Saudi Dental Journal最新文献

{"title":"Knowledge of dental practitioners regarding Molar incisor hypo-mineralization: a systematic review and meta-analysis.","authors":"Narjes Amrollahi, Negin Zamani, Mohammad Javad Tarrahi","doi":"10.1007/s44445-026-00242-z","DOIUrl":"10.1007/s44445-026-00242-z","url":null,"abstract":"<p><p>Molar incisor hypo-mineralization (MIH) is a qualitative developmental enamel defect involving one or more molars that may affects the incisors simultaneously. The present study examines the awareness of dentists regarding to MIH and compiles the existing studies in the form of a systematic review and meta-analysis. The research was conducted in the form of a secondary study, with a systematic search of texts until March 2026 in the databases of Scopus, Web of Science, and PubMed. Articles were selected based on eligibility criteria and finally the search results were reported in the PRISMA chart. The quality of the studies was assessed based on the Joanna Briggs Institute (JBI) checklist. The extracted information was entered in 18 Stata software. Heterogeneity was assessed using Q-Cochran square test, 12statistic. Egger tests were used to detect diffusion bias. After removing the duplicate articles and checking the titles, abstracts and full texts of the articles, 20 articles were subjected to quality assessment. Finally, 18 articles were entered into meta-analysis According to statistical results, the awareness of all dental practitioners regarding the recognition of MIH and prevalence of MIH was 79% (95% confidence interval [CI]:0.71-0.86) and 23% (95%CI: 0.17-0.30) respectively. The awareness of all practitioners about etiologic factors of MIH such as \"genetics\" 59%(95%CI:0.49-0.69), \"chronic diseases\"59% (95%CI:0.47-0.71), \"acute diseases\" 52%(95%CI:0.43-0.62), \"antibiotic use\" 51%(95%CI0.42-0.61), \"environmental contaminations\" 37% (95%CI:0.28-0.45) and \"fluoride exposure\" 15%(95%CI:0.10-0.21) were assessed. The results of the present study showed that the knowledge of different practitioners in diagnosis, prevalence and etiology of MIH is variable.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 10","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149064717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Baseline factors associated with complete root coverage at 6 months after matrix-assisted treatment of multiple gingival recessions: a post Hoc exploratory analysis of randomized trial data.","authors":"Basima Gh Ali, Hadeel Mazin Akram, Omar Husham Ali","doi":"10.1007/s44445-026-00246-9","DOIUrl":"10.1007/s44445-026-00246-9","url":null,"abstract":"<p><p>Complete root coverage (CRC) after treatment of multiple gingival recession defects may vary among treated sites, even when the same surgical protocol is used. This post hoc exploratory secondary analysis of randomized trial data aimed to evaluate baseline clinical factors associated with complete root coverage at 6 months after modified coronally advanced flap (MCAF) plus volume-stable collagen matrix (VCMX), with or without injectable platelet-rich fibrin (i-PRF). Patients with multiple gingival recession defects were treated with MCAF plus VCMX, with or without i-PRF. CRC was analyzed at the site level at 6 months. Because multiple treated sites were nested within patients, logistic generalized estimating equations with patient-level clustering were used. Univariable clustered models were followed by a parsimonious adjusted model including intervention group, baseline gingival recession depth, baseline gingival thickness, and age. Baseline probing pocket depth was evaluated in an additional exploratory adjusted model. The analysis included 79 recession sites from 24 patients, with 37 sites treated using MCAF + VCMX and 42 using MCAF + VCMX + i-PRF. Complete root coverage was achieved in 20 sites overall, including 7 sites in the MCAF + VCMX group and 13 in the MCAF + VCMX + i-PRF group. In the univariable clustered analysis, greater baseline gingival recession depth was associated with lower odds of complete root coverage, whereas baseline probing pocket depth was positively associated. In the adjusted model, baseline gingival recession depth remained associated with lower odds of CRC (adjusted OR 0.269, 95% CI 0.099-0.730; p = 0.010), while the association with baseline probing pocket depth became borderline and imprecise. Greater baseline gingival recession depth was associated with lower odds of complete root coverage at 6 months. Because only 20 CRC events were observed, the adjusted GEE estimates were imprecise and should be interpreted as exploratory. The findings should not be considered predictive or as evidence of superiority of either treatment protocol.