Clinical Advances in Periodontics最新文献

{"title":"Surgically facilitated orthodontics with clear aligners for severe malocclusion and gingival recessions","authors":"Elli Anna Kotsailidi, Lucy Johnson, Christopher Burns, Paul Emile Rossouw, Dimitrios Michelogiannakis","doi":"10.1002/cap.10324","DOIUrl":"10.1002/cap.10324","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Gingival recession defects (GRDs) pose functional and esthetic concerns and may be associated with unfavorable tooth positions. Surgically facilitated orthodontic treatment (SFOT) with clear aligners can be a valuable option for adults with severe malocclusion and GRDs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A 28-year-old male presented with severe dental crowding, Class III dental malocclusion, localized tooth crossbites, and tapered maxillary arch. He exhibited multiple gingival recessions type I up to 6 mm in depth, at least 2 mm of keratinized tissue throughout, and a thick scalloped gingival phenotype. Clear aligner SFOT was performed including buccal corticotomies and bone augmentation with demineralized allograft between the first molars on both arches, dental expansion, interproximal enamel reduction, and use of intermaxillary elastics. Progress of the aligners occurred every 3 days for the first 6 months; and every 5 days thereafter, for a total duration of 10.5 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Clear aligner SFOT led to tooth alignment, Class I occlusion, and improvement in smile esthetics. Complete root coverage was achieved on 50% of the teeth and the mean root coverage was 81.6%, ranging from 1 to 6 mm, while residual GRDs ranged from 1 to 2 mm.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Clear aligner SFOT can be a valuable interdisciplinary approach for the management of adults with multiple GRDs and severe malocclusion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key points</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>This case is the first to illustrate the successful management of multiple and severe gingival recession defects along with severe malocclusion with clear aligner surgically facilitated orthodontic treatment and no soft tissue grafting.</li>\u0000 \u0000 <li>The orthodontic tooth movements and surgical procedures were digitally planned and executed while the frequency of aligner change was every 3 days based on the regional acceleratory phenomenon.</li>\u0000 \u0000 <li>Proper tooth positioning within the alveolar housing along with bone augmentation led to the reduction/resolution of gingival recessions without the need for soft tissue grafting.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Plain language summary</h3>\u0000 \u0000 <p>Recession of the gingiva creates functional and esthetic concer","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 1","pages":"9-18"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959421","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":"Novel triangle papilla access approach for interdental bone defect regeneration: A case study","authors":"Yuichiro Ihara, Shunichi Shibazaki, Satoru Morikawa, Taneaki Nakagawa","doi":"10.1002/cap.10335","DOIUrl":"10.1002/cap.10335","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Successful periodontal regeneration depends on primary wound closure and interdental papilla preservation. In this case study, we introduce a novel triangle papilla access approach (T-PAA) performed under a surgical microscope for treating interdental bone defects. In this novel approach, buccal incisions were used to access root surfaces and bone defects, avoiding interdental papilla incisions and preventing papillary collapse and necrosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Nine patients with a mean age of 56 years were enrolled in this study. Incisions were made to create a triangular flap, which was reflected using a micro-periosteal elevator to expose the bone defect and granulation tissue. Subsequently, the granulation tissue was removed from the bone defect using a microsurgical blade, followed by root debridement using ultrasonic and micro-hand scalers and root conditioning. Thereafter, a mixture of fibroblast growth factor-2 and carbonated apatite granules was applied to the bone defect. The triangular flap was repositioned to ensure that the apex was not lifted by the graft material, and from the flap apex, 7-0 nylon sutures were used, followed by the addition of mesial and distal sutures. Adjacent teeth were splinted using wire and resin cement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Postoperatively, clinical and radiographic evaluations at 6 months and 1 year showed significant improvements in periodontal parameters and bone filling. All patients achieved primary wound closure with no postoperative complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>T-PAA is a promising approach for periodontal regeneration, providing adequate surgical access under a surgical microscope while preserving the papilla and potentially improving clinical outcomes in patients with interdental bone defects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key points</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>Triangle papilla access approach (T-PAA) provides adequate surgical access, preserves the interdental papillae, and improves clinical outcomes in cases of interdental bone defects.</li>\u0000 \u0000 <li>Triangular incisions made in areas with abundant blood flow and thicker gingiva at the base of the papilla are less likely to impair blood supply to the interdental papillae.