Kyoung-Hwa Kim, Gloria Ha Young Ahn, Yang-Jo Seol, Shin-Young Park
{"title":"Establishing cut-off values for salivary MMP-8 and IL-1β in the diagnosis of active periodontal disease: a preliminary cohort study toward the development of a diagnostic kit.","authors":"Kyoung-Hwa Kim, Gloria Ha Young Ahn, Yang-Jo Seol, Shin-Young Park","doi":"10.5051/jpis.2404200210","DOIUrl":"https://doi.org/10.5051/jpis.2404200210","url":null,"abstract":"<p><strong>Purpose: </strong>The identification of specific target molecules and their appropriate cut-off values is crucial for the successful development of <i>in vitro</i> diagnostics. Salivary biomarkers, such as interleukin-1β (IL-1β) and matrix metalloproteinase-8 (MMP-8), have been investigated for their potential in diagnosing periodontal disease. This study aimed to evaluate the efficacy of IL-1β and MMP-8 as diagnostic tools and to establish their cut-off values for distinguishing active types of periodontal disease from healthy conditions.</p><p><strong>Methods: </strong>We conducted a prospective cohort study involving 47 participants, who were divided into 2 groups: the control group consisted of 24 individuals with healthy or mild periodontal conditions (stages I-II of periodontal disease), and the periodontal group comprised 23 individuals with moderate to severe periodontal disease (stages III-IV). Saliva samples were collected from all participants, followed by an oral examination, periodontal charting, and radiographic assessments. The salivary concentrations of IL-1β and MMP-8 were quantified using enzyme-linked immunosorbent assays.</p><p><strong>Results: </strong>Significant differences in salivary levels of IL-1β and MMP-8 were observed between the control group and those with periodontal disease. However, after adjusting for age and sex, these differences were not statistically significant for IL-1β. In contrast, the differences remained significant for MMP-8 in participants classified as having an active type of periodontal disease, specifically those in the periodontal group with more than 10% bleeding on probing. By setting a cut-off value of 200 ng/mL for salivary MMP-8, the sensitivity and specificity for diagnosing active periodontal disease were determined to be 70% and 86.5%, respectively.</p><p><strong>Conclusions: </strong>Our findings indicate that salivary MMP-8, using a cut-off value of 200 ng/mL, serves as a reliable biomarker for identifying active periodontal disease. This biomarker holds potential for further development into a diagnostic tool in <i>in vitro</i> settings, which could improve the early detection and management of periodontal disease.</p>","PeriodicalId":48795,"journal":{"name":"Journal of Periodontal and Implant Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Su-Bin Hong, Bo-Ah Lee, Woo-Ri Lee, Jung-Seok Lee, Young-Taek Kim
{"title":"Comparative analysis of novel damping capacity analysis devices for assessing implant stability in clinical practice.","authors":"Su-Bin Hong, Bo-Ah Lee, Woo-Ri Lee, Jung-Seok Lee, Young-Taek Kim","doi":"10.5051/jpis.2404680234","DOIUrl":"https://doi.org/10.5051/jpis.2404680234","url":null,"abstract":"<p><strong>Purpose: </strong>Implant stability testing is crucial for verifying osseointegration before prosthetic loading. Several methods have been developed to assess osseointegration. Among these, damping capacity analysis (DCA) devices offer a user-friendly and non-invasive approach. In this study, we evaluated the accuracy and reliability of newly available DCA devices in assessing dental implant stability.</p><p><strong>Methods: </strong>This study included 58 implants from 37 patients over a 1-month period. Three measurements per implant were obtained with healing abutments in place, following the manufacturers' guidelines, using the DCA-P (Periotest M, Medizintechnik Gulden), DCA-A (Anycheck, Neobiotech), and DCA-T (The Trust, Dentium) devices. Factors such as healing abutment height, time since placement, bone grafting, fixture diameter, and fixture length were evaluated. Accuracy was assessed using DCA-P as the reference, and reproducibility was statistically analyzed using 3 measurements per implant. Statistical analyses were performed with SPSS Statistics 23.0 (IBM Corp.).