Clinical Implant Dentistry and Related Research最新文献

{"title":"A Randomized Controlled Trial on the Timing of Soft Tissue Augmentation in Immediate Implant Placement: Correspondence","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1111/cid.70031","DOIUrl":"https://doi.org/10.1111/cid.70031","url":null,"abstract":"","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Reimplantation Be Performed After Peri-Implant Recurrent Pyogenic Granuloma Leads to Implant Failure? A Case Report","authors":"Ruijie Wang,&nbsp;Yujian Gan,&nbsp;Yaqi Zhao,&nbsp;Shuyi Wen,&nbsp;Yusen Lin,&nbsp;Yan Zeng,&nbsp;Xiao Zheng,&nbsp;Mingdeng Rong","doi":"10.1111/cid.70028","DOIUrl":"https://doi.org/10.1111/cid.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Peri-implant pyogenic granuloma (PG) is a benign vascular lesion associated with dental implants, typically resulting from local irritation. While peri-implant PG can ultimately lead to implant failure, there is no established consensus regarding the feasibility of reimplantation after implant removal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Report</h3>\u0000 \u0000 <p>A 66-year-old female patient presented to the clinic with painful erythematous and swollen gingiva in the left posterior maxillary region, accompanied by a bleeding tendency. The patient had received two titanium alloy implants in the same area 7 and 3 years ago, respectively, for missing posterior teeth. Clinical examination revealed soft tissue hyperplasia and easy bleeding upon touch around the implants supporting the prosthetic restoration at Sites 24 and 25. Radiographic evaluation showed no significant bone resorption. Initial management included the prosthetic restoration removal, placement of healing abutments, and peri-implant curettage with the application of medication. After 10 days, the lesion was surgically excised, and histopathological analysis confirmed the diagnosis of PG. Despite initial treatment, the lesion recurred 2 weeks after excision. A second excision, coupled with debridement and local medication, was performed. However, the PG recurred 3 weeks later, necessitating the implants removal at sites 24 and 25. Following implants removal, the surgical sites were monitored for 3 months, during which no PG recurrence was observed. Given the patient's systemic health and the local soft and hard tissue conditions, the tooth at site 26, which had a poor prognosis, was also extracted. Subsequently, reimplantation was performed at sites 24, 25, and 26. After a six-month healing period, the prosthetic restoration was completed. Three and six months post-restoration, clinical and radiographic evaluations confirmed stable outcomes, with no abnormalities in the peri-implant soft or hard tissues.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Peri-implant PG is a relatively rare soft tissue complication associated with dental implants and is characterized by a high recurrence rate, often leading to implant removal. This case illustrates successful reimplantation at the original site following implant removal due to PG, providing clinical evidence that reimplantation after PG-related implant failure is feasible. However, a thorough evaluation of both systemic and local factors is essential to minimize recurrence and ensure successful outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vertical Bone Gain Post-Sinus Lifting and Simultaneous Implant Placement With Osseodensification: A Retrospective Study","authors":"Cássio Cardona Orth,&nbsp;Robert Carvalho da Silva,&nbsp;Guilherme Paes de Barros Carrilho,&nbsp;Paulo Fernando Mesquita de Carvalho,&nbsp;Julio Cesar Joly,&nbsp;Alex Nogueira Haas","doi":"10.1111/cid.13430","DOIUrl":"https://doi.org/10.1111/cid.13430","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine the bone height gain (BHG) achieved after sinus floor elevation (SFE) with osseodensification (OD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Patients from an implantology learning center presenting one missing teeth in the posterior maxilla and insufficient residual bone height (RBH) were included. SFE with simultaneous implant placement was performed using Densah drills. Demineralized bovine bone mineral, hydroxyapatite+β-TCP, calcium phosphosilicate, and autologous leukoplakelet fibrin were used as graft biomaterials. BHG was obtained by subtracting the implant length from the initial bone height.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sinus membrane perforation occurred in 4.8% of 144 cases. One hundred and thirty-seven patients were analyzed for BHG. RBH equaled 5.4 ± 1.8 mm, with 42 (30.7%) cases having &lt; 5 mm. The average implant length (AIL) was 8.8 ± 1.1 mm, resulting in a mean BHG of 3.4 ± 1.7 mm. BHG was significantly higher in cases with RBH &lt; 5 mm (5.23 ± 1.45 mm) than ≥ 5 mm (2.62 ± 1.15 mm) (<i>p</i> &lt; 0.001). Greater gains were observed in first molars (3.70 ± 1.72). Implant brand and graft type did not influence BHG. The survival rate of the implants reached 97% after 6 months of osseointegration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>OD with simultaneous implant placement was effective for SFE, applying a variety of implant brands and type of bone substitute, resulting in clinically relevant BHG, adequate AIL, and low complication rates.