Clinical Implant Dentistry and Related Research最新文献

{"title":"Digitally Guided Aspiration Technique for Maxillary Sinus Floor Elevation in the Presence of Cysts: A Case Series","authors":"Yuhuan Jiang, Yujia Yang, Liya Chen, Weikai Zhou, Yi Man, Jing Wang","doi":"10.1111/cid.70009","DOIUrl":"https://doi.org/10.1111/cid.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Sinus floor elevation (SFE) is a widely established surgical procedure for dental implant placement in the atrophic posterior maxilla. However, the presence of maxillary sinus cysts (MSCs) can significantly complicate this intervention. This study presents and evaluates the efficacy and safety of the Digitally Guided Aspiration Technique (DGAT), a novel approach for managing MSCs during SFE procedures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Implant survival and success rates were evaluated according to established criteria, and all complications were systematically documented. Three-dimensional measurements, including MSC volume, residual bone height (BH) surrounding the implants, and apical bone coverage, were obtained using cone beam computed tomography (CBCT). Marginal bone loss (MBL) was assessed through standardized periapical radiographs following prosthetic loading. The accuracy of implant positioning was evaluated by measuring the three-dimensional deviations between virtually planned and actually placed implants. Comprehensive cytological and histological analyses were conducted on aspirated cystic fluid and harvested bone specimens, respectively. Patient-reported outcomes were assessed using questionnaires at the 6-month post-restoration follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study comprised seven patients with seven cysts receiving a total of 10 implants. At the 6-month follow-up, the implant survival rate was 100% with no biological or technical complications observed. Volumetric analysis revealed a significant mean reduction in MSC volume of 45.34% ± 33.08% (<i>p</i> = 0.012). Postoperative measurements demonstrated a statistically significant increase in BH compared to baseline values (<i>p</i> < 0.001). This gain remained largely stable throughout the 6-month observation period, with minimal resorption noted in the buccal aspect (<i>p</i> = 0.03) and mean value (<i>p</i> = 0.05). Prior to second-stage surgery, radiographic evaluation confirmed complete bone coverage of all implants, with 60% exhibiting > 2 mm of apical bone coverage. MBL remained within physiological limits. Analysis of implant positioning accuracy showed that coronal global and vertical deviations fell within acceptable clinical parameters, while apical global deviation and angular deviation marginally exceeded recommended thresholds. Cytological analysis of the aspirated cystic fluid revealed no evidence of infection, while histological examination of the regenerated tissue demonstrated mature bone formation with abundant vascularization. Patient-reported outcomes indicated high satisfaction levels.</p>\u0000 </section>\u0000 \u0000 ","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481501","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":"A Randomized Controlled Trial on the Timing of Soft Tissue Augmentation in Immediate Implant Placement: Soft Tissue Changes and Esthetic Outcome","authors":"Thibault Struys,&nbsp;Véronique Christiaens,&nbsp;Thomas De Bruyckere,&nbsp;Jeremy Pitman,&nbsp;Pieter-Jan Van Hove,&nbsp;Jan Cosyn","doi":"10.1111/cid.70013","DOIUrl":"https://doi.org/10.1111/cid.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To assess the impact of the timing of soft tissue augmentation on soft tissue changes and esthetic outcome following single immediate implant placement (IIP) in the anterior maxilla.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Patients with a failing tooth and intact buccal bone wall in the anterior maxilla (15–25) were enrolled in this RCT. Following single IIP and socket grafting, they were randomly allocated to the control group (immediate soft tissue augmentation performed in the same surgical procedure—ISTA) or the test group (delayed soft tissue augmentation performed 3 months later—DSTA). Implants were placed with a surgical guide and immediately restored with an implant-supported provisional crown. Changes in soft tissue dimensions were assessed by a blinded clinician using superimposed STL files taken prior to surgery and at 1-year follow-up. The esthetic outcome was rated by a blinded clinician and the patient at 1-year follow-up. The study adhered to the STA-COSM (Soft Tissue Augmentation—Core Outcome Set and Measurements for implant dentistry trials) guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty patients were randomized to each group (control: 16 females, 4 males, mean age 57.6; test: 9 females, 11 males, mean age 54.2). The mean change in buccal soft tissue profile was −0.251 and 0.083 mm for ISTA and DSTA, respectively. The mean difference of −0.318 mm in favor of DSTA was not significant (95% CI: −0.860 to 0.224, <i>p</i> = 0.241). Median midfacial recession was −0.200 and − 0.350 mm for ISTA and DSTA, respectively. The median difference of 0.200 mm in favor of ISTA was not significant (95% CI: −0.210 to 0.700, <i>p</i> = 0.311). Mesial and distal papillary recession, Pink Esthetic Score and patients' esthetic satisfaction failed to demonstrate a significant difference between the groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In patients with an intact buccal bone wall, the timing of soft tissue augmentation following IIP had no significant impact on soft tissue changes and esthetic outcome.