The International journal of periodontics & restorative dentistry最新文献_第2页

The Concept of Crown Shortening: Combination of Vertical Edgeless Preparation Technique and Modified Coronally Advanced Tunnel. 缩短冠的概念：垂直无边预备技术与改良冠超前隧道相结合。

The International journal of periodontics & restorative dentistry Pub Date : 2025-06-18 DOI: 10.11607/prd.7720

Olivier Carcuac, Nazifa Yakubova

引用次数: 0

Surgical Procedure to Optimize the Esthetic and Osseous Outcomes for Young Adults with Large Periradicular Defects: Two Case Report. 青壮年椎弓根周围缺损的外科手术优化美观和骨性预后：两例报告。

The International journal of periodontics & restorative dentistry Pub Date : 2025-06-18 DOI: 10.11607/prd.7669

Chia-Ming Kuo, Kuo Yuan, Giovanni Zucchelli, Martina Stefanini, Ilham Mounssif

{"title":"Surgical Procedure to Optimize the Esthetic and Osseous Outcomes for Young Adults with Large Periradicular Defects: Two Case Report.","authors":"Chia-Ming Kuo, Kuo Yuan, Giovanni Zucchelli, Martina Stefanini, Ilham Mounssif","doi":"10.11607/prd.7669","DOIUrl":"https://doi.org/10.11607/prd.7669","url":null,"abstract":"Teeth exhibiting internal root resorption or those with persistent large periapical lesions after non-surgical endodontic treatment are generally considered to have an unfavorable prognosis. Extraction of teeth with unfavorable prognosis, followed by dental implant placement, has become an acceptable treatment option. However, dental implants are not indicated for young people with growing jaws. Consequently, it is recommended that clinicians prioritize the preservation of natural dentition in younger patients and defer implant therapy until skeletal growth has ceased. In cases where tooth preservation is attempted despite severe periradicular defects, a surgical approach is often required to manage associated symptoms. However, modern periradicular surgery frequently leads to unaesthetic complications such as conspicuous scar formation or gingival recession. The introduction of novel combinatory surgery, including guided tissue regeneration (GTR), de epithelialized free gingival graft (DFGG), and coronally advanced flap (CAF) optimizes the clinical outcomes, addressing both the functional and aesthetic needs of the patient.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-31"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328295","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

An Innovative Microsuturing Technique for Stabilization of a Free Gingival Graft: The 'Fishnet Suture'. 一种用于稳定游离牙龈移植的创新微缝合技术：“渔网缝合”。

The International journal of periodontics & restorative dentistry Pub Date : 2025-06-18 DOI: 10.11607/prd.7737

Naheed Mohamed, Olivier Carcuac, François Vigouroux

{"title":"An Innovative Microsuturing Technique for Stabilization of a Free Gingival Graft: The 'Fishnet Suture'.","authors":"Naheed Mohamed, Olivier Carcuac, François Vigouroux","doi":"10.11607/prd.7737","DOIUrl":"https://doi.org/10.11607/prd.7737","url":null,"abstract":"The stability and vascular integration of a free gingival graft (FGG) are critical for achieving predictable outcomes. The success of the technique relies on precise recipient site preparation, meticulous graft handling, and an optimized suturing protocol to ensure firm adaptation and immobilization to prevent micro-movements that could compromise healing. This case report introduces the 'Fishnet suture,' a novel microsuturing technique designed to enhance graft stabilization and provide uniform tension distribution. The approach utilizes a continuous interlocking suture with both vertical and horizontal components, creating a mesh-like pattern that anchors the graft to the periosteal bed, eliminating dead spaces, and promoting revascularization. The technique was applied in three clinical cases: a patient with multiple adjacent gingival recession defects in the anterior region of the mandible, a patient presenting peri-implant soft tissue deficiencies, and a patient with an insufficient width of keratinized tissue at an edentulous ridge. Postoperative healing was uneventful throughout, resulting in significant increase in keratinized tissue width. We interpret the favourable outcomes to be a result of effective graft stabilisation, facilitated by this novel suturing approach.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328293","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

Phenotype Driven Treatment Planning for the Interdisciplinary Patient. Part II. A Clinical Case Series. 跨学科患者的表型驱动治疗计划。第二部分。临床病例系列。

The International journal of periodontics & restorative dentistry Pub Date : 2025-06-13 DOI: 10.11607/prd.7715

