{"title":"Periodontal Behavior of Teeth with Noncarious Cervical Lesions Restored with a New BOPT Approach Using Composite Resin: A 1-Year Prospective Clinical Study.","authors":"Rubén Agustín-Panadero, Carolina Agus, Ignazio Loi, Blanca Serra-Pastor, Jorge Alonso Pérez-Barquero, Martín Laguna Martos, Naia Bustamante-Hernández, Carla Fons-Badal","doi":"10.11607/prd.7554","DOIUrl":"10.11607/prd.7554","url":null,"abstract":"<p><p>This clinical study aimed to examine the behavior and volumetric changes of periodontal tissues in teeth with noncarious cervical lesions (NCCLs) associated with gingival recession and treated with composite resin restorations using conventional and biologically oriented preparation techniques (BOPT) after 12 months of clinical service. A prospective clinical study was conducted to compare the gingival changes following the treatment of NCCLs with composite resin using the BOPT approach (test group) vs a conventional approach (control group). The pretreatment and 12-month posttreatment records included the following variables: Plaque Index (PI), Gingival Index (GI), gingival recession, probing depth, intraoral scans, and digitally calculated gingival thickness. The pre- and posttreatment scan files were subjected to software analysis to compare the dimensional gingival changes that occurred following treatment in both groups. A 1-year follow-up revealed a coronal gingival migration of 0.38 ± 0.49 mm in the control group and 1.16 ± 0.73 mm in the BOPT group (P < .001). Additionally, the change in gingival thickness was -0.16 ± 0.23 mm in the control group and 0.35 ± 0.15 mm in the BOPT group (P < .001). The periodontal parameters evaluated at baseline were found to be comparable between the two groups. Following treatment by both techniques, the periodontal health status remained unaltered. The BOPT approach associated with cervical composite restorations for NCCLs produces recovery of the gingival tissue. There was significant coronal gingival migration as well as horizontal thickening of the gingiva around the cervical emergence of the restorations. The BOPT approach using composite resin is a predictable technique for treating NCCLs that offers biologic advantages to the surrounding gingiva and achieves gingival stability.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"28-42"},"PeriodicalIF":1.1,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035395","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 Concept of Crown Shortening: Combination of Vertical Edgeless Preparation Technique and Modified Coronally Advanced Tunnel.","authors":"Olivier Carcuac, Nazifa Yakubova","doi":"10.11607/prd.7720","DOIUrl":"10.11607/prd.7720","url":null,"abstract":"<p><p>This case report describes an interdisciplinary approach to the esthetic rehabilitation of a 45-yearold woman bothered by her excessively long anterior teeth. Digital smile analysis guided treatment planning, ensuring optimal proportions and soft tissue integration. The vertical edgeless preparation technique was used to establish the correct vertical position of the finishing line, and a modified coronally advanced tunnel (MCAT) combined with modified (micro or split) connective tissue grafts was performed for root coverage and soft tissue augmentation. After uneventful healing, final ceramic restorations were delivered. The integration of a biologically oriented preparation technique and MCAT optimized periodontal and prosthetic outcomes, achieving a natural, harmonious smile. This approach highlights the synergy between periodontal plastic surgery and prosthodontics in an esthetically challenging case.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"4-12"},"PeriodicalIF":1.1,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328296","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":"Wire Syndrome: Periodontal Complications and Management.","authors":"Peter O Cabrera, Cassandra McKenzie","doi":"10.11607/prd.7592","DOIUrl":"10.11607/prd.7592","url":null,"abstract":"<p><p>Lingual wire retention is an internationally used modality for long-term orthodontic retention. Although generally safe, some wires become activated, leading to severe and sometimes irreversible periodontal complications. These complications are not widely known in the dental profession and have been generally described from an orthodontic perspective. The constellation of issues with activated wires has been referred to as Wire Syndrome. Although some patients are diagnosed within the first 5 years of orthodontic therapy completion, there is a subset of patients that is not diagnosed until much later than has been reported in the orthodontic literature. These patients are frequently referred to periodontists with a diagnosis of gingival recession. By the time the problem is identified, a significant amount of attachment loss has already occurred. The periodontal phenotype of the individual patient is a key determinant to the severity of attachment loss. Cases identified in periodontal practice over the course of 10 years are hereby presented, along with clinical observations and recommendations.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"44-57"},"PeriodicalIF":1.1,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813273","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}