</p><p><strong>Results: </strong>All implants that passed the stability tests using DCA devices were restored with definitive prostheses and showed no signs of early failure. The DCA-A value demonstrated a very strong correlation with the DCA-P value (DCAV-P), whereas the DCA-T value exhibited only a moderate correlation with DCAV-P. DCA-P also showed the highest reliability, followed by DCA-A and then DCA-T. The reliability of DCA-A and DCA-T was not significantly affected by any of the assessed factors; in contrast, DCA-P's reliability was significantly influenced by arch location and specific quadrant position.</p><p><strong>Conclusions: </strong>With DCA-P as the reference, DCA-A demonstrated superior accuracy compared to DCA-T. Although DCA-P exhibited the highest reliability, its performance was significantly affected by the positional factors of the target implant.</p>","PeriodicalId":48795,"journal":{"name":"Journal of Periodontal and Implant Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Performance of artificial intelligence-based diagnosis and classification of peri-implantitis compared with periodontal surgeon assessment: a pilot study of panoramic radiograph analysis.","authors":"Jae-Hong Lee, Yeon-Tae Kim, Falk Schwendicke","doi":"10.5051/jpis.2500280014","DOIUrl":"https://doi.org/10.5051/jpis.2500280014","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to evaluate the diagnostic and classification performance of a deep learning (DL) model for peri-implantitis-related bone defects using panoramic radiographs, focusing on defect morphology and severity.</p><p><strong>Methods: </strong>A dataset comprising 1,075 panoramic radiographs from 426 patients with peri-implantitis was analyzed. A total of 2,250 implant sites were annotated and categorized based on defect morphology (intraosseous [class I], supracrestal/horizontal [class II], or combined [class III]) and severity (slight, moderate, or severe). The ensemble-based YOLOv8 DL model was trained on 80% of the dataset, with the remaining 20% reserved for testing. Performance was assessed using classification metrics, including accuracy, precision, recall, and F1 score. The diagnostic accuracy of the DL model was also compared with that of 2 board-certified periodontal surgeons.</p><p><strong>Results: </strong>The DL model achieved an overall accuracy of 85.33%, significantly outperforming the periodontal surgeons, who exhibited a mean accuracy of 75.6%. The DL model performed especially well for slight class II defects, with precision and recall values of 100% and 98%, respectively. In contrast, the periodontal surgeons demonstrated higher accuracy in severe cases, particularly for class II defects.</p><p><strong>Conclusions: </strong>DL enables reliable and accurate detection of peri-implantitis bone defects. It outperformed periodontal surgeons in overall accuracy, demonstrating its potential as a valuable second-opinion tool to support clinical decision-making. Future research should focus on expanding datasets and incorporating multimodal imaging.</p>","PeriodicalId":48795,"journal":{"name":"Journal of Periodontal and Implant Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dae-Young Kang, Hyeon-Seong Ahn, Jun-Hyeong Kong, Sangmin Kim, Sung-Jo Lee, In-Woo Cho, Hyun-Seung Shin, Leonardo Trombelli, Jung-Chul Park, Hyun-Chang Lim
{"title":"Multivariable analysis to identify predictors of dental implant failure after alveolar ridge preservation: a non-interventional observational study.","authors":"Dae-Young Kang, Hyeon-Seong Ahn, Jun-Hyeong Kong, Sangmin Kim, Sung-Jo Lee, In-Woo Cho, Hyun-Seung Shin, Leonardo Trombelli, Jung-Chul Park, Hyun-Chang Lim","doi":"10.5051/jpis.2404660233","DOIUrl":"https://doi.org/10.5051/jpis.2404660233","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to determine predictors of implant treatment failure after alveolar ridge preservation (ARP).</p><p><strong>Methods: </strong>The study included patients who received implant treatment after ARP between 2014 and 2020. The demographic, clinical, and radiographic data of these patients were collected. Implant success was defined as the absence of pain or tenderness, no mobility, a change of <2 mm in marginal bone level, and no exudation. A Cox proportional hazards model with shared frailty was used to estimate hazard ratios (HRs) for the demographic, clinical, and radiographic factors contributing to implant failure.