The International journal of periodontics & restorative dentistry最新文献

The Papilla Base CTG: A Novel Approach for Interdental Soft Tissue Reconstruction. 乳头基底 CTG：牙间隙软组织重建的新方法。

The International journal of periodontics & restorative dentistry Pub Date : 2024-10-25 DOI: 10.11607/prd.7346

Giovanni Zucchelli, Ilham Mounssif, Claudio Mazzotti, Valentina Bentivogli, Alexandra Rendon, Matteo Sangiorgi, Martina Stefanini

{"title":"The Papilla Base CTG: A Novel Approach for Interdental Soft Tissue Reconstruction.","authors":"Giovanni Zucchelli, Ilham Mounssif, Claudio Mazzotti, Valentina Bentivogli, Alexandra Rendon, Matteo Sangiorgi, Martina Stefanini","doi":"10.11607/prd.7346","DOIUrl":"https://doi.org/10.11607/prd.7346","url":null,"abstract":"Impairment or loss of interdental papilla is a common issue in patients with periodontal disease, leading to phonetic, functional, and aesthetic concerns. Numerous techniques have been explored to reconstruct and regenerate interdental papillae, but consistent success remains challenging. This article presents a novel surgical approach that applies the principles of the Connective Tissue Graft (CTG) wall technique to enhance papilla volume when interdental clinical attachment loss is present in the aesthetic zone. The case of a 35-year-old woman with an RT3 recession defect associated with loss of interdental hard and soft tissues is discussed. The patient underwent a procedure involving palatal incisions, application of amelogenins, and a trapezoidal shape CTG fixed at the base of the papilla under a coronally advanced flap. This approach aimed to stabilize the blood clot and prevent soft tissue collapse into the defect area, enhancing the position and volume of the interdental papilla. Results at 6- and 12-months follow-up indicated significant improvement in papilla appearance and complete root coverage. This case suggests that the modified CTG wall technique can effectively treat buccal and interdental gingival recessions associated with horizontal or infrabony defects. Further clinical trials are necessary to confirm these findings and establish the most effective approach for interdental papilla reconstruction.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515594","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}

引用次数: 0

Partial-Full-Thickness Tunnel Technique and Supra-Crestal Sling Suture for Treatment of RT2 and RT3 Gingival Recessions: Technical Report with Two Cases. 治疗 RT2 和 RT3 牙龈退缩的部分-全厚隧道技术和上牙冠吊带缝合术：两个病例的技术报告。

The International journal of periodontics & restorative dentistry Pub Date : 2024-10-25 DOI: 10.11607/prd.7385

Po-Jan Kuo, Yi-Wen Tsai, Tsung-Hsun Wu, Nancy Nie-Shiuh Chang, Jonathan H Do

{"title":"Partial-Full-Thickness Tunnel Technique and Supra-Crestal Sling Suture for Treatment of RT2 and RT3 Gingival Recessions: Technical Report with Two Cases.","authors":"Po-Jan Kuo, Yi-Wen Tsai, Tsung-Hsun Wu, Nancy Nie-Shiuh Chang, Jonathan H Do","doi":"10.11607/prd.7385","DOIUrl":"https://doi.org/10.11607/prd.7385","url":null,"abstract":"The purpose of this technical report is to describe a modified tunnel surgical approach and connective tissue graft (CTG) stabilization technique for the treatment of gingival recessions with interproximal clinical attachment loss (ICAL). The partial-full-thickness (PFT) tunnel technique utilizes multiple vestibular incisions to facilitate creation of a split-mucoperiosteal tunnel that enhances tissue passivity and allows for coronal advancement of soft tissue with minimal tension. The supra-crestal sling (SCS) suture engages only the CTG, independent of the overlying tissue and stabilizes the CTG around the buccal and proximal root surfaces. The treatment approach of PFT tunnel preparation and CTG stabilization with the SCS suture was designed to optimize blood supply and maximize wound stability, resulting in complete root coverage with satisfactory clinical outcomes in RT2 and RT3 gingival recession. It is suggested that the PFT tunnel preparation with graft stabilization via the SCS suture has the potential to treat recessions with anatomical limitations associated with ICAL.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515593","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}