</li>\u0000 \u0000 <li>T-PAA facilitates effective debridement, precise placement of regenerative materials, and accurate flap repositioning regardless of the de","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 1","pages":"90-98"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985576","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":"Management of post-implant fibrous dysplasia in the maxilla: A case study","authors":"Yousef Taha Y. Amrou, Anass M. Koleilat, Abdusalam E. Alrmali, Felipe Nor, Hom-Lay Wang","doi":"10.1002/cap.10328","DOIUrl":"10.1002/cap.10328","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Fibrous dysplasia is generally rare, and even rarer in older adults. Special care is needed when altering the alveolar bone in these cases, especially if an implant is involved. This case study highlights such a scenario.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This case study details the experience of a 63-year-old African American female who presented with a bump on her jaw, ultimately leading to a diagnosis of fibrous dysplasia. The patient underwent surgery for osseous recontouring to address the bone overgrowth associated with the condition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study documents the successful surgical recontouring of a fibrous dysplasia lesion in the upper right maxilla that developed 5 years after dental implant placement. Additionally, it highlights the preservation of peri-implant hard and soft tissues over a 6-month follow-up period post-surgery, ensuring proper tissue healing and bone shaping for optimal patient outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The successful surgical recontouring of fibrous dysplasia in the upper right maxilla, along with the preservation of peri-implant hard and soft tissues, underscores the potential for effective oral rehabilitation in similar cases involving dental implants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key points</h3>\u0000 \u0000 <p><b>Why is this case new information?</b></p>\u0000 \u0000 <p>This case is rare because it presents a successful management strategy for fibrous dysplasia in the maxilla with dental implants, a combination that is both uncommon and challenging.</p>\u0000 \u0000 <p><b>What are the keys to the successful management of this case?</b></p>\u0000 \u0000 <p>Successful management relies on accurate diagnosis, careful surgical recontouring to preserve peri-implant bone while providing a maintainable environment for the patient, and thorough postoperative care to ensure healing and stability.</p>\u0000 \u0000 <p><b>What are the primary limitations to success in this case?</b></p>\u0000 \u0000 <p>Primary limitations include the risk of implant compromise, potential recurrence of fibrous dysplasia, and challenges related to bone quality and healing, particularly in an older patient.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Plain language summary</h3>\u0000 ","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 1","pages":"41-47"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13044493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Crestal approach for repair of oroantral bone defects and subsequent implant placement","authors":"Min Yang, Miriam Ting, Rodrigo Neiva, Jonathan Korostoff","doi":"10.1002/cap.10332","DOIUrl":"10.1002/cap.10332","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Oroantral communication (OAC) can occur after a dental extraction. Occasionally, bony defects may persist despite successful soft tissue closure of the OAC. The absence of bone in these areas poses challenges for dental implant placement. This report describes a novel approach of vertical sinus elevation through the oroantral bony defect to address such scenarios.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A 36-year-old male (Patient 1) and a 62-year-old female (Patient 2) presented with OACs in the first maxillary molar region. Vertical sinus elevation was achieved through the existing defect. This was followed by placement of corticocancellous bone allograft mixed with platelet-rich fibrin (PRF) in the space surrounded by the elevated sinus membrane that was then covered with a resorbable collagen membrane. Implants were placed 9 and 6 months after the sinus lift in Patient 1 and Patient 2, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In both cases, substantial radiographic bone fill of the oroantral bony defect was achieved allowing successful placement of dental implants. Following insertion of final restorations, the patients were satisfied with the esthetic outcomes and reported improved oral function.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Vertical sinus elevation through residual bony oroantral defects in conjunction with placement of bone allograft mixed with PRF yields sufficient alveolar bone for subsequent placement of dental implants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key points</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>\u0000 <p>Elevation of the sinus membrane through an existing crestal defect resulting from an OAC allows the clinician to successfully elevated the sinus membrane for bone augmentation allowing eventual placement of an implant.</p>\u0000 </li>\u0000 \u0000 <li>\u0000 <p>The approach allows the clinician to achieve this goal without preparing a second window through a more invasive lateral approach.