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 10","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative efficacy of locally delivered 1.2% rosuvastatin and 1.2% simvastatin gel as an adjunct to non-surgical periodontal therapy in chronic periodontitis: a clinical and microbiological assay.","authors":"Haripriya Rajaram, G Hima Bindu, K Rekha Rani, Mehul A Shah, Vignesh Kamath","doi":"10.1007/s44445-026-00239-8","DOIUrl":"10.1007/s44445-026-00239-8","url":null,"abstract":"<p><p>To evaluate and compare the clinical and microbiological efficacy of locally administered 1.2% Rosuvastatin (RSV) gel and 1.2% Simvastatin (SMV) gel as an adjunct to scaling and root planing (SRP) in the treatment of patients with chronic periodontitis. In this exploratory comparative study, 60 qualifying periodontal pockets (probing pocket depth [PPD] of 5-7 mm) from patients aged 25-55 years were randomized into three groups ($n = 20$ pockets per group): Group I received SRP + local delivery of 1.2% RSV gel; Group II received SRP + local delivery of 1.2% SMV gel; and Group III (control) received SRP + placebo gel. Clinical parameters-Plaque Index (PI), Modified Gingival Index (MGI), Sulcus Bleeding Index (SBI), PPD, and Clinical Attachment Loss (CAL)-were evaluated at baseline, 6 weeks, and 3 months. Microbiological assessment of Porphyromonas gingivalis (Pg) and Aggregatibacter actinomycetemcomitans (Aa) was performed using Polymerase Chain Reaction (PCR) at baseline and 6 weeks. All 60 sites completed the study with no dropouts or adverse reactions. At 6 weeks and 3 months, both statin groups (Groups I and II) demonstrated statistically significant reductions in MGI, SBI, PPD, and CAL compared to the placebo group ($P < 0.05$). The statin groups also showed significantly lower levels of Aa and Pg at 6 weeks. Comparison between the two statins revealed that the SMV group achieved greater reductions in clinical indices (MGI, SBI, PPD, CAL) and bacterial counts (Aa and Pg) than the RSV group; however, this difference was not statistically significant (P < 0.05). No significant differences in PI scores were found between any of the groups at any interval (P < 0.05). The local delivery of both 1.2% simvastatin gel and 1.2% rosuvastatin gel as adjuncts to non-surgical periodontal therapy significantly improved clinical and microbiological outcomes in chronic periodontitis. While simvastatin demonstrated slightly greater absolute improvements than rosuvastatin, the overall therapeutic difference between the two statins was not statistically significant.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 10","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13601477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evolution of scaffold materials for periodontal therapeutics over two decades (2005-2025): A bibliometric mapping analysis.","authors":"Yiran Lu, Xueyi Li, Ruyiren Hu, Jie Huang, Feifei Zeng, Liqi Wang, Shuo Yang, Yuting Yang, Weilian Sun","doi":"10.1007/s44445-026-00235-y","DOIUrl":"10.1007/s44445-026-00235-y","url":null,"abstract":"<p><p>This study employed bibliometric methods to summarize the global distribution patterns, knowledge systems, and dynamic changes in hotspots of research on periodontal treatment scaffold materials over a 20-year period (2005-2025). Relevant literature related to periodontal diseases and scaffold materials was from the Web of Science Core Collection. A total of 528 eligible English-language articles were identified and analyzed using CiteSpace and VOSviewer software for visualizing and interpreting annual publication volume, international and institutional collaborations, authors, co-cited journals, and keywords. The results indicated that the number and influence of publications significantly increased from 2015, with over 60% of total publications occurring between 2020 and 2024. China and the U.S. were the top publishing countries, and international collaborative research, especially between Europe and the U.S. and between Europe, the U.S., and China, emerged as a crucial means to drive future innovation. High-frequency keywords revealed evolving themes in this field: initially focusing on basic research such as in vitro studies and stem cell differentiation, then moving towards clinical applications like bone regeneration and delivery systems, and in the last five years (post-2020), mainly centered around functional biomaterials, including hydrogels, chitosan, nanocomposites, and three-dimensional (3D)-printed scaffold materials, combined with antibacterial, immunomodulatory, and regenerative properties. The research in periodontal scaffold materials has shifted from basic in vitro experiments to clinical translational regenerative strategies. Future research will focus on developing multifunctional, personalized smart scaffold materials through continuous international and interdisciplinary collaboration and integrating them into comprehensive regenerative therapies, aiming to improve the clinical results of periodontal therapy.