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Jcdajournal of the Canadian Dental Association Vol JCDAJournal of the Canadian Dental Association Vol. 69, No. 7 July/August 2003 Spontaneous Mandibular Fracture Creeping Attachment Following Gingival Grafting The Interaction between Sleep and Pain: An Update Effect of Lighting on Bitewing Interpretation Painting by Dr. William Liebenberg Canada’s Peer-Reviewed Dental Journal • www.cda-adc.ca/jcda • An idea so simple, it’s brilliant... Floss that whitens! Recommend the floss patients will actually want to use. What a bright idea! The first floss that is clinically proven to remove stains between teeth. It’s a brilliant way to encourage compliance. In fact, in home-usage studies, 86% of patients using new Johnson & Johnson REACH® Whitening Floss said they BEFORE would purchase it. This unique floss is a shred-resistant, easy-to-slide, silica-coated yarn designed to gently polish away stains. Johnson & Johnson REACH® Whitening Floss is definitely an idea whose time has come. AFTER Inc. Montréal, H1N 2G4 © Johnson & Johnson Inc. 2003 Before and after photos under Floss controlled clinical testing. Copy of clinical study available upon request: TOLL FREE 1-866-JNJ-FLOS (1-866-565-3567) A brilliant reason to floss JCDAJournal of the Canadian Dental Association CDA Executive Director George Weber Editor-In-Chief Mission statement Dr. John P. O’Keefe Senior Writer/Editor CDA is the authoritative national voice of dentistry, dedicated to the Harvey Chartrand representation and advancement of the profession, nationally and Assistant Editor internationally, and to the achievement of optimal oral health. Natalie Blais Coordinator, Translation & French Staff Writer Nathalie Upton Coordinator Publications/Editorial Assistant Rachel Galipeau Editorial consultants Manager, Design & Production Barry Sabourin Dr. Catalena Birek Dr. James L. Leake Graphic Designer Dr. Jeff Coil Dr. William H. Liebenberg Janet Cadeau-Simpson Dr. Pierre C. Desautels Associate Editors Dr. Kevin E. Lung Dr. Michael J. Casas Dr. Terry Donovan Dr. Debora C. Matthews Dr. Anne Charbonneau Dr. Robert Dorion Dr. Mary E. McNally Dr. Alan R. Milnes Dr. Sebastian Saba Dr. Robert V. Elia Dr. David S. Precious All statements of opinion and supposed fact Dr. Joel B. Epstein are published on the authority of the author Dr. Richard B. Price who submits them and do not necessarily Dr. Kenneth E. Glover express the views of the Canadian Dental Dr. N. Dorin Ruse Association. The editor reserves the right to Dr. Daniel Haas edit all copy submitted to the Journal. Publica- Dr. George K.B. Sàndor tion of an advertisement does not necessarily Dr. Robert J. Hawkins imply that the Canadian Dental Association agrees with or supports the claims therein. Dr. Claude Ibbott Dr. Benoit Soucy The Journal of the Canadian Dental Associa- tion is published in both official languages Dr. Aleksandra Jokovic Dr. Gordon W. Thompson — except scientific articles which are published in the language in which they are Dr. Asbjørn Jokstad Dr. Robert S. Turnbull received. Readers may request the Journal in the language of their choice. Dr. Richard Komorowski Dr. David W. Tyler The Journal of the Canadian Dental Association is published 11 times per year Dr. Ernest W. Lam Dr. Peter T. Williams (July-August combined) by the Canadian Dental Association at 1815 Alta Vista Drive, Ottawa, ON K1G 3Y6. Copyright 1982 by the Canadian Dental Association. Authorized as CDA Executive council Publications Mail Registration No. 40064661. Postage paid at Ottawa, Ont. Subscriptions President Dr. Jack Cottrell are for 11 issues, conforming with the calen- Dr. Tom Breneman Port Perry, Ontario dar year. All 2003 subscriptions are payable in Brandon, Manitoba advance in Canadian funds. In Canada — Dr. Gérald L. Dushkin $65.42 (+ GST); United States — $95; all Montreal, Quebec other — $118. Notice of change of address President-Elect should be received before the 10th of the Dr. Louis Dubé Dr. N. Craig Fedorowich month to become effective the following Sherbrooke, Quebec month. Member: American Association of Hamiota, Manitoba Dental Editors and Canadian Circulations Vice-President Audit Board • Call CDA for information and Dr. Wayne Halstrom assistance toll-free (Canada) at: 1-800-267-6354 Dr. Alfred Dean Vancouver, British Columbia • Outside Canada: (613) 523-1770 • CDA New Waterford, Nova Scotia Fax: (613) 523-7736 • CDA E-mail: reception@ Dr. Darryl R. Smith cda-adc.ca • Web site: www.cda-adc.ca Valleyview, Alberta ISSN 0709 8936 Printed in Canada Dr. Deborah Stymiest Fredericton, New Brunswick Journal of the Canadian Dental Association July/August 2003, Vol. 69, No. 7 415 DR. JAMES BROADBENT, DDS, MS Learn the keys of diagnosis of the face, TMJ, dentition and biomechanics to obtain excellent orthodontic results in your practice. VIDEO