Dental and Medical Problems最新文献

{"title":"Frequency of odontogenic lesions in patients with impacted maxillary canines and the association with impaction characteristics.","authors":"Alejandro Pineda-Méndez, Aron Aliaga-Del Castillo, Yalil Augusto Rodríguez-Cárdenas, Gustavo Armando Ruíz-Mora, Vinicius Dutra, Luis Ernesto Arriola-Guillén","doi":"10.17219/dmp/165841","DOIUrl":"https://doi.org/10.17219/dmp/165841","url":null,"abstract":"<p><strong>Background: </strong>Since impacted canines are a frequent eruptive anomaly, it is imperative to study their etiological aspects. A possible cause of impaction is the presence of odontogenic lesions close to the impacted canine.</p><p><strong>Objectives: </strong>The aim of this study was to evaluate the frequency of odontogenic lesions in patients with impacted canines and their association with the characteristics of impaction.</p><p><strong>Material and methods: </strong>This cross-sectional study was carried out with the scans of 93 impacted maxillary canines obtained from cone-beam computed tomography (CBCT) studies performed in 3 radiological centers. The selection criteria regarded male and female patients older than 12 years, and were based on the CBCT scans of impacted canines, showing unilateral or bilateral maxillary impaction, with or without odontogenic lesions. The position of the impacted canines, the sector of impaction, the presence or absence of a dentigerous cyst, an odontoma or follicular enlargement, as well as the total diameter of the lesion, were evaluated. The χ2 test and logistic regression analysis were performed, and the level of statistical significance was set at p < 0.05.</p><p><strong>Results: </strong>The frequency of odontogenic lesions near the canine impaction area was generally low (7.5% for a dentigerous cyst, 6.5% for follicular enlargement and 3.2% for a mesiodens). However, there was a significant association between the presence of a dentigerous cyst and buccal or mid-alveolar impacted canines (p = 0.032). The alpha and beta angles influenced the possibility of the occurrence of dentigerous cysts, with the alpha angle increasing the risk (B = 1.22; p = 0.041) and the beta angle decreasing the chance of developing a dentigerous cyst (18%) (p = 0.024).</p><p><strong>Conclusions: </strong>The presence of odontogenic lesions in impacted maxillary canine cases is low, and involves mainly dentigerous cysts and follicular enlargement in buccal or mid-alveolar impacted canines. The alpha and beta angles may influence the development of dentigerous cysts.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 3","pages":"479-485"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144612135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of electronic apex locators in the determination of the working length in teeth with natural apical root resorption in the presence of different irrigation solutions.","authors":"Damla Erkal, Atadeniz Toros, Helin Dermanlı, İrem Nur İri, Dide Tekinarslan, Simay Koc, Kürşat Er","doi":"10.17219/dmp/166408","DOIUrl":"https://doi.org/10.17219/dmp/166408","url":null,"abstract":"<p><strong>Background: </strong>Root resorption (RR) is usually a consequence of dental trauma, pulpal infection, primary occlusal pressure, or orthodontic tooth movement, leading to the loss of anatomical root formation. As a result of apical RR, the apical constriction is destroyed, and the determination of the working length (WL) may become difficult.</p><p><strong>Objectives: </strong>The purpose of the present study was to evaluate the accuracy of 4 different electronic apex locators (EALs) - ProPex® II, Propex Pixi®, DentaPort ZX, and DTE DPEX V - in the determination of WL in teeth with natural apical RR in the presence of different irrigation solutions (ISs).</p><p><strong>Material and methods: </strong>A total of 36 teeth with natural apical RR were included in the study. The actual length (AL) was determined under a stereomicroscope at ×15 magnification. Afterward, the electronic length (EL) was established by using 4 different EALs in the presence of different ISs. The ISs used in the measurements were freshly prepared, and 6 groups were organized based on the solution used. The control group was marked as group 1. For groups 2-6, 1% sodium hypochlorite (NaOCl), 2.5% NaOCl, saline, 2% chlorhexidine (CHX), and 17% ethylenediaminetetraacetic acid (EDTA) were used, respectively. After each measurement, the roots were washed with 5 mL of distilled water and dried with paper points before the same teeth were used in the subsequent group. The absolute length was subtracted from EL for each tooth to calculate the difference. The data was analyzed statistically.