International Journal of Periodontics & Restorative Dentistry最新文献_第3页

Semilunar Lingualized Apically Positioned Flap (SLAP) for Peri-implant Soft Tissue Phenotype Modification Therapy Around Mandibular Implants: A Case Report. 用于下颌种植体周围软组织表型改变治疗的半月舌侧化尖位瓣（SLAP）：病例报告。

IF 1.3 4区医学

International Journal of Periodontics & Restorative Dentistry Pub Date : 2024-01-01 DOI: 10.11607/prd.6872

Aziz Saqr, Silie Arboleda, Seiko Min

{"title":"Semilunar Lingualized Apically Positioned Flap (SLAP) for Peri-implant Soft Tissue Phenotype Modification Therapy Around Mandibular Implants: A Case Report.","authors":"Aziz Saqr, Silie Arboleda, Seiko Min","doi":"10.11607/prd.6872","DOIUrl":"10.11607/prd.6872","url":null,"abstract":"Mucogingival deformities around implants are frequent findings in clinical practice and often pre- sent as inadequate keratinized tissue and insufficient mucosal thickness. Phenotype modification therapy can increase peri-implant mucosal thickness and the amount of keratinized mucosa, im- proving the long-term clinical outcomes of implants. The free gingival graft (FGG) is considered the gold standard to increase keratinized mucosa; however, FGGs on the lingual aspects of implants are less predictable due to technique sensitivity and often present with insufficient gains in tissue thick- ness due to a limited blood supply. The semilunar lingualized apically positioned flap (SLAP) with subperiosteal tunnel connective tissue graft (CTG) can increase both peri-implant mucosal thick- ness and keratinized mucosal width circumferentially. SLAP consists of one full-thickness, semi- lunar incision within the keratinized mucosa and buccal to the implant, as well as two vertical re- leasing incisions mesial and distal to the implant, extending lingually into the alveolar mucosa. The tissue is apically positioned lingual to the implant and sutured in place, creating buccal space for a CTG via buccal subperiosteal tunneling. SLAP is a minimally invasive and predictable approach for improving the peri-implant mucosal phenotype. This case report demonstrates gains in peri-implant mucosal thickness and the amount of keratinized mucosa over a 10-month period utilizing SLAP with subepithelial CTG.","PeriodicalId":54948,"journal":{"name":"International Journal of Periodontics & Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10186280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Use of a Mineral-Organic Resorbable Bone Adhesive: A First Human Case Report with a 3-Year Follow-up. 矿物-有机可吸收骨粘合剂的临床应用：首例人类病例报告及 3 年随访。

IF 1.6 4区医学

International Journal of Periodontics & Restorative Dentistry Pub Date : 2024-01-01 DOI: 10.11607/prd.6441

Michael A Pikos, Richard J Miron

{"title":"Clinical Use of a Mineral-Organic Resorbable Bone Adhesive: A First Human Case Report with a 3-Year Follow-up.","authors":"Michael A Pikos, Richard J Miron","doi":"10.11607/prd.6441","DOIUrl":"10.11607/prd.6441","url":null,"abstract":"The ability for clinicians to adequately obtain primary stability in host bone is critical to the success of dental implants. Numerous conditions require dentists to perform multistage approaches to rebuild deficient bone volume prior to surgically placing implants. In many instances, implant placement cannot be achieved due to a lack of primary implant stability. Recently, a novel mineral-organic resorbable bone adhesive (MORBA) has demonstrated promising results in animal studies. MORBA is a synthetic, injectable, self-setting, load-bearing adhesive biomaterial that exhibits osteopromotive properties and bonds bone to bone and metal within 10 minutes and can fully resorb in 30 weeks. Its unique novel formulation was developed from biomimetic proteins found in marine animal creatures that possess distinct adhesive properties underwater. Excellent long-term results have shown its potential use for achieving primary stability in immediate implants. The present case report demonstrates the first use of MORBA in a human patient, utilized on a nonrestorable mandibular first molar. MORBA was utilized after placement of a mobile 5.8-mm implant to achieve stabilization. At 3 months postsurgery, both clinical and CBCT evaluations showed maintained implant stability. One year after implant placement, radiographic bone was seen on the buccal surface of the implant with continued long-term stabilization. This case report extends to 3 years whereby the use of MORBA, in an initially unstable situation, demonstrated an excellent long-term follow-up. MORBA provided immediate implant stability with resorbable characteristics, leading to successful long-term clinical outcomes up to 3 years. This innovative biomaterial offers a more efficient solution to a critical problem in implant dentistry, allowing optimal primary stability during immediate implant placement, thus reducing treatment times and costs.","PeriodicalId":54948,"journal":{"name":"International Journal of Periodontics & Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10534248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stromal Cells Associated with Soft Tissue Augmentation by a Volume-Stable Collagen Matrix (VCMX) Are Predominated by Anti-inflammatory/Reparative Macrophages. 与体积稳定胶原基质（VCMX）软组织增生相关的基质细胞主要是抗炎/修复巨噬细胞。

