Clinical Oral Investigations最新文献

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In-vitro and in-vivo comparative studies of treatment effects on enamel demineralization during orthodontic therapy: implications for clinical early-intervention strategy. 正畸治疗期间釉质脱矿治疗效果的体外和体内比较研究:对临床早期干预策略的启示。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2024-09-24 DOI: 10.1007/s00784-024-05944-4
Ling Ding, Danqing He, Shuguo Zheng, Xinzhu Zhou, Haozhe Li, Yuming Xi, Xiaozhe Wang, Xiangyu Sun
{"title":"In-vitro and in-vivo comparative studies of treatment effects on enamel demineralization during orthodontic therapy: implications for clinical early-intervention strategy.","authors":"Ling Ding, Danqing He, Shuguo Zheng, Xinzhu Zhou, Haozhe Li, Yuming Xi, Xiaozhe Wang, Xiangyu Sun","doi":"10.1007/s00784-024-05944-4","DOIUrl":"10.1007/s00784-024-05944-4","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate if CPP-ACP / infiltrating resin was superior in treating enamel demineralization during orthodontic therapy compared with fluoride varnish, in order to provide early-intervention implications for dental professionals.</p><p><strong>Materials and methods: </strong>In the in-vitro study, premolars were grouped into four: remineralization with fluoride varnish / CPP-ACP, sealing with infiltrating resin, and negative control. Experimental demineralization of enamel surfaces was analyzed using techniques of QLF, SEM, EDS and micro-hardness testing. An in-vivo intervention study was conducted on patients randomly assigned into three groups. At the baseline and every-3-month follow-up, QLF parameters were compared temporally and parallelly to yield potential implications for promotion in clinical practice.</p><p><strong>Results: </strong>The in-vitro study performed on 48 experimental tooth surfaces demonstrated that sealing with infiltrating resin reduced enamel surface porosity and increased surface micro-hardness significantly. In the in-vivo intervention study on 163 tooth surfaces, it was suggested that for those who meet the criteria of -10 < ΔF < -6 and - 1000 < ΔQ < -20 at the baseline, all these treatment methods could achieve acceptable outcomes; with the rising of absolute values of ΔF and ΔQ, sealing with infiltrating resin showed more evident advantages.</p><p><strong>Conclusion: </strong>For enamel demineralization during orthodontic therapy, all the treatment methods involved in this study showed acceptable effectiveness but had respective characteristics in treatment effects. QLF parameters could be used as indicators for clinical early-intervention strategy with regards to this clinical issue.</p><p><strong>Clinical relevance: </strong>With QLF parameters, clinical early-intervention strategy for enamel demineralization during orthodontic therapy could be optimized.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11422478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using precision periodontal health care chart (PPHCC) to improve periodontal health. 使用精准牙周保健图表(PPHCC)改善牙周健康。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2024-09-23 DOI: 10.1007/s00784-024-05947-1
Chun-Teh Lee, Hsiu-Wan Meng, Duong Tran, Ryan Brandon, Srinivas Ayilavarapu, Muhammad F Walji, Nikola Angelov
{"title":"Using precision periodontal health care chart (PPHCC) to improve periodontal health.","authors":"Chun-Teh Lee, Hsiu-Wan Meng, Duong Tran, Ryan Brandon, Srinivas Ayilavarapu, Muhammad F Walji, Nikola Angelov","doi":"10.1007/s00784-024-05947-1","DOIUrl":"10.1007/s00784-024-05947-1","url":null,"abstract":"<p><strong>Objectives: </strong>Developing a Precision Periodontal Health Care Chart (PPHCC) in the electronic dental record (EDR) system and evaluating its clinical usability and effects on clinical outcomes.