</p><p><strong>Results: </strong>For each device, there were no significant differences in the success rates between the ISs used. In group 1, there were no significant differences among the 4 EALs. In group 2, DentaPort ZX was significantly more successful than DTE DPEX V (p = 0.037). There were no significant differences among EALs in groups 3-6.</p><p><strong>Conclusions: </strong>The difference between DentaPort ZX and DTE DPEX V was statistically significant in group 2 (1% NaOCl).</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 3","pages":"521-526"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144636522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proprioceptive test for the temporomandibular joint: An intra- and inter-rater reliability study with healthy adults.","authors":"Tzvika Greenbaum, Noa Ravhon, Danny Barshai, Alona Emodi-Perlman, Leonid Kalichman","doi":"10.17219/dmp/193072","DOIUrl":"https://doi.org/10.17219/dmp/193072","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorders (TMDs) are challenging to manage due to their multifactorial nature. As with other joints, the function of temporomandibular joint (TMJ) is influenced by proprioception, making it an essential factor in TMD management. However, previous studies on the joint position error (JPE) in TMD patients lacked a proper diagnosis and reliability assessment.</p><p><strong>Objectives: </strong>The aim of the present study was to develop a reliable JPE test in healthy adults as a foundation for future evaluation in TMD patients.</p><p><strong>Material and methods: </strong>Two examiners conducted the JPE assessment, utilizing a methodology encompassing between-days intra-rater and within-day inter-rater reliability assessments. A total of 22 healthy participants (7 men and 15 women) with a mean unassisted mouth opening of 46 ±5 mm were recruited. The evaluation targeted specific distances (10 mm, 20 mm and 30 mm) within the participants' mouth opening range, with proprioceptive accuracy evaluated through the measurement of the absolute error (AE) and the constant error (CE).</p><p><strong>Results: </strong>The CE was consistently lower than AE across all the targeted distances, although with higher standard deviations. Intra-rater reliability varied across the distances, with poor reliability observed for AE at 10 mm, moderate reliability for CE at 10 mm, good reliability for both AE and CE at 20 mm, and moderate reliability for both AE and CE at 30 mm. Inter-rater reliability was moderate at 10 mm and good at 20 mm for both AE and CE, with equally moderate reliability levels at 30 mm.</p><p><strong>Conclusions: </strong>The 20 mm target distance demonstrated good intraand inter-rater reliability, warranting its evaluation in patients with TMDs in the subsequent investigation phase.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 3","pages":"487-492"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144636533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of rapid maxillary expansion on three-dimensional angular and linear parameters of the Eustachian and auditory tubes in adolescents: A cone-beam computed tomography study.","authors":"Mehmet Ugurlu, Rıdvan Oksayan, Seda Saliha Kayrak, Mustafa Temiz, Ibrahim Sevki Bayrakdar, Paweł Kalinowski, Kaan Orhan","doi":"10.17219/dmp/174822","DOIUrl":"https://doi.org/10.17219/dmp/174822","url":null,"abstract":"<p><strong>Background: </strong>Rapid maxillary expansion (RME) is a common treatment for maxillofacial skeletal abnormalities. Numerous studies have explored the impact of RME on skeletal, dental and nasal structures.</p><p><strong>Objectives: </strong>The aim of the study was to evaluate the effects of RME on the three-dimensional (3D) Eustachian tube (ET) and auditory tube morphologies of adolescents using cone-beam computed tomography (CBCT).</p><p><strong>Material and methods: </strong>A total of 97 patients (59 females and 38 males; age: 13.27 ±2.10 years) with maxillary transversal deficiencies who had undergone orthodontic RME were enrolled in the study. The treatment concluded when a cusp-to-cusp relationship was achieved between the palatal cusp of the maxillary first molar and the buccal cusp of the mandibular first molar. Cone-beam computed tomography was performed before maxillary expansion (T0) and after expansion (T1). The measurement of 2 linear and 4 angular, 3D, right and left ET parameters, as well as the ET and auditory tube angles, was conducted. The paired t-test was used to compare the data.