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Cantilever Length on the Accuracy of Static CAIS in Posterior Distal Free-End Regions","authors":"Marina Miyashita,&nbsp;Narit Leepong,&nbsp;Polathep Vichitkunakorn,&nbsp;Srisurang Suttapreyasri","doi":"10.1111/cid.70020","DOIUrl":"https://doi.org/10.1111/cid.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Implant placement accuracy in the distal free-end posterior region is often compromised, increasing the risk of damage to adjacent anatomical structures and negatively affecting restoration function, occlusal loading, and aesthetics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to assess the accuracy of implant placement using static computer-assisted implant surgery (CAIS) in the posterior distal free-end partially edentulous area with varying cantilever lengths and to evaluate the correlation between cantilever length and implant deviations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A prospective observational study involved 40 patients with 72 posterior implant sites, divided into three groups: 1-unit cantilever (1-UC; distal free-end with a mesial neighboring tooth), 2-unit cantilever (2-UC; one-tooth space from the mesial neighboring tooth), and control (single-tooth space with both mesial and distal neighboring teeth). Implants were placed using fully guided static CAIS, and accuracy was assessed by comparing angular and linear deviations at the implant platform and apex using post-operative CBCT scans. The correlation between cantilever length and implant deviations was analyzed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The 2-UC group exhibited significantly higher angular deviations (5.01° ± 2.41°) compared to the 1-UC (3.60° ± 1.92°, <i>p</i> = 0.033) and control groups (2.62° ± 1.13°, <i>p</i> &lt; 0.001). The 3D deviations at both the platform and apex were also significantly greater in the 2-UC group (1.15 ± 0.38 mm, 1.74 ± 0.53 mm, respectively) than in the 1-UC (0.86 ± 0.35 mm, <i>p</i> = 0.001; 1.30 ± 0.47 mm, <i>p</i> = 0.002) and control groups (0.72 ± 0.30 mm, <i>p</i> &lt; 0.001; 1.04 ± 0.38 mm, <i>p</i> &lt; 0.001). Deviations in the cantilever groups predominantly trended towards the buccal and apical directions. Additionally, positive correlations were found between cantilever length and implant deviations at both the platform (<i>R</i> = 0.306, <i>p</i> = 0.034) and apex levels (<i>R</i> = 0.294, <i>p</i> = 0.042).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Cantilever length in posterior implant positions significantly affects the accuracy of implant placement using static CAIS. Implants positioned at a 2-unit cantilever or with lengths exceeding 10 mm are more prone to deviating from the planned positions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143698704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maxillary Sinus Grafting Complications: Diagnosis, Management, Patient Outcomes, and Role of Multidisciplinary Care","authors":"Alberto Maria Saibene,&nbsp;Stephen S. Wallace,&nbsp;Riccardo Scaini","doi":"10.1111/cid.13420","DOIUrl":"https://doi.org/10.1111/cid.13420","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Maxillary sinus grafting (MSG) is often crucial for successful dental implant placement in the atrophic maxilla. However, it carries the risk of sinonasal complications, with outcomes frequently influenced by the patient's sinonasal health and the subjective assessment of surgeons. Thorough preoperative evaluation by otolaryngologists is vital to reduce these risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study emphasizes the importance of interdisciplinary collaboration in managing sinonasal complications following MSG. By highlighting the role of otolaryngologists in preoperative evaluations and proposing a systematic approach, it aims to improve surgical planning and optimize patient outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Sinonasal complications after MSG can be classified into early and delayed categories, each requiring distinct management approaches. Early complications, such as infections and graft migration, demand immediate attention, while delayed issues, like implant osseointegration failure, pose longer term challenges. Accurate diagnosis is often difficult due to the overlap of symptoms with other sinus conditions, necessitating comprehensive clinical evaluations, endoscopic findings, and radiographic imaging. Collaboration between dental and otolaryngology specialists is essential, underscoring the need for a multidisciplinary strategy in managing these complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Managing sinonasal complications post-MSG requires prompt diagnosis and a combination of medical and surgical interventions. Early detection and treatment, supported by a structured interdisciplinary approach, are key to improving patient outcomes. Integrating dental and otolaryngological expertise is critical to ensuring the success of MSG procedures and enhancing overall patient care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subperiosteal Implants: A Lost Art Worth Revisiting?","authors":"Ryan Goh,&nbsp;Cedryck Vaquette,&nbsp;Omar Breik,&nbsp;Saso Ivanovski,&nbsp;Martin Batstone","doi":"10.1111/cid.70025","DOIUrl":"10.1111/cid.