</p>\u0000 \u0000 <p><b>Trial Registration:</b> ClinicalTrials.gov: NCT05537545</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143455922","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":"A Retrospective Cohort Study on Scan Quality of Implant Scanbodies Matched With CAD Libraries","authors":"Fatmanur Demir Boz,&nbsp;Kıvanç Akça","doi":"10.1111/cid.70017","DOIUrl":"https://doi.org/10.1111/cid.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To assess the effect of scanbody (SB)-type, edentulous site, and restoration-type on the scan quality of SBs used in the treatment of short-span edentulism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>The cohort consisted of SBs with different specifications connected to bone-level implants for intraoral digitalization in the fabrication of fixed restorations. SBs matched with library CAD files for digital implant position transfer into dental CAD software were enrolled in the study group. Intraoral implant digital records were categorically evaluated to assess the quality of SB scans. In statistical analyses, the chi-squared test was used to describe the clinical variables, and logistic regression models were constructed to reveal the association between the clinical variables and SB scan quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 243 SBs were eligible for scan quality evaluation. Scan quality did not differ statistically (<i>p</i> &gt; 0.05) in the SB reference area, while texture in the representation of SB was significantly affected (<i>p</i> &lt; 0.05) by the variables SB-type and edentulous-site. Cylindrically designed SBs without specific geometrical features presented remarkably higher risks for reduced scan quality in SB representation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>SBs successfully aligned with library CAD files based on a software algorithm may not consistently present similar scan quality. Intraoral scanning of a SB is highly vulnerable with regard to scan deterioration in texture and geometry.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cid.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143446913","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":"A Multicenter Study of Factors Related to Early Implant Failures—Part 1: Implant Materials and Surgical Techniques","authors":"Rachel Duhan Wåhlberg,&nbsp;Victoria Franke Stenport,&nbsp;Ann Wennerberg,&nbsp;Lars Hjalmarsson","doi":"10.1111/cid.70015","DOIUrl":"https://doi.org/10.1111/cid.70015","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Dental implant materials, designs as well as general concepts for surgical techniques have evolved during the last decades. It has been validated that primary stability followed by bone apposition around implants is crucial for implant survival as most implant failures occur during the first year. However, new implant materials and different micro and macro designs have improved implant survival in more challenging clinical conditions. Therefore, clinical research with large patient groups is needed to investigate the effects of different implant designs and surgical protocols with the aim to improve early implant outcomes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Purpose&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The purpose of the study is to investigate the clinical use of dental implant materials, designs, and surgical techniques related to early implant complications and failures.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Materials and Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;All patients who had received implant surgery in 2007 and 2017 at three specialist centers in Sweden were identified using charge codes. Data were retrieved from a dental record system as well as from digital and analog registries on implant surgeries. Information on anamnestic data, bone status, implant materials and designs, surgery techniques, and early implant failures and complications during the first year was compiled and analyzed. Descriptive statistics were used for comparison of the time cohorts. The data were statistically analyzed with a multivariable logistic regression model with a significance level of &lt;i&gt;p&lt;/i&gt; &lt; 0.05 using early implant failures and complications as the dependent variables.