</p><p><strong>Materials and methods: </strong>A survey with ten questions based on the System Usability Scale (SUS) and six questions about assessing clinical impact was used to evaluate the satisfaction of periodontitis patients and care providers with PPHCC before and after non-surgical periodontal therapy (NSPT). The clinical outcomes, including probing depth (PD), interdental clinical attachment loss (CAL), and bleeding on probing (BOP), in patients who used PPHCC (PC) were compared to those in patients without using PPHCC (control). The associations between risk assessments included in PPHCC and clinical outcomes of NSPT were also analyzed.</p><p><strong>Results: </strong>The mean scores of SUS questions at the initial periodontal examination were 74.26 ± 18.89 (n = 37) for patients and 88.31 ± 14.14 (n = 37) for care providers. The mean scores of SUS questions at re-evaluation were 74.84 ± 17.78 (n = 16) for patients and 89.63 ± 13.48 (n = 20) for care providers. The changes in the percentages of teeth with interdental CAL 1-2 mm (p = 0.019) and CAL 3-4 mm (p = 0.026) at the re-evaluation visit were significantly different between the PC and control groups, but the other parameters were not.</p><p><strong>Conclusions: </strong>Both patients and care providers were satisfied with using PPHCC in the clinic. However, the short-term clinical outcomes in the PC group were similar to those in the control group.</p><p><strong>Clinical relevance: </strong>PPHCC, as a tool for delivering clinical and educational information, can motivate patients to control periodontitis and assist clinicians in making a personalized treatment plan.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How far can we go? A 20-year meta-analysis of dental implant survival rates. 我们还能走多远?20 年种植牙存活率的荟萃分析。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2024-09-21 DOI: 10.1007/s00784-024-05929-3
Johannes Raphael Kupka, Jochem König, Bilal Al-Nawas, Keyvan Sagheb, Eik Schiegnitz
{"title":"How far can we go? A 20-year meta-analysis of dental implant survival rates.","authors":"Johannes Raphael Kupka, Jochem König, Bilal Al-Nawas, Keyvan Sagheb, Eik Schiegnitz","doi":"10.1007/s00784-024-05929-3","DOIUrl":"10.1007/s00784-024-05929-3","url":null,"abstract":"<p><strong>Objective: </strong>This meta-analysis aims to investigate the long-term survival rates of dental implants over a 20-year period, providing a practical guide for clinicians while identifying potential areas for future research.</p><p><strong>Materials and methods: </strong>Data were sourced from recent publications, focusing exclusively on screw-shaped titanium implants with a rough surface. Both retrospective and prospective studies were included to ensure an adequate sample size. A systematic electronic literature search was conducted in the databases: MEDLINE (PubMed), Cochrane, and Web of Science. The risk of bias for all studies was analyzed using a tool by Hoy et al. RESULTS: Three prospective studies (n = 237 implants) revealed a mean implant survival rate of 92% (95% CI: 82% to 97%), decreasing to 78% (95% CI: 74%-82%) after imputation (n = 422 implants). A total of five retrospective studies (n = 1440 implants) showed a survival rate of 88% (95% CI: 78%-94%). Implant failure causes were multifactorial.</p><p><strong>Conclusion: </strong>This review consolidates 20-year dental implant survival data, reflecting a remarkable 4 out of 5 implants success rate. It emphasizes the need for long-term follow-up care, addressing multifactorial implant failure. Prioritizing quality standards is crucial to prevent overestimating treatment effectiveness due to potential statistical errors. While dental implantology boasts reliable therapies, there is still room for improvement, and additional high-quality studies are needed, particularly to evaluate implant success.</p><p><strong>Clinical relevance: </strong>Never before have the implant survival over 20 years been systematically analyzed in a meta-analysis. Although a long-term survival can be expected, follow-up is essential and shouldn't end after insertion or even after 10 years.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11416373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Three-dimensional Assessment of Longitudinal Surgical Outcome in Patients with Unilateral Cleft Lip and Palate: A Modified Rotation Advancement Technique. 单侧唇腭裂患者纵向手术效果的三维评估:改良旋转推进技术。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2024-09-21 DOI: 10.1007/s00784-024-05928-4