</p><p><strong>Results: </strong>There was no significant difference between T0 and T1 in any angular or linear ET parameters or the left auditory tube angle (p > 0.05). The T0 right auditory tube angle was significantly greater than the T1 angle (p < 0.05). Rapid maxillary expansion did not modify the 3D ET parameters; only the right auditory tube angulation improved after expansion.</p><p><strong>Conclusions: </strong>Compared to conventional radiography, CBCT provides better morphological, angular and linear data regarding the ET and auditory structures. No significant differences were observed in linear or angular ET parameters based on the status of maxillary expansion treatment. The right auditory tube angle differed significantly between T0 and T1.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 3","pages":"435-440"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144495004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the periodontal status and systemic diseases in dental patients in Turkey.","authors":"Selcen Ozcan Bulut, Zeynep Ozturkmen","doi":"10.17219/dmp/156679","DOIUrl":"https://doi.org/10.17219/dmp/156679","url":null,"abstract":"<p><strong>Background: </strong>Periodontal diseases are chronic inflammatory diseases related to many hereditary, environmental, physical, and psychological factors.</p><p><strong>Objectives: </strong>The aim of the present study was to determine the demographic data, periodontal status and systemic conditions of patients who reported to the Department of Oral and Maxillofacial Radiology, and to evaluate the relationship between the periodontal status and the associated risk factors.</p><p><strong>Material and methods: </strong>The study included a total of 2,000 patients (974 males and 1,026 females). The anamnesis data on the patients' systemic diseases/conditions and periodontal diagnoses were analyzed statistically.</p><p><strong>Results: </strong>Upon evaluating the clinical and radiological examination data, the findings were as follows: 9.20% of patients had clinically healthy gingiva; 15.20% had gingivitis on an intact periodontium; 22.75% had gingivitis on a reduced periodontium (in total, 37.95% had gingivitis); 47.20% had mild to moderate periodontitis (stages I and II, grades A and B); and 3.45% had severe periodontitis (stages III and IV, grades B and C) (in total, 50.65% had periodontitis). Additionally, 2.20% of patients were diagnosed with necrotizing periodontal diseases (NPD). Gingival health was significantly poorer in patients with hypertension, diabetes, gastrointestinal system diseases (GID), cardiovascular system diseases (CVD), gynecological disorders, psychiatric disorders, hypothyroidism, rheumatological diseases, osteoporosis, chronic respiratory diseases/asthma, anemia, a history of cancer, and dermatological problems (p < 0.001).</p><p><strong>Conclusions: </strong>Periodontitis is a significant public health concern among the Turkish population, with high incidence rates of mild to moderate periodontitis attributed to risk factors such as age, smoking and various systemic diseases.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 3","pages":"469-477"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutritional status, dental caries and parental attitude to junior oral hygiene among children and adolescents with Down syndrome.","authors":"Ramah Eimad Makieh, Chaza Nader Kouchaji","doi":"10.17219/dmp/174161","DOIUrl":"10.17219/dmp/174161","url":null,"abstract":"<p><strong>Background: </strong>Children with Down syndrome (DS) frequently experience nutritional issues. Some of them are attributed to gastrointestinal tract abnormalities, while others are due to feeding behaviors. Previous studies have reported inconclusive results regarding the prevalence of dental caries among individuals with DS.</p><p><strong>Objectives: </strong>The study aimed to assess the nutritional status, prevalence of dental caries and oral hygiene level among children and adolescents with DS aged 8-15 years in comparison to healthy peers.</p><p><strong>Material and methods: </strong>A case-control observational study was carried out in Damascus, Syria, and its surrounding countryside. The study included 135 participants between the ages of 8 and 15 years who were divided into 2 groups based on the presence of DS. The data was processed using the IBM SPSS Statistics for Windows software, v. 26. The Kruskal-Wallis H test, Mann-Whitney U test and χ2 test, as well as Spearman's correlation were implemented.