PRESENTATION Gain your knowledge from a “functionally orientated” Orthodontist. ACHIEVING EXCELLENCE IN FUNCTIONAL JAW ORTHOPEDICS AND CASE FINISHING BENEFITS TO VIDEO VIDEO HIGHLIGHTS • Evolution of FJO YOU AND YOUR INCLUDES •Diagnostic Protocol • 23 Hours of Integrated •Practical Cephalometrics STAFF • Position of Mx & Md FJO & Orthodontic •Vertical Dimension • No Travel Expenditures Concepts •Dental Position • View at your Leisure •FJO Arch Preparation • Exclusive Clinical “Pearls” • Expected FJO Response • Educate & Motivate Staff •TMJ Dysfunction • Current & Systematic • Tremendous Reference •Cases Selection Techniques • Best Time to Treat Guidelines Material •Treatment Sequence Schematics Dr. James Broadbent, DDS, MS • Practical & Substantiated •Archform Expansion Guidelines • Obtain 23 C.E. Points • Member of the American Treatment Methods •2nd Molar Extraction Guidelines Association of Orthodontists •Case Studies: • Diplomate of the American • Corresponding Manual •Class I, II, II-1, II-2, III Board of Orthodontics and • Extraction & Non-Extraction the American Academy of •High Angle Pain Management YOUR PRACTICE IS ABOUT TO TAKE A NEW DIRECTION • 2nd Molar Replacement Testimonials are available upon request. •Premolar Extraction •Transposed Bicuspid •Missing Lower Incisor This exclusive program •Blocked Out Cuspids combines 25 years of •Bi-maxillary Protrusion integrated FJO and • Bolton Discrepancy • Rotated Molars orthodontic experience • Core Appliances: DVD • VHS PAL that will give you the • Sagittal confidence, skills and • Schwartz techniques for •Twin Block I & II •Orthopedic Corrector orthodontic treatment •Bionator results that are •Herbst consistent, successful •Utility Arch •Molar Distalizer and rewarding for you • Rapid Palatal Expander and your patients. •Lingual Arch • Series 2000® •Retainers •Straightwire Appliance: Take your practice •Bracket Positioning in a new direction •Archwire Selection •Straightwire Tips by expanding your •Bonding Secrets knowledge of •Air Rotor Slenderizing (ARS) •Integrated Systems integrated •Progress Consultation Functional Jaw •Retention Management •Practice Management Orthopedics and BEFORE AFTER Orthodontic AND MORE….! concepts. AUTHORIZED DISTRIBUTORS Bonarch Supply Canada Ltd. ......1-800-267-9225 R & S Orthodontic Laboratory ....1-800-263-7748 Exceptional Dockstader Orthodontic Lab, Inc.1-800-433-7168 Rideau Orthodontic Mfg. Ltd.......1-800-267-7982 Value! R Canadian: $1,579.50 DynaFlex ....................................1-800-489-4020 Space Maintainers Laboratory: Johns Dental Laboratories..........1-800-457-0504 California (Home Office)1-800-423-3270 00 American: $975. Orthodontic Technologies, Inc. ..1-800-346-5133 Midwest - U.S.A. ..........1-800-325-8921 plus applicable taxes and shipping Protec Dental Laboratories Ltd. 1-800-663-5488 Northwest - U.S.A. ........1-800-423-6509 s r r TM Accepted 23 FAGD/MAGD Credit Points following a theory test. CONTENTS Journal of the Canadian Dental Association D EPARTMENTS C LINICAL P RACTICE Guest Editorial. 419 Spontaneous Mandibular Fracture in a Partially Edentulous Patient: Case Report . 428 President’s Column . 421 Philippe Libersa, DMD, PhD David Roze, DMD Letters . 422 Thierry Dumousseau, MD News . 424 Unique Creeping Attachment after Jasper Congress 2003 . 426 Autogenous Gingival Grafting: Case Report . 432 Francisco J. Otero-Cagide, DDS, Dip Perio Advertisers’ Index . 435 M. Fermín Otero-Cagide, DDS, Dip Perio Diagnostic Challenge . 448 Understanding and Managing the Interaction between Clinical Abstracts . 451 Sleep and Pain: An Update for the Dentist. 437 Maryse Brousseau, DMD, MSc Point of Care . 457 Christiane Manzini Norman Thie, BSc, MSc, DDS, MSc, Diplomate ABOP, Fellow AAOM CDSPI Reports. 466 Gilles Lavigne, DMD, MSc, FRCD(C) New Products . 468 Classified Ads . 469 A PPLIED RESEARCH Effect of Illumination on the Accuracy of Identifying Interproximal Carious Lesions on Bitewing Radiographs . 444 All matters pertaining to the Journal should Paul Deep, BSc, MSc, DMD be directed to: Editor-in-chief, Journal of the Demetrios Petropoulos, BSc, MSc, DMD Canadian Dental Association, 1815 Alta Vista Drive, Ottawa, ON, K1G 3Y6. E-mail: [email protected]. • Toll-free: 1-800-267-6354 • • Tel.: (613) 523-1770 • • Fax: (613) 523-7736 • All matters pertaining to classified advertising should be directed to: Ms. Beverley Kirk- patrick c/o Canadian Medical Association, 1867 Alta Vista Dr., Ottawa, ON K1G 3Y6 • Toll-free: 1-800-663-7336 , ext. 2127 • • Tel.: (613) 731-9331• • Fax: (613) 565-7488 • All matters pertaining to display advertising should be directed to: Ms. Marg Churchill c/o Keith Health Care Inc., 104-1599 Hurontario St., Mississauga, ON L5G 4S1 • Toll-free: 1-800-661-5004 • An independent review* has concluded that oscillating-
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