Gustavo Avila-Ortiz, Emilio Couso-Queiruga, Clinton D Stevens
{"title":"Interdisciplinary Dentistry: A Founding Vision, An Enduring Commitment.","authors":"Gustavo Avila-Ortiz, Emilio Couso-Queiruga, Clinton D Stevens","doi":"10.11607/prd.2026.s1.e","DOIUrl":"https://doi.org/10.11607/prd.2026.s1.e","url":null,"abstract":"","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"46 7","pages":"2-3"},"PeriodicalIF":1.1,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690544","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}
J William Robbins, Marcela G Alvarez, Hiro Tokutomi
{"title":"Replacement of the Missing Maxillary Lateral Incisor.","authors":"J William Robbins, Marcela G Alvarez, Hiro Tokutomi","doi":"10.11607/prd.7413","DOIUrl":"10.11607/prd.7413","url":null,"abstract":"<p><p>The missing maxillary lateral incisor is one of the most common teeth to require replacement in the adolescent/young adult. A dental implant is a common method of replacing this tooth. However, there are significant disadvantages associated with this treatment. In the current environment where minimally invasive dentistry is emphasized, there are more conservative treatment options, which include canine substitution and the bonded bridge. This article discusses both treatments with an emphasis on diagnosis and treatment planning as well as technique recommendations.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"128-140"},"PeriodicalIF":1.1,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762914","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}
Allan Queiroz, Michael DeFee, Clinton D Stevens, Anthony S Mennito, Rebeca Zechmann, Kuwerjit Singh Chani, Walter G Renné
{"title":"Use of 3D-Printed Direct-to-Multiunit Abutment Cylinders for Efficient All-On-X Provisionalization: A Case Report.","authors":"Allan Queiroz, Michael DeFee, Clinton D Stevens, Anthony S Mennito, Rebeca Zechmann, Kuwerjit Singh Chani, Walter G Renné","doi":"10.11607/prd.8043","DOIUrl":"10.11607/prd.8043","url":null,"abstract":"<p><p>Digital dentistry has accelerated the precision and predictability of full-arch implant therapy, particularly through the use of stackable guide systems that coordinate bone reduction, implant placement, and prosthetic positioning. Immediate loading has simultaneously become a widely adopted strategy for edentulous rehabilitation. This case report describes a fully guided dual-arch reconstruction incorporating guided bone reduction, guided implant placement, and guided provisional prosthesis delivery using a four-part stackable guide system with novel 3D-printed direct-to-multiunit abutment (MUA) temporary cylinders. This approach increases material bulk around screw-access channels, eliminates on-site conversion procedures, and enables direct-to-MUA prosthesis delivery without same-day printing.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"142-154"},"PeriodicalIF":1.1,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146196328","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, 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":"10.11607/prd.7672","url":null,"abstract":"<p><p>This study evaluated the efficacy of alveolar ridge preservation (ARP) for pontic site development following nonmolar maxillary tooth extraction vs unassisted socket healing (USH). CBCT was employed to measure preextraction facial bone thickness (FBT). An ideal pontic was digitally predesigned according to the characteristics of the site before tooth extraction (baseline), which was captured with a surface scanner. Postextraction 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 sites (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 postextraction 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.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"114-126"},"PeriodicalIF":1.1,"publicationDate":"2026-08-07","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}
