Journal of advanced periodontology & implant dentistry最新文献

{"title":"Assessment of gingival characteristics by professional versus smartphone imaging.","authors":"Mohan Kumar Pasupuleti, Gurramkonda Sirisha, Gabu Pujitha, Gautami Subhadra Penmetsa, Supraja Salwaji, Nissi Gurindapalli","doi":"10.34172/japid.026.3806","DOIUrl":"10.34172/japid.026.3806","url":null,"abstract":"<p><strong>Background: </strong>Accurate evaluation of gingival health requires understanding inflammation as a sign of disease activity or healing. Only a few studies have examined the gingiva in depth using non-invasive imaging techniques. Therefore, this study assessed the accuracy of evaluating gingival parameters using professional (Canon EOS 1300D, Canon Inc., Japan) and smartphone (iPhone 15 Pro, Apple Inc., USA) cameras, with pre- and post-treatment photographs.</p><p><strong>Methods: </strong>Thirty-four patients with gingivitis were selected, and photographs were captured using professional and smartphone cameras. Gingival parameters were examined using pictures of the maxillary anterior region taken at distances of 24, 28, and 32 cm from the examination site. All the images were evaluated using the free ImageJ software (US National Institutes of Health, Bethesda, Maryland, USA) with an accuracy of 0.01 mm. The paired t-test was used to compare gingival color values and clinical measurements. A P value of<0.05 was considered statistically significant.</p><p><strong>Results: </strong>There were no significant differences in gingival parameters between images taken using either professional or smartphone photography. The results showed no significant differences in gingival color assessment at 24-, 28-, and 32-cm distances between the two images.</p><p><strong>Conclusion: </strong>Digital images obtained with DSLR and smartphone cameras showed comparable accuracy for gingival parameter measurements at the tested distances.</p>","PeriodicalId":73584,"journal":{"name":"Journal of advanced periodontology & implant dentistry","volume":"18 1","pages":"11-19"},"PeriodicalIF":0.0,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12913202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146230111","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":"Beyond probes and charts: The AI revolution reshaping diagnosis, prognosis, and treatment decision-making in periodontology.","authors":"Mohammadreza Talebi Ardakani, Sajad Jahantigh","doi":"10.34172/japid.025.4144","DOIUrl":"10.34172/japid.025.4144","url":null,"abstract":"","PeriodicalId":73584,"journal":{"name":"Journal of advanced periodontology & implant dentistry","volume":"17 4","pages":"179-181"},"PeriodicalIF":0.0,"publicationDate":"2025-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12702081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764114","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":"Histopathological evaluation of bone formation using hydroxyapatite/β-tricalcium phosphate following tooth extraction: A comparative study of two time intervals.","authors":"Omid Moghaddas, Nima Naddafpour, Sareh Farhadi, Zahra Mosalmani, Sephora Khandan","doi":"10.34172/japid.025.3476","DOIUrl":"10.34172/japid.025.3476","url":null,"abstract":"<p><strong>Background: </strong>Ridge resorption following tooth extraction can be managed with bone graft substitutes. The present study histologically evaluated the amount of new bone formation 3 and 4 months after tooth extraction and ridge preservation using the hydroxyapatite/β-tricalcium phosphate (HA/βTCP) graft material (OSTEON II).</p><p><strong>Methods: </strong>Forty patients requiring tooth extraction and subsequent implant placement were enrolled in this randomized controlled clinical trial. Ridge preservation using HA/βTCP alloplast (OSTEON II) in extraction sockets was divided into three months (group A) and four months (group B). Bone samples were collected from each grafted socket at the implant placement site. Histomorphometric analyses were performed to determine the amount of new bone formation and the residual graft material. In addition, we evaluated changes in histological indices, i.e., inflammation rate, percentage of ossification, and the amount of remaining biomaterial.</p><p><strong>Results: </strong>There were no significant differences in the amount of newly formed bone and the residual graft material between the two groups. In the 3-month group, an average of 20.11% of newly formed bone and 6.82% of the remaining graft were seen. In contrast, they were 20.67% and 7.38% in the 4-month group.</p><p><strong>Conclusion: </strong>The findings suggest that the HA/βCP bone graft material (OSTEON II) may enhance bone regeneration within a shorter healing time.</p>","PeriodicalId":73584,"journal":{"name":"Journal of advanced periodontology & implant dentistry","volume":"18 1","pages":"20-25"},"PeriodicalIF":0.0,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12913207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146230072","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":"A critical review of existing peri-implantitis classification systems and a novel three-dimensional framework.","authors":"Mohammad Mohammadi, Shahin Shahbazpey","doi":"10.34172/japid.025.3948","DOIUrl":"10.34172/japid.025.3948","url":null,"abstract":"<p><strong>Background: </strong>Peri-implantitis remains a clinically relevant complication characterized by soft tissue inflammation and progressive bone loss. Existing classification systems vary in their emphasis on clinical severity or defect morphology and seldom provide operational, treatment-linked guidance-particularly for apical disease.