Clinical Advances in Periodontics最新文献

{"title":"Coronally advanced flap-assisted surgically facilitated orthodontics: A technical note.","authors":"Gonzalo Blasi, Lory Abrahamian","doi":"10.1002/cap.70078","DOIUrl":"https://doi.org/10.1002/cap.70078","url":null,"abstract":"<p><strong>Background: </strong>In situations where orthodontic tooth movement is expected to exceed the preexisting alveolar envelope, surgically facilitated orthodontic therapy (SFOT) has been advocated to expand the alveolar housing and reduce periodontal risks. However, detailed descriptions of soft-tissue management during SFOT remain limited.</p><p><strong>Methods: </strong>This technical note describes a surgical protocol incorporating a coronally advanced flap (CAF) within a segmental SFOT approach and illustrates its clinical application in patients undergoing orthodontic treatment requiring simultaneous periodontal phenotype modification.</p><p><strong>Results: </strong>The proposed CAF-assisted SFOT protocol is based on three main principles: limiting the surgical intervention to the orthodontically involved segment, applying established mucogingival surgical principles to ensure predictable flap management, and using an acellular dermal matrix to contribute to both graft containment and soft-tissue thickening.</p><p><strong>Conclusions: </strong>The described technique provides a structured approach for integrating soft-tissue management into SFOT procedures and may facilitate simultaneous hard- and soft-tissue augmentation in orthodontic patients requiring phenotype modification.</p><p><strong>Key points: </strong>This case provides new information as it is, to the best of our knowledge, the first technical report describing the application of coronally advanced flap principles within a segmental surgically facilitated orthodontic therapy protocol. Successful management of this case relies on accurate interdisciplinary orthodontic-periodontal diagnosis, careful treatment planning, and appropriate flap management to ensure tension-free coronal advancement and graft stabilization. The primary limitation of this report is the absence of prospective clinical studies evaluating the long-term outcomes of this technique.</p><p><strong>Plain language summary: </strong>Orthodontic treatment sometimes requires moving teeth beyond the natural limits of the surrounding bone, which can increase the risk of gum recession and other periodontal problems. Surgically facilitated orthodontic therapy (SFOT) has been introduced to expand the supporting bone and make such movements safer, but there is limited information on how to manage the gums during these procedures. This report describes a surgical approach that combines SFOT with a commonly used gum surgery technique called a coronally advanced flap. The procedure focuses only on the area where teeth are being moved, applies well-established principles of gum surgery to ensure stable healing, and uses a soft-tissue substitute to help protect the graft and thicken the gums. This technique offers a structured way to address both bone and gum deficiencies at the same time during orthodontic treatment. While promising, further clinical studies are needed to confirm its long-term effectiveness.</p>","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148272936","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":"Digital workflow to assess healing after acellular dermal matrix exposure in root coverage: A case report.","authors":"Edgar Daniel Vargas-Quiroga, Ana Carolina Duarte Firmino, Débora S F Sávio, Rhayssa Tritula Barini, Juliana Jendiroba Faraoni, Mario Taba-Jr, Bruna S H Tonin, Arthur Belém Novaes Junior","doi":"10.1002/cap.70081","DOIUrl":"https://doi.org/10.1002/cap.70081","url":null,"abstract":"<p><strong>Background: </strong>This case report describes 18-month clinical and digital outcomes after bilateral treatment of multiple gingival recessions using coronally advanced flap plus acellular dermal matrix (ADM).</p><p><strong>Methods: </strong>A 46-year-old woman with multiple maxillary recessions received bilateral surgery. Outcomes at baseline (BL), 6 months (6M), 12 months (12M), and 18 months (18M) included recession depth, recession width, keratinized tissue width, and gingival thickness. Intraoral scans were taken at all visits. Standard Tessellation Language (STL) models were superimposed per hemiarch using baseline-referenced and remodeling-interval analyses. Digital metrics included root mean square (RMS) and average positive and negative deviations for each interval.</p><p><strong>Results: </strong>At 6M, the left side achieved complete root coverage, with partial recurrence at teeth #13 and #14 at 12 and 18M. On the right, teeth #6 and #3 improved and remained stable. At tooth #4, limited dehiscence with partial ADM exposure occurred at 1 week without infection. Loose sutures were removed, and 0.12% chlorhexidine gauze cleansing without rinsing was prescribed until epithelial closure. Conservative care led to progressive re-epithelialization and complete closure by 1 month, with stable integration at 18M. Digital analysis showed higher RMS values on the right in baseline-referenced comparisons (BL - 6M, BL - 12M, and BL - 18M) and remodeling intervals (6M-12M, 12M-18M, and 6M-18M), indicating greater surface deviation on the right side during follow-up.</p><p><strong>Conclusions: </strong>Both sides showed favorable evolution but different healing trajectories. Serial STL superimposition documented tissue remodeling and post-exposure healing, supporting its use as a complementary tool for mucogingival follow-up. In this case, the site with early ADM exposure showed gradual healing after conservative management.