Francesco Corrado, Simone Marconcini, Saverio Cosola, Enrica Giammarinaro, Ugo Covani
{"title":"Immediate Implant and Customized Healing Abutment Promotes Tissues Regeneration: a 5-year Clinical Report.","authors":"Francesco Corrado, Simone Marconcini, Saverio Cosola, Enrica Giammarinaro, Ugo Covani","doi":"10.1563/aaid-joi-D-21-00224","DOIUrl":"https://doi.org/10.1563/aaid-joi-D-21-00224","url":null,"abstract":"<p><strong>Introduction: </strong>Significant alveolar bone resorption follows tooth extraction. Immediate implant placement alone is not sufficient to prevent this phenomenon.</p><p><strong>Case presentation: </strong>In this clinical case, a fractured upper first premolar was replaced by an immediate implant and a customized healing abutment designed on the perimeter of the extractive alveolus. After 3 months, the implant was restored. The facial and interdental soft tissue was maintained with appreciable success after 5 years. The pre- and 5-year-post-treatment CT scans showed no bone loss.</p><p><strong>Conclusion: </strong>The use of an interim customized healing abutment helps preventing hard and soft tissues collapse. This technique is very straightforward and might represent a smart preservation strategy when there is no indication for adjunctive hard or soft tissue grafting.</p>","PeriodicalId":50101,"journal":{"name":"Journal of Oral Implantology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9257695","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":"Effect of slice thickness of 3D printer in fabrication of surgical guide on the accuracy of dental implant placement.","authors":"Mehrdad Panjnoush, Yasaman Kheirandish, Reza Sharifi, Faeze Mirjalili","doi":"10.1563/aaid-joi-D-21-00179","DOIUrl":"https://doi.org/10.1563/aaid-joi-D-21-00179","url":null,"abstract":"<p><p>Introduction This study aimed to assess the effect of slice thickness of 3D printer in fabrication of surgical guide (SG) on the accuracy of dental implant placement. Materials and Methods After preparation of two dry human mandibles, Cone-beam computed tomography (CBCT) scans were obtained, and the location and direction of implants in the edentulous ridge of the mandible were identified using Romexis software. Data in STL format were transferred to a 3D printer and two SGs with 50 µm and 100 µm thicknesses were fabricated for each mandible. Drilling was performed using two SGs. The pre- and post-intervention CBCT scans were superimposed to measure the magnitude of differences. The two groups were compared using the Mann-Whitney U test. Results No significant difference was noted in SGs with 50 and 100 µm thicknesses in the coronal and apical regions of the implants or the depth of drilling. However, the difference in angular deviation was statistically significant. Conclusion Considering the higher accuracy of SGs with 50 µm thickness (despite the presence of a significant difference in AD between the SGs with different thicknesses), it is recommended to use a SG with 50 µm thickness in cases where anatomical limitations exist.</p>","PeriodicalId":50101,"journal":{"name":"Journal of Oral Implantology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9257696","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}
Hayriye Senturk Cesmeci, Hasan Onder Gumus, Mutlu Özcan
{"title":"Effect of Additive and Subtractive Coping Production Techniques on Retention and Marginal Fit of Implant Supported Crowns.","authors":"Hayriye Senturk Cesmeci, Hasan Onder Gumus, Mutlu Özcan","doi":"10.1563/aaid-joi-D-20-00069","DOIUrl":"https://doi.org/10.1563/aaid-joi-D-20-00069","url":null,"abstract":"<p><p>This study investigated the marginal and internal fit and retention of crowns fabricated using 4 different castable pattern production methods, namely plastic burn out coping, computer-aided design and computer-aided manufacturing (CAD-CAM) milled (CAD-CAM-M), CAD-CAM additive (CAD-CAM-A), and conventional. This study consisted of 5 groups including 2 different brands of burn out coping groups (Burn out-Straumann [Burn out-S] group and Burn out-Implance [Burn out-I] group), the CAD-CAM-M group, the CAD-CAM-A group, and the conventional group. A total of 50 metal crown copings were produced in each group with 10 metal crown copings. The marginal gap of the specimens was measured twice-both before and after the cementation and thermocycling processes using a