Dentistry Commons^™

Successful Regenerative Endodontic Therapy Of An Immature Dens Evaginatus Mandibular Second Premolar With Apical Periodontitis Case Report, Jake Horowitz D.D.S., Prashant Sukhani D.M.D., Aaron Brandwein D.D.S., Fagd, Ficd, James Sconzo D.M.D.

The New York State Dental Journal

Background: Dens evaginatus cusps typically have pulpal tissue, and fracturing of the cusp leads to necrosis. Immature permanent teeth with pulp necrosis have traditionally been treated with apexification, which eliminates infection but does not promote root development.

Methods: Regenerative endodontics utilizes revascularization by infiltrating stem cells from the apical papilla and using them to treat an immature necrotic tooth with periapical infection.

Results: Periapical radiolucency completely resolved, root length and thickness increased, and vitality returned at the one-year follow-up.

Conclusion: Regenerative protocols promote root development, reducing fracture risk. This treatment offers improved outcomes with fewer appointments and shorter treatment duration.

There’S A Vaping And Marijuana Crisis. Dentists Can Help Stem It, Bernard Fialkoff D.D.S.

The New York State Dental Journal

Dentists are perfectly positioned to deliver important information to their patients about the dangers of toxic alternatives to tobacco smoking.

Living Evidence-Informed Guideline On The Early Detection Of Oral Squamous Cell Carcinoma And Potentially Malignant Disorders: Cytology Adjuncts To Determine The Need For Biopsy, Version 2026 1.0, Olivia Urquhart, Ankita Shashikant Bhosale, Carolina Martins-Pfeifer, Francisca Verdugo-Paiva, Alonso Carrasco-Labra, Julia Pimentel, Natalie Sadek, Nishant Agrawal, Anil K Chaturvedi, Joann Gurenlian, Eva Grayzel, A Ross Kerr, Marco Magalhaes, Carol Anne Murdoch-Kinch, Alexander T Pearson, James C Melville, Anita S H Patel, Alessandro Villa, Michael Glick, Mark W Lingen

Faculty, Staff and Student Publications

Background: Early detection of oral potentially malignant disorders and oral cavity cancer can improve patient prognosis. The guideline panel addressed the use of cytology adjuncts to screen adults without mucosal abnormalities and determine the need for biopsy among adults with mucosal abnormalities.

Types of studies reviewed: The guideline panel used the Grading of Recommendations Assessment, Development and Evaluation Evidence to Decision framework to formulate recommendations. The authors conducted reviews to assess the benefits and harms of cytology adjuncts and people and clinician values and preferences as they relate to adjunct tests and biopsy of mucosal abnormalities. As part of the …

Dental Rankings: Relevant Or A Psychological Rollercoaster?, Stuart L. Segelnick Dds, Ms

The New York State Dental Journal

It may take a village of dentists honing in on their own rankings to reverse the profession’s downward trend.

Dr. Deb Peters: Opening Doors As The Ada’S New Speaker, Debra Peters, Christopher J. Smiley

The Journal of the Michigan Dental Association

This interview profiles Dr. Deb Peters, the first female speaker of the ADA House of Delegates. Dr. Peters shares her vision for making the ADA more accessible, transparent, and responsive to its members. She discusses her leadership philosophy, emphasizing listening and mentorship, and explains how effective governance can lead to significant real-world impacts, such as the removal of taxes on dental prosthetics. Dr. Peters also outlines her goals for modernizing the House of Delegates process, including the creation of a "Resolution Dashboard" to help members track policy progress.

The Clear Custom Matrix Technique For Class Ii Light-Cured Composites, James C. Hamilton, Dds

The Journal of the Michigan Dental Association

This clinical article details the Clear Custom Matrix Technique (CCMT), an innovative method for placing posterior composite restorations. The technique uses a pre-operative PVS impression to act as a die, reforming unset composite to precisely match the tooth's original anatomy. The author provides a step-by-step guide, demonstrating how the method saves chair time, reduces the need for finishing and polishing, and eliminates the air-inhibited layer. The article also discusses matrix selection, layering techniques, and troubleshooting common clinical challenges to achieve highly accurate and aesthetic results.

J Mich Dent Assoc March 2026

The Journal of the Michigan Dental Association

Each month, the Journal of the Michigan Dental Association delivers news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It remains the main publication reaching Michigan dentists and is available worldwide through ADA Commons.