</p><p><strong>Results: </strong>The study included 528 implants from 412 patients. The cumulative success rate over 3.5±1.8 years (mean ± standard deviation) was 89.0% (95% confidence interval [CI], 85.4%-92.8%), with 43 failed implants. The multiple Cox proportional hazards model with shared frailty indicated that a pristine bone engagement (PBE) of <1.1 mm was significantly associated with implant failure (HR, 2.50; 95% CI, 1.34-4.67; <i>P</i>=0.004).</p><p><strong>Conclusions: </strong>PBE of at least 1.1 mm appears to decrease the probability of implant failure after ARP.</p>","PeriodicalId":48795,"journal":{"name":"Journal of Periodontal and Implant Science","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Junho Jung, Gyu-Jo Shim, Jung Soo Park, Yong-Dae Kwon, Jae-In Ryu
{"title":"Effect of anti-resorptive therapy on implant failure: a systematic review and meta-analysis.","authors":"Junho Jung, Gyu-Jo Shim, Jung Soo Park, Yong-Dae Kwon, Jae-In Ryu","doi":"10.5051/jpis.2304040202","DOIUrl":"https://doi.org/10.5051/jpis.2304040202","url":null,"abstract":"<p><strong>Purpose: </strong>This review was conducted to systematically assess the impact of bisphosphonates (BPs) and denosumab, used as anti-resorptive therapies, on the incidence of dental implant failure.</p><p><strong>Methods: </strong>Electronic and manual searches were performed in accordance with the described search protocol. Only articles that met the inclusion criteria were selected. The primary outcome was implant failure, while secondary outcomes included biological complications and comorbidities. Following data extraction, a quality assessment and meta-analysis were conducted.</p><p><strong>Results: </strong>Fourteen eligible studies were included in the analysis following a qualitative evaluation. BP administration, regardless of the timing of anti-resorptive therapy, did not significantly increase the risk of implant failure (odds ratio [OR], 1.40; 95% confidence interval, 0.83-2.34). Subgroup analysis revealed a slightly higher, although statistically insignificant, risk of failure in patients with a follow-up period of 3 years or more compared to those with a follow-up duration of less than 3 years (with ORs of 2.82 and 1.53, respectively). Due to a lack of eligible studies, a meta-analysis for denosumab could not be conducted.</p><p><strong>Conclusions: </strong>Our findings suggest that BP treatment does not compromise the survival of dental implants. Specifically, in patients with osteoporosis, implant failure rates were not significantly influenced by the administration of BPs before the placement of dental implants, suggesting that low-dose BP therapy may not contraindicate implant placement. Nevertheless, regular check-ups and maintenance periodontal treatment must not be neglected, and concomitant biological factors should be considered to ensure the long-term success of implant rehabilitation.</p>","PeriodicalId":48795,"journal":{"name":"Journal of Periodontal and Implant Science","volume":"55 2","pages":"87-103"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Young Woo Song, Seung Ha Yoo, Jin-Young Park, Jae-Kook Cha, Jeong-Won Paik, Jung-Seok Lee, Daniel S Thoma, Ui-Won Jung
{"title":"Long-term clinical and radiographic outcomes of a bone-level, 2-piece, internal connection implant system with coronal microthreads over 10 years of follow-up: a retrospective clinical study.","authors":"Young Woo Song, Seung Ha Yoo, Jin-Young Park, Jae-Kook Cha, Jeong-Won Paik, Jung-Seok Lee, Daniel S Thoma, Ui-Won Jung","doi":"10.5051/jpis.2401100055","DOIUrl":"https://doi.org/10.5051/jpis.2401100055","url":null,"abstract":"<p><strong>Purpose: </strong>This study retrospectively investigated the long-term clinical and radiographic outcomes of a bone-level type, 2-piece, internal connection dental implant system characterized by coronal microthreads.</p><p><strong>Methods: </strong>A total of 872 implants placed in 284 patients were selected from 1,845 implants placed in 691 patients by experienced periodontists at Yonsei University Dental Hospital. These selected implants had been followed up for over 10 years and were included in the present study. A statistical evaluation of implant survival and treatment success, based on changes in marginal bone levels, was conducted using electronic records and consecutively taken radiographs.