</p><p><strong>Key points: </strong>Early acellular dermal matrix exposure may heal when there are no signs of infection and follow-up is strict. Serial superimposition of intraoral scans adds side-specific information that complements routine clinical assessment.</p><p><strong>Plain language summary: </strong>This report presents a patient with bilateral maxillary gingival recessions, treated with the same surgical technique and a soft-tissue substitute. One side healed uneventfully. On the other side, there was an early wound opening with partial matrix exposure; the area closed progressively and was fully covered by 1 month, with stability at 18 months. Clinical measurements and serial 3D intraoral scans showed improvement on both sides. However, the two sides showed different remodeling patterns over time. The patient was satisfied with the outcome, although cervical restoration was required in the tooth with exposure. The exposed matrix area closed progressively without the need for additional surgery.</p>","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279965","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":"Subperiosteal tunnel assisted graft (STAG) technique: Report of two cases.","authors":"Seiko Min","doi":"10.1002/cap.70079","DOIUrl":"https://doi.org/10.1002/cap.70079","url":null,"abstract":"<p><strong>Background: </strong>This case report describes the clinical application of the subperiosteal tunnel-assisted graft (STAG) technique, a novel approach for peri-implant phenotype modification and keratinized tissue augmentation. Although free gingival grafts remain the gold standard for increasing keratinized tissue width, their effectiveness may be compromised by postoperative graft shrinkage or partial graft loss, often resulting from limited vascular supply, inadequate adaptation to the recipient bed, and insufficient graft stability-particularly in posterior regions or sites with shallow vestibules where surgical access and tension control are more challenging.</p><p><strong>Methods: </strong>The STAG technique was developed to overcome these limitations through the creation of a subperiosteal tunnel that enables bilateral graft insertion and stabilization using lasso sutures at both ends of the graft. This approach facilitates simultaneous augmentation of keratinized tissue, vestibular depth, and soft tissue thickness while minimizing graft mobility and enhancing adaptation to the recipient site.</p><p><strong>Results: </strong>The presented cases demonstrated successful augmentation of keratinized mucosa and vestibular depth, along with increased peri-implant mucosal thickness and stable soft tissue integration at the treated sites.</p><p><strong>Conclusion: </strong>The STAG technique may provide a predictable approach for the management of complex peri-implant mucogingival deficiencies and peri-implant phenotype enhancement.</p><p><strong>Key points: </strong>Subperiosteal tunnel-assisted graft (STAG) technique offers a predictable alternative to conventional free gingival grafts for peri-implant mucosal augmentation. By maintaining close adaptation between the donor graft and recipient bed, the STAG approach enhances vascular integration and reduces the risk of graft contraction or failure. This method enables peri-implant mucosa phenotype modification therapy, including mucosal thickness gain, keratinized mucosa gain, vestibular depth, and frenum pull elimination in a single procedure, optimizing both function and patient comfort.</p><p><strong>Plain language summary: </strong>The subperiosteal tunnel-assisted graft (STAG) technique provides a predictable and effective alternative to conventional free gingival graft by enabling superior graft adaptation between the donor tissue and recipient bed.</p>","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279969","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":"Perigraftitis treatment and histology: A case report","authors":"Jonathan H. Do,&nbsp;Charles M. Cobb,&nbsp;John T. Shen","doi":"10.1002/cap.10370","DOIUrl":"10.1002/cap.10370","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Currently, the two diagnoses of inflammatory peri-implant diseases are peri-implant mucositis and peri-implantitis. The etiology of peri-implant mucositis and peri-implantitis is bacterial colonization of the implant. Thus, removal of the implant should eliminate the infection and allow the inflammation to resolve. However, at least three publications have reported unresolved infection and persistent inflammation following removal of implants diagnosed with peri-implantitis. Perigraftitis is an emerging concept introduced to explain specific biologic complications observed at sites where implants have been placed into grafted bone. Perigraftitis is defined as inflammation induced by bacterial contamination of nonresorbing grafted bone and/or residual graft particulates. Since perigraftitis is an emerging concept reported only in a few publications, the purpose of this paper is to present a case of perigraftitis with treatment and supporting histology.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A 41-year-old healthy, nonsmoking, Asian female presented with pain and exudate at site #19, which had a history of multiple bone grafts, implant placements and implant removals. The site exhibited mixed density with an overall radiolucency containing a radiopaque mass in the middle and multiple small radiopacities consistent with graft particulates. The site was diagnosed with perigraftitis and surgically accessed. A hard tissue specimen and the surrounding inflammatory tissue were removed and submitted for histology. The site was thoroughly debrided and allowed to heal naturally.