The March 2026 (Volume 108, No. 3) issue of the Journal is published in a digital format to provide updates and insights for Michigan's oral health community and MDA members. Print editions occur every other month beginning with January.

This issue includes feature articles on Most-Asked Dental Benefit Questions, an interview with ADA Speaker Dr. Deb Peters, …

Racial Disparities Among Pregnant Women Of Color And Their High Risk For Developing Periodontal Disease, Darrylnn Mayo

Pacific Journal of Health

This qualitative study explored the oral health experiences of four women of color during their pregnancies. Data was collected through interviews and presented as case studies. Although existing literature indicated that pregnant women of color are at a higher risk for developing periodontal disease, the participants in this case study reported actively engaging with their dental care providers, daily intake of prenatal vitamins with practice of self-oral care, and compliance with oral hygiene instructions. Further studies should investigate larger sample populations with broader minority ethnic groups to help explore the determinants of racial disparities and strategize ways to reduce barriers …

Electronic Cigarette Use And Clinically Assessed Oral Mucosal Lesions In Adults: A Systematic Review, Kevin K. Zhang, Kamran Awan

Annual Research Symposium

Abstract

Background: Electronic cigarette (e-cigarette) use among adults has risen rapidly over the past decade, prompting concern about potential adverse effects on oral health. Although the systemic consequences of e-cigarette exposure have been increasingly studied, effects on the oral mucosa remain less clearly defined. Existing investigations describe a range of oral mucosal findings, but reported outcomes and assessment methods are inconsistent, making it difficult to draw clear conclusions.

Objectives: To systematically review the available evidence examining the association between electronic cigarette use and oral mucosal lesions/alterations in adults, compared with non-users or other tobacco exposure groups.

Methods: A systematic literature …

Combination Lingual Compression And Maxillomandibular Fixation For Persistent Acquired Macroglossia: A Case Report, Emma De Ravin, Annie Moroco, Adam J. Luginbuhl

Department of Otolaryngology - Head and Neck Surgery Faculty Papers

No abstract provided.

The Effect Of Digital Dentistry On Clinical Practice And Patient Outcomes, Jonathan Blackwell, Jeffery Talbot

Annual Research Symposium

This poster presents findings from a cross-sectional study and literature review evaluating the impact of digital dentistry on clinical efficiency, patient outcomes, and practitioner perceptions. The study examines awareness, clinical applications, perceived advantages, and barriers to adoption of technologies such as CAD/CAM systems and intraoral scanning. Results highlight how educational background influences perceived usefulness and identify key factors affecting the integration of digital workflows into clinical practice.

Nicotine's Influence On The Oral Microbiome: Harm Reduction Or Hidden Risk?, Trevor Ward, Kamran Awan

Annual Research Symposium

No abstract provided.

Orthodontic Trial Transparency Audit: Automated Registry To Publication Linkage And Outcome-Switching Signals In Registered Rcts, Stephen P. Osman, Frank Licari, Shankargouda Patil, Shilpa Bhandi

Annual Research Symposium

Objective: To quantify transparency gaps in orthodontic randomized controlled trials by linking trial registry records to publications and characterizing timing of registration, publication delay, and selective outcome reporting signals using automated text-based methods.
Methods: A retrospective computational audit was designed around trial registries (e.g., ClinicalTrials.gov and other major registries used in orthodontics) and bibliographic records. Registry entries marked completed were programmatically screened for publication linkage using identifier matching (e.g., registration IDs) and document-similarity approaches aligned with prior registry-publication linkage research. Trial-level transparency indicators included (i) prospective vs retrospective registration, (ii) completion to publication lag, (iii) presence/absence of posted results in …

Ai Applications In Assessing Risk For Periodontal Disease: A Systematic Review, Grant O. Korte, Claudia M. Tellez Freitas

Annual Research Symposium

Objectives:

The goal of this systematic review is to examine the impact of using artificial intelligence (AI) to predict a patient’s risk level for periodontal disease by analyzing proven systemic health diseases linked to periodontitis. This is being done by primarily focusing on prevention and early diagnosis using machine learning programs that have been proven effective in other fields of periodontitis research.