</p><p><strong>Results: </strong>Over a follow-up period of 12.3±2.0 years, 830 of the 872 implants remained intact, yielding a cumulative survival rate of 95.2% at the implant level and 88.4% at the patient level. The cumulative treatment success rates, characterized by marginal bone loss of less than 2 mm, stood at 87.0% for implants and 76.1% for patients. Among the 830 surviving implants, 113 fixtures were classified as ailing, with an average marginal bone loss of 4.09±1.44 mm. Cox regression analysis revealed that implants 8 mm in length or shorter were significantly more likely to fail or experience pathologic marginal bone resorption, with hazard ratios of 3.71 and 2.00, respectively (<i>P</i><0.05).</p><p><strong>Conclusions: </strong>The survival and treatment success of the investigated microthreaded, bone-level, 2-piece, internal connection implants were acceptable over a follow-up period exceeding 10 years. However, shorter dental implants exhibited a higher propensity for failure and excessive marginal bone loss.</p>","PeriodicalId":48795,"journal":{"name":"Journal of Periodontal and Implant Science","volume":"55 2","pages":"153-166"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correlation between newly formed bone and the progression of experimental peri-implantitis with or without alveolar ridge preservation in infected and non-infected teeth: a secondary analysis of a preclinical study.","authors":"Jungwoo Jung, Seunghee Lee, Jungwon Lee, Young-Chang Ko, Dongseob Lee, Yang-Jo Seol, Ki-Tae Koo, Yong-Moo Lee","doi":"10.5051/jpis.2402100105","DOIUrl":"https://doi.org/10.5051/jpis.2402100105","url":null,"abstract":"<p><strong>Purpose: </strong>We examined the progression of experimental peri-implantitis in sites that underwent either alveolar ridge preservation (ARP) or spontaneous healing (SH), comparing infected teeth (IT) and non-infected teeth (NIT). This investigation is a secondary analysis of a preclinical study aimed at exploring the correlation between newly formed bone and implant stability quotient (ISQ), as well as the association between newly formed bone and the progression of experimental peri-implantitis.</p><p><strong>Methods: </strong>The bilateral mandibular third or fourth premolars of 6 beagle dogs were randomly assigned to 4 groups: IT/SH, IT/ARP, NIT/SH, and NIT/ARP. Following implant placement, core biopsies were retrieved from each site, and the ISQ value was measured. A 3-month period was allowed for peri-implantitis induction, followed by an additional 3 months for the spontaneous progression of peri-implantitis, with radiographs taken at each time point.</p><p><strong>Results: </strong>During the spontaneous progression of peri-implantitis, no statistically significant differences were observed among the groups in terms of mean ISQ values and radiographic marginal bone loss. Similarly, the percentages of bone substitute, newly formed bone, and fibrovascular connective tissue in core biopsies did not differ significantly among the groups. Linear regression analysis revealed no significant linear correlation between newly formed bone and ISQ in any group (<i>P</i>>0.05). However, a weak linear correlation between newly formed bone and marginal bone loss during the spontaneous progression of peri-implantitis was noted in the IT/SH group alone (<i>P</i>=0.036).</p><p><strong>Conclusions: </strong>Within the limitations of this study, we were unable to demonstrate that ARP could improve newly formed bone or primary implant stability. Furthermore, neither ARP nor SH significantly influenced the spontaneous progression of experimental peri-implantitis.</p>","PeriodicalId":48795,"journal":{"name":"Journal of Periodontal and Implant Science","volume":"55 2","pages":"139-152"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hye-Rim Shin, Sun-Young Kim, In-Hye Bae, Inseong Hwang, Jin Hoo Park, Soo-Min Ok, Young-Youn Kim, Young-Dan Cho