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;For 2007, 799 patients with 2473 implants were identified. For 2017, 1076 patients with 2287 implants were identified. However, 74 (3.7%) patients were excluded, mainly due to lack of data. Differences were observed when comparing the two cohorts. In 2017, fewer preoperative antibiotics were prescribed, more incidences of exposed implant threads were reported, more non-submerged implant surgeries were performed, shorter implant lengths were used, more implants were placed in augmented bone, and tapered implants with a variable design were used. Implants of commercially pure titanium (CP Ti) Grades 1–4 with moderately and minimally rough surfaces were used in 2007, whereas CP Ti Grade 4 and alloy titanium zirconium (TiZr) with moderately rough surfaces were used in 2017. Significantly higher number of implant failures were reported in 2017 at the implant level: 56 ","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cid.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143446970","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":"Function, Quality of Life, and Food Intake in Patients Without Second Molar Implants: A Prospective Cohort Study","authors":"Ayaka Sakata,&nbsp;Yusuke Kondo,&nbsp;Yui Hirata Obikane,&nbsp;Tomotaka Nodai,&nbsp;Takashi Munemasa,&nbsp;Taro Mukaibo,&nbsp;Ryuji Hosokawa,&nbsp;Chihiro Masaki","doi":"10.1111/cid.70006","DOIUrl":"https://doi.org/10.1111/cid.70006","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The necessity of a second molar region implant for Kennedy Class II classification of unilateral partially edentulous arches remains controversial. This study aims to compare the effects of implant treatment in the first and second molar regions, providing a basis for planning implant treatments for Kennedy Class II dentition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This prospective cohort study included 16 patients with implant therapy up to the first molar and 16 patients treated up to the second molar. Bite force, masticatory function, oral health-related quality of life (OHRQoL), and food and nutrient intakes were evaluated as outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>While the two groups showed improvements in occlusal force and masticatory function with implant treatment, the increase was significantly greater with implant treatment extending to the second molar. The improvement in OHRQoL was comparable between both groups. Furthermore, the increases in vegetable, dietary fiber, and vitamin K intakes were significantly greater in the implant treatment group extending to the second molar.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>From the perspective of OHRQoL, implant treatment up to the first molar may be sufficient.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424078","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":"Probing Depth Reduction Following Peri-Implantitis Treatment: A Systematic Review and Component Network Meta-Analysis","authors":"Yun-Chen Liu,&nbsp;Yih-Yun Sun,&nbsp;Anna Simonelli,&nbsp;Roberto Farina,&nbsp;Leonardo Trombelli,&nbsp;Chen-Ying Wang,&nbsp;Yu-Kang Tu","doi":"10.1111/cid.70010","DOIUrl":"https://doi.org/10.1111/cid.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>In this update of a previous systematic review, we compared the effects of surgical and non-surgical treatments for peri-implantitis through the component network meta-analysis (CNMA) with probing depth (PD) reduction as the outcome.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Literature search was conducted in PubMed, Cochrane Central Register of Controlled Trials, and Embase databases from August 2010 to June 2023. Randomized controlled trials (RCTs), comparing non-surgical or surgical treatments for peri-implantitis with 6–12 months of follow-up and reported changes in PD, were included. Treatment effects were assessed using a CNMA model based on additivity assumption. We calculated the intraclass correlation coefficient (ICC) to adjust the standard errors for multiple implants within the same patient.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our systematic review identified 44 RCTs, which included 46 treatment regimens consisting of 15 components. These RCTs formed a disconnected network consisting of 11 subnetworks. Surgical treatments with bone grafts and membranes generally attained greater PD reduction than non-surgical treatments, although bone grafts and membranes as components provided moderate benefits. The effect size of antibiotics is greater in non-surgical than surgical treatments, while there is considerable uncertainty regarding the effect size of implantoplasty. Additionally, the effectiveness of components varied between surgical and non-surgical treatments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Current evidence does not yield sufficiently robust estimates for identifying optimal surgical and non-surgical treatment regimens for peri-implantitis, so the findings of our study should be interpreted cautiously. A coordinated strategy is required for designing future trials to fill the gaps in our current knowledge and develop more reliable recommendations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143404607","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":"Peri-Implant Health and Perfusion Parameters in Patients After Microvascular Jaw Reconstruction: A Clinical Cohort Study","authors":"Marie Sophie Katz,&nbsp;Mark Ooms,&nbsp;Marius Heitzer,&nbsp;Anna Bock,&nbsp;Nils Vohl,&nbsp;Kristian Kniha,&nbsp;Frank Hölzle,&nbsp;Ali Modabber","doi":"10.1111/cid.70012","DOIUrl":"https://doi.org/10.1111/cid.