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Subperiosteal implants were commonly used for dentally rehabilitating atrophic maxillae and mandibles in the 1940s–1980s, losing popularity following the introduction of endosseous root-formed osseointegrated implants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Historically, subperiosteal implants had regular complications of hardware exposure, implant mobility, and pain, resulting in the removal of the implant. The transmucosal posts appear to be the primary cause of failure due to bacterial colonization and propagation down the implant substructure. These implants are currently regaining interest due to their applications for dentally rehabilitating patients following an oncological ablation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>For these implants to return to the dental and maxillofacial industry, contemporary techniques of bone grafting and implant materials should be explored. This review discusses the historical issues with subperiosteal implants and avenues for the improvement of long-term outcomes in the 21st century.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ten-Year Survival of Single Implants With Veneered Porcelain on Zirconia or Titanium Abutments: A Retrospective Analysis","authors":"Julia Olander,&nbsp;Victoria Franke Stenport","doi":"10.1111/cid.70026","DOIUrl":"https://doi.org/10.1111/cid.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to compare the technical and biological complications of single implants with veneered porcelain on either titanium or zirconia abutments after 10 years in function.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>All single-implant surgeries performed at a specialist prosthodontic clinic between 2011 and 2013 were reviewed. After applying the inclusion criteria, 174 implants in 132 patients were included for further analysis. Marginal bone loss relative to baseline and technical complications, including porcelain fractures, were recorded from patient data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 65 patients with 87 implants were followed until the 10-year evaluation, including 29 implants connected to a veneered zirconia abutment and 58 to a veneered titanium abutment. One implant with a zirconia abutment was lost due to peri-implantitis after 7 years, while all other implants survived. Marginal bone loss did not differ significantly between the two abutment groups. At 10 years, implants with titanium abutments showed a mean marginal bone loss of 0.31 mm, whereas implants with zirconia abutments had a mean marginal bone loss of 0.28 mm. Peri-implant mucositis was observed in 34% of implants with zirconia abutments, compared to 16% of those with titanium abutments. Technical complications were noted in 10.3% of the implants at the 10-year follow-up. The most common complication was the chipping of the veneering porcelain, followed by abutment screw loosening.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Implant survival did not differ significantly between the two veneered abutment materials. Both abutment types exhibited low marginal bone loss at the 10-year follow-up. However, peri-implant mucositis was more frequently observed around zirconia abutments. Technical complications were moderate, primarily presenting as chipping of the veneering porcelain. The success rate for implants with zirconia abutments was 93%, compared to 82% for those with titanium abutments.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cid.70026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143638804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moldable and Particulate Bone Material in Alveolar Ridge Preservation: A Multicenter Randomized Controlled Trial","authors":"Yiseul Choi,&nbsp;Jieun Cheong,&nbsp;Yoolbin Song,&nbsp;Jaeyeon Kim,&nbsp;Dae-Young Kang,&nbsp;Hyeon-Seong Ahn,&nbsp;Sanghoon Park,&nbsp;Marco Esposito,&nbsp;Hyun-Seung Shin,&nbsp;Wonse Park","doi":"10.1111/cid.70011","DOIUrl":"https://doi.org/10.1111/cid.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study aimed to determine possible histological and radiological differences in alveolar ridge preservation (ARP), using moldable bone versus particulate bone.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>After tooth extraction, 39 patients (40 teeth) were randomized (1:1) to receive ARP using moldable bone materials (SBX group) or particulate bone materials (PBX group). An absorbable collagen membrane was placed over the graft material and the surgical site was sutured. Cone-beam computed tomography was taken immediately and 5 months after ARP. Bone core samples from the implantation site were obtained for histomorphometric analysis 5 months after ARP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-six patients were screened and 39 of them completed the study. However, one patient who received split-mouth treatment was excluded, resulting in data from 38 patients being analyzed. In radiological evaluation, the changes in midbuccal alveolar bone height at 5 months were −0.753 ± 0.112 and −1.018 ± 0.111 mm in the SBX group and PBX groups, respectively (<i>F</i> = 2.895; <i>p</i> = 0.098; mean difference [MD] 0.265; 95% confidence interval [CI] = −0.051 to 0.582). Changes in the horizontal ridge width were measured at three levels (−1, −3, and −5 mm) below the most coronal aspect of the crest and showed a decrease in both groups, with no significant differences between the groups. The percent new bone area of the SBX group (39.156 ± 2.505) was significantly different from that of the PBX group (22.749 ± 2.476) (<i>F</i> = 22.171; <i>p &lt;</i> 0.001; 95% MD 16.407; CI = 9.333 to 23.481). The percent residual material area was significantly lower in the SBX group (8.973 ± 2.211) compared to the PBX group (15.633 ± 2.186), with an <i>F</i>-statistic of 4.687 and <i>p</i>-value = 0.037 (MD –6.660; 95% CI = −12.904 to −0.415). The percent connective tissue area was 49.743 ± 4.199 and 56.657 ± 4.151 for the groups (<i>F</i> = 1.401; <i>p</i> = 0.245; MD –6.914; 95% CI = −18.773 to 4.944), respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Radiological and histological results showed that use of moldable bone can achieve similar ARP parameters as those achieved by particulate bone.