The International journal of periodontics & restorative dentistry最新文献

{"title":"Disease Resolution Following the Treatment of Peri-implant Diseases: A Systematic Review.","authors":"Carlos Garaicoa-Pazmino, Emilio Couso-Queiruga, Alberto Monje, Gustavo Avila-Ortiz, Rogerio M Castilho, Fernando Suárez López Del Amo","doi":"10.11607/prd.6935","DOIUrl":"10.11607/prd.6935","url":null,"abstract":"<p><p>The aim of this PRISMA-compliant systematic review was to analyze the evidence pertaining to disease resolution after the treatment of peri-implant diseases with the following PICO question: What is the rate of disease resolution following nonsurgical and surgical therapy for peri-implant diseases in adult human subjects? A literature search to identify studies that fulfilled preestablished eligibility criteria was conducted. Data on primary therapeutic outcomes, including treatment success and rate of disease resolution and/or recurrence, as well as a variety of secondary outcomes were extracted and categorized. A total of 54 articles were included. Few studies investigated the efficacy of different nonsurgical and surgical therapies to treat peri-implant diseases using a set of predefined criteria and with follow-up periods of at least 1 year. The definition of treatment success and disease resolution outcomes differed considerably among the included studies. Peri-implant mucositis treatment was most commonly reported to be successful in arresting disease progression for ≤ 60% of the cases, whereas most studies on peri-implantitis treatment reported disease resolution occurring in < 50% of the implants. Disease resolution is generally unpredictable and infrequently achieved after the treatment of peri-implant diseases. A great variety of definitions have been used to define treatment success. Notably, percentages of treatment success and disease resolution were generally underreported. The use of standardized parameters to evaluate disease resolution should be considered an integral component in future clinical studies.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"115-133"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224502","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":"Treatment of Teeth with Insufficient Clinical Crowns. Long-Term Clinical Outcomes of a Minimally Invasive Crown Lengthening Approach: A Retrospective Analysis.","authors":"Pierpaolo Cortellini, Simone Cortellini, Daniele Bonaccini, Gabrielle Stalpers, Aniello Mollo, Jacopo Buti","doi":"10.11607/prd.6992","DOIUrl":"10.11607/prd.6992","url":null,"abstract":"<p><p>This retrospective study evaluated the incidence of complications to determine the long-term survival rate of teeth with severely compromised clinical crowns treated with minimally invasive crown lengthening (MICL) and restorative treatment. A sample of 112 teeth in 86 patients was treated with MICL and restorative dentistry. Endodontic and orthodontic therapies were applied when needed. Clinical outcomes were assessed at baseline, 1 year, and in the long term. The application of MICL resulted in very limited radiographic bone resection (RBR; 1 ± 0.1 mm on average). Limited local inflammation and shallow probing depths were detected at 1 year (2.6 ± 0.5 mm) and in the long term (2.9 ± 1.0 mm). Most of the teeth (76.8%) maintained good dental and periodontal health over time. The negative events observed in 26 teeth were caries (8.9%), fractures (7.1%), endodontic problems (1.8%), periodontal problems (4.5%), and restoration problems/complications (0.9%). The survival rate was 90.2%. The outcomes of this long-term retrospective analysis (mean: 8.9 ± 0.9 years; range: 8 to 10 years) show high tooth survival rates and low incidence of complications for teeth treated with MICL and restoration of the clinical crown.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"46-57"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523961","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":"Guided Customization and Fixation of Allogeneic Cortical Laminate in Alveolar Bone Regeneration: A Case Report.","authors":"Octavi Ortiz-Puigpelat, Pindaros-Georgios Foskolos, Albert Barroso-Panella, Pablo Altuna-Fistolera, Federico Hernández-Alfaro","doi":"10.11607/prd.6981","DOIUrl":"10.11607/prd.6981","url":null,"abstract":"<p><p>Bone reconstruction surgeries such as the autogenous and allogeneic shell techniques, wherein cortical laminates are used to regenerate bone defects, require time and expertise to adapt and fix the laminated cortical blocks onto the defect area. This case report illustrates the process of customizing and fixing an allogeneic cortical laminate (ACL) to reconstruct a horizontal bone defect with guided surgical stents. Two types of surgical stents were designed: one to aid in cutting a prefabricated ACL into the desired shape for the defect to be regenerated, and one to assist in the positioning and fixation of the resulting laminates. These stents enabled the clinician to regenerate a horizontal defect with reduced surgical time and increased precision and safety during laminate fixation. After 5 months of healing, a dental implant could be placed in the regenerated site. The use of surgical stents in this type of bone regeneration surgery can be helpful, especially in more complex bone defects where precision is key. Further clinical studies are needed to validate this technique.