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The aim of this study was to evaluate perfusion parameters and clinical features of healthy implants and implants affected by peri-implant disease in patients who had undergone microvascular jaw reconstruction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 25 patients with 92 implants placed in microvascular transplants were included. Of these, 68 implants showed healthy peri-implant tissue, 12 were affected by peri-implant mucositis, and 12 were diagnosed with peri-implantitis. Peri-implant perfusion was measured mesially and distally at the implant shoulder using laser Doppler flowmetry and tissue spectrophotometry (LDF-TS), followed by a clinical evaluation, including measurement of probing depths, bleeding on probing (BOP), plaque index, biotype, type of implant, the restoration and the presence of keratinized tissue. Perfusion parameters were compared between the healthy implants and the implants with peri-implant disease based on the conventional BOP–based diagnosis of peri-implantitis, and the associations between the perfusion values and clinical measurements were analyzed. Optimal cut-off values for predicting peri-implantitis were calculated with receiver operating characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean relative amount of hemoglobin and mean blood flow were significantly different between healthy implants and implants with peri-implant mucositis and peri-implantitis (<i>p</i> = 0.003 and <i>p</i> = 0.002, respectively). However, there are interindividual differences that appear to influence blood flow values as well. When a linear mixed regression model was applied, including the patient as a random variable, the difference in blood flow was no longer statistically significant (<i>p</i> = 0.400). Still, the optimal cut-off value of mean blood flow for predicting peri-implantitis was determined to be &gt; 46.5 AU (AUC = 0.788; <i>p</i> &lt; 0.001; CI = 0.695–0.881; sensitivity = 1.00, specificity = 0.60).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Implants in microvascular flaps are particularly vulnerable to peri-implant disease. Risk factors are the lack of keratinized peri-implant tissue, fixed restorations, bone-level implants, and high plaque levels.</p>\u0000 \u0000 <p>As a noninvasive and objective method, LDF-TS can contribute to risk assessment by evaluating perfusion parameters and help detect the early onset of peri-implant disease.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cid.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389313","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":"Efficacy of Cleaning Methods for the Trans-Mucosal Parts of Zirconia Monolithic Crowns","authors":"Deborah Roth,&nbsp;François Despontin,&nbsp;Philippe Compere,&nbsp;Marc Lamy,&nbsp;Dorien V. A. N. Hede,&nbsp;France Lambert","doi":"10.1111/cid.13435","DOIUrl":"https://doi.org/10.1111/cid.13435","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dental crowns have surface pollutants after their manufacturing. We know that these pollutants can be a source of peri-implant inflammation for some cases. This study aimed to compare two dental crowns cleaning methods that are simple and quick to apply in the dental lab.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To characterize qualitatively and quantitatively the pollution of transmucosal parts of zirconia monolithic crowns after supra-mucosal glazing in the lab and to compare the efficacy of steam versus ultrasonic cleaning protocols.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>Eighteen customized zirconia monolithic crowns were divided into two groups of 9 crowns receiving a different cleaning protocol. The first group was treated with steam cleaning, whereas the second group was initially rubbed with a sterile compress soaked in a detergent and then cleaned in three successive ultrasonic baths containing a detergent, sterile water, and 70% ethanol. The presence and nature of the contaminants were investigated by BSE-SEM and energy-dispersive X-ray spectroscopy microanalysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Organic (e.g., paint, sweat) and inorganic (e.g., zirconia fragments, silica, and metals) were identified on the surface of the zirconia crown before the cleaning treatments. At baseline, pollutants cover 0.51% ± 0.26% of the total area. This percentage dropped, respectively, to 0.02% ± 0.03% after steam cleaning (<i>p</i> &lt; 0.0001) and to 0.02% ± 0.01 after the ultrasonic cleaning protocol (<i>p</i> = 0.0026). No difference was observed between the two decontamination techniques (<i>p</i> &gt; 0.9999), but the variance in the steam group was higher compared to the ultrasound group (<i>p</i> = 0.0042).