Methods:

To conduct this study, a comprehensive literature review of journals published after 2020 was performed through four databases: PubMed, Scopus, Web of Science and Dentistry and Oral Science Source. The search was completed in adherence …

The Impact Of E-Cigarettes: A Review Of Risks And Emerging Evidence, Alexander Girgis, Kamran H. Awan Dr

Annual Research Symposium

Abstract Body:

Objectives: This review aims to examine the overall effects of e-cigarettes on oral health, including its associations with xerostomia, dental caries, periodontal disease, and oral cancer.

Methods: A systematic review was conducted using databases like PubMed, ScienceDirect, NIH, and MDPI, analyzing many studies published between 2010-2025. Inclusion criteria consisted of peer-reviewed human and in-vitro studies that evaluated the oral effects of e-cigarettes. Studies were screened for correlation to caries formation, salivary changes, mucosal alterations, microbiome disruptions, and carcinogenic potential.

Results: A total of fifteen studies were included. Findings across studies showed that e-cigarettes reduce salivary flow rates and …

Artificial Intelligence Versus Human Dental Expertise In Diagnosing Periapical Pathosis On Periapical Radiographs: A Multicenter Study, Fatma E.A Hassanen, Radwa R. Hussein, Mohamed Riad Elgarhy, Shaymaa Mohamed Maher, Marwa Ezz, Ahmed Hassen, Sherif Heidar, Amr Edress, Asmaa Abou-Bakr

Dentistry

Periapical pathosis in periapical radiographs must be properly diagnosed for the success of endodontic treatment but is often muddled by 2D imaging limitations and subjective interpretation. Artificial intelligence (AI) offers a solution, but whether the diagnostic granularity of AI versus human clinicians in everyday clinical practice has been adequately explored remains to be addressed. The purpose of this study was to evaluate the diagnostic accuracy of ChatGPT-5 in detecting periapical radiographic abnormalities compared with the three-expert consensus reference standard. Methods: In this diagnostic accuracy retrospective study, 270 periapical radiographs were independently read by a large language model (ChatGPT-5) and a …

Accuracy Of Salivary Mmp-8 Testing For Periodontitis In Patients With Type Ii Diabetes, Piper Collins, Claudia Freitas

Annual Research Symposium

This paper investigates the accuracy of salivary biomarker testing in patients with type II diabetes

Regulatory Signal Mining Of Orthodontic Device Adverse Events: A Maude-Derived Taxonomy And Severity Triage For Clear Aligners And Fixed Appliances, Nazmi Duka, Dana Faghih, Shankargouda Patil, Shilpa Bhandi, Frank Licari

Annual Research Symposium

Objective: To build and validate a practical, orthodontics-specific adverse event taxonomy and severity triage framework using publicly available regulatory narratives, enabling rapid surveillance of high-risk event patterns across clear aligners and common orthodontic appliances.
Methods: A retrospective computational audit was conducted using U.S. FDA MAUDE medical device report narratives related to orthodontic appliances, with a focus on clear aligners (including Invisalign and direct-to-consumer sequential aligners). Narrative reports were normalized and grouped into clinically interpretable event families (airway compromise, hypersensitivity/allergic reactions, ingestion/aspiration, soft-tissue injury, periodontal/tooth injury, and occlusal/bite changes). A lightweight natural-language processing pipeline (keyword+pattern rules with clinician-informed adjudication) was used …

Txa In Dentistry, Valeria Coronilla, Jaime Cabrera-Pardo

Annual Research Symposium

No abstract provided.

Could Dietary Zinc Protect Your Gums? Insights From Non-Diabetic Adults, Jacob R. Kelly, Hayden Dehoyos, Man Hung Phd, Amir Mohajeri Phd

Annual Research Symposium

Background:
Zinc plays an important role in enzymatic and inflammatory processes that may influence periodontal health. The relationship between zinc intake and periodontitis remains insufficiently characterized in adults without diabetes.
Methods:
A population-based adult sample was analyzed to examine the association between zinc intake from dietary and supplemental sources and periodontal disease, adjusting for relevant demographic, socioeconomic, behavioral, and health-related factors.
Results:
Zinc intake patterns varied across population subgroups and were associated with periodontal outcomes after accounting for potential confounders. Adequate zinc intake was consistently linked to more favorable periodontal status.
Conclusion:
These findings suggest that sufficient zinc intake may …