Clinical Implant Dentistry and Related Research最新文献

{"title":"Reconstructive Therapy of Peri-Implantitis Following Non-Surgical Treatment: A Randomized Controlled Trial","authors":"Maria Costanza Soldini,&nbsp;Ramón Pons,&nbsp;José Nart,&nbsp;Alberto Monje,&nbsp;Neus Carrió,&nbsp;Cristina Valles","doi":"10.1111/cid.70024","DOIUrl":"https://doi.org/10.1111/cid.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate the clinical and radiographic outcomes of non-surgical treatment followed by either reconstructive therapy or supportive care with no further surgical measures for the treatment of peri-implantitis intra-bony defects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>This randomized clinical trial included patients diagnosed with peri-implantitis exhibiting intrabony defects (≥ 3 mm). All 36 patients received a standardized peri-implant non-surgical therapy. Patients who did not demonstrate disease resolution based on clinical and radiographic re-evaluation were randomized into two groups. The test group received reconstructive therapy [reconstructive group (RG)] while the control group received no additional treatment except supportive care every 3 months [non-reconstructive group (NRG)]. The primary outcome was the mean radiographic bone change at 12 months; the difference between groups was assessed using Mann–Whitney two-sample tests. Clinical and radiographic parameters were recorded at the initial examination and at 3, 6, and 12 months. Also, patient-reported outcomes were assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 34 patients (implants = 34) completed the study. Both therapies resulted in significant clinical and radiographic changes after 12 months. Disease resolution was achieved in 8 (44.4%) NRG patients and 7 (43.8%) RG patients (<i>p</i> ≥ 0.05) with no significant differences between groups. The groups displayed no significant differences in clinical variables, but radiographic bone fill was ~3× greater in the RG group at 12 months [1.21 (SD 0.92) mm versus 0.36 (SD 0.59) mm], demonstrating statistical significance between the tested groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The tested therapeutic modalities demonstrated equal disease resolution. Nevertheless, the marginal bone level gain was significantly greater for sites subjected to reconstructive surgical therapy (NCT05168891—This clinical trial was not registered prior to participant recruitment and randomization).</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770051","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":"Analysis of Risk Factors for Early Implant Failure in the Anterior Region: A Retrospective Study of 2620 Implants","authors":"Shuo Dong,&nbsp;Jiaxin Lv,&nbsp;Liang Wang,&nbsp;Wei Chen,&nbsp;Long Wang,&nbsp;Lingxu Wang,&nbsp;Xiangcheng Xia,&nbsp;Shan Gao,&nbsp;Chunbo Tang","doi":"10.1111/cid.70027","DOIUrl":"https://doi.org/10.1111/cid.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to identify risk factors associated with early implant failure in the anterior maxillary and mandibular regions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A total of 2023 patients with 2620 implants placed in the maxillary and mandibular anterior regions between January 2020 and June 2023 were included in this study. Clinical and radiographic data were extracted from medical records and imaging software. In organizing the information, 19 variables were categorized into patient-related factors (gender, age, periodontitis, reasons for tooth loss, bone quality, and penicillin allergy), implant-related factors (implant system, bone level/soft tissue level, diameter, and length), and surgical factors (jaw position, placement timing, bone grafting, bone compression/splitting surgery, concentrated growth factors (CGFs), bone graft materials, barrier membrane, torque, and healing style). Univariate and multivariate Cox proportional hazards regression models were used to identify significant risk factors for early failure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The cumulative survival rate (CSR) of all implants after a 0- to 43-month observation period was 95.6% (95% confidence interval [CI]: 94.8%–96.4%). Independent risk factors for early implant failure included non-submerged healing (hazard ratio [HR] = 3.000, 95% CI = 1.712–5.256), torque &lt; 30 N/cm (HR = 13.193, 95% CI = 8.439–20.626), and Type I bone quality (HR = 3.220, 95% CI = 1.413–7.342) (all <i>p</i> &lt; 0.05). Conversely, bone compression or splitting surgery was identified as a protective factor (HR = 0.344, 95% CI = 0.186–0.634). No significant associations were observed for age, reasons for tooth loss, penicillin allergy, use of CGF, or implant characteristics (location, type, length, and diameter).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>After 0–43 months of observation, the CSR for 2620 implants placed in 2023 patients was 95.6% (95% CI = 94.8%–96.4%). Torque &lt; 30 N/cm, non-submerged healing, and Type I bone quality were considered independent risk factors for early implant failure in the anterior region.