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"83-95"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418880","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 Apical Tooth Replantation with Surgical Intrusion Technique (ATR-SIT) for the Regenerative Treatment of Hopeless Teeth: A Report of Two Cases.","authors":"Shunsuke Fukuba, Yudai Ogawa, Franz J Strauss, Hiroyuki Saida, Daniel Thoma, Akira Aoki, Takanori Iwata","doi":"10.11607/prd.6932","DOIUrl":"10.11607/prd.6932","url":null,"abstract":"<p><p>The present clinical report introduces a novel surgical procedure, the apical tooth replantation with surgical intrusion technique (ATR-SIT), for managing teeth with a hopeless prognosis compromised with a severe endoperiodontal lesion, pathologic tooth migration, and gingival recession. Two cases are presented that manage teeth diagnosed with a hopeless prognosis. ATR-SIT involves tooth extraction, extraoral root debridement, root surface conditioning, apicoectomy, retrograde filling, and the application of enamel matrix derivatives prior to reimplantation. Following reimplantation, the teeth are covered with a combination of autogenous bone chips and bone substitute materials, then covered with resorbable membranes. After ATR-SIT, the patients received either orthodontic treatment or tooth-supported fixed dental prostheses. The described ATR-SIT effectively improved the initially hopeless prognosis of the teeth and maintained periodontal health over time, evidenced by favorable clinical and radiographic outcomes. ATR-SIT might be a potential alternative to extraction of hopeless teeth in patients with stage IV periodontitis.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"59-69"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418885","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":"Immediate Full-Arch Restorations Supported by Conventional Implants Plus Uni- or Bilateral Zygomatic Implants: A Three to Five Years Retrospective Radiologic and Clinical Comparison.","authors":"Giovanni-Battista Menchini-Fabris, Paolo Toti, Grandi Tommaso, Cesare Paoleschi, Luisa Paoleschi, Ugo Covani","doi":"10.11607/prd.7114","DOIUrl":"https://doi.org/10.11607/prd.7114","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to compare the short-term outcomes (3.7±0.4yrs) of full-arch immediately loaded fixed maxillary prostheses supported by conventional and unilateral single zygomatic implants versus those supported by conventional and bilateral single zygomatic implants.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on patients suffering severe bone loss in the posterior area of the maxilla. The success of zygomatic implants was defined following Offset-Rhinosinusitis-Infection-Stability (ORIS) criteria. The criteria used to define success of standard dental implants were absence of mobility, pain, discomfort/neurologic disorder, and of persistent or chronic infection. The level of significance was 0.01.</p><p><strong>Results: </strong>Thirty-eight patients received 2-5 standard implants plus two zygomatic implants (bilateral), whereas 10 patients had 3-5 standard implants plus a single zygomatic implant (unilateral). The cumulative success rate for standard implants was 99% and 97.3%, respectively, in the bilateral and unilateral groups. Four patients showed symptoms of acute rhinosinusitis (R-criterion): 1 in the unilateral and 3 in the bilateral group. Following the O-criterion, just 2 dental implants in the bilateral group showed a success grade 1. One zygomatic implant, belonging to the group bilateral, developed peri-implant mucositis with a success grade 3 (I-criterion). All zygomatic implants were checked individually and did not show either any signs of mobility or rotation after applying forces to the implant (S-criterion). The ORIS criteria divided the implants into three groups according to the success grades I,II,III: 32,36,8 for the bilateral, and 6,1,3 for the unilateral group, with no significant difference between the two groups. No zygomatic implant failure occurred so that the same zygomatic implant success rate (100%) was recorded for both groups. A prosthetic failure was registered in the unilateral group. The overall prosthesis success rates were 89.5% and 70%, respectively, in the bilateral and unilateral groups.