Ashley B Hoders, Kevin G Murphy, Marianna Evans, George A Mandelaris

{"title":"Phenotype Driven Treatment Planning for the Interdisciplinary Patient. Part II. A Clinical Case Series.","authors":"Ashley B Hoders, Kevin G Murphy, Marianna Evans, George A Mandelaris","doi":"10.11607/prd.7715","DOIUrl":"https://doi.org/10.11607/prd.7715","url":null,"abstract":"Skeletal diagnosis and upper airway health should be the foundation of risk assessment for the interdisciplinary patient, as diagnosis impacts treatment planning and treatment outcomes. Currently, there is an epidemic of jaw deficiencies with multi-factorial etiology contributing to dentofacial disharmony malocclusions. Assessing each dimension of periodontal phenotype and in the context of the planned intervention, as outlined in Part I of this series termed Phenotype Driven Treatment Planning (PDTP) for the Interdisciplinary Patient, offers an opportunity to evolve our treatment planning concepts and allows for selection of the appropriate management protocol and sequence of treatment. The purpose of this case series is to highlight the application of the recently introduced systematic process of PDTP and to build on the existing evidence/reported advantages of phenotype modification for the interdisciplinary patient. This case series will emphasize comprehensive diagnosis for achieving optimized periodontal phenotype dimensions in interdisciplinary dentofacial therapy (IDT). Establishing an accurate and comprehensive diagnosis coupled with the innovations available can help our patients correct the etiology of their problems with less compromise and compensation treatment, promoting health systemically, structurally, and functionally.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-31"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289722","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

Conometric Single Restorations with Prosthetic Margin Below the Bone Crest: A Case Series. 骨嵴以下假体边缘的计量单体修复：一个病例系列。

The International journal of periodontics & restorative dentistry Pub Date : 2025-06-13 DOI: 10.11607/prd.7701

Matteo Di Lorenzo, Marco Degidi, Diego Nardi, Giuseppe Daprile, Paolo Domeniconi

{"title":"Conometric Single Restorations with Prosthetic Margin Below the Bone Crest: A Case Series.","authors":"Matteo Di Lorenzo, Marco Degidi, Diego Nardi, Giuseppe Daprile, Paolo Domeniconi","doi":"10.11607/prd.7701","DOIUrl":"https://doi.org/10.11607/prd.7701","url":null,"abstract":"The purpose of this prospective case series is to present radiographic and clinical results of single implant-prosthetic rehabilitation with conometric retention, in which the connection abutment - prosthetic crown is located below the bone level. A total of 10 sites with single edentulism were rehabilitated with subcrestal implants and prosthetic crowns with conometric retention. Crestal bone levels and peri-implant soft tissue conditions were evaluated for each implant. Hard tissue measurements were performed using parallel intraoral radiographs immediately after implant insertion, at the placement of the restoration, after 1 year and 2 years of full functional load. After 2 years of follow-up all the rehabilitations appear clinically and radiographically stable. Mean vertical bone loss was 0.1 mm after 2 years of loading. Mean horizontal bone loss from the abutment-cap interface was 0.59 mm for distal side and 0.21 mm for the mesial side. Within the limitations of this study, the results suggest that conometric connection both at the implantabutment and abutment-crown interface allows us the freedom to position the margin of the prosthetic connection even below the bone crest.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-21"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289721","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

Clinical Translation of the 2024 AO/AAP Consensus on Prevention and Management of Peri-implant Diseases and Conditions. 2024年AO/AAP关于种植体周围疾病和状况预防和管理共识的临床翻译

The International journal of periodontics & restorative dentistry Pub Date : 2025-06-06 DOI: 10.11607/prd.7658

Joseph P Fiorellini, Sean Mojaver, Hector Sarmiento, Tara Aghaloo

{"title":"Clinical Translation of the 2024 AO/AAP Consensus on Prevention and Management of Peri-implant Diseases and Conditions.","authors":"Joseph P Fiorellini, Sean Mojaver, Hector Sarmiento, Tara Aghaloo","doi":"10.11607/prd.7658","DOIUrl":"https://doi.org/10.11607/prd.7658","url":null,"abstract":"As the number of placed implants increases exponentially worldwide, the prevalence of peri-implant diseases, namely mucositis and peri-implantitis, is also in an ascending trajectory. Focusing on prevention and identifying and decreasing risk factors are important aspects of managing the epidemic of peri-implant diseases. However, many clinicians are faced with patients who already have signs of inflammatory disease in varying degrees of severity. Treatment of peri-implant mucositis involves addressing the etiologic factors causing local inflammation, as well as improving self-performed oral hygiene and enrolling the patient in a personalized maintenance program. On the other hand, managing peri-implantitis can be very challenging. Peri-implantitis therapy may involve nonsurgical, nonreconstructive, reconstructive, and-in some instances-explantation procedures. The aim of this report is to provide clinical recommendations and reference flowcharts to manage peri-implant diseases and related complications on the basis of expert opinions and the scientific evidence discussed at the 2024 AO/AAP Consensus on Prevention and Management of Peri-implant Diseases and Conditions.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"45 4","pages":"1-23"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236373","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 Connective Tissue Graft Stabilization with Supra-Crestal Sling Suture for the Treatment of Multiple Adjacent RT2 and RT3 Gingival Recessions in Mandibular Posterior Teeth: A Retrospective Case Series. 部分-全层隧道技术和结缔组织移植稳定与冠上吊带缝合治疗下颌后牙邻近RT2和RT3牙龈衰退：回顾性病例系列。