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770054","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":"Varying Influence of Maxillary Sinus Dimensions on New Bone Formation With Various Graft Materials in Lateral Window Sinus Augmentation—A Retrospective Study","authors":"Krennmair Stefan,&nbsp;Weinländer Michael,&nbsp;Schwarze Uwe-Yalcin,&nbsp;Malek Michael,&nbsp;Forstner Thomas,&nbsp;Krennmair Gerald","doi":"10.1111/cid.70014","DOIUrl":"https://doi.org/10.1111/cid.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The present study aimed to evaluate and to compare the influence of anatomical variables such as sinus width (SW), inner maxillary sinus contour length (IMSCL), and residual ridge height (RRH) on new bone formation (%NBF) for deproteinized porcine (DPBM) and bovine bone mineral (DBBM) used for lateral window sinus augmentation (LWSA) grafting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>For LWSA groups grafted either with DPBM (<i>n</i> = 10) or DBBM (<i>n</i> = 13) a linear- as well as a multivariate-regression analysis was conducted between measured %NBF and radiographically retrospectively assessed anatomical variables (SW/IMSCL/RRH). Correlations as well as regression coefficients (<i>R</i>²) were calculated, evaluating the influence of anatomical variables on %NBF with differentiation between both xenogenic graft materials used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>With no differences for patient-epidemiologic data, for anatomical variables as well as for surgical- and patient-related risk factors, comparison between the two LWSA groups was possible. The linear-regression analysis provided significant correlations between histomorphometrically evaluated %NBF and SW (DPBM: <i>r</i> = −0.660, <i>p</i> = 0.038; DBBM: <i>r</i> = −0.614, <i>p</i> = 0.026) as well as between %NBF and IMSCL (DPBM: <i>r</i> = −0.737; <i>p</i> = 0.015, DBBM: <i>r</i> = −0.573, <i>p</i> = 0.041), but not for RRH. Between SW/IMSCL/RRH and %NBF, regression-coefficients-(R²) of 0.435/0.543/0.258 using DPBM and <i>R</i>² of 0.377/0.328/0.053 using DBBM represented evidently higher influences of anatomical structures when porcine graft material was applied. The multivariate-regression analysis confirmed the different influence between various xenogenic graft materials on % NBF as well with a pronounced effect for porcine material (DPBM: <i>R</i>² = 0.591 [59.1%] vs. DBBM: <i>R</i>² = 0.314 [31.4%]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In LWSA, anatomical structures such as SW and IMSCL significantly affect new bone formation, though with varying effects for different xenogenic (porcine vs. bovine) bone mineral graft materials used.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770049","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":"Use of Oral Irrigators in Peri-Implant Maintenance Therapy: Clinical and Microbiological Outcomes Over a 7-Year Period","authors":"Adriana Moreira Costa,&nbsp;Fernando Oliveira Costa,&nbsp;Rafael Paschoal Esteves Lima,&nbsp;Sheila Cavalca Cortelli,&nbsp;José Roberto Cortelli,&nbsp;Tarcilia Aparecida Silva,&nbsp;Gustavo Henrique Mattos Pereira,&nbsp;Luís Otávio Miranda Cota","doi":"10.1111/cid.70023","DOIUrl":"https://doi.org/10.1111/cid.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Prospective studies investigating the influence of oral irrigators (OIs) as adjuncts to conventional oral hygiene (OH) procedures during periodontal/peri-implant maintenance therapy (PPMT) have not been previously reported. The aim of this study was to longitudinally evaluate the clinical and microbiological outcomes of regular compliers (RCs) under PPMT performing OH versus those using OIs adjunctive to OH over 7 years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In a prospective PPMT program, 51 RCs were deemed eligible to participate in this study. Based on the use of OIs, two groups were formed—(1) OH (manual brushing/flossing + interdental brushes; <i>n</i> = 27); (2) OH + OIs (<i>n</i> = 24). Periodontal and peri-implant examinations and microbiological assessments were evaluated at two time points: T1 (first PPMT appointment after starting OIs use) and T2 (after 7 years under PPMT).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The OH + OIs group exhibited better peri-implant and periodontal clinical parameters, with lower total bacterial and <i>T. denticola</i> and <i>F. nucleatum</i> counts at peri-implant and periodontal sites compared to the OH group. Additionally, the OH + OIs group showed significantly greater reductions in plaque index from T1 to T2, demonstrating an additional positive effect of OIs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>PPMT resulted in clinical and microbiological benefits among RCs in the long term. However, the adjunctive use of OIs led to significantly better peri-implant and periodontal clinical parameters, along with lower total bacterial, <i>T. denticola</i>, and <i>F. nucleatum</i> counts compared to OH alone.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50679,"journal":{"name":"Clinical Implant Dentistry and Related Research","volume":"27 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770050","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: Correspondence","authors":"Hinpetch Daungsupawong,&nbsp;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":"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":"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":"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}