{"title":"Vertical Ridge Augmentation Using Deproteinized Bovine Bone Material Without Covering With a Membrane: A Tunnel Pouch Technique-4-Year Follow-up-A Pilot Clinical Study.","authors":"Ramesh Chowdhary, Midhula V","doi":"10.1563/aaid-joi-D-24-00131","DOIUrl":"10.1563/aaid-joi-D-24-00131","url":null,"abstract":"<p><p>The present pilot clinical trial was planned to evaluate the effect of particulate deproteinized bovine bone graft mixed with blood used as a vertical ridge augmentation material without covering with any form of collagen membrane in a tunnel pouch technique, resulting in sufficient bone formation to allow placement of dental implants with maintenance of the newly formed bone after final restoration. Eight patients (3 males and 5 females) were selected for this procedure and treated between February 2016 and December 2017. All these patients had a deficient vertical height of the posterior mandibular alveolar bone above the inferior alveolar canal. The particulate deproteinized organic bovine bone graft (Bio-Oss) mixed with blood was placed through the tunnel in the defected area and compacted firmly to form a dense pack. The average gain of alveolar bone in the first implant site immediately postoperative was 13.51 ± 0.85 and in the second implant site was 13.84 ± 0.62. Histomorphometric analysis showed that about 70.31% of the area analyzed was occupied by the vital bone, the newly formed bone, whereas only 29.69% of the residual graft remained. In the present pilot study, the deproteinized bovine bone graft placed to enhance vertical and horizontal bone gain showed positive results in regaining the bone needed to place implants and maintaining the bone around restored implants for 4 years of follow-up.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"27-35"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Namiaki Takahara, Mari Shibata, Takuya Iwasaki, Eriko Marukawa, Tetsuya Yoda
{"title":"Efficacy of Bioresorbable Mesh Sheets Made of 85:15 Poly(lactic-co-glycolic acid) in the Anterior Maxilla for Alveolar Bone Augmentation.","authors":"Namiaki Takahara, Mari Shibata, Takuya Iwasaki, Eriko Marukawa, Tetsuya Yoda","doi":"10.1563/aaid-joi-D-24-00102","DOIUrl":"10.1563/aaid-joi-D-24-00102","url":null,"abstract":"<p><p>This study evaluated the efficacy of poly(lactic-co-glycolic acid) (PLGA) mesh sheets for alveolar bone reconstruction in the anterior maxilla with significant bone defects. This prospective case series included 4 male patients (mean age, 34.5 years; range, 20-49 years) with anterior maxillary bone defects. Bone augmentation was performed using a staged guided bone regeneration technique with PLGA mesh sheets as barrier membranes and a 1:1 mixture of autogenous and xenogeneic bone as grafting material. The effectiveness of bone augmentation was evaluated using preoperative and postoperative computerized tomography data at 1 and 6 months. Secondary outcomes included complications such as wound infection and dehiscence. The treatment of the 4 patients required 7 PLGA mesh sheets and particulate bone, followed by 9 implant placements. Wound healing was uneventful except for 1, wherein wound dehiscence and graft loss were observed. One patient had an exposed PLGA mesh sheet during healing, necessitating its removal. The mean vertical bone gain was 2.3 ± 0.5 mm, and the mean horizontal gain was 3.7 ± 1.3 mm at 1 month postoperatively. Sites without wound dehiscence exhibited a bone decrease rate of 6.5%-21.1%, whereas successful bone height and width increases were observed across treated sites. Bone augmentation using PLGA mesh sheets proved effective in reconstructing horizontal and vertical alveolar bone dimensions. This technique provides adequate support for implant placement, demonstrating its potential utility in cases of substantial alveolar bone deficiency.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"60-66"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bill Anderson, John D Erdeljac, Shankar Iyer, Edgard El Chaar, James L Rutkowski