</p><p><strong>Results: </strong>Almost half of the participants in the DS group were classified as overweight or obese (33.9% and 19.1%, respectively), while the percentages of overweight and obese children in the control group were 14.9% and 10.4%, respectively. No statistically significant results were noted between oral hygiene levels and the prevalence of dental caries among the study groups (p > 0.05). Only 50% of parents thought that their children needed help during daily oral hygiene practices; however, only 39.4% of parents actually provided such assistance.</p><p><strong>Conclusions: </strong>Children and adolescents with DS exhibited a tendency toward shorter stature in comparison to their peers. In the DS group, the economic status and paternal education level exhibited an inverse correlation with body mass index (BMI)-for-age. Oral hygiene practices and dietary habits are the most influential factors in the development of dental caries. The DS group followed an unhealthy dietary pattern, characterized by elevated levels of sugar consumption. There is an urgent need for effective promotion programs within the educational plans of schools and centers of special needs. These programs must educate parents and caregivers about effective oral hygiene practices and make them aware of their children's need for help during the oral hygiene process.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":" ","pages":"409-418"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of collagen gel degradation in an experimental cell culture model using fibroblasts isolated from peri-implantitis lesions.","authors":"Yoko Yamaguchi, Mitsuhiro Ohshima, Shogo Maekawa, Walter Meinzer, Akira Aoki","doi":"10.17219/dmp/194531","DOIUrl":"10.17219/dmp/194531","url":null,"abstract":"<p><strong>Background: </strong>Periodontitis and peri-implantitis are chronic inflammatory diseases that lead to progressive connective tissue degradation and alveolar bone resorption. The presence of characteristic periodontitisassociated fibroblasts (PAFs) that display a remarkably high capacity for extracellular matrix (ECM) degradation was previously reported in periodontitis lesions.</p><p><strong>Objectives: </strong>The aim of the study was to analyze collagen gel degradation in an experimental cell culture model using fibroblasts isolated from peri-implantitis lesions.</p><p><strong>Material and methods: </strong>A patient-derived experimental cell culture model of periodontitis was developed. Gingival tissues were obtained during peri-implant, periodontal, and tooth extraction surgeries. Fibroblasts isolated from tissues affected by peri-implantitis, mixed in a three-dimensional (3D) collagen gel, were co-cultured with gingival epithelial cells. The degree of collagen gel degradation was analyzed using gel contraction, and a histologic examination was performed.</p><p><strong>Results: </strong>In 5 examined cases, gel contraction was observed in the 3D co-culture model to considerably different degrees, which may demonstrate the presence of peri-implantitis-associated fibroblasts (PIAFs) that display a high capacity for collagen degradation. Histologically, the collagen gels with PIAFs showed numerous vacuoles adjacent to the cells when compared to gels with normal fibroblasts. The PIAFs from one case showed a rapid and significantly elevated level of collagen gel degradation in comparison to the PIAFs from the other cases.</p><p><strong>Conclusions: </strong>The study revealed the presence of PIAFs among the fibroblasts isolated from peri-implantitis lesions, displaying a capacity for collagen degradation. Further detailed studies are required to clarify the characteristics of PIAFs as well as their role in the occurrence and progression of peri-implantitis.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":" ","pages":"505-512"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144495002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex differences in a self-report questionnaire related to obstructive sleep apnea: An online cross-sectional survey.","authors":"Alona Emodi-Perlman, Ilana Eli, Dolev Morad, Anastasia Turchin, Pessia Friedman-Rubin","doi":"10.17219/dmp/195345","DOIUrl":"https://doi.org/10.17219/dmp/195345","url":null,"abstract":"<p><strong>Background: </strong>Obstructive sleep apnea (OSA) is associated with an increased likelihood of health issues, such as hypertension, cardiovascular disease and stroke. Screening is typically performed through selfreport questionnaires related to OSA symptoms.</p><p><strong>Objectives: </strong>The present study aimed to evaluate sex differences in the commonly used questionnaires for the evaluation of OSA symptoms in order to determine whether different OSA screening tools should be considered in males and females.