</p><p><strong>Conclusions: </strong>A high degree of success was achieved for both groups treated with zygomatic implants, although in group unilateral there was one failure of a standard dental implant placed in the posterior area. This suggested that the use of zygomatic implants could provide adequate support to the fixed full-arch prostheses even in the configuration with a single unilateral zygomatic implant.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-29"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985707","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 Use of Connective Tissue Graft Wall as an Adjunct to Regenerative Treatment for Deep Intrabony Defects Associated with Gingival Recession: A Retrospective Case Series with 5-Year Follow-up.","authors":"Michel Bravard, Hom-Lay Wang, Kevimy Agossa","doi":"10.11607/prd.7510","DOIUrl":"https://doi.org/10.11607/prd.7510","url":null,"abstract":"<p><strong>Background: </strong>The adjunctive use of connective tissue grafts (CTGs) in the periodontal regeneration of intrabony defects has been proposed to prevent or limit postoperative gingival recession. However, there is limited evidence regarding the long-term clinical performance of this approach.</p><p><strong>Methods: </strong>This article presents the five-year follow-up outcomes of a combination therapy using CTG, bone substitutes, and biologics for the treatment of deep intrabony defects associated with gingival recession. Twelve healthy, non-smoking patients with 12 deep intrabony defects participated in the study. These patients had a mean clinical attachment loss (CAL) of 9.9 ± 2.1 mm, a mean probing depth (PPD) of 7.8 ± 1.5 mm, and a mean buccal recession (REC) of 2.3 ± 1.8 mm at baseline, before= undergoing the described treatment regimen.</p><p><strong>Results: </strong>After five years, the mean clinical attachment level (CAL) gain was 5.7 ± 3.2 mm (p < 0.001), the mean reduction in probing pocket depth (PPD) was 5.1 ± 1.6 mm (p < 0.001), and the mean reduction in recession (REC) was 1.2 ± 2.1 mm (p = 0.07) Ninety-one percent of sites achieved CAL gain of ≥3 mm and PPD ≤ 4 mm. Compared to baseline, 7 out of 12 sites showed a REC reduction of ≥1 mm, while three sites remained stable, and two sites experienced an increase in gingival recession depth of 1 and 2 mm respectively.</p><p><strong>Conclusion: </strong>Within the limitations of this case series, periodontal regenerative therapy incorporating the adjunctive use of CTG showed to be effective for treating deep non-contained periodontal intrabony defects and respectively stabilize or slightly improve the gingival margin over five years.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985737","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 Repair of Large Maxillary Sinus Membrane Perforations with a Collagen Membrane Stabilized with Tacks on the Medial and Lateral Walls: A Technical Note.","authors":"Jiehua Tian, Xi Jiang, Yu Zhang, Ping Di, Tiziano Testori, Ye Lin","doi":"10.11607/prd.7395","DOIUrl":"https://doi.org/10.11607/prd.7395","url":null,"abstract":"<p><p>Sinus membrane perforations are among the most commonly reported intraoperative complications encountered during maxillary sinus floor elevation procedures performed via the lateral window approach. Large perforations (> 10 mm) can pose a major clinical challenge, and often result in failed bone augmentation and poorer long-term implant survival. Owing to these challenges, even a highly skilled oral implant surgeon with advanced training in implantology faced with such perforations may abandon grafting procedures in favor of a reentry approach. This article describes a novel approach to managing large perforations through the use of a collagen membrane stabilized by tacks on the medial and lateral walls that is permissive to simultaneous bone augmentation.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-22"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985734","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":"Coronally Advanced Flap with a Xenogeneic Collagen Matrix or a rhPDGF-BB-regenerative approach for Bilateral Multiple Gingival Recessions: A Split-mouth Clinical Feasibility Study.","authors":"Shayan Barootchi, Maria Vera Rodriguez, Hamoun Sabri, Neshatafarin Manouchehri, Erfan Barootchi, Hom-Lay Wang, Lorenzo Tavelli","doi":"10.11607/prd.7503","DOIUrl":"https://doi.org/10.11607/prd.7503","url":null,"abstract":"<p><p>This split-mouth trial investigated the efficacy of treating bilateral gingival recessions with either a xenogeneic cross-linked collagen matrix (CCM), or recombinant human platelet derived growth factor (rhPDGF-BB) with a bone allograft (AG). Ten patients were treated with the coronally advanced flap (CAF), either with a CCM, or rhPDGF-BB &#43; AG. The primary outcome was percentage of mean root coverage (mRC) at 12 months. Additional outcomes included clinical, volumetric, patient-reported outcome measures (PROMs) and ultrasonographic assessment of gingival thickness (GT) and position of the buccal bone (uBD). At 12 months, both groups showed significant improvements, with a mRC of 78.6% in the CCM group, and 82.3% for the rhPDGF-BB &#43; AG sites. 