{"title":"Secured Anatomy-Driven Flap Extension (SAFE) for Guided Bone Regeneration: A Modified Flap Release Technique Description and Retrospective Study.","authors":"Jad Majzoub, Marius Steigmann, Hsun-Liang Chan","doi":"10.1563/aaid-joi-D-24-00014","DOIUrl":"10.1563/aaid-joi-D-24-00014","url":null,"abstract":"<p><p>Current flap-releasing designs for guided bone regeneration (GBR) emphasize preserving subperiosteal microvasculature by adapting a deep-slit approach, separating the periosteum from the flap. Although biologically sound, a biomechanical disadvantage may be encountered. This study aimed to describe a modified design, the Secured Anatomy-driven Flap Extension (SAFE) technique, for effective facial flap release and to preliminarily evaluate the clinical outcomes of this technique retrospectively. Chart reviews were conducted to identify patients treated by facial flap release in staged GBR procedures between May 2020 and March 2022. The anatomical, biological, and biomechanical rationale of this technique were described. The following clinical data were collected: intraoperative and postoperative complications, initial and final horizontal ridge width before and 5-6 months after the GBR, and implant performance. A total of 10 patients were identified. At baseline, these patients presented with a mean ridge width of 2.05 ± 0.52 mm. No intraoperative and postoperative complications were observed in these patients (bleeding, wound opening, neurosensory disturbance, etc.) at the 2-3-week follow-up visit. At the re-entry, a mean ridge width of 6.50 ± 0.55 mm was measured (P < .01), resulting in a mean of 4.45 ± 0.65 mm ridge width gain. Twenty-one implants were successfully placed, integrated, and in function without signs/symptoms of peri-implantitis after a mean 21.5 ± 9.2 months follow-up period. Preliminary results suggest that the SAFE technique is a safe and predictable approach for releasing facial flaps during GBR procedures.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"569-577"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142135015","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":"A Biomechanical Comparative Analysis of Abutment Screw Head Designs on Preload Stability Under Oblique Compressive Forces: An In Vitro Pilot Study.","authors":"Jan C Kwan","doi":"10.1563/aaid-joi-D-24-00128","DOIUrl":"10.1563/aaid-joi-D-24-00128","url":null,"abstract":"<p><p>The purpose of this study was to examine the impact of abutment screw head sizes on preload stability when secured to a standard external hex implant under oblique compressive forces. Fifteen metal crowns were divided into 3 equal groups. The first group had 5 angulated cemented crowns connected to a 3-mm-tall straight hexagonal abutment with an external hex abutment screw. The second and third groups each had 5 straight cemented crowns attached to a tapered abutment with flat-slotted and internal hex abutment screws, respectively. Samples were subjected to a static cyclic load until failure. Kruskal-Wallis H, Dunn, and one-way analysis of variance with Tukey honestly significant difference tests were performed. Cemented straight crowns supported by an angled abutment connected to implants with flat-slotted and internal hex abutment screw heads failed at an average of 4.24 × 106 cycles ± 3.31 SD and 12.67 × 106 cycles ± 5.47 SD, respectively. Cemented angled crowns supported by a straight abutment connected to identical implants with an external hex abutment screw survived 18.02 × 106 cycles ± 4.49 SD. The periotest value rate of change increased at a higher rate in crowns supported by angled abutments compared with straight abutments (p < .05). No cement failure was observed. Under the experimental conditions, larger abutment screw head sizes demonstrated greater stability of the abutment-abutment screw joint interface. Based on the in vitro findings, no cement failure was observed between the cemented crown and abutment connection. Future research with standardized comparative setups and larger sample sizes is needed.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"617-625"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485277","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}
Masachika Takiguchi, Koji Fujita, Kazumasa Yoshida