IF 1.3 4区医学

International Journal of Periodontics & Restorative Dentistry Pub Date : 2024-01-01 DOI: 10.11607/prd.6819

Zvi Artzi, Marilena Vered, Tal Maymon-Gil, Uri Renert, Erez Netanely, Daniel S Thoma

{"title":"Stromal Cells Associated with Soft Tissue Augmentation by a Volume-Stable Collagen Matrix (VCMX) Are Predominated by Anti-inflammatory/Reparative Macrophages.","authors":"Zvi Artzi, Marilena Vered, Tal Maymon-Gil, Uri Renert, Erez Netanely, Daniel S Thoma","doi":"10.11607/prd.6819","DOIUrl":"10.11607/prd.6819","url":null,"abstract":"This article defines immunophenotypes of stromal inflammatory and endothelial cells and fibroblasts 3 months after augmentation of the peri-implant soft tissue using a porcine cross-linked collagen matrix (VCMX). Peri-implant soft tissue samples were obtained from 12 patients at the lining mucosa (LM)-masticatory mucosa (MM) junction before (1) and 3 months after (2) augmentation. Immu- nohistochemical stains were performed to identify inflammatory cells (T [CD3] and B [CD20] lym- phocytes, plasma cells [CD138]), macrophages (CD68-proinflammatory, CD163-anti-inflammatory/ reparative), endothelial cells (CD31, CD34), and fibroblasts (CD90, TE-7). Differences in the mean positively stained cells pre- and postaugmentation were analyzed by Wilcoxon signed-rank test. CD31+ endothelial cells showed increased mean numbers in MM2 compared to MM1 (P = .025) and in LM2 compared to LM1 (P = .047). CD163+ anti-inflammatory macrophages showed higher mean numbers in MM2 than in MM1 (P = .021) and in LM2 than in LM1 (P = .012). All other cell phenotypes showed nonsignificant changes between pre- and postaugmentation. This molecular study provides novel insight on the frequency of stromal cell phenotypes in the wound healing process at 3 months postaugmentation with VCMX, with anti-inflammatory CD163+ macrophages being predominant. This should be further investigated to help find novel therapeutic approaches to modulate and promote the VCMX-related healing process.","PeriodicalId":54948,"journal":{"name":"International Journal of Periodontics & Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10008359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Paradigm Shift Using Scan Bodies to Record the Position of a Complete Arch of Implants in a Digital Workflow. 在数字化工作流程中使用扫描体记录完整牙弓种植体位置的范式转变。

IF 1.6 4区医学

International Journal of Periodontics & Restorative Dentistry Pub Date : 2024-01-01 DOI: 10.11607/prd.6733

Graziano D Giglio, Ana Becil Giglio, Dennis P Tarnow

{"title":"A Paradigm Shift Using Scan Bodies to Record the Position of a Complete Arch of Implants in a Digital Workflow.","authors":"Graziano D Giglio, Ana Becil Giglio, Dennis P Tarnow","doi":"10.11607/prd.6733","DOIUrl":"10.11607/prd.6733","url":null,"abstract":"The use of conventional scan bodies (SBs) with an intraoral scanner (IOS) to capture the position of a complete arch of dental implants has proven to be challenging. The literature is unclear about the accuracy of intraoral scanning techniques using SBs that are connected vertically to multiunit abutments (MUAs) for numerous adjacent implants in the same arch. Recently, there has been a paradigm shift from vertical SBs to horizontal SBs, which are positioned perpendicular to the long axis of the MUAs. Most IOSs available today can capture these horizontal SBs, called scan gauges (SGs), with better accuracy and consequently acquire the position of multiple adjacent implants using an effective scan path, thus reducing stitching and the number of images. The key to implementing this novel technology is to strategically arrange the SGs to optimize horizontal overlap of multiple adjacent SGs without touching each other. By superimposing two high-resolution intraoral scans of the SGs, an artificial intelligence (AI) algorithm is employed to produce a calibrated digital best-fit model on which a passive complete-arch prosthesis can be designed and fabricated. The advantages and disadvantages of SBs and SGs are discussed, and a case report using a digital workflow is presented.","PeriodicalId":54948,"journal":{"name":"International Journal of Periodontics & Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9954920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coronally Advanced Entire Papilla Preservation (CA-EPP) Flap in the Treatment of an Isolated Intrabony Defect to Promote Buccal and Interproximal Soft Tissue Stability: Case Reports. 在治疗孤立的骨内缺损时采用冠状先进的全牙龈乳头保留（CA-EPP）皮瓣，以促进颊和近端软组织间的稳定性：病例报告。