Yulang Xu, Meilin Yao, Bing Shi, Jingtao Li, Qian Zheng, Ni Zeng
{"title":"Three-dimensional Assessment of Longitudinal Surgical Outcome in Patients with Unilateral Cleft Lip and Palate: A Modified Rotation Advancement Technique.","authors":"Yulang Xu, Meilin Yao, Bing Shi, Jingtao Li, Qian Zheng, Ni Zeng","doi":"10.1007/s00784-024-05928-4","DOIUrl":"https://doi.org/10.1007/s00784-024-05928-4","url":null,"abstract":"<p><strong>Background: </strong>Optimization of a modified rotation advancement technique is hampered by lack of objective measures to quantify the longitudinal surgical outcome.</p><p><strong>Methods: </strong>We collected and assessed facial 3D images of 115 consecutive patients who underwent primary repair between 2017 and 2019. Photogrammetry was performed preoperatively, immediately postoperatively and at a first and second follow-up interval, occurring at an average year of 0.6 and 5.3 years, respectively. 10 additional age-matched noncleft control subjects were also included.</p><p><strong>Results: </strong>Growth lag in cleft side lateral lip and gradual elongation of medial lip height on the cleft side caused continuous deviation of philtrum towards the cleft side. The columellar length on the cleft side continued to grow slower, accompanied by a persistent widening of alar base width on the cleft side, leading to in the gradual deviation of columella towards the cleft side. The pre-operative and post-operative nasolabial asymmetry would increase with greater degree of postoperative deficiencies. Right clefts presented with greater degrees of deficiencies in lateral lip height in preoperative measurement, but this discrepancy of the laterality of clefts was not observed in the two follow-up periods.</p><p><strong>Conclusion: </strong>The surgical outcome of this modified rotational advancement technique in unilateral cleft lip primary repair is promising. Growth lag in lateral lip and lateral displacement of alar base cause continuous deviation of philtrum towards the cleft side. Pre-operative severity does predict post-operative outcomes. Laterality of oral clefts does not significantly affect the long-term outcomes of surgery.</p><p><strong>Practical implication: </strong>This surgical technique meets the current trend of cleft lip and palate primary repair and is worth promoting.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inequalities in the use of dental services by people with and without disabilities in Brazil: a National Health Survey. 巴西残疾人和非残疾人使用牙科服务的不平等现象:全国健康调查。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2024-09-21 DOI: 10.1007/s00784-024-05917-7
Francine Dos Santos Costa, Luany Possebom Dos Santos, Luiz Alexandre Chisini
{"title":"Inequalities in the use of dental services by people with and without disabilities in Brazil: a National Health Survey.","authors":"Francine Dos Santos Costa, Luany Possebom Dos Santos, Luiz Alexandre Chisini","doi":"10.1007/s00784-024-05917-7","DOIUrl":"https://doi.org/10.1007/s00784-024-05917-7","url":null,"abstract":"<p><strong>Objectives: </strong>The present cross-sectional study aimed to evaluate if social, racial, and gender inequalities disproportionally affect the use of dental services by people with and without disabilities in Brazil in the year 2013.</p><p><strong>Materials and methods: </strong>The study used data from the 2013 National Health Survey and the dependent variable was the use of dental services. The outcome was stratified by gender, race, and social variables. Descriptive analysis was represented by absolute and relative frequencies. Two inequality measures were used to investigate the inequalities: the Slope Index of Inequalities (SII) and the Concentration Index of Inequalities (CIX). The SII expresses the absolute difference and the CIX identifies the relative inequality.