</p><p><strong>Material and methods: </strong>The data was collected from the general population (N = 622, 66% female) through an online cross-sectional survey. The survey incorporated the STOP-Bang Questionnaire, the Epworth Sleepiness Scale (ESS), the Patient Health Questionnaire-4 (PHQ-4), the Fatigue Assessment Scale (FAS), and sleep bruxism (SB) questionnaires.</p><p><strong>Results: </strong>Female subjects exhibited elevated levels of anxiety and fatigue (p < 0.001 for both) and the potential presence of SB (p < 0.005). The logistic regression analysis revealed that the odds of moderate to severe OSA increased by 5-8% for age and sleepiness, were higher for subjects exhibiting SB (an increase of 82%), and were particularly high for males (male sex increased the odds of moderate to severe OSA by over 5 times). Despite higher fatigue scores among females, the effect of fatigue on the probability of moderate to severe OSA in females was non-significant. While male subjects demonstrated lower fatigue scores, these levels were significantly associated with the risk of moderate to severe OSA. Daytime sleepiness did not influence the OSA risk for either sex.</p><p><strong>Conclusions: </strong>The impact of reported fatigue on the prevalence of OSA is substantial among males but non-significant among females. The efficacy of daytime sleepiness scales in evaluating OSA is poor. The fatigue scale may be more effective in the screening of OSA, at least in males. Limitations of the study include potential response bias due to participant anonymity and the use of the STOP-Bang Questionnaire instead of polysomnography, the gold standard for OSA diagnosis.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 3","pages":"513-520"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is botulinum toxin the future of orofacial pain management? Evidence and perspectives.","authors":"Matteo Val, Daniele Manfredini, Luca Guarda Nardini","doi":"10.17219/dmp/200127","DOIUrl":"10.17219/dmp/200127","url":null,"abstract":"<p><p>Botulinum toxin (BTX) demonstrates potential as a complementary therapy in managing chronic orofacial pain (OFP), but challenges in the standardization of protocols and indications remain.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 3","pages":"405-407"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of the soft tissue thickness and the levels of vitamin D3 as important factors in bone preservation around the dental implant platform: A retrospective observational study.","authors":"Joanna Dulinska-Litewka, Dariusz Wilisowski, Dominik Felkle","doi":"10.17219/dmp/179004","DOIUrl":"10.17219/dmp/179004","url":null,"abstract":"<p><strong>Background: </strong>Most dental implants are made of titanium (Ti) or, more recently, ceramic. Both of these materials are safe and biocompatible. Maintaining healthy bone around the dental implant platform is a key component of any modern implant therapy. Understanding the impact of various external factors on marginal bone preservation is essential for accurate diagnosis before any planned procedure.</p><p><strong>Objectives: </strong>The aim of the present study was to assess the preservation of the alveolar bone near the implant platform with regard to varying parameters of gingival thickness over the implant site and different serum vitamin D3 levels.</p><p><strong>Material and methods: </strong>The study analyzed the records of 72 patients who had a total of 115 dental implants inserted with the simultaneous preoperative determination of vitamin D3 levels and the soft tissue thickness between January 2022 and February 2023 at a private medical facility.</p><p><strong>Results: </strong>Patients with vitamin D deficiency showed significantly higher levels of bone loss around implants as compared to those with normal vitamin D levels. Moreover, the thickness of the gingival tissue over the implant site had a significant effect on the preservation of the alveolar bone around the implant platform, regardless of the vitamin D3 status.</p><p><strong>Conclusions: </strong>Monitoring the concentration of 25-hydroxycholecalciferol (25(OH)D), along with the radiological assessment of the gingival tissue thickness, may be a simple and reliable method to achieve predictable outcomes in dental implantology.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 3","pages":"499-504"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144612065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}