</p><p><strong>Methods: </strong>We conducted a structured critical review of PubMed, Scopus, and Web of Science for studies published in English from January 1990 to December 2023 (last search: December 31, 2023). Full search strategies are reported in Supplementary file 1. Grey literature and conference abstracts were excluded a priori. Two reviewers independently screened records in consensus; a PRISMA-style flow diagram summarizes the selection process. Using a predefined rubric (domains covered, anchors, required inputs, treatment linkage, validation/reliability), we synthesized ten published classification systems (2004-2019) and complemented them with one proposed framework.</p><p><strong>Results: </strong>Across systems, recurrent gaps included limited integration of clinical parameters with radiographic morphology, inconsistent coverage of implant apical lesions (IALs), and sparse, non-graded treatment guidance. We therefore introduce a three-dimensional framework that classifies lesions as crestal, apical (IAL), or lateral, each with severity strata and operational thresholds (radiographic bone loss relative to functional implant length:<25%, 25-50%,>50%). A standardized measurement protocol is specified (paralleling periapical radiographs as default; selective cone beam computed tomography (CBCT) for suspected buccal/facial dehiscence or equivocal lateral defects), with rules for cases lacking baseline radiographs. A one-page decision algorithm links categories to management options whose strength of recommendation follows the EFP 2023 S3 guideline; laser use is presented as an adjunct where evidence is mixed. Three clinical vignettes illustrate how the framework informs treatment planning. Plans for inter-rater reliability testing are outlined.</p><p><strong>Conclusion: </strong>This review consolidates and contrasts existing systems and offers an implementable, consensus-aligned framework that unifies morphology, severity, and apical disease with transparent, evidence-graded treatment pathways. Prospective validation and reliability studies are warranted.</p>","PeriodicalId":73584,"journal":{"name":"Journal of advanced periodontology & implant dentistry","volume":"17 4","pages":"227-233"},"PeriodicalIF":0.0,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12702084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764643","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":"Does orthodontic space opening in patients with congenitally missing maxillary lateral incisors also reduce the need for bone grafting during implant placement? A retrospective study.","authors":"Maryam Omidkhoda, Seyed Hosein Hoseini Zarch, Arezoo Jahanbin, Parisa Hatami, Alireza Ghasemzadeh","doi":"10.34172/japid.025.3765","DOIUrl":"10.34172/japid.025.3765","url":null,"abstract":"<p><strong>Background: </strong>Different studies have provided inconsistent results regarding the effectiveness of orthodontic tooth movement in establishing an adequate width and height of the edentulous ridge in patients with missing maxillary lateral incisors. This study aimed to compare the dimensions and density of the alveolar ridge after canine distalization for the preparation of implant placement and after no significant canine movement along the ridge.</p><p><strong>Methods: </strong>Sixteen patients (30 sites) with congenitally missing teeth were included in this retrospective study. The patients were divided into two groups: group 1: patients with erupted canines adjacent to the central incisor treated for canine distalization; group 2: patients with erupted canine almost in the correct position, treated with canine alignment. The alveolar ridge width, height, buccal undercut, and density were measured by cone-beam computed tomography (CBCT). The data were analyzed according to sex, age, and type of orthodontic treatment. Chi-square test, t-test, and Pearson's correlation were used. The significance level was 0.05.</p><p><strong>Results: </strong>No significant differences were found between the two groups in alveolar ridge width at 3 mm and 6 mm apical to the alveolar crest, height, buccal undercut depth, and density in the position of the missing lateral incisors (<i>P</i>>0.05).</p><p><strong>Conclusion: </strong>Movement of the canine along the alveolar ridge in patients with congenitally missing maxillary lateral incisors did not significantly affect alveolar ridge width, height, buccal undercut, and density. Therefore, the effectiveness of canine distalization treatment in reducing the need for bone grafting is questionable.