Renzi A, et al: Clin Oral Impl Res; 2008;19 (December): 1226-1232
Immediate implant placement is beneficial to the patient.
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Atypical Odontalgia-A Diagnostic Challenge
Key PickKey Reviews are selected for their clinical importance or significance and are marked with a key icon.

Ram S, Teruel A, et al: J Am Dent Assoc; 2009;140 (February): 223-228
Atypical odontalgia occurs in approximately 2% to 3% of dental patients; prompt referral to a neurologist is the current protocol.
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Practitioner Proficiency More Important Than File System Used

Williamson AE, Sandor AJ, Justman BC: J Endod; 2009;35 (January): 107-109
After root canal preparation with 3 different NiTi rotary instruments, no statistically significant differences in canal wall cleanliness at the mid-root level is observed between any of the groups.
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The Cold Test

Herrero de Morais CA, Bernardineli N, et al: Aust Endod J; 2008;34 (December): 86-88
No matter which refrigerant is used, the tooth pulp will only reach approximately 7°C to 10°C.
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ALUs Can Results From Several Disease Processes

Scully C, Hodgson T: Oral Surg Oral Med Oral Pathol Oral Radiol Endod; 2008;106 (December): 845-852
Amyloidosis is a serious consequence in several of the syndromes of aphthous-like ulceration.
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Storage Media for Avulsed Teeth Is a Critical Decision

Chamorro MM, Regan JD, et al: Dent Traumatol; 2008;24 (February): 11-16
Studies have indicated that an avulsed tooth can successfully be replanted without complications within the first 3 hours if placed in a suitable storage medium.
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Trace Elements in Additives to Dental Materials Need to Be Understood

Bramante CM, Demarchi ACCO, et al: Oral Surg Oral Med Oral Pathol Oral Radiol Endod; 2008;106 (December): 909-913
Similarities have been noted between Portland cement and MTA with antimicrobial properties, basic elemental composition, and biologic properties.
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Dentistry Set Apart by Ethics and Professional Obligation

Nisselson HS: J Am Dent Assoc; 2009;140 (February): 245-246
Exclusive techniques and products that are proprietary are by definition industrial secrets and therefore are unavailable to our profession for peer review.
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Fracture Resistance of Endodontically Treated Maxillary Anterior Teeth

Cho H, Michalakis KX, et al: J Prosthodont; 2009;18 (January): 43-48
Clinicians must evaluate the long-term prognosis of the endodontically treated tooth.
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School-Based Fluoride Rinsing System Effective

Levin KA, Jones CW, et al: Community Dent Oral Epidemiol; 2009;37 (February): 19-26
Fluoride rinsing can be effectively targeted toward children from deprived areas through school-based initiatives.
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Loss of Parental Supervision Increases Caries Risk

Maserejian NN, Tavares MA, et al: Community Dent Oral Epidemiol; 2009;37 (February): 9-18
Dental care provided during the trial reduced sociodemographic disparities in prior caries experience that were observed at baseline.
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Approved PACE Program Provider
Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement.
(6/1/2009) to (5/31/2013)


Arthur H. Jeske, DMD, PhD
Coordinating Editor

Department of Restorative Dentistry and Biomaterials
Associate Dean for Strategic Planning
University of Texas Dental Branch at Houston
Houston, TX
Reports no commercial interest
Ralph J. Bozza, DDS
Smile Center
Terryville, CT
Reports no commercial interest

Edward N. Friedman, DDS
American Dental Association
Harvard University School of Dental Medicine (Retired)
Cambridge, MA
Reports no commercial interest
Kelly A. Halligan, DDS
Private Practitioner
Perfect Teeth
Colorado Springs, CO
Relationships Reported:
Speakers’ Bureau – Texas Dental Association — The Texas Meeting, 2011, Enteral Conscious Sedation and Medical Emergencies Cause 

Timothy J. Halligan, DMD
Director, Dental Residency
United States Air Force Academy, Colorado
Colorado Springs, CO
Reports no commercial interest

  Charles R. Hoopingarner, DDS
Private Practice
Clinical Adjunct Assistant Professor
Department of Restorative Dentistry
University of Texas Health Science Center
Houston, TX
Relationships Reported:
Honoraria – Hoya ConBio
Ownership Interests – Imagdent, Clear Correct
Gargi Mukherji, DDS
Clinical Assistant Professor
University of Texas Dental Branch at Houston
Department of Restorative Dentistry
Houston, TX
Reports no commercial interest
Carol Anne Murdoch-Kinch, DDS, PhD
Clinical Associate Professor
University of Michigan School of Dentistry
Ann Arbor, MI
Relationships Reported:
Other Financial or Material Support – Hoya ConBio Lasers

Marshal Shlafer, PhD
Professor, Department of Pharmacology
University of Michigan Medical School
Ann Arbor, MI
Reports no commercial interest

Method of Participation: To participate in this activity, print and complete the practice quiz, listen to the audio discussions and read the journal reviews, and complete the post activity quiz. To obtain documentation of activity participation, you are required to claim credits and submit the evaluation.

Media: Internet access to mp3 audio, audio CD, web-hosted content and pdf available.

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Intended Audience
General dentists, cosmetic dentists, dental surgeons, and others interested in enhancing their knowledge of general dentistry.

Special Prerequisites for Participants

There are no prerequisites for participants.

Learning Objectives
This activity provides general dentists, cosmetic dentists, dental surgeons and others interested in enhancing their knowledge of general dentistry and in helping patients make informed choices about their oral health and well-being with a regular overview and critical analysis of the most current, clinically useful information available in the monthly literature covering dentistry.

Practical Reviews has been designated by Oakstone Medical Publishing as a continuing dental education activity through which you can earn up to 3 CDE credits per issue. All that is required is a score of 70% or higher on the open-book quiz that accompanies each issue. Or, take your CDE quiz online.

Designation for Practical Reviews

Earn up to 36 CDE credits per 12 issue subscription.

Estimated time to complete each issue: 3 hours.

Designation for Practical Reviews On-Demand

Earn up to 1 CDE credit per 4 reviews. 

Estimated time to complete each 4 reviews: 1 hour.


The opinions and recommendations expressed by the faculty and other experts whose input is included in this program are their own. This enduring material is produced for educational purposes only. Use of Oakstone Medical Publishing name implies review of educational format design and approach. Please review the complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings and adverse effects before administering pharmacologic therapy to patients.


Oakstone Medical Publishing has assessed conflict of interest with its faculty, authors, editors, and any individuals who were in a position to control the content of this CDE activity. Any identified relevant conflicts of interest were resolved for fair balance and scientific objectivity of studies utilized in this activity. Oakstone Medical Publishing’s planners, medical reviewers, and editorial staff disclose no relevant commercial interests.