引用次数: 0

Comparing Small Buccal Dehiscence Defects Treated with or without Guided Bone Regeneration. A Sub-Analysis of a RCT. 比较使用或不使用引导骨再生治疗的小型颊裂缺损。一项 RCT 的子分析。

The International journal of periodontics & restorative dentistry Pub Date : 2024-10-25 DOI: 10.11607/prd.7138

A N Zuercher, S Mühlemann, E Ruales-Carrera, J Hjerppe, R E Jung, D S Thoma

{"title":"Comparing Small Buccal Dehiscence Defects Treated with or without Guided Bone Regeneration. A Sub-Analysis of a RCT.","authors":"A N Zuercher, S Mühlemann, E Ruales-Carrera, J Hjerppe, R E Jung, D S Thoma","doi":"10.11607/prd.7138","DOIUrl":"https://doi.org/10.11607/prd.7138","url":null,"abstract":"Aim: to assess clinical and radiographical outcomes of single tooth posterior implants with a dehiscence defect treated with or without guided bone regeneration (GBR).Methods: In a randomized clinical trial of 59 patients, single-tooth posterior implants were placed. For the subanalysis of 16 patients with a buccal dehiscence defect (≤ 5mm), the implants were randomly assigned to GBR or spontaneous healing (SH). In 8 patients, the implants were surrounded by native bone (Native bone). A transmucosal healing approach was chosen for all sites. Patients were examined at restoration delivery (RD) and at one year (1y). Measurements included: soft tissue thickness (STT), bone tissue thickness (BTT) and buccal contour, based on cone-beam computed tomography (CBCT), optical scans, clinical parameters. All data were analyzed descriptively.Results: The mean STT at implant shoulder (IS) showed a gain of 0.15 mm (Q1: - 0.16, Q3: 0.49) for the GBR group and 0.03 mm (Q1: -0.49, Q3: 0.13) for the SH group. The mean BBT 1 mm below IS showed a loss of 0.25 mm (Q1: -0.85, Q3: -0.09) for the GBR group and 0.04 mm (Q1: -0.14, Q3: 0.17) for the SH group. All peri-implant soft tissue parameters indicated healthy peri-implant tissues with no clinically relevant differences between the groups. Patient-reported outcomes regarding pain one day after surgery were similar among the study groups.Conclusions: The present sub-analysis resulted in a similar buccal contour and similar radiographic outcomes as well as peri-implant health for sites treated with or without GBR.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515588","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}

引用次数: 0

Keratinized Tissue Grafting May Prevent Peri-implantitis: A Case Series. 角质化组织移植可预防种植体周围炎：病例系列

The International journal of periodontics & restorative dentistry Pub Date : 2024-10-25 DOI: 10.11607/prd.7303

Yoshihiro Ono, Myron Nevins, Satoko Rubin, Toshiya Kuwahara, Magda Feres, Anahat Khehra

引用次数: 0

The Role of Keratinized Mucosa in Peri-Implant Tissue Stability after Treatment of Peri-Implantitis. Clinical and Radiographic Outcomes of a Prospective Cohort Study after 3 Years. 角化粘膜在治疗种植体周围炎后种植体周围组织稳定性中的作用。一项前瞻性队列研究3年后的临床和放射学结果

The International journal of periodontics & restorative dentistry Pub Date : 2024-10-22 DOI: 10.11607/prd.7322