stereomicroscope. A total of 5 specimens were selected randomly-1 from each group for scanning electron microscopy analysis and sectioned longitudinally. The pull-out test was performed on the remaining 45 specimens. The lowest marginal gap value was observed in the Burn out-S group before and after cementation with 88.54-97.48 μm, respectively, while the highest marginal gap was observed in the conventional group (186.27-200.58 μm). Implant systems did not significantly affect the marginal gap values (P > .05). Marginal gap values increased significantly after cementation and thermal cycling in all the groups (P < .0001). The highest retention value was measured in the Burn out-S group while the lowest in the CAD-CAM-A group. The highest occlusal cement gap values were observed in the coping groups (Burn out-S and Burn out-I groups), and the lowest in the conventional group in the scanning electron microscopy analysis. The marginal fit and retention values of the prefabricated plastic burn out coping technique was superior when compared with the other techniques, providing that internal fit was superior with the conventional technique.</p>","PeriodicalId":50101,"journal":{"name":"Journal of Oral Implantology","volume":"49 2","pages":"157-167"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9694621","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":"Natural Implant Restoration in Stable Alveolar Bone (NIRISAB)-Concepts in Clinical Practice: Long-Term Follow-up on Three Cases of Ridge Reconstruction Using the Tunnel Approach With Remote Incision.","authors":"William Liang","doi":"10.1563/aaid-joi-D-22-00032","DOIUrl":"https://doi.org/10.1563/aaid-joi-D-22-00032","url":null,"abstract":"<p><p>One of the most challenging aspects of dental alveolar ridge augmentation surgery is achieving proper wound closure and uneventful healing. To date, most of the open flap approaches have been fraught with complications. Many of these complications can be eliminated if the soft tissue incision is placed away from the surgical site. This paper describes the clinical application of a remote incision in various ridge augmentation surgeries as developed by Dr Hilt Tatum. It is part of the concept of natural implant restoration in stable alveolar bone that Dr Tatum introduced in the early 1970s.</p>","PeriodicalId":50101,"journal":{"name":"Journal of Oral Implantology","volume":"49 2","pages":"130-146"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9820194","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}
Debra A Goff, Douglas W Goff, Julie E Mangino, Richard Scheetz, Jason Stoner
{"title":"Antibiotics for Dental Implant Surgery: Extracting Available Evidence, Risks, Benefits, and Insights to Consider.","authors":"Debra A Goff, Douglas W Goff, Julie E Mangino, Richard Scheetz, Jason Stoner","doi":"10.1563/AAID-JOI-D-4902.Editorial","DOIUrl":"https://doi.org/10.1563/AAID-JOI-D-4902.Editorial","url":null,"abstract":"","PeriodicalId":50101,"journal":{"name":"Journal of Oral Implantology","volume":"49 2","pages":"115-116"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9356756","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}
Mehreen Zakir, David Thomas, Robert Adams, Damian Farnell, Nicholas Claydon
{"title":"A Systematic Review and Meta-Analysis of the Clinical Outcomes for Adjunctive Physical, Chemical, and Biological Treatment of Dental Implants With Peri-Implantitis.","authors":"Mehreen Zakir, David Thomas, Robert Adams, Damian Farnell, Nicholas Claydon","doi":"10.1563/aaid-joi-D-21-00204","DOIUrl":"10.1563/aaid-joi-D-21-00204","url":null,"abstract":"<p><p>The present systematic review evaluated the efficacy of adjunctive therapies in the treatment of peri-implantitis. Studies comparing the outcome of conventional surgical- or nonsurgical mechanical debridement with the addition of an adjunctive therapeutic modality were identified through an electronic and hand search of available literature. Following data extraction, meta-analyses were performed on the primary outcome measures. The effects of the adjunctive therapies on bleeding on probing (13 studies), probing pocket depth (9 studies), and radiographic bone level changes (7 studies) were analyzed to evaluate potential clinical benefit. Heterogeneity was expressed as the I2 index. Fixed and random effect models were demonstrated. The potential benefit of adjunctive