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 the clinical examination to establish the gingival phenotype are combined with assessment of the bone morphotype, commonly using CBCT imaging technology. Such analysis is critical to treatment planning, particularly for interdisciplinary dentofacial therapy (IDT) patients whose treatment often involves 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 the phenotype offers a more comprehensive way to guide planning at the foundational level and offers an updated approach for diagnosing and planning treatment for IDT patients. Being able to identify a patient with a seemingly intact periodontal phenotype that will become susceptible or deficient over time without 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":"18-29"},"PeriodicalIF":1.1,"publicationDate":"2026-01-15","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}
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":"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 nonsurgical and surgical treatment of peri-implant diseases. A literature search was conducted to identify investigations that fulfilled a set of predefined eligibility criteria based on the following PICOS question: What is the effect of SPIC upon peri-implant tissue stability following nonsurgical 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 were included, comprising 288 patients and 512 implants previously diagnosed with peri-implantitis. No studies including peri-implant mucositis fit the eligibility criteria. Clinical and radiographic outcomes were similar, independent 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: 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. 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":"125-138"},"PeriodicalIF":1.1,"publicationDate":"2026-01-15","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 the Infrabony Defect and Interdental Papilla: A Case Report.","authors":"Shota Tsuji, Shu Hoshi, Shogo Maekawa","doi":"10.11607/prd.7005","DOIUrl":"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 predominantly target 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 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 coronally anchoring the tunnel-like flap using sutures, reconstruction of both the infrabony defect and the interdental papilla were achieved. 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":"42-51"},"PeriodicalIF":1.1,"publicationDate":"2026-01-15","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}
Nathan E Estrin, Nima Farshidfar, Paras Ahmad, Scott Froum, Marco Antonio Castro Pinto, Yufeng Zhang, Richard J Miron
{"title":"Exosome-Mediated Alveolar Ridge Augmentation: A First Human Case Report with Histology.","authors":"Nathan E Estrin, Nima Farshidfar, Paras Ahmad, Scott Froum, Marco Antonio Castro Pinto, Yufeng Zhang, Richard J Miron","doi":"10.11607/prd.7567","DOIUrl":"10.11607/prd.7567","url":null,"abstract":"<p><p>Exosomes, the smallest subset of extracellular vesicles, play a crucial role in cell signaling and communication throughout the body. Their regenerative potential has sparked tremendous interest, with over 5,000 articles on exosomes published yearly, primarily focused on in vitro and preclinical studies. However, to date, no study has investigated their use in humans for dental applications. In this first case report, horizontal ridge augmentation was performed using a novel combination of bone allografts, platelet-rich fibrin, and a specialized subset of exosomes (Periosomes). Implants were placed at 3 months postsurgery, during which a core biopsy sample was taken for histologic analysis. Additionally, CBCT scans were obtained at 1, 2, 3, and 6 months, revealing marked and progressive bone growth. To the authors' knowledge, this study represents the first documented use of exosomes in human alveolar bone regeneration. This case highlights the promising potential of exosomes in regenerative dentistry, opening new avenues for their application in guided bone re-generation procedures.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"30-41"},"PeriodicalIF":1.1,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143576083","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}
Abdusalam E Alrmali, Jonathan Misch, Daniel Melker, Hasan Al Yousuf, Zhaozhao Chen, Hom-Lay Wang
{"title":"A Continuous Crossing Mattress Periosteal Suture Technique for Periorestorative Crown Lengthening in Multiple Teeth.","authors":"Abdusalam E Alrmali, Jonathan Misch, Daniel Melker, Hasan Al Yousuf, Zhaozhao Chen, Hom-Lay Wang","doi":"10.11607/prd.7332","DOIUrl":"10.11607/prd.7332","url":null,"abstract":"<p><p>This paper introduces the continuous crossing mattress periosteal suture technique (CMPST), designed to enhance flap adaptation and maintain the established apical displacement of the flap during various periodontal resective surgeries, particularly restorative-driven (or functional) crown lengthening in multiple teeth at anterior or posterior areas. This suture technique securely positions the flap apically, just coronal to the bone, and anchors it at the periosteum, combining the advantages of both continuous and cross-compression sutures without compromising the esthetic results. By eliminating flap mobility, it ensures stable and intimate contact with underlying tissues. Further controlled studies are needed to assess the clinical applicability of this technique compared to other suture techniques.