{"title":"Standard operating procedures for quality control of oral biospecimens at the Korea Oral Biobank Network.","authors":"Hye-Rim Shin, Sun-Young Kim, In-Hye Bae, Inseong Hwang, Jin Hoo Park, Soo-Min Ok, Young-Youn Kim, Young-Dan Cho","doi":"10.5051/jpis.2401920096","DOIUrl":"https://doi.org/10.5051/jpis.2401920096","url":null,"abstract":"<p><strong>Purpose: </strong>The Korean Oral Biobank Network (KOBN) collects, stores, and provides oral samples for research. Quality control (QC) of biospecimens is necessary to ensure that they meet the basic prerequisites before being sent to researchers. This study presents the standard operating procedures (SOPs) for the QC of biospecimens.</p><p><strong>Methods: </strong>QC methods using molecular genetic techniques according to sample types, including teeth, blood, oral soft tissue, oral tissue-derived cells, saliva, mouth rinse solution, dental plaque, and gingival crevicular fluid, are described in detail.</p><p><strong>Results: </strong>The KOBN established SOP for oral biospecimen QC and assessment methods.</p><p><strong>Conclusions: </strong>To ensure a stable supply of high-quality biospecimens for researchers, regular QC checks should be carried out according to the SOP following the specifications of the Korea Biobank Network under the Korea Disease Control and Prevention Agency.</p>","PeriodicalId":48795,"journal":{"name":"Journal of Periodontal and Implant Science","volume":"55 2","pages":"127-138"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sungtae Kim, Hee-Seung Han, Hyunkyung Kim, Hyunjae Kim, Yang-Jo Seol, Young-Dan Cho
{"title":"Long-term assessment of a modified tunneling technique for root coverage in lower anterior gingival recession: a retrospective study.","authors":"Sungtae Kim, Hee-Seung Han, Hyunkyung Kim, Hyunjae Kim, Yang-Jo Seol, Young-Dan Cho","doi":"10.5051/jpis.2402660133","DOIUrl":"https://doi.org/10.5051/jpis.2402660133","url":null,"abstract":"<p><strong>Purpose: </strong>Root coverage (RC) procedures require long-term evaluation. This study assessed the clinical validity and long-term stability of a modified tunneling technique for lower anterior gingival recession (GR) using a subepithelial connective tissue graft (SCTG) and a volume-stable collagen matrix.</p><p><strong>Methods: </strong>Across 39 patients, 66 mandibular incisors with ≥1.0 mm of GR were examined before and after RC surgery. Clinical photographs documenting the results of RC were taken at baseline (T₀) and the most recent follow-up visit (T<i><sub>l</sub></i>). Impressions were obtained either at baseline (T₀) or 3 weeks later (T₃). The recession depth, Miller classification, and rates of RC and complete root coverage (CRC) were assessed.</p><p><strong>Results: </strong>This study analyzed 66 GR sites across 39 patients, with an average follow-up period of 41.3 months. Overall, the mean RC achieved was 86.2%±15.7%. Among single recessions, the RC was 85.2%±25.6% for Miller class I, 91.5%±10.4% for class II, and 79.2%±18.3% for class III. Regarding multiple recessions, the RC was 85.1%±16.2% for Miller class I, 87.0%±12.5% for class II, and 89.8%±16.0% for class III. By Miller classification, the RC was 85.1%±16.8% for class I, 88.7%±11.6% for class II, and 85.8%±17.3% for class III. Furthermore, the RC varied by follow-up duration: 72.5%±15.1% at 12 months, 90.1%±12.6% at 25-36 months, 89.0%±16.7% at 37-48 months, 91.10%±9.88% at 49-60 months, and 97.6±4.79% for longer than 61 months, with 77.8% of the last group achieving CRC. RC also differed based on the initial recession depth, at 88.0%±16.8% for 1-3 mm, 83.1%±14.1% for 3-6 mm, and 80.2%±5.04% for depths exceeding 6 mm.</p><p><strong>Conclusions: </strong>A modified tunneling technique, utilizing SCTG and a volume-stable collagen matrix, appears to represent a reliable option for the long-term management of GR in the lower anterior region, even in cases involving multiple Miller class III GRs.</p>","PeriodicalId":48795,"journal":{"name":"Journal of Periodontal and Implant Science","volume":"55 2","pages":"115-126"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"Gum Day\" of the Korean Academy of Periodontology.","authors":"Nam Yoon Kim","doi":"10.5051/jpis.255502edi01","DOIUrl":"https://doi.org/10.5051/jpis.255502edi01","url":null,"abstract":"","PeriodicalId":48795,"journal":{"name":"Journal of Periodontal and Implant Science","volume":"55 2","pages":"85-86"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}