</p>\u0000 </li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Plain language summary</h3>\u0000 \u0000 <p>Bone defects secondary to oroantral communications resulting from dental extractions may persist des","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 1","pages":"66-73"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13044494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical treatment for severe endodontic-periodontal lesion: A case report with 2-year follow-up","authors":"Yoshitaka Nara, Lorenzo Tavelli, Shogo Maekawa","doi":"10.1002/cap.10341","DOIUrl":"10.1002/cap.10341","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Various surgical techniques have recently been developed for periodontal tissue regeneration, especially those do not involve any incisions in the interdental papillae at the regeneration site. These techniques have significant advantages for obtaining clinical attachment gain with least amount of gingival recession, however, may also have disadvantages such as limited field of surgical view, difficulty in debridement, and limited access only from the buccal side. This case report addresses a 2-year follow-up with a novel surgical approach to achieve periodontal regeneration that overcomes these limitations: the flexible tunnel technique (FTT).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In a 66-year-old patient, in an enclosing infrabony defect extending to the root apex on the palatal side, which appeared to be an endodontic-periodontal lesion on tooth #5, four vertical incisions and a periosteal releasing incision were performed in order to make the interdental papillae easier to translocate over the abutment teeth, which led to obtain clearer operative field. After debridement, the enamel matrix derivative was applied to the root surface and the infrabony defect was filled with deproteinized bovine bone mineral. The flaps were relocated, and simple interrupted sutures were performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One year later, pocket closure and improvement of bone defects were observed without gingival recession. After confirmation with improved mobility, a full zirconia crown was placed. During 2-year follow-up, periodontal tissue was maintained well without any complication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The FTT can be used to approach endodontic-periodontal lesions and infrabony defects extending to the root apex without incision of the interdental papillae.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key points</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>A more accessible tunnel technique can be performed by using four vertical incisions.</li>\u0000 \u0000 <li>If the tooth is abutment, interdental papillae can be flexible to translocate due to this tunnel technique with vertical incisions.</li>\u0000 \u0000 <li>Ensuring root surface debridement, application of regenerative materials, and wound stability are the keys to this regenerative procedure.</li>\u0000 \u0000 <li>The patient needs to understand the risks associated with the proposed periodontal regenerative surgery and the ","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 1","pages":"115-123"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016734","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":"Biologically-oriented alveolar ridge preservation to correct bone dehiscence at immediate implant placement","authors":"Leonardo Trombelli, Tommaso Grenzi","doi":"10.1002/cap.10334","DOIUrl":"10.1002/cap.10334","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The purpose of the present case study is to describe the application of a modification of the Biologically-oriented Alveolar Ridge Preservation (BARP) principles in cases of peri-implant bone dehiscence (PIBD) due to a compromised alveolus at immediate implant placement (IIP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The technique is based on the stratification of three layers: a deep layer with a collagen sponge (CS) in the apical part of the alveolus (where the buccal bone plate was still present) to support the blood clot; a graft layer to correct the PIBD; and a superficial collagen layer to cover the graft thus providing space and enhancing clot/graft stability. Healing was obtained by primary closure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At the re-entry procedure for implant uncovering, a complete PIBD correction with newly formed peri-implant bone up to the level of the polished collar was observed in both cases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These observations suggest that BARP based on the combined use of CS and deproteinized bovine bone mineral may be regarded as a simplified treatment option to correct a PIBD at IIP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key points</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>Why treat a Peri-Implant Bone Dehiscence (PIBD)? PIBD should be treated to avoid biological and esthetic complications over time.</li>\u0000 \u0000 <li>What plays a key role in this case? The stability of both the graft and the cloth is essential for providing space for bone formation to correct the PIBD; the extraction socket supports angiogenic and osteogenic properties; Primary intention closure is crucial to prevent potential infection.</li>\u0000 \u0000 <li>Limitation: the efficacy of the technique must be assessed.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Plain language summary</h3>\u0000 \u0000 <p>This case study described the potential to correct a post-extraction osseous defect associated with a substantial portion of a dental implant which resulted exposed and without bone support on its buccal aspect. The application of a novel bone augmentation technique, namely the biologically oriented Alveolar Ridge Preservation, has been described. ","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 1","pages":"82-89"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13044497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vital root resection with regenerative retrograde vital pulp therapy: A case report","authors":"Yi-Chu Wu, Constance Kang-Ting Teoh, Se Young Ryoo, Philip Kang, Leonard Garfinkel, Sahng G. Kim","doi":"10.1002/cap.10346","DOIUrl":"10.1002/cap.10346","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Vital root resection is a surgical procedure that involves the selective removal of a root of a multi-rooted tooth to preserve the remaining tooth structure and pulp, maintaining the vitality and function of the tooth. When combined with regenerative retrograde vital pulp therapy (rVPT), it may offer a less invasive and more cost-effective alternative to traditional root resection methods. The purpose of this article is to report the techniques and outcomes of vital root resection and rVPT for the periodontally involved fractured mesiobuccal (MB) root in a maxillary first molar.