IF 1.6 4区医学

International Journal of Periodontics & Restorative Dentistry Pub Date : 2024-01-01 DOI: 10.11607/prd.6851

Giulio Rasperini, Emilia Kazarian, Serhat Aslan

引用次数: 0

Management of the Lingual Flap During Vertical Augmentation of the Atrophic Anterior Mandible: Anatomical Overview and Description of the Technique. 萎缩下颌骨前部垂直增高术中的舌侧瓣管理：解剖概述和技术说明。

IF 1.6 4区医学

International Journal of Periodontics & Restorative Dentistry Pub Date : 2024-01-01 DOI: 10.11607/prd.6667

Istvan A Urban, Muhammad H A Saleh, Matteo Serroni, Arvin Shahbazi, Gabor Baksa, Peter Szoke, Andrea Ravidà

引用次数: 0

Bilateral Digitally Aided Tooth Autotransplantation: A 2-Year Case Report. 双侧数字辅助牙齿自体移植术：两年病例报告

IF 1.6 4区医学

International Journal of Periodontics & Restorative Dentistry Pub Date : 2024-01-01 DOI: 10.11607/prd.6801

Ana Martín-Díaz, Alberto Favot, Natalia Navarrete, Alberto Calcines-Perez, David Rubio-Flores

引用次数: 0

The Root Complex in Posterior Teeth: A Direct Digital Analysis. 后牙的牙根复合体：直接数字分析

IF 1.6 4区医学

International Journal of Periodontics & Restorative Dentistry Pub Date : 2024-01-01 DOI: 10.11607/prd.6529

Karim O Ghishan, Emilio Couso-Queiruga, Fernando Suárez-López Del Amo, Carlos Garaicoa-Pazmino

{"title":"The Root Complex in Posterior Teeth: A Direct Digital Analysis.","authors":"Karim O Ghishan, Emilio Couso-Queiruga, Fernando Suárez-López Del Amo, Carlos Garaicoa-Pazmino","doi":"10.11607/prd.6529","DOIUrl":"10.11607/prd.6529","url":null,"abstract":"The aim of this morphometric study was to precisely determine the 3D characteristics of the root complex of the posterior dentition. Extracted and well-preserved permanent posterior teeth were included in this analysis and grouped based on tooth type and arch location. All teeth were digitally scanned. Morphologic and dimensional features of the root complex were assessed, including length and surface area of the root trunk and individual roots, width of root concavities (RC), and furcation entrance, when present. A total of 240 posterior teeth comprised the study sample. The root complex of multirooted maxillary first premolars presented with a long root trunk (10.49 mm), representing 65.52% of the surface area, and two short roots comprising the remaining 34.8% of the surface area. Root trunks of mandibular molars were an average of 0.8 mm shorter than their maxillary counterparts. Class III furcation involvement is expected in all maxillary and mandibular molars, as well as multirooted maxillary first premolars, after 4.80 mm and 10.49 mm of clinical attachment loss, respectively. RCs were a common finding among the evaluated dentitions. The root complex morphology varies among the maxillary and mandibular posterior dentition. RCs are highly prevalent in both maxillary and mandibular dentition. The findings derived from this study can be utilized in daily clinical practice for the adequate management of posterior dentition and serve as a reference for future investigations in dental anatomy and digital technology. Also, these findings can guide the industry into creating and redefining tools that adequately adapt to the anatomical characteristics and variations of the specific tooth type.","PeriodicalId":54948,"journal":{"name":"International Journal of Periodontics & Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10203278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment of Multiple Adjacent Gingival Recessions with a Coronally Advanced Flap vs a Modified Coronally Advanced Tunnel with a Volumetrically Stable Collagen Matrix: A 12-Month Randomized Controlled Clinical Trial. 使用冠状前移皮瓣与使用体积稳定的胶原基质的改良冠状前移隧道治疗多个邻近牙龈凹陷：一项为期 12 个月的随机对照临床试验。

IF 1.3 4区医学

International Journal of Periodontics & Restorative Dentistry Pub Date : 2024-01-01 DOI: 10.11607/prd.6796