{"title":"Proper Diagnosis of the \"Terminal Dentition\".","authors":"Bill Anderson, John D Erdeljac, Shankar Iyer, Edgard El Chaar, James L Rutkowski","doi":"10.1563/orim-51-1-editorial","DOIUrl":"https://doi.org/10.1563/orim-51-1-editorial","url":null,"abstract":"","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":"51 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aml Abukraa, Abdusalam Alrmali, Jonathan Misch, Benyapha Sirinirund, Muhammed H Saleh, Jeff Cw Wang, Hom-Lay Wang
{"title":"Peri-Implant Bone Necrosis: Clinical Considerations and Histological Evaluation.","authors":"Aml Abukraa, Abdusalam Alrmali, Jonathan Misch, Benyapha Sirinirund, Muhammed H Saleh, Jeff Cw Wang, Hom-Lay Wang","doi":"10.1563/aaid-joi-D-24-00113","DOIUrl":"10.1563/aaid-joi-D-24-00113","url":null,"abstract":"<p><p>Peri-implant bone necrosis (PIBN) is a rare yet potentially serious phenomenon contributing to implant failure. It can be challenging to determine the exact etiology, especially when multiple intricate factors are involved. This case series reports on the successful management of PIBN during early and late implant placement and peri-implantitis-associated bone necrosis, with likely causes being bone overcompression during implant placement or a consequence of peri-implantitis. This case series presents 5 cases of peri-implant bone necrosis, with 3 cases occurring immediately after implant placement and the other 2 presenting a delayed inflammatory process of peri-implantitis between 1 and 5 years after implant placement. Clinical presentation and histopathological evaluation data present 10 failed implants managed with the removal of implants and the associated necrotic bone. All the cases were successfully managed without any signs of recurrence. Two cases confirmed bone necrosis via biopsy, illustrating the typical pattern of bone necrosis: multiple nonvital bone fragments surrounded by acute and chronic inflammatory cells and empty lacunae. All cases were successfully managed by removing necrotic bone and associated implants, with no indication of bone necrosis recurrence. This case series report highlights the unusual early and delayed implant failure associated with peri-implant bone necrosis. This condition most likely results from bone overcompression during implant placement or is a sequela of the inflammatory process of peri-implantitis.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"47-52"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Líssya Tomaz da Costa Gonçalves, Fernanda Estevão de Campos Cunha, Alexandre Marques Paes da Silva, Glaucia Schuindt Teixeira Neves, Daniel de Moraes Telles, Carlos Marcelo Figueredo, Eduardo José Veras Lourenço, Mayla Kezy Silva Teixeira
{"title":"Open Flap Debridement Protocol as a Treatment of Peri-Implantitis: A 3-Year Follow-up Case Series.","authors":"Líssya Tomaz da Costa Gonçalves, Fernanda Estevão de Campos Cunha, Alexandre Marques Paes da Silva, Glaucia Schuindt Teixeira Neves, Daniel de Moraes Telles, Carlos Marcelo Figueredo, Eduardo José Veras Lourenço, Mayla Kezy Silva Teixeira","doi":"10.1563/aaid-joi-D-24-00093","DOIUrl":"10.1563/aaid-joi-D-24-00093","url":null,"abstract":"","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"80-85"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142981061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of Gingival Color and Abutment Material on the Final Color of Peri-Implant Soft Tissue: An In Vitro Analysis.","authors":"Nazmiye Şen, Ibrahim Bulent Şermet","doi":"10.1563/aaid-joi-D-24-00108","DOIUrl":"10.1563/aaid-joi-D-24-00108","url":null,"abstract":"<p><p>The study aimed to investigate the influence of different gingival colors and abutment materials on the final color of peri-implant soft tissue. A total of 30-cylinder shaped specimens having 1.0- and 2.0-mm buccal thicknesses using 5 different gingiva-colored composites [light pink (LP), dark pink (DP), orange (Or), brown (Br), and purple (Pr)] were prepared. Implants were placed straight into the center of cylinders and connected to abutments [Titanium (Ti) and Zirconia (Zr)]. Color parameters were assessed using a spectroradiometer. Color differences (ΔE*ab and ΔE00) were calculated and compared with 50:50% perceptibility (PT) and acceptability (AT) visual thresholds. Color variation data were statistically analyzed using 2-way analyses of variance followed by Tukey HSD tests (a = .05). Significantly higher ΔE*ab and ΔE00 values were recorded in LP and Or groups with 1.0 mm buccal thickness and Ti abutments (P < .05). Regardless of the thickness applied, all the gingival color groups with Zr abutment presented ΔE*ab and ΔE00 values below AT. The mean ΔE*ab value decreased as the gingiva thickness increased in the LP, DP, and Or groups with Ti abutments. Abutment material significantly affected the mean ΔE00 values in the groups of LP, DP, and Or with a buccal gingiva thickness of 1.0 mm (P < .05). Gingival color and abutment material was found to be effective on the final color of peri-implant soft tissue. However, further clinical research is required to confirm these findings.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"111-116"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Esteban Arroyo, Mary Stella Kivel Dias Vitório, Thales de Castro Andrade Santos, Tatiana Miranda Deliberador, Luis Eduardo Marques Padovan
{"title":"Full-Arch Treatment of Atrophic Edentulous Mandible Using Short Implants With Immediate Loading: Case Report.","authors":"Esteban Arroyo, Mary Stella Kivel Dias Vitório, Thales de Castro Andrade Santos, Tatiana Miranda Deliberador, Luis Eduardo Marques Padovan","doi":"10.1563/aaid-joi-D-24-00104","DOIUrl":"10.1563/aaid-joi-D-24-00104","url":null,"abstract":"<p><p>Full-arch implant rehabilitation in extremely atrophic edentulous mandibles is still challenging due to the high risk of fracture and the limited bone availability. The approach proposes using short implants with immediate loading for final prostheses as a treatment option, which offers shorter treatment times and fewer invasive procedures. A 66-year-old female patient with an edentulous mandible and severe alveolar bone resorption was treated with 4 short implants in the interforaminal area. The final hybrid metal-plastic full-arch lower prosthesis was delivered 3 days after the surgery, and the patient was instructed on cleaning methods and requested to maintain a soft diet for the first 2 postoperative months. After 6 months of follow-up, the patient experienced no problems; the prosthesis underwent a mechanical examination, each multiunit abutment's peri-implant tissue was assessed, and implants presented no mobility, fibrointegration, or signs of failure. X-ray images demonstrated stable bone levels around implants. Also, it was observed that the integrity of the entire jaw was preserved, and no signs of fracture were observed.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"67-73"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vasilios Alevizakos, Aileen Friederichs, Björn Rahlf, Nils-Claudius Gellrich, Philipp Jehn, Marcus Schiller
{"title":"Effects of Preparation Technique on Periosteal Microcirculation After Autologous Bone Augmentation in an Animal Model.","authors":"Vasilios Alevizakos, Aileen Friederichs, Björn Rahlf, Nils-Claudius Gellrich, Philipp Jehn, Marcus Schiller","doi":"10.1563/aaid-joi-D-24-00066","DOIUrl":"10.1563/aaid-joi-D-24-00066","url":null,"abstract":"<p><p>This controlled in vivo experimental study examines the impact of 2 periosteum preparation techniques on microcirculation during bone augmentation with isogenic bone grafts in rats. Twenty female Lewis rats were divided into 2 groups (n = 10 each). In one group, the periosteum was prepared with a conventional periosteal elevator; in the other, a piezoelectric device was used. After graft implantation at calvarial sites, intravital microscopy was performed postoperation (day 0) and on days 3, 8, and 28 immediately to assess microvascular parameters: functional capillary density, blood flow velocity, and vessel diameter. Statistical analysis was conducted using analysis of variance on ranks with P < .05. The piezoelectric device group showed higher mean values for functional capillary density, blood flow velocity, and vessel diameter than the conventional instrument group, though differences were not statistically significant. This study suggests that periosteum preparation with a piezoelectric device does not significantly differ from conventional methods regarding microcirculatory outcomes. Either method appears viable for preserving microcirculatory integrity during bone augmentation. Further research in larger models and clinical contexts is recommended to confirm these findings.