</p>\u0000 \u0000 <p><b>Trial Registration:</b> Clinical Research Information Service No. KCT0009560. This randomized clinical trial was not registered before participant recruitment and randomization. (Date of registration: 21/06/2024. https://cris.nih.go.kr/cris/search/detailSearch.do?seq=27272&amp;searchpage=L)</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143602770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Avoiding Complication: The Role of Human Factors in Maxillary Sinus Augmentation. A Narrative Review","authors":"Renouard Franck,&nbsp;Edmond Bedrossian,&nbsp;Riccardo Scaini","doi":"10.1111/cid.70018","DOIUrl":"https://doi.org/10.1111/cid.70018","url":null,"abstract":"<div>\u0000 \u0000 <p>Maxillary sinus augmentation is now considered a routine procedure; however, it can rapidly become a challenging surgery susceptible to multiple complications. It is widely acknowledged that lack of preparation or inadequate technical expertise is a primary cause of such complications. This procedure can become a source of significant stress for the clinician and morbidity for the patient if not properly planned preoperatively. Despite this, insufficient attention is often paid to the physiological, psychological, and environmental factors that may influence unforeseen and adverse surgical outcomes. This article aims to highlight the importance of the science of Human factors as a strategy to minimize and prevent potential complications. This approach not only encompasses guidelines for the proper execution of sinus lift grafting procedures but also addresses the management of various human factors that can adversely impact surgical outcomes, thereby reducing intraoperative risks and morbidity during maxillary sinus augmentation surgery.</p>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Bone Augmentation on Implant Success and Survival: A Retrospective Analysis With 6-Year Mean Follow-Up","authors":"Ufuk Tatli,&nbsp;Ali Cavana,&nbsp;Huseyin Can Tukel,&nbsp;Mehmet Emre Benlidayi","doi":"10.1111/cid.70021","DOIUrl":"https://doi.org/10.1111/cid.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To compare the clinical, radiographic, esthetic outcomes, and success and survival rates of dental implants placed after bone augmentation techniques.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective study included a total of 764 patients receiving 764 dental implants between 2009 and 2019. Four hundred implants were placed without bone augmentation (control), and 364 were placed after bone augmentation. Bone augmentation techniques were guided bone regeneration (GBR), ridge split, and onlay bone grafting. Gingival index (GI), plaque index (PI), probing depth (PD), bleeding on probing (BOP), pink esthetic score (PES) and marginal bone loss (mm) and area (mm²) were measured. The study variables of the implants among augmentation groups were compared statistically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean PI and GI scores, and BOP values of the implants in the augmentation and control groups were comparable (<i>p</i> = 0.365, <i>p</i> = 0.230, and <i>p</i> = 0.371 resp.) The mean PD scores of the implants were 2.82 ± 1.22 in the augmentation and 2.54 ± 1.29 in the control groups; the difference was significant (<i>p</i> = 0.002). The mean vertical bone loss of the implants was 0.78 ± 0.70 in augmentation and 0.82 ± 0.82 in the control groups, which was comparable (<i>p</i> = 0.461). The mean PES total values of the implants were 8.30 ± 1.55 in augmentation and 10.04 ± 2.43 in the control groups; the difference was significant (<i>p</i> &lt; 0.001). There were no significant differences between the augmentation and control groups in implant survival (99.18% vs. 98%, <i>p</i> = 0.228) and success (82.97% vs. 85.50%, <i>p</i> = 0.389) rates. Significant differences in some study variables were observed among the augmentation groups. The survival and success rates of the implants in GBR (99.21% and 85.04%), ridge split (99.19% and 79.68%), onlay (99.12% and 84.21%), and control (98.00% and 85.50%) groups were similar (<i>p</i> = 0.630 and <i>p</i> = 0.479, resp.) in the 6-year mean follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The implants placed in augmented bone showed similar cumulative success and survival rates compared to implants placed in natural bone with a 6-year mean follow-up. The augmentation group showed lower esthetic scores. There are some differences in clinical parameters among augmentation groups; however, all the augmentation groups showed similar success and survival rates.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cid.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}