The International journal of periodontics & restorative dentistry Pub Date : 2025-05-30 DOI: 10.11607/prd.7584

Po-Jan Kuo, Yi-Wen Tsai, Bor-Jian Chen, Tsung-Hsun Wu, Jonathan H Do

{"title":"Partial-Full-Thickness Tunnel Technique and Connective Tissue Graft Stabilization with Supra-Crestal Sling Suture for the Treatment of Multiple Adjacent RT2 and RT3 Gingival Recessions in Mandibular Posterior Teeth: A Retrospective Case Series.","authors":"Po-Jan Kuo, Yi-Wen Tsai, Bor-Jian Chen, Tsung-Hsun Wu, Jonathan H Do","doi":"10.11607/prd.7584","DOIUrl":"https://doi.org/10.11607/prd.7584","url":null,"abstract":"Multiple adjacent gingival recessions (MAGRs) are frequently seen in mandibular posterior teeth and present significant challenges for clinicians, especially in cases with interproximal clinical attachment loss (CAL). Existing literature offers limited data on treatment outcomes for such clinical issues. The present study aimed to evaluate the root coverage outcomes of MAGRs with interproximal CAL in mandibular posterior teeth treated with connective tissue graft (CTG) utilizing the partial-full-thickness (PFT) tunnel and supra-crestal sling (SCS) suture for CTG stabilization. The outcomes of interest included the mean root coverage (mRC), the frequency of complete root coverage (CRC), changes in keratinized tissue width, and patient-reported This peer-reviewed, accepted manuscript will undergo final editing and production prior to print publication. Any blinded information will be available then. outcome measures. Seven patients with 22 multiple adjacent recession type (RT) 2 and RT3 defects in mandibular posterior teeth were treated. All treated sites healed uneventfully with no complications. At 12 months, results showed a mean mRC of 94.32 ± 7.77% and CRC in 63.64% of cases. Esthetic outcomes and patient satisfaction after 12 months were high, with minimal scarring and significant improvement in clinical attachment level and keratinized tissue width. These findings support the application of the PFT tunnel and SCS suture technique for the treatment of MAGRs with interproximal CAL in the mandibular posterior teeth with CTG.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188686","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

Pontic Site Development Following Tooth Extraction: A Clinical Study. 拔牙后桥位发育的临床研究。

The International journal of periodontics & restorative dentistry Pub Date : 2025-05-30 DOI: 10.11607/prd.7672

Emilio Couso-Queiruga, Carlos Garaicoa-Pazmino, Kim Martin, Engin Ozgur, Manrique Fonseca, Clemens Raabe, Vivianne Chappuis, Gustavo Avila-Ortiz

{"title":"Pontic Site Development Following Tooth Extraction: A Clinical Study.","authors":"Emilio Couso-Queiruga, Carlos Garaicoa-Pazmino, Kim Martin, Engin Ozgur, Manrique Fonseca, Clemens Raabe, Vivianne Chappuis, Gustavo Avila-Ortiz","doi":"10.11607/prd.7672","DOIUrl":"https://doi.org/10.11607/prd.7672","url":null,"abstract":"This study evaluated the efficacy of alveolar ridge preservation (ARP) for pontic site development following non-molar maxillary tooth extraction versus unassisted socket healing (USH). Cone beam computed tomography was employed to measure pre-extraction facial bone thickness (FBT). An ideal baseline pontic was digitally pre-designed according to the characteristics of the site before tooth extraction, which was captured with a surface scanner. Post-extraction pontic modifications were analyzed by superimposing baseline and final scans. Additionally, changes in alveolar ridge width, the presence of a buccal soft tissue concavity, and the need for soft tissue augmentation were also assessed. Among 88 patients, USH sites required significantly more pontic modifications and exhibited greater horizontal ridge reduction compared to sites that underwent ARP (P<.001). ARP sites exhibited a lower prevalence of buccal ridge concavity compared to USH (70.5% vs 88.6%, P=.06) and a lower need for soft tissue augmentation (46.5% vs. 70.5%, P=.06). FBT at baseline was strongly negatively associated with more pontic modifications, greater horizontal ridge reduction, and increased need for soft tissue augmentation regardless of the baseline therapy (P<.001), but not with the presence of a buccal soft tissue concavity (P=.06). These findings suggest that ARP therapy effectively mitigates post-extraction dimensional changes, making it a viable approach for pontic site development. However, ancillary soft tissue augmentation may be required in certain cases to achieve optimal therapeutic outcomes.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-26"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188687","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

