{"title":"Keratinized Tissue Grafting May Prevent Peri-implantitis: A Case Series.","authors":"Yoshihiro Ono, Myron Nevins, Satoko Rubin, Toshiya Kuwahara, Magda Feres, Anahat Khehra","doi":"10.11607/prd.7303","DOIUrl":"https://doi.org/10.11607/prd.7303","url":null,"abstract":"<p><strong>Background: </strong>The necessity of a minimum volume of keratinized tissue around implants to maintain tissue stability remains a matter of debate. The aim of this case series is to showcase the outcome and long-term maintenance of dental implants that received soft tissue augmentation.</p><p><strong>Case presentation: </strong>Three cases of second stage following dental implant placement were evaluated for amount of keratinized tissue. Based on the Ono-Nevins classification described here, treatment was rendered including keratinized tissue grafting. The cases were followed for 10, 18 and 28 years. Each case demonstrated maintenance of soft and hard tissue profile around the dental implants with no incidence of peri-implantitis as evidenced on clinical examination and use of peri-apical radiographs.</p><p><strong>Conclusion: </strong>Soft tissue management around dental implants may play a key role in long-term maintenance of peri-implant health and prevention of peri-implantitis.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515591","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}
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":"<p><p>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.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-15"},"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}
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":"<p><p>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.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-28"},"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}
{"title":"Papillary Coronal Anchorage Technique for Periodontal Reconstruction of Infrabony Defect and Interdental Papilla: A Case Report.","authors":"Shota Tsuji, Shu Hoshi, Shogo Maekawa","doi":"10.11607/prd.7005","DOIUrl":"https://doi.org/10.11607/prd.7005","url":null,"abstract":"<p><p>Esthetic issues and phonetic disturbances frequently occur after periodontal regeneration of the anterior teeth, even if treatment is supposed to be successful. Conventional regenerative techniques are predominantly targeted at infrabony defects and often inadequately address the loss of the interdental papilla. This study introduces the papillary coronal anchorage technique, a novel modified tunnel surgical procedure, to facilitate the reconstruction of the interdental papilla. This method allows for coronal movement of the entire interdental papilla without incisions at the papilla to facilitate primary wound healing. Using a combination of bone grafts and recombinant human fibroblast growth factor 2 and anchoring the tunnel-like flap coronally using sutures, we successfully achieved a reconstruction of the infrabony defects as well as the interdental papilla. The papillary coronal anchorage technique is effective as it enables the simultaneous reconstruction of both the infrabony defect and the interdental papilla.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515592","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}
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":"<p><p>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.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-22"},"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}
Sofia Aroca, Giovanni Zucchelli, Giovanna Laura Di Domenico, Massimo de Sanctis
{"title":"Decision Tree for the Treatment of Multiple Gingival Recession Defects When Utilizing MCAT or MCAF Based on Evidence and Clinical Experience.","authors":"Sofia Aroca, Giovanni Zucchelli, Giovanna Laura Di Domenico, Massimo de Sanctis","doi":"10.11607/prd.7290","DOIUrl":"https://doi.org/10.11607/prd.7290","url":null,"abstract":"","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":" ","pages":"1-30"},"PeriodicalIF":0.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142143515","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":"The Double Subepithelial Connective Tissue Pedicle Graft Combined with an Interproximal-Buccal Tunneling Approach for Restoring Bilateral Missing Papillae: A Case Report.","authors":"Maria das Graças Cruz Najar, Leandro Chambrone","doi":"10.11607/prd.7326","DOIUrl":"https://doi.org/10.11607/prd.7326","url":null,"abstract":"","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":" ","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305302","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}
Ashley B Hoders, Kevin G Murphy, George A Mandelaris
{"title":"Phenotype Driven Treatment Planning for the Interdisciplinary Patient. Part I. Definition, Diagnosis and Treatment Options.","authors":"Ashley B Hoders, Kevin G Murphy, George A Mandelaris","doi":"10.11607/prd.7175","DOIUrl":"10.11607/prd.7175","url":null,"abstract":"<p><p>A recent update in periodontal terminology includes a shift from the term “biotype”, replacing it with the term “phenotype”. Periodontal phenotype evaluation and diagnosis is possible when findings from both the clinical examination to establish the gingival phenotype are combined with assessment of the bone morphotype, commonly using Cone Bean Computed Tomography (CBCT) imaging technology. Such analysis is critical to treatment planning, particularly for interdisciplinary dentofacial therapy patients (IDT) whose treatment can often involve clinical interventions such as surgery, orthodontic tooth movement, and/or extensive restorative treatment. This paper highlights how this shift in terminology can also be considered an evolution of thought process, as phenotype offers a more comprehensive way to guide our planning at the foundational level, and offers an updated approach for diagnosing and treatment planning IDT patients. Being able to identify a patient with a seemingly intact periodontal phenotype that will become susceptible or deficient with planned intervention is critical. Until now, there has been no established protocol recommended for risk assessment regarding iatrogenic sequelae on the periodontium involving tooth movement. A systematic approach, Phenotype Driven Treatment Planning (PDTP), is introduced here, and an updated outcome of treatment termed optimized periodontal phenotype is suggested.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":" ","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305300","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":"Optimizing Hard and Soft Tissue Grafting Techniques and Timing in the Posterior Maxilla Aiming for Effectiveness and Reduction of Treatment Time. Case Report.","authors":"Andoni Jones","doi":"10.11607/prd.7264","DOIUrl":"https://doi.org/10.11607/prd.7264","url":null,"abstract":"","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":" ","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305299","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":"Diagnostic Accuracy of the Gingival Phenotype by the Transparency of the Periodontal Probe Through the Gingival Sulcus: A Systematic Review and Meta-Analysis.","authors":"Diogo Moreira Rodrigues, Emilio Couso-Queiruga, Eliane Porto Barboza, Enzo Cerullo, Caroline Montez Lima, Diogo Pereira Luz, Leandro Chambrone","doi":"10.11607/prd.7278","DOIUrl":"https://doi.org/10.11607/prd.7278","url":null,"abstract":"","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":" ","pages":"1-26"},"PeriodicalIF":0.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305248","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}