{"title":"Clinical Report of the Immediate Placement Implants in Patients Aged 80 and Over: Five Cases and a Short Review.","authors":"Masachika Takiguchi, Koji Fujita, Kazumasa Yoshida","doi":"10.1563/aaid-joi-D-24-00057","DOIUrl":"10.1563/aaid-joi-D-24-00057","url":null,"abstract":"<p><p>With the population aging, the proportion of elderly individuals is expected to increase, and the proportion of individuals over 80 is also likely to increase. Given that the population is aging and life expectancy is increasing, elderly patients who have lost their teeth will also increase. Impaired masticatory function caused by tooth loss is a risk factor for cognitive decline and frailty, and neglecting to treat tooth loss is a critical issue. In this report, 5 patients over 80 requested dental implants for new missing teeth and underwent immediate implant placement. All patients were treated by the same surgeon using the same technique, materials, and dental implants. Five elements were measured for the peri-implant bone from the cone-beam computed tomography images. All patients were followed for 3 or more years and exhibited good progress without any abnormal findings in their oral cavities or notable radiographic abnormalities such as bone absorption or peri-implantitis. Compared with conventional treatment with delayed placement, combining immediate implant placement and regenerative medicine for fixed superstructures may be the better option for missing tooth replacement if the conditions are suitable. Thus, this treatment modality may improve the quality of life in elderly patients, especially super elderly patients.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"578-583"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142135013","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}
Omran Bishbish Zeino, Yoon Jeong Kim, Joseph Kan, Jaime Lozada
{"title":"The Use of Dynamic Navigation for the Placement of Zygoma Implants: A Cadaver Study to Compare Accuracy.","authors":"Omran Bishbish Zeino, Yoon Jeong Kim, Joseph Kan, Jaime Lozada","doi":"10.1563/aaid-joi-D-24-00026","DOIUrl":"10.1563/aaid-joi-D-24-00026","url":null,"abstract":"<p><p>This study aimed to compare the angular, platform, and apical deviation of zygoma implants placed with the aid of a dynamic navigation (DN) device compared with the implants placed freehand. Eight cadaver heads were used for the study. Preoperative cone beam computerized tomography (CBCT) scans were made for the heads, and an implant-planning software was used to plan zygoma implants bilaterally in each scanned head. A total of 16 zygoma implants were placed using each surgical technique. Postimplant CBCT scans were merged with the preoperative plan to evaluate and compare the accuracy of the implants using each technique. Angular and linear deviations of the implants were measured and compared. The effect of implant length and position on the deviation was also investigated. The results showed a mean angular deviation of 2.44° ± 1.10° for implants placed using DN compared with 6.63° ± 4.81° for implants placed freehand. The mean apical deviation for implants placed using DN and for implants placed freehand was 2.14 ± 1.02 mm and 3.80 ± 2.49 mm, respectively. Finally, the mean platform deviation for implants placed using DN and for implants placed freehand was 1.66 ± 0.9 mm and 2.81 ± 2.1 mm, respectively. The analysis showed a significant difference between the two techniques in angular and apical deviation (p = .001 and .029, respectively). Zygoma implants placed with a DN device resulted in less apical and angular deviation than implants placed freehand.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":"50 6","pages":"644-652"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804198","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}
Omran Bishbish, Yoon Jeong Kim, Joseph Kan, Jaime Lozada
{"title":"The Use of Dynamic Navigation for the Placement of Zygoma Implants. A Cadaver Study to Compare Accuracy.","authors":"Omran Bishbish, Yoon Jeong Kim, Joseph Kan, Jaime Lozada","doi":"10.1563/10.1563_aaid-joi-D-24-00026","DOIUrl":"https://doi.org/10.1563/10.1563_aaid-joi-D-24-00026","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the angular, platform, and apical deviation of zygoma implants placed with the aid of a dynamic navigation device compared to the implants placed freehand.</p><p><strong>Methods: </strong>Eight cadaver heads were used for the study. Pre-operative CBCT scans were made for the heads, and an implant planning software was used to plan zygoma implants bilaterally in each scanned head. A total of 16 zygoma implants were placed using each surgical technique. Post-implant CBCT scans were merged with the pre-operative plan to evaluate and compare the accuracy of the implants using each technique. Angular and linear deviations of the implants were measured and compared. The effect of implant length and position on the deviation was also investigated.</p><p><strong>Results: </strong>The results showed a mean angular deviation of 2.44 ± 1.10 degrees for implants placed using DN compared to 6.63 ± 4.81degrees for implants placed freehand. The mean apical deviation for implants placed using DN and for implants placed freehand was 2.14 ± 1.02 mm and 3.80 ± 2.49 mm, respectively. Finally, the mean platform deviation for implants placed using DN and for implants placed freehand was 1.66 ± 0.9 mm and 2.81 ± 2.1 mm, respectively. The analysis showed a significant difference between the two angular and apical deviation techniques. ( p=0.001 and 0.029 respectively).