</p><p><strong>Results: </strong>Of 145,580 adults evaluated, 7.7% reported disability. The proportion of adults without disabilities who used dental services in the last 12 months was higher (45.2%; 95%CI 44.2-46.1) than adults with disabilities (33.9%; 95%CI 32.0-35.9). There was an absolute difference of 40% points (SII 0.40; CI95% (0.36-0.45) in the use of dental services between poorer and richer people with disabilities. Absolute and relative inequalities were identified in the use of dental services, considering the education of the head of the family and family income, with similar results for people with and without disabilities. High inequality is observed concerning race. Racial minorities (Black, Brown, Yellow, and Indigenous) without disabilities presented a higher use of dental services in the last 12 months than racial minorities with disabilities.</p><p><strong>Conclusions: </strong>Our findings demonstrate that social and racial inequities negatively affect individuals with and without disabilities.</p><p><strong>Clinical relevance: </strong>Inequalities exist in the use of oral health services for people with and without disabilities.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment of peri-implant mucositis using spermidine and calcium chloride as local adjunctive delivery to non-surgical mechanical debridement: a double-blind randomized controlled clinical trial. 使用亚精胺和氯化钙作为非手术机械清创的局部辅助给药治疗种植体周围粘膜炎:一项双盲随机对照临床试验。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2024-09-21 DOI: 10.1007/s00784-024-05924-8
Vincenzo Iorio-Siciliano, Dario Marasca, Leopoldo Mauriello, Enzo Vaia, Stefan-Ioan Stratul, Luca Ramaglia
{"title":"Treatment of peri-implant mucositis using spermidine and calcium chloride as local adjunctive delivery to non-surgical mechanical debridement: a double-blind randomized controlled clinical trial.","authors":"Vincenzo Iorio-Siciliano, Dario Marasca, Leopoldo Mauriello, Enzo Vaia, Stefan-Ioan Stratul, Luca Ramaglia","doi":"10.1007/s00784-024-05924-8","DOIUrl":"10.1007/s00784-024-05924-8","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the effects of non-surgical mechanical debridement with or without adjunctive application of a gel with spermidine and sodium hyaluronate associated to a sealing gel (i.e. calcium chloride) in the treatment of peri-implant mucositis (PiM).</p><p><strong>Materials and methods: </strong>Forty patients with one implant with PiM were randomly allocated in test and control groups. Test implants were treated with non-surgical mechanical debridement and local unique application of spermidine and calcium chloride gel while control implants were treated using non-surgical mechanical debridement alone. The primary outcome was BOP change. FMPS, FMBS and PD were also assessed. For an Implant the presence of a single bleeding spot (1 site/implant without a continuous line or profuse bleeding) was considered as complete disease resolution.</p><p><strong>Results: </strong>After 3 months, a statistically significant improvement of all parameters were recorded in each group (p < 0.05). However, no statistically significant differences were found between test and control procedures (p > 0.05). At 3 months, 85% of test implants and 70% of control implants resulted in disease resolution. Residual implants with PiM in control group displayed a greater number of BOP-positive sites when compared with those of test group (p < 0.05).</p><p><strong>Conclusions: </strong>Whitin the limitations of the present study, results indicate that the clinical parameters improved following non-surgical mechanical debridement regardless the adjunct of spermidine and calcium chloride gel. Nevertheless complete resolution of PiM was not obtained in both experimental groups.</p><p><strong>Clinical relevance: </strong>Although no statistically significant differences were found between test and control procedures, the adjunctive application of spermidine and calcium chloride gel to non-surgical mechanical debridement may be considered in order to reduce the number of sites with BOP-positive.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antibiotic susceptibility of orofacial infections in Bratislava: a 10-year retrospective study. 布拉迪斯拉发口腔感染的抗生素敏感性:一项为期 10 年的回顾性研究。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2024-09-21 DOI: 10.1007/s00784-024-05937-3