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Both protocols allowed the cleaning of the transmucosal parts of the zirconia crowns to an extent of 99.98% of the studied surface. However, the ultrasound technique displayed less variability in the removal of residual pollutants and therefore should be preferred.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143380199","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":"Vitamin-D Insufficiency Leads to Interleukin-10 Reduction in Peri-Implant Tissues: A Case–Control Study","authors":"Vesile Elif Toy,&nbsp;Arife Sabanci,&nbsp;Muhammed Dündar,&nbsp;Faruk Dişli,&nbsp;Sedat Yildiz,&nbsp;Kübra Aral","doi":"10.1111/cid.13425","DOIUrl":"https://doi.org/10.1111/cid.13425","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Vitamin D has been reported to be crucial for bone mineralization and to play a significant role in immune and inflammatory responses. Its deficiency has been stated to be highly prevalent and might alter osseointegration of dental implants. Successful osseointegration has been claimed to be a critical aspect of implant survival and the effects of vitamin D on implant osseointegration have not been well documented. This study aimed to evaluate bone markers and cytokine levels of patients with or without vitamin D insufficiency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>A total of 42 patients were included and divided into two groups: vitamin D insufficient (Group IN-S; <i>n</i> = 21) and vitamin D sufficient (Group S; <i>n</i> = 21). Besides clinical periodontal parameters and implant stability measurements, the levels of RANKL, OPG, osteocalcin (OC), calcium (Ca), tumor necrosis factor alpha (TNF-α), IL-1β, caspase-1 (CASP1), and IL-10 in bone biopsy from implant preparation sockets and peri-implant crevicular fluid (PICF) were determined by enzyme-linked immunosorbent assay (ELISA). The results were represented as concentration and total amount.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>PICF RANKL levels (both concentration and total amount) were higher in patients with Vitamin D insufficiency compared to sufficient controls (<i>p</i> &lt; 0.05). Concentration and total amount of IL-10 were significantly lower in vitamin D insufficient participants than those of vitamin D sufficient group (<i>p</i> &lt; 0.05). No differences were detected between the groups in terms of other parameters. Bone levels of all evaluated parameters also did not differ between the groups (<i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It may be concluded that a low serum level of vitamin D may affect peri-implant health through altering IL-10 and RANKL.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143380033","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":"Influence of Implant Geometry on the Surface Strain Behavior of Peri-Implant Bone: A 3D Analysis","authors":"Moritz Löhlein,&nbsp;Constantin Motel,&nbsp;Manfred Wichmann,&nbsp;Ragai Edward Matta","doi":"10.1111/cid.70003","DOIUrl":"https://doi.org/10.1111/cid.70003","url":null,"abstract":"<p>To ensure long-term implant success, it is crucial to understand the force transmission from the implant to the surrounding bone. In dentistry, bioengineering methods are applied to investigate these processes. The aim of this study was to analyze the influence of different implant geometries on the surface strain behavior of porcine mandibles under load using a 3D optical camera system in combination with digital image correlation. Four different implant types were subjected to a force of 200 N in three different loading directions (axial, non-axial 15°, and non-axial 30°). Under axial loading, parallel-walled implants exhibited lower surface strain values on the peri-implant bone compared with tapered implants. However, when subjected to non-axial loading, these parallel-walled implants showed a substantial relative increase in strain by approximately a factor of 2.96 compared with axial conditions. At a 30° non-axial angle, long, tapered implants with a smaller diameter (BLX 3.75) produced lower peri-implant bone strains than implants with larger diameters and shorter lengths, while short, tapered implants (BLT) demonstrated a lower relative increase in strain (factor ~1.49) from axial to non-axial loading. Under non-axial loading, long, tapered implants with a small diameter resulted in lower strains in the peri-implant bone compared with implants with a larger diameter and shorter length. It was found that non-axial loads lead to higher strains than axial loads. Therefore, the success of implantation could be significantly influenced by selecting an appropriate implant geometry and the correct angulation of the implant.</p>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cid.70003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143362258","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}