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This case report describes the treatment of a 56-year-old patient with a chief complaint of swelling and pain in her upper right quadrant and with the periodontally involved MB root of tooth #3 using vital root resection combined with rVPT. Tooth #3 was diagnosed as normal pulp and acute periodontal abscess with a suspected root fracture in the MB root. Upon root fracture detection, root resection and rVPT with amnion–chorion membrane and bioceramic material were performed, followed by guided tissue regeneration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Tooth #3 remained asymptomatic with confirmed osseous healing at 6 months, and gingival recession on the adjacent distobuccal root was successfully treated via connective tissue graft. Tooth #3 remained vital at 18 months without clinical and radiographic signs and symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This case report highlights the potential of vital root resection using rVPT as a less invasive treatment modality that may preserve the tooth's vitality and function, offering a cost-effective alternative to more traditional methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key points</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>The preservation of tooth function and vitality may be achieved through vital root resection combined with regenerative retrograde vital pulp therapy.</li>\u0000 \u0000 <li>Regenerative retrograde vital pulp therapy may be performed using a bioactive scaffold and bioceramic material.</li>\u0000 \u0000 <li>This biologically oriented approach may provide a less invasive and more cost-effective alternative to traditional root resection methods that require orthograde endodontic therapy followed by a permanent full-coverage restoration.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 \u0000 <section>","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 1","pages":"153-160"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694424","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":"Clinical management of hereditary gingival fibromatosis: Case report with 13 years follow-up","authors":"Alcione Maria Soares Dutra Oliveira, Peterson Antônio Dutra Oliveira, Tarcísio Junqueira Pereira, Fernando Oliveira Costa","doi":"10.1002/cap.10331","DOIUrl":"10.1002/cap.10331","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hereditary gingival fibromatosis (HGF) is one of the categories of non-plaque-induced gingival diseases of genetic origin. Current studies show high genetic heterogeneity and suggest that not all forms of HGF are the same and that more than one biological mechanism may result in gingival growth. This report presents a case of syndromic HGF with generalized and complex clinical manifestations associated with other conditions such as body hypertrichosis and hearing deficit.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a case report of a male patient with HGF, detailing the orthodontic and periodontal management that began at the age of 8 and was completed by 21.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results and Conclusions</h3>\u0000 \u0000 <p>The results of this case report demonstrated the importance of early diagnosis and the establishment of a correct treatment plan that provided, in the long-term, highly positive effects, minimizing impacts affecting the oral health-related quality of life of individuals with HGF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key points</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>This is a case report of a male patient with HGF, detailing the orthodontic and periodontal management that began at age 8 and was completed by age 21.</li>\u0000 \u0000 <li>Clinical, genetic, and histological data are reported over the 13 years of follow-up.</li>\u0000 \u0000 <li>Due to the numerous complications caused by HGF, early diagnosis and the establishment of an appropriate treatment plan are imperative.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Plain Language Summary</h3>\u0000 \u0000 <p>Hereditary gingival fibromatosis (HGF) is one of the categories of non-dental-plaque-induced gingival diseases of genetic origin. This report presents a case of syndromic HGF with generalized and complex clinical manifestations associated with other systemic conditions. The most common effects are prolonged retention of deciduous teeth, dental migration, delayed eruption, crossbites, open bites, prominent lips, open lip posture, and phonetic and aesthetic problems. This condition can have a negative psychological effect and impact the patient's self-esteem significantly affecting quality of life. The therapy for HGF consists of surgical treatment combined with rigorous control of dental biofilm. This is a case report of a male patient with HGF, detailing the orthodontic and periodontal tratment that began at the age of 8 and was completed b","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 1","pages":"56-65"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985553","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":"Long-term outcomes of microsurgical interdental papilla reconstruction: 13-year and 18-year case follow-ups.","authors":"Katsuhiko Akiyama","doi":"10.1002/cap.70058","DOIUrl":"https://doi.org/10.1002/cap.70058","url":null,"abstract":"<p><strong>Background: </strong>Loss of the interdental papilla compromises esthetics, speech, and hygiene, significantly affecting quality of life and psychological well-being. Reconstruction has long been considered unpredictable, particularly in Cairo RT3 cases with advanced interproximal bone loss. With advances in microsurgical techniques using the operating microscope, the feasibility of papilla reconstruction has improved; however, long-term evidence beyond 5 years remains rare. The author developed the Patch Technique from 2005 to 2007, which places a subepithelial connective tissue patch beneath a flap advanced coronally, and first reported it in 2009.