</p>","PeriodicalId":73584,"journal":{"name":"Journal of advanced periodontology & implant dentistry","volume":"18 1","pages":"26-31"},"PeriodicalIF":0.0,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12913198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146230116","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":"Evaluation of salivary cortisol levels in peri-implant diseases: An analytical observational study.","authors":"Melika Sadrejamali, Saba Mohammadi, Nasrin Esfahanizadeh","doi":"10.34172/japid.025.3817","DOIUrl":"10.34172/japid.025.3817","url":null,"abstract":"<p><strong>Background: </strong>A well-documented positive correlation exists between salivary cortisol levels (SCLs) and periodontal disease. Given the clinical and pathophysiological similarities between peri-implant diseases and periodontal conditions, this study aimed to explore the association between SCLs and peri-implant mucositis and peri-implantitis.</p><p><strong>Methods: </strong>An analytical observational study was conducted involving 86 patients who had been using dental prostheses for a minimum of one year. Unstimulated salivary samples were collected from all the participants. Clinical assessments included periodontal probing depth (PPD), papilla bleeding index (PBI), Mombelli modified plaque index (mPI), and radiographic evaluation of bone loss. Based on clinical and radiographic findings, the subjects were categorized into three groups: (1) individuals with healthy peri-implant tissues, (2) patients with peri-implant mucositis, and (3) patients with peri-implantitis. Salivary cortisol concentrations were quantified using an enzyme-linked immunosorbent assay (ELISA). Statistical analysis was conducted using one-way analysis of variance (ANOVA), followed by independent t-tests and post hoc Tukey comparisons.</p><p><strong>Results: </strong>Significant differences were observed in mean PPD values between the three groups (<i>P</i><0.05), with the peri-implantitis group exhibiting the highest values. Likewise, mPI scores varied significantly across the groups (<i>P</i><0.05). However, no significant differences were detected in SCLs between the three groups.</p><p><strong>Conclusion: </strong>Within the limitations of this study, no significant association was identified between SCLs and peri-implant disease. Further studies with larger sample sizes and longitudinal designs are recommended to validate these findings.</p>","PeriodicalId":73584,"journal":{"name":"Journal of advanced periodontology & implant dentistry","volume":"17 4","pages":"188-195"},"PeriodicalIF":0.0,"publicationDate":"2025-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12702085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764233","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":"A comparative evaluation of laser bandage and surgical stent as palatal donor site dressing after free gingival graft surgery: A randomized controlled clinical trial.","authors":"Pireethi Poonkundran, Rudrakshi Chickanna, Karthikeyan Bangalore Varadhan, Munivenkatappa Lakshmaiah Venkatesh Prabhuji","doi":"10.34172/japid.025.3380","DOIUrl":"10.34172/japid.025.3380","url":null,"abstract":"<p><strong>Background: </strong>The free gingival graft (FGG) harvesting technique creates an open wound that heals by secondary intention. Retarded wound healing, excessive bleeding, and postoperative pain have been reported as frequent complications. To overcome these problems, various products have been developed to heal the ailing site. Lasers can be considered a good choice for wound coverage of the donor site due to their effective tissue ablation, hemostatic, and bactericidal effects. The present randomized clinical trial was performed to evaluate the effectiveness of the diode laser bandage in achieving donor site hemostasis and compare wound healing with the surgical stent.</p><p><strong>Methods: </strong>Twenty-four healthy individuals meeting the inclusion and exclusion criteria were recruited for the study. Following graft harvesting, the participants were assigned to the control (gel form hemostatic agent with surgical stent [GF+SS] [n=12]) or test (laser bandage [LB] [n=12]) groups. Clinical parameters, including pain (visual analog scale [VAS] score), bleeding, re-epithelialization, wound healing, color match, and number of analgesics consumed, were recorded at baseline and on the 7th, 14th, and 30th days. <i>P</i><0.05 was set for statistical significance.</p><p><strong>Results: </strong>Surgical procedures and postoperative sequelae were uneventful. VAS scores between the control and test groups were significant at baseline and on the 7th and 14th days. Parameters such as re- epithelialization, color match, and number of analgesics achieved statistically significant improvements.</p><p><strong>Conclusion: </strong>Within the limitations of the present study, it can be concluded that the laser bandage is a better option for palatal wound protection following FGG harvesting.