therapies over control procedures was evaluated in 18 studies, representing a total of 773 implants. Quality assessment of the studies found only 3 studies to be at a low risk of bias. Meta-analysis among the different additional modalities revealed chemical therapy demonstrating significant effects in probing pocket depth reduction (0.58 mm; 0.44-0.72) and radiographic bone level gain (0.54 mm; 0.16-0.92). No significant improvements in bleeding on probing reduction were found using any adjunctive therapy. Available evidence on the benefits of adjunctive therapy to nonsurgical or surgical mechanical debridement in the treatment of peri-implantitis is limited by low numbers of standardized, controlled studies for individual therapies, heterogeneity between studies, and a variety of outcome measures. The lack of effect of any adjunctive therapy in reducing bleeding on probing questions the overall effectiveness over conventional treatment. The long-term clinical benefit potential of these therapies is not demonstrated.</p>","PeriodicalId":50101,"journal":{"name":"Journal of Oral Implantology","volume":"49 2","pages":"168-178"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9326885","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}
Alp Alantar, Jacques-Christian Béatrix, Guy Marti, Guy Princ, Nathalie Rei, Patrick Missika, Pierre Cesaro, Jean-Pascal Lefaucheur, Marc Sorel
{"title":"Neuropathic Pain After Dental Implant Surgery: Literature Review and Proposed Algorithm for Medicosurgical Treatment.","authors":"Alp Alantar, Jacques-Christian Béatrix, Guy Marti, Guy Princ, Nathalie Rei, Patrick Missika, Pierre Cesaro, Jean-Pascal Lefaucheur, Marc Sorel","doi":"10.1563/aaid-joi-D-21-00200","DOIUrl":"https://doi.org/10.1563/aaid-joi-D-21-00200","url":null,"abstract":"<p><p>The objective of this study is to establish an algorithm for the medicosurgical treatment of dental implant-induced neuropathic pain. The methodology was based on the good practice guidelines from the French National Authority for Health: the data were searched on the Medline database. A working group has drawn up a first draft of professional recommendations corresponding to a set of qualitative summaries. Consecutive drafts were amended by the members of an interdisciplinary reading committee. A total of 91 publications were screened, of which 26 were selected to establish the recommendations: 1 randomized clinical trial, 3 controlled cohort studies, 13 case series, and 9 case reports. In the event of the occurrence of post-implant neuropathic pain, a thorough radiological assessment by at least a panoramic radiograph (orthopantomogram) or especially a cone-beam computerized tomography scan is recommended to ensure that the tip of the implant is placed more than 4 mm from the anterior loop of the mental nerve for an anterior implant and 2 mm from the inferior alveolar nerve for a posterior implant. Very early administration of high-dose steroids, possibly associated with partial unscrewing or full removal of the implant preferably within the first 36-48 hours after placement, is recommended. A combined pharmacological therapy (anticonvulsants, antidepressants) could minimize the risk of pain chronicization. If a nerve lesion occurs in the context of dental implant surgery, treatment should be initiated within the first 36-48 hours after implant placement, including partial or full removal of the implant and early pharmacological treatment.</p>","PeriodicalId":50101,"journal":{"name":"Journal of Oral Implantology","volume":"49 2","pages":"218-227"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9810613","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}
Estelle Demes, Nicolas Graillon, Franck Afota, Charles Savoldelli, Romain Lan