Emmanuel Englezos, Wim Coucke, Ana B Castro, Wim Teughels, Andy Temmereman

{"title":"The Role of Keratinized Mucosa in Peri-Implant Tissue Stability after Treatment of Peri-Implantitis. Clinical and Radiographic Outcomes of a Prospective Cohort Study after 3 Years.","authors":"Emmanuel Englezos, Wim Coucke, Ana B Castro, Wim Teughels, Andy Temmereman","doi":"10.11607/prd.7322","DOIUrl":"https://doi.org/10.11607/prd.7322","url":null,"abstract":"This study prospectively evaluated the effect of keratinized mucosa (KM) on the healing of the peri- implant tissues after resective surgical therapy for peri-implantitis. It addressed the question of whether the absence of KM has a negative effect on peri-implant tissue stability after treatment. Patients referred to a private practice for peri-implantitis treatment were surgically treated with resective flap surgery and implantoplasty. They were followed for 3 years and measurements at implant level included presence of plaque, bleeding on probing, probing pocket depth, radiographically visible bone loss and the presence and width of KM before therapy, 3 month post-operatively, 1 year, 2 years, and 3 years after the surgical intervention. All clinical parameters improved and marginal bone levels remained stable 3 years after therapy. The width of the KM decreased significantly after the therapy. Soft tissue recession was frequently observed. The absence of KM does not seem to have a negative effect on healing after therapy for the studied period of 3 years. The authors conclude that resective surgery combined with implantoplasty seems to be a reliable method for arresting the progression of peri-implantitis.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515595","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}

引用次数: 0

Effect of Supportive Peri-implant Care After Treatment of Peri- Implant Diseases: A Systematic Review. 种植体周围疾病治疗后种植体周围支持性护理的效果：系统回顾

The International journal of periodontics & restorative dentistry Pub Date : 2024-10-22 DOI: 10.11607/prd.7217

Emilio Couso-Queiruga, Fernando Suárez López Del Amo, Gustavo Avila-Ortiz, Leandro Chambrone, Alberto Monje, Pablo Galindo-Moreno, Carlos Garaicoa-Pazmino

{"title":"Effect of Supportive Peri-implant Care After Treatment of Peri- Implant Diseases: A Systematic Review.","authors":"Emilio Couso-Queiruga, Fernando Suárez López Del Amo, Gustavo Avila-Ortiz, Leandro Chambrone, Alberto Monje, Pablo Galindo-Moreno, Carlos Garaicoa-Pazmino","doi":"10.11607/prd.7217","DOIUrl":"https://doi.org/10.11607/prd.7217","url":null,"abstract":"This PRISMA-compliant systematic review aimed to investigate the effect of supportive peri- implant care (SPIC) on peri-implant tissue health and disease recurrence following the non surgical and surgical treatment of peri-implant diseases. The protocol of this review was registered in PROSPERO (CRD42023468656). A literature search was conducted to identify investigations that fulfilled a set of pre-defined eligibility criteria based on the PICO question: what is the effect of SPIC upon peri-implant tissue stability following non-surgical and surgical interventions for the treatment of peri-implant diseases in adult human subjects? Data on SPIC (protocol, frequency, and compliance), clinical and radiographic outcomes, and other variables of interest were extracted and subsequently categorized and analyzed. A total of 8 studies, with 288 patients and 512 implants previously diagnosed with peri-implantitis were included. No studies including peri-implant mucositis fit the eligibility criteria. Clinical and radiographic outcomes were similar independently of specific SPIC features. Nevertheless, a 3-month recall interval was generally associated with a slightly lower percentage of disease recurrence. The absence of disease recurrence at the final follow-up period (mean of 58.7±25.7 months) ranged between 23.3% and 90.3%. However, when the most favorable definition of disease recurrence reported in the selected studies was used, mean disease recurrence was 28.5% at baseline, considered 1 year after treatment for this investigation, and increased to 47.2% after 2 years of follow-up. In conclusion, regardless of the SPIC interval and protocol, disease recurrence tends to increase over time after the treatment of peri-implantitis, occasionally requiring additional interventions.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515589","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}