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 10","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13594021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital OPG forensic tool for biological sex determination and age estimation in Malaysians - a retrospective study.","authors":"Sameen Rajasekar Jaiseelal, Wong Ha Hong, Visithra A/P Gunalan, Wong Por-Ly, Yem Pui San, Sowmya Srinivas","doi":"10.1007/s44445-026-00209-0","DOIUrl":"10.1007/s44445-026-00209-0","url":null,"abstract":"<p><p>Forensic odontology plays a vital role in identifying individuals, especially in scenarios involving mass disasters and unidentified remains. This study investigates the forensic applicability of mandibular ramus measurements and mental foramen positioning using digital orthopantomograms (OPGs) among the Malaysian population. A retrospective analysis was conducted on 240 OPGs sourced from AIMST University's oral radiology archives. Patients were grouped by age (20-50 years) and analyzed by population affinity and biological sex. Linear measurements of the mandibular ramus and gonial angle were taken, and mental foramen positions were assessed using Scanora and Adobe Photoshop software. Data were analyzed using SPSS (Statistical Package for the Social Sciences) software, with significance set at p < 0.05. Significant biological sex-based differences were observed in the condylar ramus height (p = 0.0382), and age-based differences in lower ramus breadth (p = 0.0256). Ethnic variation was also noted in upper ramus breadth (p = 0.0423). The horizontal and vertical positions of the mental foramen showed statistically significant associations with biological sex (p = 0.045 and p = 0.023, respectively), and age influenced horizontal positioning (p = 0.029).These parameters could serve as reliable indicators in digital forensic identification tools, enhancing accuracy in sex and age estimation for the Malaysian population.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 10","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13593979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between tooth loss and kidney function: indirect roles of oxidative stress and systemic inflammation in NHANES 2001-2020.","authors":"Linwen Gong, Lin Niu, Wei Zhao","doi":"10.1007/s44445-026-00232-1","DOIUrl":"10.1007/s44445-026-00232-1","url":null,"abstract":"<p><strong>Background: </strong>Tooth loss and chronic kidney disease (CKD) are globally prevalent conditions with substantial impacts on overall health. Previous evidence suggests an association between tooth loss and CKD, but its characteristics and potential biological pathways remain unclear. This study examined the association between tooth loss and estimated glomerular filtration rate (eGFR)-related CKD and explored potential indirect associations of systemic oxidative stress, quantified by the oxidative balance score (OBS), and the systemic immune-inflammation index (SII).</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis of participants from the 2001-2020 National Health and Nutrition Examination Survey (NHANES). Regression models were fitted to examine the associations of tooth loss with eGFR, OBS, and SII, together with the associations of OBS and SII with eGFR. In addition, bootstrap analyses were used to estimate potential indirect associations of systemic oxidative stress and SII in the association between tooth loss and eGFR.</p><p><strong>Results: </strong>A total of 17,833 participants were included, with 1,837 in the CKD group (eGFR < 60 mL/min/1.73 m²) and 15,996 in the non-CKD group. In the model after covariate adjustment, tooth loss in the fourth quartile was negatively correlated with eGFR in females (β = -1.291[-2.343, -0.238], P < 0.05) and associated with a higher risk of CKD (OR = 1.379[1.079, 1.763], P < 0.05), but this association was not significant in males. In females, higher tooth loss was associated with lower OBS and higher SII. Mediation analyses estimated potential indirect associations through OBS and SII in the association between tooth loss and eGFR, with estimated proportions of 13.514% and 4.054%, respectively.</p><p><strong>Conclusions: </strong>This study found an association between tooth loss and eGFR-related CKD, particularly in females. Systemic oxidative stress (calculated by OBS) and SII showed potential indirect associations in females, providing insight into possible systemic pathways linking tooth loss and renal function. These findings support further longitudinal investigation of oxidative and inflammatory pathways underlying the relationship between oral health and kidney function.