Gingival recessions have multifactorial etiology and are often associated with non-caries cervical lesions. Different surgical techniques have been proposed over the years for their treatment, according to the severity of the recession. A novel technique, called restoration guided creeping attachment (RGCA), for the treatment of combined gingival recession and non-caries cervical lesion is presented. RGCA aims at treating Miller class I and II recessions using a specifically designed composite restoration and a minimally invasive approach. A clinical case describing the technique and forming the basis for further studies is presented. Although the results obtained are encouraging, a wider number of patients and longer follow- ups are needed to assess the reliability of this technique.

Keywords: composite, composite restoration, creeping attachment, gingival recession, non-caries cervical lesion

Objective: To report the outcome of simultaneous placement of dental implants with maxillary sinus elevation in the presence of antral pseudocysts.
Method and Materials: This case series involved 14 patients with 28 implants placed simultaneously with maxillary sinus elevation. The psuedocysts were treated by cystic fluid extraction. Postoperative examinations were performed at 3, 6, and 12 months.
Results: All restorations were finished 6 to 9 months after implant placement. Nine antral pseudocysts disappeared and five decreased in size. All implants were deemed successful at 1 year postoperatively, showing osseointegration and masticatory function. No mobility was found during the follow-up period.
Conclusion: In the absence of maxillary sinus infection, the combination of cystic fluid extraction, maxillary sinus elevation, and immediate implantation showed an acceptable clinical outcome in this series of patients.

Keywords: cyst, dental implant, maxillary sinus, sinus augmentation

Many endodontically treated teeth require a post to improve the retention of the coronal restoration, which necessitates removal of the coronal part of the gutta-percha from the canal by thermal method, among other techniques. However, this technique carries the risk of heat conduction to the attachment unit of the periodontium and infliction of permanent damage especially in cases where the remaining root's dentin walls are thin. The overall objective of this article is to report on the clinical manifestations, histologic description, and periodontal management of three cases of heat-induced damage following thermal removal of gutta-percha.

Keywords: bone necrosis, gutta-percha, heat-induced, periodontal regeneration, thermal removal

Objectives: Dental anxiety may play a central role in the oral health status and treatment outcomes of oral surgical procedures. The study aimed to investigate the effect that brief written information has over patients undergoing oral surgical procedures and to evaluate factors that may cause anxiety.
Method and Materials: A prospective study was performed on 38 mandibular third molar surgery patients (mean age 26.74 ± 6.44 years) and 56 implant surgery patients (mean age 49.13 ± 15.11 years). Each group was divided into two subgroups, and written information, explaining what they could expect and details about the procedure, was provided to study groups. The Spielberger State-Trait Anxiety Inventory was used to measure state (STAI-S) and trait anxiety (STAI-T). The visual analog scale (VAS) was used for pain scores preoperatively and on days 1, 3, 5, and 7. Demographic data and intraoperative behaviors of patients were recorded.
Results: All groups had similar anxiety scores at baseline. Preoperative STAI-S and VAS scores were similar between study and control groups (P > .05). Study groups showed significantly lower mean intraoperative anxiety levels (P < .05). The implant group had a significantly lower VAS score (P < .05). STAI-T and preoperative STAI-S were not related to VAS. Postoperative STAI-S and VAS and recuperation were correlated (P < .05). Women showed significantly higher anxiety and VAS scores.
Conclusion: The patients who received written information did not report lower anxiety scores. However, improved patient cooperation could be achieved with this method. Different surgical procedures may cause anxiety for different reasons.

Keywords: brief information, dental anxiety, dental implant, Spielberger State-Trait Anxiety Inventory, third molar surgery

Objective: This in-vivo study was performed to assess the interrater agreement and reliability of ICDAS (visual), transillumination, radiographic, and laser fluorescence proximal caries detection tools in between primary and adjacently erupted permanent molars.
Method and Materials: This study was in accordance with Guidelines for Reporting Reliability and Agreement Studies. Two calibrated examiners assessed the nonobvious noncavitated apparently sound 100 interproximal sites using predefined criteria. Interrater agreement was analyzed as proportion of agreement. Interrater reliability assessment was performed using weighted kappa statistics and intraclass correlation coefficient.
Results: The maximum interrater agreement was projected with conventional bitewing radiography (97%), and the minimum with DIAGNOdent pen (84%), with significant difference (P < .001) in the proportion of agreement. All methods showed substantial interrater reliability, except fiber-optic transillumination. Maximum interrater reliability was noticed for ICDAS (International Caries Detection and Assessment System) method with a weighted kappa value of 0.80 (96% CI, 0.58 - 0.93) followed by conventional and digital bitewing radiography, with values of 0.74 (95% CI, 0.51 - 0.96) and 0.73 (95% CI, 0.43 - 0.92) respectively.
Conclusion: ICDAS and bitewing radiography seem to be the most reliable methods, with a higher proportion of agreement between the examiners compared to the other methods addressed in this study for proximal caries detection.

Keywords: caries, diagnosis, interrater agreement, interrater reliability, permanent dentition, primary teeth