引用次数: 0

Papillary Coronal Anchorage Technique for Periodontal Reconstruction of Infrabony Defect and Interdental Papilla: A Case Report. 用于牙周缺损和牙间乳头重建的乳头冠锚固技术：病例报告。

The International journal of periodontics & restorative dentistry Pub Date : 2024-10-22 DOI: 10.11607/prd.7005

Shota Tsuji, Shu Hoshi, Shogo Maekawa

引用次数: 0

Impact of Two Implant-Abutment Connection Types on Crestal Bone Stability: A 3-Year Comparative Split-Mouth Clinical Trial. 两种种植体-基台连接类型对峰骨稳定性的影响：一项为期 3 年的分口临床试验比较。

The International journal of periodontics & restorative dentistry Pub Date : 2024-10-22 DOI: 10.11607/prd.7277

Behnam Shakibaie, Paolo Nava, Javier Calatrava, Markus B Blatz, Katalin Nagy, Hamoun Sabri

{"title":"Impact of Two Implant-Abutment Connection Types on Crestal Bone Stability: A 3-Year Comparative Split-Mouth Clinical Trial.","authors":"Behnam Shakibaie, Paolo Nava, Javier Calatrava, Markus B Blatz, Katalin Nagy, Hamoun Sabri","doi":"10.11607/prd.7277","DOIUrl":"10.11607/prd.7277","url":null,"abstract":"This prospective, preliminary controlled clinical trial investigates the comparative effectiveness of platform-switching (PS) versus traditional butt-joint or platform-matching (PM) implant-abutment connections on peri-implant crestal bone stability. Utilizing a split mouth design, 10 systemically healthy patients (n= 20 implants) had adjacent non-restorable maxillary anterior teeth replaced with two different implants (butt-joint connections and platform-switching interfaces). Patients underwent alveolar ridge preservation, followed by implant placement: platform-matching implants were inserted at crestal bone level, and platform-switching implants were placed 1mm subcrestally. Customized Zirconia crowns were then fabricated for both systems. Outcome measures included bleeding on probing (BOP), probing pocket depth (PPD), and marginal bone loss (MBL), which were evaluated through standardized periapical radiographs over 3-year timeframe. Results showed significantly higher initial MBL in the PM group (0.86 ± 0.13 mm) compared to the PS group (0.34±0.29 mm) [p value: p<0.01]. Moreover, at the three-year follow-up, the crestal bone levels remained above the implant shoulder until the third year of the study for the PS subcrestal group (PS: -0.15±0.39 mm) and slightly below the implant platform in the PM crestal group (PM: 0.55±0.19). After 3 years, the PS group also exhibited lower mean BOP percentages (12%) than the butt-joint group (17%). This study suggests that subcrestal placement with PS and internal connections can provide better long-term peri- implant bone preservation, thereby potentially improving implant success and aesthetic outcomes in the anterior maxillary region.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515590","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}

引用次数: 0

Decision Tree for the Treatment of Multiple Gingival Recession Defects When Utilizing MCAT or MCAF Based on Evidence and Clinical Experience. 基于证据和临床经验的 "使用 MCAT 或 MCAF 治疗多发性牙龈退缩缺陷的决策树"。

The International journal of periodontics & restorative dentistry Pub Date : 2024-09-06 DOI: 10.11607/prd.7290

Sofia Aroca, Giovanni Zucchelli, Giovanna Laura Di Domenico, Massimo de Sanctis

引用次数: 0

The Double Subepithelial Connective Tissue Pedicle Graft Combined with an Interproximal-Buccal Tunneling Approach for Restoring Bilateral Missing Papillae: A Case Report. 双上皮下结缔组织基底移植结合近端-颊间隧道法修复双侧乳头缺失：病例报告。

The International journal of periodontics & restorative dentistry Pub Date : 2024-09-06 DOI: 10.11607/prd.7326

Maria das Graças Cruz Najar, Leandro Chambrone

引用次数: 0