3D analysis of both groups showed comparable volumetric gain. CCM-treated sites displayed higher ultrasonographic echogenicity in GT (p<.01) than rhPDGF-BB &#43; AG sites. The rhPDGF-BB &#43; AG group showed greater reduction in the buccal bone dehiscence (mean 2.03 mm, p<0.01), less swelling during the first three days, and slighty greater mean root coverage. CCM and rhPDGF-BB &#43; AG showed to be effective in the treating multiple adjacent gingival recessions. CCM promotes greater gain in gingival thickness, while rhPDGF-BB &#43; AG resulted in a significantly less buccal bone dehiscense.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985690","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":"Long-term Retrospective Case Series of the Pinhole Surgical Technique.","authors":"John Chao, Elio Reyes Rosales, Edgard El Chaar, Othman Shibly, Mohanad Al-Sabbagh, Le Wen Ma","doi":"10.11607/prd.7291","DOIUrl":"10.11607/prd.7291","url":null,"abstract":"<p><p>The Pinhole Surgical Technique (PST) was first described in the International Journal of Periodontics and Restorative Dentistry (IJPRD) in October 2012, in a case series involving 43 patients with 121 recession defects, including follow-up data for 37 patients with 85 Miller Class I-II recession defects over an average period of 20.0 ± 6.7 months. The current study provides a long-term follow-up assessment of 28 patients with 68 Miller Class I-II sites from the original study, with an average follow-up period of 173.8 ± 32.2 months (14.5 ± 2.7 years). The percentage of complete root coverage (CRC) for Class I-II sites was 81.2% in the original study and 77.9% in this follow-up study. The mean root defect coverage was 94.0% ± 14.8% in the original study and 86.6% ± 27.4% in the follow-up study. Within the limitations of this study's design, PST demonstrates long-term predictability and effectiveness in achieving sustained root coverage over an average period of 14.5 years.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985731","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":"Continuous Improvement at 1-Year Reevaluation Following Nonsurgical Periodontal Therapy in ≥ 6 mm Pockets: A Retrospective Analysis in Nonsmokers.","authors":"Marisa Roncati, Paolo Nava, Hamoun Sabri, Lucrezia Parma-Benfenati, Purnima S Kumar","doi":"10.11607/prd.7488","DOIUrl":"https://doi.org/10.11607/prd.7488","url":null,"abstract":"<p><p>This study aimed to assess the effectiveness of repeated subgingival instrumentation combined with 980 nm diode laser decontamination in the non-surgical treatment of deep periodontal pockets. A total of 40 otherwise healthy patients with generalized periodontitis, encompassing 1,168 sites with deep pockets, were included and baseline PPD, bleeding on probing (BOP), gingival recession (REC), clinical attachment level (CAL), and plaque index (PI) were recorded. Each patient underwent non-surgical laser-assisted periodontal therapy and was enrolled in a maintenance program with three-month recall visits during the first year of follow-up. In non-responding sites, site-specific non-surgical instrumentation was repeated during follow-up visits. The achievement of pocket closure (PPD ≤ 4 mm with negative BOP) was evaluated as the primary outcome. Changes in the above parameters were also measured at 3 months (T1) and 1 year (T2). Additionally, a logistic regression model was constructed to explore the association of pocket closure at T2 with several predictor variables. At the three-month evaluation, 677 of the treated sites (57.96%) achieved pocket closure. This number increased significantly after one year, with 977 out of 1,168 sites (83.65%) requiring no further treatment. The logistic regression analysis indicated that a higher number of roots, older age, history of diabetes mellitus, and greater baseline PPD were associated with lower pocket closure at T2. Within its limitations, the present study demonstrates that the outcomes of initial non-surgical periodontal therapy can be further enhanced by repeated site-specific laser assisted non-surgical instrumentation, scheduled quarterly during the first year of follow-up.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-25"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985719","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}