A Transporter Guide for Cortical Plate Placement in the Split Bone Block Technique. A Technical Report and Case Series. 劈裂骨块技术中皮质钢板放置的转运体指南。技术报告和案例系列。

The International journal of periodontics & restorative dentistry Pub Date : 2025-05-05 DOI: 10.11607/prd.7597

Fernando Cebrián, Juan Francisco Peña-Cardelles, Samuel Akhondi, Jonathan Romero

{"title":"A Transporter Guide for Cortical Plate Placement in the Split Bone Block Technique. A Technical Report and Case Series.","authors":"Fernando Cebrián, Juan Francisco Peña-Cardelles, Samuel Akhondi, Jonathan Romero","doi":"10.11607/prd.7597","DOIUrl":"https://doi.org/10.11607/prd.7597","url":null,"abstract":"Background: Increasing complexity in bone defects and bone augmentation procedures poses significant challenges in properly handling and stabilizing bone grafts, especially within the Split Bone Block Technique (SBBT). Integrating digital tools and techniques has significantly advanced bone regeneration and augmentation procedures, offering new possibilities to address these challenges effectively. This study aims to present a case series using a method for transporting cortical bone blocks, including surgical and post-surgical complications, and bone gain at re-entry.Methods: This case series technical report introduces a transporter guide designed to facilitate the precise placement of cortical bone plates and improve surgical outcomes. Six cases were evaluated to assess graft stability, complications and post-surgical bone augmentation. Computer-aided design (CAD) and computer-aided manufacturing through 3D printing were utilized to develop surgical guides for bone harvesting, transporter guides, and bio-models, optimizing the adaptation and fixation of cortical plates.Results: Postoperative cone-beam computed tomography (CBCT) scans demonstrated minimal discrepancies between planned and achieved outcomes, with the mesial region showing higher variation than the distal area. The transporter guide streamlined the surgical workflow and reduced intraoperative errors.Conclusion: These findings suggest that the transporter guide facilitates safer, more predictable outcomes in the Split Bone Block Technique (SBBT) by reducing surgical complexity and improving the precision of graft positioning and stabilization.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-32"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032973","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

The Laterally Stretched/Coronally Advanced Flap (LAST/CAF) with Connective Tissue Graf Variation to Treat Deep-Wide and Multiple Deep-Narrow Defects. Case Report and Technical Description. 结缔组织移植物变异的横向拉伸/冠状高级皮瓣（LAST/CAF）治疗深宽和多个深窄缺损。案例报告和技术描述。

The International journal of periodontics & restorative dentistry Pub Date : 2025-05-05 DOI: 10.11607/prd.7467

Nelson Carranza, Juliana Bugiolachi, Mariana Rojas, Agustina Perrote

{"title":"The Laterally Stretched/Coronally Advanced Flap (LAST/CAF) with Connective Tissue Graf Variation to Treat Deep-Wide and Multiple Deep-Narrow Defects. Case Report and Technical Description.","authors":"Nelson Carranza, Juliana Bugiolachi, Mariana Rojas, Agustina Perrote","doi":"10.11607/prd.7467","DOIUrl":"https://doi.org/10.11607/prd.7467","url":null,"abstract":"In the surgical treatment of gingival recessions, ensuring adequate vascularization of the graft represents a significant challenge, particularly when covering large areas of avascular root surfaces. This report describes a new variant of the Laterally Stretched (LAST) flap technique, referred to as the LAST/CAF (Laterally Stretched/Coronally Advanced Flap), combined with a connective tissue graft (CTG). Two different scenarios where the LAST/CAF technique can be successfully applied are also illustrated by two clinical cases of severe gingival recessions. The first case involves a single, deep, and wide gingival recession defect, while the second case addresses multiple contiguous, deep, and narrow recession defects. Both cases demonstrate the successful management of extensive exposed root surfaces that challenge graft vascularization and survival. By laterally stretching the flap, graft exposure in the apical region of the recessions was minimized, while concomitant coronal advancement ensured complete graft coverage without excessive coronal displacement of the mucogingival junction (MGJ). This case report highlights the technical aspects of the LAST/CAF technique, demonstrating its ability to achieve successful root coverage in both isolated deep-wide and multiple deep-narrow gingival recession defects, while delivering esthetically pleasing results.","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059367","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