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;One year postdebridement, an implant was successfully placed and subsequently restored.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Perigraftitis may be resolved simply by removing all grafted bone and surrounding inflammatory tissue and allowing the site to heal naturally.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Key points&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 &lt;ul&gt;\u0000 \u0000 &lt;li&gt;\u0000 &lt;p&gt;Implant failure and persistent infection at a site that had been previously augmented with bone graft material(s) may suggest the presence of perigraftitis.&lt;/p&gt;\u0000 &lt;/li&gt;\u0000 \u0000 &lt;li&gt;\u0000 &lt;p&gt;Perigraftitis may be resolved by thoroughly removing all grafted bone, graft materials, and surrounding infl","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 2","pages":"344-355"},"PeriodicalIF":1.3,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cap.10370","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585727","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":"Periodontitis treatment and microbiome in a patient with FAM20A mutation: Case study of 1.5 years","authors":"John Rong Hao Tay,&nbsp;Preethi Balan,&nbsp;Chaminda Jayampath Seneviratne","doi":"10.1002/cap.10365","DOIUrl":"10.1002/cap.10365","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Enamel-renal-gingival syndrome (ERGS) is an autosomal recessive disorder caused by mutations in the FAMily with sequence similarity 20A (FAM20A) gene, and is characterized by amelogenesis imperfecta, delayed or failed tooth eruption, and periodontitis. This study aims to profile the salivary microbiome and monitor the clinical progression in a young adult patient with FAM20A mutations.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Treatment involved non-surgical therapy including scaling and root planing (SRP) and systemic amoxicillin and metronidazole, and reviewed for 1.5 years.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Probing depth reduction with no sites of 5 mm or deeper was achieved at 1.5 years post-treatment. Saliva microbiome profiles of the patient revealed a decrease in periodontitis-associated pathogenic bacteria including &lt;i&gt;Tannerella forsythia&lt;/i&gt;, &lt;i&gt;Treponema denticola&lt;/i&gt;, &lt;i&gt;Prevotella intermedia&lt;/i&gt;, and &lt;i&gt;Treponema parvum&lt;/i&gt;, and a repopulation of health-associated species at 6 months. Predictive analysis revealed a decrease in the cell motility pathway relative to the 2-month time point and baseline.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;FAM20A mutations may alter the periodontal microenvironment, potentially contributing to microbial dysbiosis. However, therapy consisting of SRP and systemic antibiotics may result in clinical improvements, demonstrating that the microbiome plays a role in health and disease even in syndromic cases.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Key points&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 &lt;ul&gt;\u0000 \u0000 &lt;li&gt;Patients presenting with amelogenesis imperfecta may present with periodontitis as a manifestation of systemic disease.&lt;/li&gt;\u0000 \u0000 &lt;li&gt;Such cases are treatable without the need for extensive serial extractions of teeth.&lt;/li&gt;\u0000 &lt;/ul&gt;\u0000 &lt;/div&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Plain language summary&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;People with enamel-renal-gingival syndrome, a rare genetic condition, experience problems such as poorly formed enamel, delayed tooth eruption, and severe gum disease. In this study, a 22-year-old adult with enamel-renal-gingival syndrome was followed up to understand how her saliva microbiome changed after treatment. The patient received professional deep cle","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 2","pages":"330-337"},"PeriodicalIF":1.3,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cap.10365","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735604","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":"Necrotizing ulcerative stomatitis following bone marrow transplantation in a patient with chronic granulomatous disease: Case report","authors":"Lama Alabdulaaly,&nbsp;Christy Lucas,&nbsp;Susan Prockop,&nbsp;Birgitta Schmidt,&nbsp;Nathaniel Treister,&nbsp;Herve Sroussi","doi":"10.1002/cap.10363","DOIUrl":"10.1002/cap.10363","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Chronic granulomatous disease (CGD) is an inborn error of immunity characterized by life-threatening infections and inflammation. Allogeneic hematopoietic stem cell transplantation (alloHSCT) is potentially curative. Necrotizing periodontal diseases (NPDs) are rare and can be seen in immunocompromised/immunosuppressed individuals but have not been reported in patients with CGD. We report NPD in the form of necrotizing stomatitis (NS) in a patient transplanted for CGD.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A 12-year-old male presented with severe gingival pain. The patient's medical history was significant for X-linked CGD diagnosed at 4 years of age and a heterozygous &lt;i&gt;RIPK1&lt;/i&gt; mutation. The patient underwent alloHSCT from a mismatched unrelated donor. Intraoral examination on day +61 post-alloHSCT revealed multifocal gingival ulceration, which did not respond to a short course of prednisone and topical dexamethasone oral solution. The ulcers progressed to involve the lip mucosa and soft palate/tonsil (day +88).