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"14-20"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Repairing Dehiscence Defects at Implant Sites Using β-Tricalcium Phosphate/Calcium Sulfate Versus Xenograft Combined With Membrane: A Randomized Clinical Trial.","authors":"Aksornsan Pongsettakul, Narit Leepong, Srisurang Suttapreyasri","doi":"10.1563/aaid-joi-D-24-00048","DOIUrl":"10.1563/aaid-joi-D-24-00048","url":null,"abstract":"<p><p>Guided bone regeneration (GBR) typically involves bone grafts and a membrane to enhance bone formation. Beta-tricalcium phosphate calcium sulfate (β-TCP/CS) is a novel material with self-hardening and tissue growth inhibition properties and can potentially replace the need for a membrane. This study compares β-tricalcium phosphate/calcium sulfate with deproteinized bovine bone mineral and a collagen membrane (DBBM/CM) to repair bone defects at implant sites over 6 months. Sixteen implant defects were divided into β-TCP/CS (n = 8) and DBBM/CM (n = 8). The results showed no significant differences in vertical and horizontal defect fill in millimeters between β-TCP/CS (2.87 ± 1.25 and 2.37 ± 1.06 mm, respectively) and DBBM/CM (3.5 ± 0.92 and 2.87 ± 1.12 mm, respectively). Buccal bone thickness (BT) alterations at the implant platform levels (BT0) were similar for both materials. However, β-TCP/CS exhibited greater bone alteration at the 2-mm level (BT2: -1.85 mm vs -0.47 mm) and 4-mm level (BT4: -1.79 mm vs 0.12 mm) apical to the implant platform compared to DBBM/CM. When assessing volume alteration, β-TCP/CS showed a significantly greater reduction at the platform to the 2 mm level (-61.98% vs -23.76%) than DBBM/CM. In conclusion, β-TCP/CS demonstrated promise for treating buccal bone defects around implants but exhibited higher graft reduction. This suggests that while β-tricalcium phosphate/calcium sulfate may offer clinical benefits, its potential for greater graft reduction should be considered. Further research and evaluation are warranted to fully understand the long-term implications of using β-TCP/CS in guided bone regeneration procedures.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"6-13"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Full-Arch Implant-Supported Rehabilitation Using Reverse Scan Technique: A Case Report.","authors":"Phuc Ngoc Nguyen, Lam Hung Tran, Viet Hoang","doi":"10.1563/aaid-joi-D-24-00083","DOIUrl":"10.1563/aaid-joi-D-24-00083","url":null,"abstract":"<p><p>This was a case report successfully employing the reverse scan technique. A 72-year-old male patient desired to restore his teeth in both jaws. Clinical examination revealed the presence of several remaining teeth with poor prognosis due to significant bone loss and mobility. The treatment plan involved extracting these teeth, placing 4 implants in the maxilla and mandible, and fitting an interim immediate loading prosthesis. Full-thickness flaps were raised during surgery, and the remaining teeth were extracted. Implants and multiunit abutments were placed, followed by impressions and the recording of the interjaw relationship using index dentures. After 6 months of osseointegration, the reverse scan technique was employed, using light silicone, reverse scan bodies, and extraoral scanning to capture implant positions, soft tissue profiles, and prosthesis shapes. Titanium frames were machined for the final prostheses-monolithic zirconia for the maxilla and zirconia crowns with composite gingiva for the mandible. These were delivered after confirming the fit, aesthetics, and occlusion. The technique enhanced patient comfort, minimized chair time, and ensured the quality of the prosthetic outcome.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"74-79"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}