{"title":"The Supracrestal Soft Tissue Height as a Guide for Surgical Crown Lengthening Procedures.","authors":"Oscar Gonzalez-Martin, Mariano Sanz","doi":"10.11607/prd.7653","DOIUrl":"10.11607/prd.7653","url":null,"abstract":"<p><p>Surgical crown lengthening (SCL) is a predictable method of increasing the availability of supragingival tooth structure for biologic, esthetic, and/or restorative reasons. However, the literature demonstrates a lack of precision when performing this common procedure due to a number of factors. Among those factors, the use of standardized measurements and reference points will be presented, as well as the limitations inherent to the classical surgical protocol. This review discusses the importance of individualizing supracrestal soft tissue dimensions during SCL interventions and the use of appropriate diagnostic tools while taking into account the phenotypic characteristics of the patient in both functional and esthetic crown lengthening.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"14-26"},"PeriodicalIF":1.1,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061288","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}
Daniele Cardaropoli, Lorena Gaveglio, Christina Tietmann, Peter Wüllenweber, Conchita Martin, Ignacio Sanz Sanchez, Eric Kutschera, Søren Jepsen, Karin Jepsen
{"title":"Combined Perio-Ortho Treatment of Infrabony Defects in Stage IV, Type 2 Periodontitis Patients: A Case Series.","authors":"Daniele Cardaropoli, Lorena Gaveglio, Christina Tietmann, Peter Wüllenweber, Conchita Martin, Ignacio Sanz Sanchez, Eric Kutschera, Søren Jepsen, Karin Jepsen","doi":"10.11607/prd.7879","DOIUrl":"10.11607/prd.7879","url":null,"abstract":"<p><p>Periodontitis stage IV may be characterized by pathologic tooth migration (PTM), which, when orthodontic correction is needed, represents the conditions that define the type 2 phenotype, according to the European Federation of Periodontology Clinical Practice Guidelines. Here, four clinical cases of patients with stage IV, type 2 periodontitis and deep intrabony defects adjacent to the migrated teeth are presented. After successfully completing steps 1 and 2 of periodontal treatment, the intrabony defects were subjected to regenerative periodontal surgery, and active orthodontic movement began soon (2 to 4 weeks) after surgery. Follow-ups of up to 24 months demonstrate the effectiveness of interdisciplinary periodontal-orthodontic treatment in controlling inflammation, regenerating intrabony defects, and realigning pathologically migrated teeth, thereby restoring esthetics and function for the patient.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"58-69"},"PeriodicalIF":1.1,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145338426","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":"QuadroJig: A Reverse-Engineering Analog Protocol for Prosthetic- Periodontal Co-Acquisition in Full-Arch Implant Rehabilitation.","authors":"Young K Kim, Sang J Lee, Jason D Lee","doi":"10.11607/prd.8180","DOIUrl":"https://doi.org/10.11607/prd.8180","url":null,"abstract":"<p><p>Contemporary full-arch implant rehabilitation increasingly incorporates digital workflows and staged prototyping. However, delayed-loading cases continue to require a structured method for transferring prosthetic and biologic information during the transition from removable to fixed prostheses. This technique report introduces the QuadroJig protocol, an analog-driven, transdisciplinary workflow that enables simultaneous acquisition of implant position, occlusal relationships, esthetic parameters, and peri-implant soft-tissue dimensions. A stabilized intraoral construct derived from a flangeless denture duplicate permits vertical bone sounding to guide prosthetically driven periosteal mapping and execution at prosthetic loading, including gingivoplasty or selective flap modification when indicated. By reverse-engineering the prosthetic tissue junction, the protocol supports fabrication of a prototype-level prosthesis while preserving coordination between prosthetic design and peri-implant anatomy. The construct may be incorporated into either a conventional analog or a hybrid analog-digital workflow, allowing both clinical execution and digital verification. Consequently, the QuadroJig protocol serves as a prosthetic-periodontal co-acquisition and execution workflow, offering a practical approach to delayed full-arch rehabilitation, particularly in digitally underserved clinical arenas.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-23"},"PeriodicalIF":1.1,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681828","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}