</p><p><strong>Methods: </strong>Two Cairo recession type 3 (RT3) cases were treated with the Patch Technique: One in 2007 (18-year follow-up) and one in 2012 (13-year follow-up). The procedure included flap elevation under a microscope, grafting with alloplast or xenograft, and connective tissue patch anchored coronally with sutures and resin. Outcomes assessed were radiographic bone height, papilla morphology, the papilla presence index (PPI), and patient satisfaction (esthetics) on the visual analog scale (VAS).</p><p><strong>Results: </strong>In the 18-year case, PPI improved from 4 to 2 and clinical attachment loss (CAL) from 9 to 2.5 mm, while in the 13-year case, PPI went from 3 to 2 and CAL from 4 to 1 mm. Stable radiographic bone height and papilla morphology were maintained over the follow-up period. Patient satisfaction was 10/10 on the VAS for both cases.</p><p><strong>Conclusion: </strong>The Patch Technique can achieve predictable, long-term esthetic and functional stability even in cases of advanced papilla loss (RT3) when combined with careful case selection and precise microsurgical execution.</p><p><strong>Key points: </strong>This report presents some of the longest follow-up periods for interdental papilla reconstruction using microsurgery, demonstrating stable results over the 13- and 18-year follow-up periods. Good outcomes were achieved through microscope-assisted surgery, the use of connective tissue patches to maintain adequate blood flow and mechanical support, and controlled placement of graft materials stabilized coronally using resin-based coronal tensile support. In these cases, major limiting factors included high adjacent interproximal contacts, the thin gingival phenotype, and the technical difficulty associated with precise microsurgical procedures.</p><p><strong>Plain language summary: </strong>Loss of tissue between teeth can affect appearance, speech, and the ability to keep the mouth clean. This problem may reduce a person's quality of life and confidence. In cases where the bone between teeth is severely reduced, rebuilding this tissue has been difficult, and long-term outcomes have not often been reported. This report describes two patients with advanced loss of tissue between teeth who were treated using a surgical method developed by the author. The","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500780","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":"Ten-year follow-up of bilateral gingival recession treatment: A case report.","authors":"Luiz C L Marques-Junior, Milena S Irie, Edgar Daniel Vargas-Quiroga, Mario Taba-Jr, Atila V V Nobre","doi":"10.1002/cap.70059","DOIUrl":"https://doi.org/10.1002/cap.70059","url":null,"abstract":"<p><strong>Background: </strong>This work aims to present a 10-year follow-up of a young patient who underwent treatment with collagen matrix (CM) combined with enamel matrix derivative (EMD) for bilateral gingival recessions in the maxillary canine region.</p><p><strong>Methods: </strong>The patient, a 25-year-old woman, presented with bilateral Cairo type 1 recessions. A porcine-derived CM in combination with EMD was applied to the affected area after coronally positioned flaps. Over the subsequent decade, the patient was monitored for key follow-up parameters, that is, wound closure, root coverage, functional and aesthetic outcomes, and adverse events.</p><p><strong>Results: </strong>Clinical evaluations at regular intervals demonstrated complete and sustained root coverage, stable tissue volume, excellent functional and aesthetic recovery, and absence of any complications.</p><p><strong>Conclusions: </strong>This long-term follow-up suggests that the use of CM in combination with EMD may provide a durable and effective solution for soft tissue defects, with sustained positive results observed over a 10-year period. These findings reinforce the long-term efficacy and safety of the combined use of CM and EMD for the treatment of gingival recessions.</p><p><strong>Key points: </strong>Successful use of biomaterials (collagen matrix and enamel matrix-derived proteins) in covering exposed roots. Rare postoperative follow-up of a decade of combined use of biomaterials in soft tissue reconstruction.</p><p><strong>Plain language summary: </strong>This case demonstrates a decade-long follow-up of the combined use of a collagen matrix and enamel matrix-derived proteins in coronally advanced flaps for soft tissue reconstruction to cover exposed roots. This follow-up will help clinicians choose biomaterials to replace autogenous connective tissue grafts, thereby reducing surgical time, pain, and postoperative discomfort for the patient, while avoiding adverse events such as excessive bleeding, analgesic consumption, and the risk of tissue necrosis in donor sites.</p>","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500808","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}