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 10","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13594069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modulating the periodontal wound microenvironment through oxygen therapy: a narrative review on the biological basis, clinical applications and future perspectives.","authors":"Amani M Basudan","doi":"10.1007/s44445-026-00240-1","DOIUrl":"10.1007/s44445-026-00240-1","url":null,"abstract":"<p><p>Topical oxygen-releasing formulations have emerged as a potential adjunctive approach to enhance wound healing outcomes in conditions such as gingivitis, periodontitis and peri-implant diseases. Periodontal wound healing is a complex biological process influenced by microbial load, tissue oxygenation, and host inflammatory responses. This narrative review aimed to evaluate the available clinical evidence on the effectiveness of topical oxygen-releasing products in oral soft and hard tissue wound management. Unlike previous broad reviews of topical oxygen therapy, this review specifically synthesizes its role in periodontal wound healing, compares clinical outcomes with conventional therapies, and evaluates emerging opportunities for integration into regenerative periodontal strategies. An organised literature search was conducted in PubMed, Scopus, Web of Science, and the Cochrane Library for studies published till 2025. Eligible studies included primarily randomized controlled trials, evaluating clinical outcomes related to periodontal wound healing. A structured search of five electronic databases was undertaken, and eligible studies were narratively synthesized in accordance with the Scale for the Assessment of Narrative Review Articles (SANRA). Included studies, were evaluated qualitatively to compare the efficacy of topical oxygen therapy as an adjunct in periodontal wound healing. The findings suggest that topical oxygen-releasing formulations provide adjunctive benefits in specific contexts, particularly in postoperative healing, periodontal therapy, enhancing soft tissue healing, and improving patient-reported outcomes such as pain and discomfort. However, many outcomes were comparable to conventional therapies such as chlorhexidine. Topical oxygen-releasing formulations appear to be a potential adjunct in periodontal wound repair, particularly in hypoxic or inflammatory conditions.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 10","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13586114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vascularized free flaps based oral reconstruction: a narrative review of dental functional outcomes.","authors":"Sami Mohammad Alotaibi","doi":"10.1007/s44445-026-00238-9","DOIUrl":"10.1007/s44445-026-00238-9","url":null,"abstract":"<p><p>Oral soft- and hard-tissue defects resulting from oncologic resection, trauma, or other acquired conditions often require complex reconstruction to restore form and function, with vascularized free flaps providing a reliable approach for extensive tissue replacement. Despite their widespread use in oral and maxillofacial reconstruction, their implications for general dental practice remain less clearly defined, particularly regarding speech, mastication, swallowing, dental rehabilitation, and long-term maintenance. This narrative review aims to synthesize current evidence on functional and dental outcomes following vascularized free flap reconstruction, with emphasis on their clinical relevance for general dental practitioners involved in long-term care. A comprehensive literature search was conducted across major biomedical databases for English-language publications from January 2015 to March 2026. Studies reporting functional, dental rehabilitation, or patient-reported outcomes following vascularized free flap reconstruction were included, together with selected review and guideline articles providing relevant clinical recommendations. The final narrative synthesis comprised 60 primary studies and 13 review/guideline articles. Although vascularized free flaps provide reliable reconstruction of complex oral defects, functional outcomes vary according to defect characteristics, flap selection, and rehabilitation. Thin, pliable flaps facilitate reconstruction where tissue mobility is important, whereas vascularized osseous flaps provide a foundation for implant-supported dental rehabilitation. Dental implants and prosthetic rehabilitation contribute substantially to restoration of mastication and quality of life; however, altered flap anatomy, peri-implant complications, restricted hygiene access, and radiotherapy-related effects present important long-term challenges. Patient-reported outcomes further indicate that successful anatomical reconstruction does not invariably correspond with complete functional recovery. Successful free flap reconstruction extends beyond flap survival to sustained functional and dental rehabilitation. General dental practitioners have an important role in preventive care, prosthetic and peri-implant maintenance, surveillance, and long-term multidisciplinary follow-up. Standardized functional and patient-reported outcome measures are needed to strengthen future evidence and guide dental management.