</p><p><strong>Conclusion: </strong>Zygoma implants placed with a dynamic navigation device resulted in less apical and angular deviation than implants placed freehand..</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485279","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":"The Lateral Lingual Foramen: A Structure to Consider in Planning in Implantology and Oral Surgery.","authors":"Reyes-Fernández Salvador, Díaz-Flores Yadira, Sandoval-Guevara Daniel, Romero-Castro Norma Samanta","doi":"10.1563/aaid-joi-D-24-00081","DOIUrl":"10.1563/aaid-joi-D-24-00081","url":null,"abstract":"","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"453-454"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141500143","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":"Successful Treatment of Nasopalatine Duct Cyst After Maxillary Anterior Implant Surgery: A Case Report.","authors":"Xuyang Gao, Shiai Dai, Xia Yan, Xueting Jia, Baoxin Huang, Haidong Zhang, Diyuan Wei, Xiaoyuan Guan, Dong Shi, Huanxin Meng","doi":"10.1563/aaid-joi-D-23-00052","DOIUrl":"10.1563/aaid-joi-D-23-00052","url":null,"abstract":"<p><p>Sporadic studies have reported the occurrence of nasopalatine duct cysts after maxillary anterior implant surgery, and the treatment methods still have clinical uncertainty. We report a potential therapy method that successfully treated a nasopalatine duct cyst that developed and expanded 1 year after maxillary anterior implant placement following periodontally hopeless teeth extraction. The nasopalatine cyst was treated surgically without removing implants. During flap surgery, the cyst was removed intact, and the exposed implant's surface was debrided thoroughly by hydrogen peroxide (H2O2) rinsing, glycine air polishing, and saline rinsing. To deal with the significant bone defect caused by the cyst, a bovine porous bone mineral injected platelet-rich fibrin (BPBM-i-PRF) complex was applied to fill the defect, following a resorbable collagen membrane to cover. Seven years after surgery, no cyst recurrence was observed, and bone regeneration in the bone graft area was stable. The implants functioned well without mobility. For nasopalatine duct cysts associated with dental implant placement, complete surgical debridement and longitudinal stable bone regeneration are possibly accessible by regenerative surgery without implant removal.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"492-498"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312713","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":"Risk Factors for Implant Failure Following Transcrestal Sinus-Floor Elevation: A Case Report and Literature Review.","authors":"Jie Zhang, Mengjia Weng, Zheng Zhu, Jing Li","doi":"10.1563/aaid-joi-D-23-00134","DOIUrl":"10.1563/aaid-joi-D-23-00134","url":null,"abstract":"<p><p>Although transcrestal sinus floor elevation (TSFE) is widely used for cases of insufficient residual bone height in the posterior maxilla, few studies focus on the risk factors of early implant failure associated with TSFE procedures. This study aimed to identify and summarize the possible risk factors of implant failure associated with TSFE to ensure a more predictable implant survival rate using TSFE. We report the treatment of a patient with implant failure following TSFE and discuss this case's possible associated risk factors. A standard implant with a diameter of 4.8 mm and length of 10 mm was used after the TSFE procedure. Implant loosening was suddenly observed 6 weeks after the initial surgery. Factors that could result in early implant failure included patient-related risk factors, anatomical factors of the operational area, and operation- and implant-related factors. Within the current study's limitations, the graft material particles between the implant surface and socket could be considered a direct risk factor resulting in implant failure. Therefore, more attention should be paid to socket cleaning during the TSFE procedure, and loose particulate grafting materials should be discouraged. Another significant consideration for implant loss is the possibility of fractures in the buccal or palatal cortical plates during the site preparation and implant insertion. Thus, these factors should be studied further and receive more clinical attention.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"482-491"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873240","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}