{"title":"A Multidisciplinary Approach for Full-Mouth Rehabilitation in Oligodontia: A Clinical Report.","authors":"Estelle Demes, Nicolas Graillon, Franck Afota, Charles Savoldelli, Romain Lan","doi":"10.1563/aaid-joi-D-21-00290","DOIUrl":"https://doi.org/10.1563/aaid-joi-D-21-00290","url":null,"abstract":"<p><p>The absence of teeth in children due to congenital agenesis, syndromic or not, could lead to oral dysfunctions with general repercussions and sociopsychological problems. This case was a 17-year-old girl with severe nonsyndromic oligodontia who was missing 18 permanent teeth and had a class III skeletal pattern. It was challenging to provide functional and esthetically pleasing results in terms of temporary rehabilitation during growth and long-term rehabilitation in adulthood. This case report described the originality of the realization steps of oligodontia management, in 2 main parts. The osseous time by the LeFort 1 osteotomy advancement with simultaneous parietal and xenogenic bone grafting to improve a large bimaxillary bone volume, allowing future early implant placement by absence of growth of adjacent alveolar processes. The prosthetic rehabilitation with the conservation of natural teeth for proprioception and the use of a screw-retained polymethyl-methacrylate immediate prostheses to evaluate the needed vertical dimensional changes and make functional and esthetic results more predictable. This article could be retained as a technical note to manage this kind of case with the intellectual workflow and the difficulties encountered.</p>","PeriodicalId":50101,"journal":{"name":"Journal of Oral Implantology","volume":"49 2","pages":"124-129"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9324216","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}
Jaber Yaghini, Ahmad Mogharehabed, Awat Feizi, Zohreh Afshari
{"title":"Efficacy of Acellular Dermal Matrix in Soft Tissue Augmentation Around Dental Implants: A Systematic Review and Meta-Analysis.","authors":"Jaber Yaghini, Ahmad Mogharehabed, Awat Feizi, Zohreh Afshari","doi":"10.1563/aaid-joi-D-21-00021","DOIUrl":"https://doi.org/10.1563/aaid-joi-D-21-00021","url":null,"abstract":"<p><p>This study was done to perform a systematic review and meta-analysis of the studies on the efficacy of acellular dermal matrix (ADM) in increasing the soft tissue thickness (STT) and keratinized mucosal width (KMW) around dental implants. The PubMed, Scopus, Cochrane, Web of Science, and ProQuest databases were searched by July 2020 to retrieve relevant studies. Depending upon the heterogeneity of included studies, the weighted mean difference (WMD) with 95% CI was calculated using either fixed or random-effects model. Based on the meta-analysis of 6 studies, the effect of ADM on STT and KMW was significant (WMD: 1.07 [95% CI: 0.34-1.79], P = .004, and WMD: 1.99 [95% CI: 0.88-3.09], P < .001, respectively). Further, a comparison between the efficacy of the ADM and the control group, which included the autogenous soft tissue augmentation techniques, showed no statistically significant differences between groups (STT: WMD: 0.24 [95% CI: -0.26 to 0.74], P = .161 and KMW: WMD: -0.23 [95% CI: -0.68 to 0.22], P = .324). The subgroup analysis showed that simultaneous augmentation and implant placement were increased by 0.23 mm in the KMW, and the placement of ADM around loaded implants caused 0.5 mm decrease in the KMW, which was not statistically significant. Accordingly, it is possible to substitute ADM for soft tissue augmentation around dental implants.</p>","PeriodicalId":50101,"journal":{"name":"Journal of Oral Implantology","volume":"49 2","pages":"197-205"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9329636","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":"Vertical Bone Augmentation With Customized CAD/CAM Titanium Mesh for Severe Alveolar Ridge Defect in the Posterior Mandible: A Case Letter.","authors":"Bülent Kurtiş, Sermet Şahin, Sühan Gürbüz, Seyide Yurduseven, Cemre Altay, Burcu Kurtiş, Simel Ayyıldız, Emre Barış","doi":"10.1563/aaid-joi-D-22-00094","DOIUrl":"https://doi.org/10.1563/aaid-joi-D-22-00094","url":null,"abstract":"<p><p>Implant rehabilitation after implant removal is a major challenge, especially in mandibular posterior arches. This case report describes the reconstruction of a severe vertical bone defect using customized titanium mesh covered by collagen membrane and solid advanced platelet-rich fibrin, combined with autogenous bone, deproteinized bovine bone mineral, and injectable platelet-rich fibrin after implant removal caused by advanced peri-implantitis. This individualized titanium mesh may be a reliable technique for severe alveolar ridge reconstruction, with the additional benefits of reduced surgery time and a simplified operation.</p>","PeriodicalId":50101,"journal":{"name":"Journal of Oral Implantology","volume":"49 2","pages":"147-156"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9331776","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}