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 10","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13582685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bone dimensional stability with versus without a stent following apically repositioned flap and single-stage implant placement: a randomized clinical trial.","authors":"Ahmed Hamdy, Jazia A Alblowi, Dalia Ghalwash","doi":"10.1007/s44445-026-00234-z","DOIUrl":"10.1007/s44445-026-00234-z","url":null,"abstract":"<p><p>Maintaining peri-implant bone and tissue health is essential for long-term implant success. The effectiveness of adjunctive stent stabilization is still unclear, though the apically repositioned flap (ARF) improves soft tissue conditions. Therefore, this study assessed whether the use of stents during single-stage placement improves peri-implant bone changes and clinical outcomes following ARF. This randomized clinical trial included twenty partially edentulous patients who were divided into two groups: ARF with stent stabilization (n = 10) and ARF using conventional suturing (n = 10). At baseline, three months, and six months, radiographic bone dimensions measured by cone-beam computed tomography (CBCT) were recorded, along with clinical parameters including probing depth (PD), plaque index (PI), and bleeding index (BI). Appropriate statistical tests were used for intragroup and intergroup comparisons (α = 0.05). No statistically significant intergroup differences were observed for any clinical or radiographic outcomes (p > 0.05). Over the course of the trial, PD, PI, and BI remained stable in both groups. Neither group's bone width changed significantly, according to CBCT data. The stent group's bone height remained stable (p = 0.216), the control group's bone height significantly decreased from baseline (p < 0.001), mostly in the early stages of healing. Within the limitations of this randomized clinical trial, ARF performed during single-stage implant placement produced anticipated early bone remodeling and stable peri-implant clinical conditions. When compared to traditional suturing, adjunctive stent stabilization did not offer any significant clinical or radiological advantages.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 9","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peri-prosthetic soft tissue considerations in periodontology and implantology: biological basis, clinical relevance, and contemporary perspectives.","authors":"Pavithra R, Vinita A Boloor, Rajesh K S, Anupama Rao","doi":"10.1007/s44445-026-00231-2","DOIUrl":"10.1007/s44445-026-00231-2","url":null,"abstract":"<p><strong>Background: </strong>Peri-prosthetic soft tissues play a critical role in maintaining biologic stability, functional longevity, and esthetic outcomes of restorative and implant therapy. Rather than acting as passive barriers, these tissues function as dynamic biologic interfaces that respond to restorative procedures, prosthetic contours, and mechanical influences. Contemporary understanding has expanded the traditional concept of gingival biotype into the broader periodontal and peri-implant phenotype, encompassing soft tissue thickness, keratinized mucosa width, and supracrestal tissue dimensions.</p><p><strong>Methods: </strong>To ensure a comprehensive overview of the literature, a focused electronic search was conducted across the PubMed, Scopus, and Cochrane Central Register of Controlled Trials databases for articles published between January 2000 and March 2026. Search strings utilized combinations of Medical Subject Heading (MeSH) terms and free-text terms including \"peri-prosthetic soft tissue,\" \"peri-implant phenotype,\" \"emergence profile,\" and \"supracrestal tissue attachment\". Selection prioritized randomized controlled trials, prospective clinical studies, and high-quality systematic reviews published in English. Additionally, classic historical landmark papers establishing foundational biological concepts were manually retrieved and included to provide necessary context.</p><p><strong>Results: </strong>Evidence indicates that soft tissue phenotype significantly influences marginal tissue stability, recession susceptibility, and peri-implant bone remodeling. Prosthetic design variables, including emergence profile, restoration contour, margin placement, and cementation techniques, play a decisive role in maintaining peri-prosthetic tissue health. Adequate soft tissue thickness and keratinized mucosa are associated with improved biologic stability, although some aspects remain subjects of ongoing debate. Recent advances in soft tissue augmentation, biomaterials, digital workflows, and minimally invasive approaches have expanded opportunities for phenotype modification and tissue optimization.</p><p><strong>Conclusion: </strong>Successful peri-prosthetic tissue management requires integration of periodontal biology, prosthetic design principles, and phenotype-driven treatment planning. Contemporary strategies focused on biologic preservation, soft tissue optimization, and minimally traumatic restorative protocols contribute to long-term peri-prosthetic health, stability, and esthetic success.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 9","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13542012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}