Giovanna Laura Di Domenico, Davide Guglielmi, Sofia Aroca, Massimo de Sanctis

{"title":"Treatment of Multiple Adjacent Gingival Recessions with a Coronally Advanced Flap vs a Modified Coronally Advanced Tunnel with a Volumetrically Stable Collagen Matrix: A 12-Month Randomized Controlled Clinical Trial.","authors":"Giovanna Laura Di Domenico, Davide Guglielmi, Sofia Aroca, Massimo de Sanctis","doi":"10.11607/prd.6796","DOIUrl":"10.11607/prd.6796","url":null,"abstract":"The introduction of a new collagen substitute, which will potentially reduce the invasiveness of techniques by avoiding the need for a second surgical site (ie, the donor site), needs to be evaluated in relation to the surgical procedure that could benefit the most by utilizing such a matrix. This study compared the clinical outcomes following treatment of RT1 multiple adjacent gingival recessions (MAGRs) using the modified coronally advanced tunnel (MCAT) technique or the multiple coro- nally advanced flap (MCAF) in conjunction with a new volume-stable xenogeneic collagen matrix (VXCM). Secondarily, the study evaluated whether patients report a preference between the two surgical techniques in terms of discomfort. A total of 20 patients requiring treatment of MAGRs were randomly assigned to one of the two treatment groups: MCAF+VCMX (Group A) or MCAT+VCMX (Group B). The following measurements were recorded at baseline (before surgery) and at 6 and 12 months: gingival recession depth (REC), probing pocket depth (PD), keratinized tissue width (KTW), and gingival thickness (GT). Postoperative pain and discomfort were recorded using a visual analog scale (VAS) at 1 week. The primary outcome variable was mean root coverage (mRC), and second- ary outcomes were complete root coverage (CRC), changes in KTW and GT, patient discomfort and satisfaction, and duration of surgery. Healing was uneventful in both groups. At 12 months, both treatments resulted in statistically significant improvements in REC and GT compared to baseline (P < .05). The mRC was 79.95% ± 29.92% in the MCAF group and 64.74% ± 40.5% in the MCAT group (P = .124). CRC was seen in 65.6% of MCAF-treated sites and 52% of MCAT-treated sites (P = .181). Similar clinical results should be expected when MAGRs are treated with MCAF or MCAT, with the adjunct of VCMX.","PeriodicalId":54948,"journal":{"name":"International Journal of Periodontics & Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10203275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The 'Iceberg' Connective Tissue Graft Technique for Peri-implant Papilla Augmentation Following Interproximal Bone Reconstruction. 冰山 "结缔组织移植技术用于近端骨重建后的种植体周围乳头增生。

IF 1.3 4区医学

International Journal of Periodontics & Restorative Dentistry Pub Date : 2024-01-01 DOI: 10.11607/prd.6731

Istvan A Urban, Leonardo Mancini, Hom-Lay Wang, Lorenzo Tavelli

{"title":"The 'Iceberg' Connective Tissue Graft Technique for Peri-implant Papilla Augmentation Following Interproximal Bone Reconstruction.","authors":"Istvan A Urban, Leonardo Mancini, Hom-Lay Wang, Lorenzo Tavelli","doi":"10.11607/prd.6731","DOIUrl":"10.11607/prd.6731","url":null,"abstract":"Implants with deficient papillae and black triangles are common findings. The treatment of these esthetic complications is considered to be challenging with limited predictability. Therefore, the present report aims to describe a novel technique for papilla augmentation: the 'iceberg' connective tissue graft (iCTG) after extraction and interproximal bone reconstruction in the anterior region. A 35-year-old patient presented with a hopeless tooth with interproximal clinical attachment loss extending to the apical third of the adjacent tooth. Interproximal bone reconstruction was performed through alveolar ridge preservation by directly applying recombinant human platelet-derived growth factor-BB (rhPDGF-BB) to the exposed root surface of the adjacent tooth. A mixture of autogenous bone chips (obtained from the ramus) and bovine bone xenograft particles (previously mixed with the growth factor) was also used. The patient was able to return for implant therapy only 2 years later, at which time an incomplete regeneration of the interproximal bone was observed. Therefore, to compensate the interproximal deficiency, the iCTG approach was utilized, involving a double layer of CTG with different origins. Two small grafts from the tuberosity were sutured to the mesial and distal ends of a wider CTG harvested from the palate, aiming to gain additional volume at the interproximal sites. The composite graft was then sutured on top of the implant platform, and the flap was then released and closed by primary intention. After conditioning the peri-implant tissues, the case was finalized with a satisfactory outcome. The described iCTG could be an effective approach for reconstructing peri-implant papillae following interproximal bone reconstruction.","PeriodicalId":54948,"journal":{"name":"International Journal of Periodontics & Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9957473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0