Chengzhi Dong, Simin Zheng, Zhuoheng Xia, Runzhi Chen, Yuxin Zheng, Fan Yang, Linhong Wang
{"title":"Demineralized, Freeze-Dried Allogeneic Bone Blocks With Suture Fixation Technique for Reconstruction of Maxillary Alveolar Bone Deficiency: A Case Series.","authors":"Chengzhi Dong, Simin Zheng, Zhuoheng Xia, Runzhi Chen, Yuxin Zheng, Fan Yang, Linhong Wang","doi":"10.1563/aaid-joi-D-24-00072","DOIUrl":"10.1563/aaid-joi-D-24-00072","url":null,"abstract":"<p><p>This study aims to evaluate the clinical outcomes of using demineralized, freeze-dried allogeneic bone blocks (DFDABB) combined with the periosteal vertical mattress suture (PVMS) technique for the reconstruction of severe horizontal alveolar bone deficiencies in the maxilla. In continuous horizontal maxillary defects cases, bone augmentation was performed using DFDABB and deproteinized bovine bone matrix (DBBM) filling the interstice. Subsequently, a resorbable collagen membrane was carefully placed over the graft surface, and both the membrane and bone graft were firmly secured using the PVMS technique. Linear changes were assessed through superimposed cone-beam computerized tomography scans obtained before the operation and after a healing period of 6-10 months. A total of 7 female patients with 10 bone blocks and 13 implants were included in this study. One of the wounds was slightly ruptured postoperatively without infection, and all implants showed successful osseointegration. The average alveolar ridge width at a point 5 mm below the crest was 4.52 ± 2.03 mm before bone graft and 9.79 ± 1.57 mm after implantation with an average increase of 5.26 ± 1.97 mm. Similarly, at a point 10 mm below the crest, the pregraft alveolar ridge width measured 7.23 ± 3.60 mm, and postimplantation, it expanded to 11.81 ± 2.90 mm, showing an average gain of 4.58 ± 2.01 mm. This case series demonstrates the successful application of DFDABB combined with the PVMS technique to achieve adequate bone width for implantation at severe continuous horizontal bone deficiency of the maxilla. DFDABB with the PVMS technique resulted in superior horizontal bone gain during maxillary bone augmentation with horizontal continuity deficiency. However, further studies are necessary to validate these findings.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"499-506"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536334","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}
Aleksandr Kitaygorodskiy, Richard L Gregory, Glendale Lim, Yusuke Hamada
{"title":"In Vitro Comparison of Titanium Disc Surface Roughness and Bacterial Colonization After Ultrasonic Instrumentation With Three Different Tips.","authors":"Aleksandr Kitaygorodskiy, Richard L Gregory, Glendale Lim, Yusuke Hamada","doi":"10.1563/aaid-joi-D-24-00049","DOIUrl":"10.1563/aaid-joi-D-24-00049","url":null,"abstract":"<p><p>During implant maintenance, preserving a smooth surface on the machined transmucosal abutment is critical to reduce biofilm attachment and colonization. The present study compared the surface roughness and bacterial colonization of machined titanium surfaces after instrumentation with various materials. Forty-four machined grade 23 titanium discs were instrumented with a round polyether ether ketone (PEEK) tip, a plastic curette tip, or a pure titanium curette tip with piezoelectric devices. Before and after instrumentation, the surface roughness (Ra and Rz) values were analyzed with a profilometer and scanning electron microscopy (SEM). Streptococcus sanguinis was cultured and incubated for 24 hours on the instrumented discs, and colony-forming units per milliliter were obtained for each group. Samples instrumented with the metal ultrasonic tip significantly increased surface roughness compared with the other groups. This resulted in greater colonization by S. sanguinis than surfaces instrumented with PEEK tips or the negative control. Samples instrumented with PEEK and plastic tips did not exhibit any statistically significant increase in surface roughness, and SEM analysis revealed a significantly rougher surface of discs instrumented with metal compared with discs instrumented with plastic or PEEK tips despite the possibility of debris from tip dissolution. Our results suggest that instrumentation with metal ultrasonic tips with piezoelectric devices significantly increased machined titanium's surface roughness and elicited higher biofilm formation in vitro. Meanwhile, instrumentation of machined titanium with PEEK or plastic ultrasonic tips did not affect the surface roughness or bacterial adhesion.</p>","PeriodicalId":519890,"journal":{"name":"The Journal of oral implantology","volume":" ","pages":"537-543"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636411","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}