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Biopsy from the soft palate/tonsillar area showed deep acute inflammation and abscesses consistent with the diagnosis of NS. The patient underwent deep gingival scaling on day +103 and received amoxicillin and metronidazole. The patient had complete resolution of the oral ulcers by day +125 but developed chronic graft-versus-host disease involving the oral mucosa on day +314 post-alloHSCT.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We report the first case of NS as a complication of alloHSCT in a patient transplanted for CGD which was successfully managed with antibiotic therapy, periodontal debridement, and discontinuation of potentially triggering agents. Our report demonstrates that NS/NPD may occur in post-alloHSCT setting.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Key points&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 &lt;ul&gt;\u0000 \u0000 &lt;li&gt;Chronic granulomatous disease is an inherited multisystem autoinflammatory condition.&lt;/li&gt;\u0000 \u0000 &lt;li&gt;Patients with chronic granulomatous disease may have oral manifestations including oral ulcerations and gingivitis/periodontitis.&lt;/li&gt;\u0000 \u0000 &lt;li&gt;Necrotizing ulcerative stomatitis may arise in the post-hematopoietic stem cell transplantation setting.&lt;/li&gt;\u0000 &lt;/ul&gt;\u0000 &lt;/div&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Plain language summary&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Chronic granulom","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 2","pages":"314-321"},"PeriodicalIF":1.3,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735602","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":"Master Clinician Editorial","authors":"Barry Wagenberg,&nbsp;Steven D. Litwin","doi":"10.1002/cap.70035","DOIUrl":"10.1002/cap.70035","url":null,"abstract":"","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 2","pages":"241-243"},"PeriodicalIF":1.3,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312664","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":"Retro molar papilla pedunculated flap: A retrospective case series","authors":"Marco Castiglioni","doi":"10.1002/cap.10366","DOIUrl":"10.1002/cap.10366","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The primary purpose of this paper is to introduce a new flap design to improve keratinized tissue (KT) around implants in the posterior mandible, avoiding the need for harvesting tissue from the palate, which is associated with significant discomfort for patients.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Eleven patients requiring implants in the molar regions with a KT width (KTW) &lt; 2 mm at the buccal aspect were treated using this surgical technique. Outcomes, including the increase in KT width and postoperative discomfort, were measured at intervals of 1, 4, and 10 months.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;An average increase of 4.2 mm in KT width was achieved. Postoperative pain was minimal, with most patients reporting low scores on the Visual Numerical Scale. No significant reduction in KT width was observed during follow-up.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Within the limitations of the present case series, the data suggest that this flap is a promising and less invasive technique for treating KT deficiency around implants, eliminating the need for palate harvesting. Further long-term studies are needed to confirm the stability of the results.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Key points&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 &lt;ul&gt;\u0000 \u0000 &lt;li&gt;\u0000 &lt;p&gt;Effective strategies for increasing keratinized tissue in Mandibular posterior areas.&lt;/p&gt;\u0000 &lt;/li&gt;\u0000 \u0000 &lt;li&gt;\u0000 &lt;p&gt;Minimal postoperative discomfort; minimally invasive surgery&lt;/p&gt;\u0000 &lt;/li&gt;\u0000 \u0000 &lt;li&gt;\u0000 &lt;p&gt;Stability of peri-implant tissues&lt;/p&gt;\u0000 &lt;/li&gt;\u0000 &lt;/ul&gt;\u0000 &lt;/div&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Plain language summary&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This case series presents a new surgical method designed to improve the protective gum tissue (called keratinized gingiva) around dental implants in the back part of the lower jaw. This type of gum tissue is important because it helps keep implants stable and healthy over time. Traditionally, the best way to add this tissue is by taking a piece from the roof of the mouth, but that can be painful and lead to complications. In recent years, researchers have explored less invasive options, but most haven't matched the effectiveness of using the patient's own tissue. In this study, the new approach allowed the treatment of 1","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 2","pages":"322-329"},"PeriodicalIF":1.3,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136626","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":"Mesh-assisted regenerated site for alveolar ridge preservation: A case report","authors":"John Zaki","doi":"10.1002/cap.10356","DOIUrl":"10.1002/cap.10356","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The proposed technique utilizes the osteoconductive regenerative properties of bone-substitute materials (BSMs) and the space-maintaining function of titanium mesh to restore the alveolar ridge at extraction sites with lost labial plates in a single procedure. This approach may reduce the need for extensive ridge augmentation procedures, shorten treatment duration, minimize complications, and potentially lower overall costs for patients.