Michal Vavro, Bronislava Dvoranová, Ladislav Czakó, Kristián Šimko, Branislav Gális
{"title":"Antibiotic susceptibility of orofacial infections in Bratislava: a 10-year retrospective study.","authors":"Michal Vavro, Bronislava Dvoranová, Ladislav Czakó, Kristián Šimko, Branislav Gális","doi":"10.1007/s00784-024-05937-3","DOIUrl":"https://doi.org/10.1007/s00784-024-05937-3","url":null,"abstract":"<p><strong>Objectives: </strong>Aim of this study was to analyse causal microbiological agents and their bacterial resistance in orofacial infections requiring hospital admission.</p><p><strong>Materials and methods: </strong>Presented is a 10-year retrospective study of patients hospitalised at a single department in 2014-2023. 744 patients were involved. In the statistical analysis, following data was evaluated: causal microbes and their resistance to Penicillin, Amoxicillin-Clavulanate, Clindamycin and Metronidazole.</p><p><strong>Results: </strong>Most frequent aetiology was odontogenic with causal tooth in socket (n = 468; 62,9%), followed by odontogenic - post extraction (n = 152; 20.4%), jaw fracture (n = 41; 5.5%), sialadenitis n = 31 (4.2%), osteonecrosis n = 22 (3.0%), oncological diagnosis in head and neck (n = 17; 2.3%), unknown (n = 10; 1.3%) and multiple factors (n = 3; 0.4%). 408 patients (54.8%) underwent extraoral abscess revision, 336 patients (45.2%) patients were treated locally without extraoral revision. In odontogenic group with tooth still present, superior CRP (m = 145.8 mg/l; SD = 117.7) and leukocyte values (m = 13.6*10<sup>9</sup>l; SD = 6.6) were observed in comparison to other groups. There were 698 cultivated bacteria in 362 patients. Most frequent bacteria were Streptococci (n = 162; 23.2%), Prevotella (n = 83; 11.2%) and Parvimonas (n = 65; 9.3%). Clindamycin resistance was highest (n = 180 resistant bacteria; 25.8%), followed by Metronidazole (n = 178; 25.5%), Penicillin (n = 107; 15.3%) and Amoxicillin-Clavulanate (n = 34; 4.9%).</p><p><strong>Conclusions: </strong>Orofacial infections in head and neck region are mostly of odontogenic origin with causal tooth still in socket. Causal bacteria show a high antibiotic resistance rate, especially to Clindamycin and Metronidazole.</p><p><strong>Clinical relevance: </strong>Acquired data will be used to determine guidelines for empirical antibiotic prescription in cases of orofacial infections.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating cranial landmarks for yaw orientation in natural head position: a 3D study. 评估自然头部位置偏航方向的颅骨地标:三维研究。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2024-09-20 DOI: 10.1007/s00784-024-05926-6
Sümer Münevveroğlu, Gökhan Gürler, Abdullah Özel
{"title":"Evaluating cranial landmarks for yaw orientation in natural head position: a 3D study.","authors":"Sümer Münevveroğlu, Gökhan Gürler, Abdullah Özel","doi":"10.1007/s00784-024-05926-6","DOIUrl":"https://doi.org/10.1007/s00784-024-05926-6","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the symmetry of various cranial anthropometric points used as references for yaw orientation in the natural head position (NHP), relative to the mid-sagittal plane.</p><p><strong>Materials and methods: </strong>A prospective analysis using tomography data from 55 patients was conducted. Radiopaque markers, placed on patients in NHP, facilitated head position recording in three planes, with subsequent digital transfer for orientation analysis. Symmetry of eight points (zygomaxillare, zygion, ectoconchion, frontozygomatic suture, stephanion, porion, mastoidale, condylion laterale) was measured against the mid-sagittal plane.</p><p><strong>Results: </strong>Significant asymmetry was observed in the stephanion, frontozygomatic suture, and ectoconchion points (p < 0.05). No significant differences were found in the symmetry of other points (p > 0.05).</p><p><strong>Conclusions: </strong>Findings suggest that stephanion, frontozygomatic suture, and ectoconchion are unreliable for yaw orientation in NHP. Other points, combined with clinical measurements, may offer better reliability.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reconstructive surgical therapy of peri-implant defects with ribose cross-linked collagen matrix and crosslinked hyaluronic acid - a prospective case series. 使用核糖交联胶原基质和交联透明质酸对种植体周围缺损进行修复手术治疗--前瞻性病例系列。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2024-09-20 DOI: 10.1007/s00784-024-05942-6