</p>","PeriodicalId":73584,"journal":{"name":"Journal of advanced periodontology & implant dentistry","volume":"18 1","pages":"41-47"},"PeriodicalIF":0.0,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12913203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146230094","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":"Full-mouth rehabilitation with implant-supported overdentures in a heavy smoker with multiple sclerosis: A 3-year follow-up case report.","authors":"Rola Muhammed Shadid","doi":"10.34172/japid.025.3973","DOIUrl":"10.34172/japid.025.3973","url":null,"abstract":"<p><p>This case report describes the rehabilitation of a 70-year-old Arab male patient with relapsing-remitting multiple sclerosis (MS), controlled type 2 diabetes, and heavy smoking. The patient was treated with a maxillary four-implant bar-supported overdenture and a mandibular two-implant tissue-supported overdenture chosen for their stability, minimal invasiveness, affordability, and ease of hygiene. At three-year follow-up, peri-implant bone levels remained stable, and function and quality of life improved. However, moderate inflammation and plaque accumulation reflected fair oral hygiene and persistent smoking. This case emphasizes the need for strict maintenance at three-month intervals and elimination of risk factors, particularly smoking and poor glycemic control. Implant therapy in MS patients should be undertaken cautiously with comprehensive risk assessment and interdisciplinary planning. Although this single case showed favorable outcomes, the findings should be interpreted with caution, given the persistent high-risk factors and limited generalizability.</p>","PeriodicalId":73584,"journal":{"name":"Journal of advanced periodontology & implant dentistry","volume":"17 4","pages":"234-239"},"PeriodicalIF":0.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12702080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764375","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":"A modified anchored suturing technique for enhanced flap stability in periodontal plastic surgery: A case series.","authors":"Moein Khojaste, Farid Shiezadeh, Zahra Moslehitabar, Masoud Amiri Moghaddam","doi":"10.34172/japid.025.3954","DOIUrl":"10.34172/japid.025.3954","url":null,"abstract":"<p><strong>Background: </strong>Gingival recession is a common mucogingival condition that may cause esthetic concerns, root sensitivity, and functional problems. Tunneling techniques with connective tissue grafts (CTGs) are well established for root coverage and esthetic preservation. Various suspensory sutures have been proposed to stabilize coronally advanced flaps. The butterfly suture is a modified anchored approach intended to provide simultaneous stabilization of interproximal and midfacial areas. This case series describes the clinical application and short-term outcomes of this technique.</p><p><strong>Methods: </strong>Three systemically healthy patients (two males and one female, aged 20-45 years) with Cairo RT1 and RT2 recession defects were treated using a tunneling technique combined with CTG and stabilized with the butterfly suture. The patients were followed for 6 weeks, and outcomes were assessed descriptively.</p><p><strong>Results: </strong>Nine teeth were treated in the three patients. Seven defects achieved complete root coverage (CRC), and two achieved partial root coverage (PRC). Healing was uneventful in all cases, with no complications such as infection or necrosis. The patients reported satisfaction with the esthetic outcomes and resolution of dentin hypersensitivity.</p><p><strong>Conclusion: </strong>Within the limitations of this small case series, the butterfly suture provided stable coronal advancement and favorable root coverage outcomes. This technique may represent a simple and efficient alternative in tunneling procedures. Larger controlled studies with longer follow-up and patient-reported outcomes are necessary to validate its effectiveness.</p>","PeriodicalId":73584,"journal":{"name":"Journal of advanced periodontology & implant dentistry","volume":"17 4","pages":"240-245"},"PeriodicalIF":0.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12702086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764626","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":"<i>In-situ</i> gel drug delivery system as a viable approach to periodontal therapy: A comprehensive review.","authors":"Supreeth Sirangala Vivek, Venkatesh Dinnekere Puttegowda, Joysa Ruby Joseph Rajarathinam, Gunashekar Dhanapal, Naveen Kumar Karimaranahalli Banappa, Chaithanya Kadalu Mahendra, Pooja Rangadham","doi":"10.34172/japid.025.3827","DOIUrl":"10.34172/japid.025.3827","url":null,"abstract":"<p><p>This narrative review summarizes recent advances in in situ gel drug delivery systems for periodontal therapy, focusing on formulation strategies, the pharmaceutical agents involved, and their clinical applications. A comprehensive search was conducted on PubMed, Scopus, and Google Scholar for English-language articles published from 2000 to 2024 using relevant keywords. Articles were selected based on their clinical significance, scientific rigor, and relevance to periodontal treatment. In situ gels use physiological stimuli such as pH, temperature, or ions for sol-to-gel transition, enabling sustained and localized drug release into periodontal pockets. These systems aim to improve therapeutic efficacy and reduce systemic side effects. However, limitations like inconsistent gelation, low mechanical strength, and limited long-term clinical data hinder widespread clinical adoption. Future research should focus on formulation optimization and rigorous clinical trials to facilitate the integration of in-situ gels into routine periodontal care.</p>","PeriodicalId":73584,"journal":{"name":"Journal of advanced periodontology & implant dentistry","volume":"17 4","pages":"216-226"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12702083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764651","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}