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Both patients presented with hopeless dentition, characterized by chronic infection and loss of the labial plates. To regenerate the alveolar ridge, a titanium mesh was utilized in combination with a layered application of xenograft and allograft BSMs. The success of this technique depended on mesh stabilization, thorough site debridement, and the absence of soft-tissue tension.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The technique effectively restored the lost labial plates and regenerated sufficient bone to accommodate dental implants. Significant bone regeneration was achieved in both cases, with minimal complications. In one case, a minor mesh exposure occurred; however, it did not affect the healing and was managed during the re-entry surgery.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The presented technique effectively regenerated the lost labial plates. It represents a novel alveolar ridge preservation approach to restore the alveolar ridge at extraction sites with lost labial bone plates, even in the presence of chronic infection. However, future studies with sound methodology, larger sample sizes, and long follow-up periods are recommended to validate these findings.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Key points&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 &lt;ul&gt;\u0000 \u0000 &lt;li&gt;The Mesh-Assisted Regenerated Site (MARS) technique restores the alveolar ridge at sites with lost labial plates by combining the osteoconductive properties of bone substitutes with the space-maintaining function of titanium mesh in a single procedure. This approach may reduce the need for extensive augmentation, shorten treatment duration, minimize complications, and potentially lower long-term treatment costs.&lt;/li&gt;\u0000 \u0000 &lt;li&gt;The success of this approach depends on minimally traumatic extraction, meticulous socket debridement, careful soft tissue management, and precise placement of titanium mesh and bone substitutes under optimal magnification.&lt;/li&gt;\u0000 \u0000 &lt;li&gt;Although effecti","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 2","pages":"260-269"},"PeriodicalIF":1.3,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010681","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":"Laterally positioned flap with connective tissue graft to treat deep isolated gingival recessions in the mandibular anterior region: A retrospective case series with 10-year follow-up","authors":"Lucrezia Parma-Benfenati,&nbsp;Stefano Parma-Benfenati","doi":"10.1002/cap.10358","DOIUrl":"10.1002/cap.10358","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To evaluate the efficacy and long-term clinical outcomes of the one-stage procedure for covering isolated deep gingival recessions (GRs) in the mandibular anterior region employing a laterally positioned flap (LPF) with a connective tissue graft (CTG), with a retrospective case series.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nine patients presenting 11 isolated mid-facial recessions, where no loss of attachment level or the interproximal loss is equal to or less than the buccal one, received a LPF with CTG. The study's primary outcome was the percentage of mean gingival recession coverage (mGRC) and its stability over time. Secondary endpoints included the frequency of complete gingival recession coverage (CGRC), changes in keratinized tissue width (KTW) over time, and final root coverage aesthetic score (RES).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The mean of CGRC was 0.7, 0.4, and 0.5 mm for each time point with a mean up to 90% after the first year and up to 95% for 5- and 10-year follow-ups expressed in percentage, reporting an increase in KTW as well. At 1-, 5-, and 10-year follow-ups, the mean of the RESs was, respectively, 8, 7.04, and 7.09.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The present results suggest that the LPF + CTG is a valuable approach for treating deep isolated mandibular single recession type 1 (RT1) and RT2 GRs. It results in a favorable mean of CGRC, stable clinical outcomes over time, and an increase in KTW, with undisputed patient benefits and great clinician satisfaction.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Key points&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study highlights the effectiveness of a one-stage procedure using a laterally positioned flap (LPF) and connective tissue graft (CTG) for treating isolated deep gingival recessions (GR) in the mandibular anterior region. The primary outcome measured was the mean gingival recession coverage (mGRC) over time, while secondary metrics included complete gingival recession coverage (CGRC), keratinized tissue width (KTW), and root coverage aesthetic scores (RES). The mean CGRC was 90% after 1 year and 95% at 5 and 10 years; the mean RES scores were 8, 7.04, and 7.09 at the 1-, 5-, and 10-year follow-ups, respectively; KTW also increased significantly. These results confirm that the LPF + CTG technique is not only effective for treating recession type 1 (RT1) and RT2 GRs but also offers substantial benefits for patients and high satisfaction for","PeriodicalId":55950,"journal":{"name":"Clinical Advances in Periodontics","volume":"16 2","pages":"279-287"},"PeriodicalIF":1.3,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cap.10358","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027296","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}