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":" ","pages":"65-73"},"PeriodicalIF":1.1,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142143514","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":"A New Chapter Begins: Reimagining IJPRD for the Future.","authors":"Leah Huffman","doi":"10.11607/prd.2026.1.e","DOIUrl":"https://doi.org/10.11607/prd.2026.1.e","url":null,"abstract":"","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"46 1","pages":"6"},"PeriodicalIF":1.1,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145986144","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 Supracrestal Tissue Height: A Fundamental Component of the Periodontal Phenotype.","authors":"Gustavo Avila-Ortiz, Emilio Couso-Queiruga","doi":"10.11607/prd.2026.1.c1","DOIUrl":"10.11607/prd.2026.1.c1","url":null,"abstract":"<p><p>The concept of the periodontal phenotype has become central to diagnosis, prognosis, treatment planning, and clinical decision-making in contemporary dentistry. At present, the most widely ac-cepted definition of the periodontal phenotype encompasses both the gingival phenotype, which includes the width of keratinized tissue and the thickness of the gingiva, as well as the bone mor-photype, particularly the thickness of the alveolar bone. Although this represents a meaningful ad-vancement over earlier classification methods, a critical element remains overlooked: the supra- crestal tissue height (STH). This dynamic and site-specific dimension extending from the gingival margin to the alveolar crest carries significant clinical implications. Its correlation with other phe-notypic parameters and its relevance across periodontal, restorative, orthodontic, and implant ther-apies justify recognizing the STH as a foundational component of the periodontal phenotype.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"46 1","pages":"7-13"},"PeriodicalIF":1.1,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145986153","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}
Po-Jan Kuo, Yi-Wen Tsai, Tsung-Hsun Wu, Nancy Nie-Shiuh Chang, Jonathan H Do
{"title":"Partial-Full-Thickness Tunnel Technique and Supracrestal Sling Suture for the 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":"10.11607/prd.7385","url":null,"abstract":"<p><p>This technical report describes 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 uses multiple vestibular incisions to facilitate the creation of a split-mucoperiosteal tunnel that enhances tissue passivity and allows for coronal advancement of the soft tissue with minimal tension. The supracrestal sling (SCS) suture engages only the CTG, independent of the overlying tissue, and stabilizes it 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 recessions. 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.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"52-64"},"PeriodicalIF":1.1,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144612744","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) vs 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 nonrestorable maxillary anterior teeth replaced with two different implants (butt-joint connections and PS interfaces). Patients underwent alveolar ridge preservation, followed by implant placement: PM implants were inserted at the crestal bone level, and PS implants were placed 1 mm 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 a 3-year timeframe. Results showed significantly higher (P < .01) initial MBL in the PM group (0.86 ± 0.13 mm) compared to the PS group (0.34 ± 0.29 mm). Moreover, at the 3-year follow-up, the crestal bone levels remained above the implant shoulder until the third year of the study for the PS subcrestal group (-0.15 ± 0.39 mm) and slightly below the implant platform in the PM crestal group (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 esthetic outcomes in the anterior maxilla.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"88-101"},"PeriodicalIF":1.1,"publicationDate":"2026-01-15","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}
Lucas Menezes Dos Anjos, Aurélio de Oliveira Rocha, Yasmim Guterres Bauer, Ariadne Cristiane Cabral da Cruz, Mariane Cardoso, Bruno Henriques
{"title":"45 Years of The International Journal of Periodontics & Restorative Dentistry (IJPRD): A Metric-Based Analysis.","authors":"Lucas Menezes Dos Anjos, Aurélio de Oliveira Rocha, Yasmim Guterres Bauer, Ariadne Cristiane Cabral da Cruz, Mariane Cardoso, Bruno Henriques","doi":"10.11607/prd.7912","DOIUrl":"10.11607/prd.7912","url":null,"abstract":"<p><p>This study analyzed articles published in The International Journal of Periodontics & Restorative Dentistry (IJPRD) through a bibliometric and altmetric review. In August 2025, a search was conducted in Scopus. Bibliometric data were extracted from all included studies. VOSviewer was employed to generate collaboration maps. Altmetric data were retrieved from Dimensions. A total of 3,001 articles were included. Articles were published between 1981 and 2025. There was a prevalence of research articles (n = 2,438), primarily case reports and series (n = 947). The United States stood out (n = 1,212) as a primary nation of origin for articles published, with the University of Michigan (n = 217) predominating. M. Nevins (n = 153) was the most productive author. Mendeley readers and X social media platform showed substantial interest in the publications. There has been a predominance of research articles over the years, particularly case reports, originating from the United States. Future submissions of systematic reviews are encouraged. Submissions from African and Oceanian countries are also encouraged.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"46 1","pages":"112-124"},"PeriodicalIF":1.1,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145986125","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}