Anton Friedmann, Rico Jung, Hakan Bilhan, Hanan Al Ghawi-Begovic, Frederic Kauffmann, Daniel Diehl
{"title":"Reconstructive surgical therapy of peri-implant defects with ribose cross-linked collagen matrix and crosslinked hyaluronic acid - a prospective case series.","authors":"Anton Friedmann, Rico Jung, Hakan Bilhan, Hanan Al Ghawi-Begovic, Frederic Kauffmann, Daniel Diehl","doi":"10.1007/s00784-024-05942-6","DOIUrl":"https://doi.org/10.1007/s00784-024-05942-6","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the efficacy of ribose-crosslinked collagen (RCLC) matrices functionalized by crosslinked hyaluronic acid (xHya) for reconstructive treatment of class I and III (b-c) peri-implantitis lesions in a transmucosal healing mode.</p><p><strong>Materials and methods: </strong>Thirteen patients presenting with 15 implants were included in this prospective case series. Upon flap reflection, the implants were thoroughly decontaminated employing glycine powder air polishing and adjunctive sodium hypochlorite. For defect augmentation, xHyA was administered to the bony defect walls, exposed implant surfaces, and the RCLC matrix before defect grafting. The full-thickness flap was readapted and sutured around the implant neck for transmucosal healing. Baseline and respective values at the 12 months post-op evaluation were recorded for the clinical parameters peri-implant probing depth (PPD), buccal soft tissue dehiscence (BSTD) and bleeding on probing (BoP). Furthermore, two independent investigators analyzed radiographic changes in the defect area. The mean changes for all variables were analyzed with a paired t-test.</p><p><strong>Results: </strong>The initial mean PPD was 7.2 ± 1.9 mm, and BoP was present in 63% of sites. After 12 months, PPD at the latest visit was 3.2 ± 0.66 mm, which amounted to a respective 3.9 ± 1.85 mm reduction, while the BoP frequency dropped to 10% at all sites. Radiographic bone fill was accomplished for 62.8% of the former defect area, accompanied by a mean MBL gain of 1.02 mm around the treated implants (all p < 0.001).</p><p><strong>Conclusions: </strong>Within the limits of this case series, we conclude that the proposed treatment sequence substantially improved peri-implant defects and offered a simplified but predictive technique.</p><p><strong>Clinical relevance: </strong>Reconstructive treatment approaches for peri-implantitis are effective but remain non-superior to open flap debridement. Further research on novel biomaterial combinations that may improve reconstructive treatment outcomes are warranted. Ribose-crosslinked collagen matrices biofunctionalized by hyaluronic acid used in this study yield improved clinical and radiographic peri-implant conditions after 12 months.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to: Comparison of clinical parameters of peri-implantitis and parameters related to tissue macrophage sensitization on TiO2. 更正:种植体周围炎临床参数与组织巨噬细胞对二氧化钛敏化相关参数的比较。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2024-09-20 DOI: 10.1007/s00784-024-05948-0
Philipp Sahrmann, Jens Tartsch, Patrick R Schmidlin
{"title":"Correction to: Comparison of clinical parameters of peri-implantitis and parameters related to tissue macrophage sensitization on TiO<sub>2</sub>.","authors":"Philipp Sahrmann, Jens Tartsch, Patrick R Schmidlin","doi":"10.1007/s00784-024-05948-0","DOIUrl":"https://doi.org/10.1007/s00784-024-05948-0","url":null,"abstract":"","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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