The International journal of periodontics & restorative dentistry最新文献

{"title":"Reframing Periodontal Care: Communication and Fee Strategies for Effective Patient Engagement.","authors":"Giogio Pagni, Michele Modoni, Giulio Rasperini, Gustavo Avila-Ortiz","doi":"10.11607/prd.2025.5.c","DOIUrl":"https://doi.org/10.11607/prd.2025.5.c","url":null,"abstract":"<p><p>Periodontal therapy remains a cornerstone of dental practice. However, effectively managing periodontitis patients throughout the continuum of care can be challenging. This article proposes a communication framework and an integrated fee model designed to support evidence-based comprehensive treatment protocols while enhancing patient education, motivation, and long-term adherence. By emphasizing prevention and patient-centered care, the proposed approach contrasts with the dominant reactive model, often focused on surgical interventions and the extraction of salvageable teeth. Instead, this approach advocates for a shift toward a proactive, value-based paradigm that prioritizes periodontal health maintenance, aligns clinician and patient goals, and fosters sustained engagement throughout treatment.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"45 5","pages":"569-577"},"PeriodicalIF":1.1,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006981","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":"Management of Osteoarthritic Condylar Degeneration via Occlusal Analysis, Stabilization, and Restoration: A Report of Three Cases.","authors":"Roger Solow","doi":"10.11607/prd.7605","DOIUrl":"https://doi.org/10.11607/prd.7605","url":null,"abstract":"<p><p>Complex cases often require interdisciplinary specialist care when multiple structures in the stomatognathic system have developed significant problems. Treatment planning uses detailed problem and solution analysis and coordination of multiple clinicians for a predictable, practical result consistent with the patient's priorities. The foundation of this process is knowing exactly what each team member does in their practice. Restorative dentists can uniquely contribute to the diagnostic phase with quantified occlusal analysis and may abbreviate or replace specialist procedures with current restorative technique. This article presents 3 cases of active osteoarthritic condylar volume loss that amplified inter-arch occlusal problems, prompting the specialists on the interdisciplinary team to refer to the restorative dentist for evaluation and treatment. The rationale and technique of quantified occlusal analysis with mounted diagnostic casts, confirmation of mandibular stability and pain resolution by an occlusal splint with a digitally verified occlusion and definitive care with occlusal adjustment prior to restoration are presented.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-30"},"PeriodicalIF":1.1,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994556","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":"Does Retention of Periosteum at the Palatal Donor Site During Subepithelial Connective Tissue Graft Harvesting Influence Wound Healing and Morbidity? A Randomized Controlled Trial","authors":"Vikender Singh Yadav, Kanika Makker, Razia Haidrus, Mumtaz Ali, Anika Dawar, Jaya Pandey, Hem Chandra Sati, Maroof Ahmad Khan","doi":"10.11607/prd.7814","DOIUrl":"10.11607/prd.7814","url":null,"abstract":"<p><p>In subepithelial connective tissue graft (SCTG) harvesting, some clinicians prefer to leave the periosteum at the donor site, anticipating faster healing of the palatal wound, though this assumption has not been clinically proven yet. This study aimed to compare early wound healing at palatal donor sites and patient-reported outcome measures (PROMs: pain perception, delayed bleeding and sensation loss) after harvesting SCTG with or without periosteum using the single-incision technique (SIT). Thirty-eight patients were randomly assigned to two groups: SCTG with periosteum (SCTGP+ group) and SCTG without periosteum (SCTGP- group). Assessment of donor site wound healing at one-week post-surgery using modified early healing index (EHI) was the primary outcome of the study and PROMs were the secondary outcomes. Thirty-four patients (17 in each group) were included in final analysis. The mean EHI for SCTGP+ group (2.88 ± 1.22) and for SCTGP- group (2.70 ± 1.10) did not differ significantly (p = 0.661). Palatal flap thickness was found to be negatively correlated with EHI (p < 0.001) and pain (p < 0.05). No statistically significant differences in pain perception were observed between the groups at any time point. None of the patients reported delayed bleeding. Sensation loss recovery was faster in SCTGP+ group with significant difference between the groups only at week 2 (p = 0.026). Within the limitations of our study, harvesting of SCTG with or without periosteum was not found to significantly influence the wound healing and pain perception at palatal donor site.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-27"},"PeriodicalIF":1.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884713","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":"Same Appointment Pre-Endodontic Dentin Sealing and Coronal Reconstruction Technique for Indirect Restorations: A Proof of Concept.","authors":"Ivan Contreras Molina, Gildardo Contreras Molina, Claudia Angela Maziero Volpato, Oscar Gonzalez-Martin, Pascal Magne","doi":"10.11607/prd.7674","DOIUrl":"10.11607/prd.7674","url":null,"abstract":"<p><p>Teeth requiring endodontic treatment often present with loss of dental tissue due to caries and/or trauma. This loss compromises their strength and can lead to tooth fractures. The longer these teeth remain exposed and unprotected in the oral cavity, the greater the risk of contamination. Therefore, coronal reconstruction of structurally compromised teeth should be considered to reduce the risk of failure and ensure adequate endodontic intervention in cases of pulpal and/or periapical disease. This article presents a novel technique in which coronal reconstruction was performed prior to endodontic treatment in conjunction with immediate endodontic sealing (IES), allowing indirect restoration to be bonded to this reconstruction.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-21"},"PeriodicalIF":1.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884714","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 Soft Tissue Island Technique for Neurovascular Protection in Cases of Inferior Alveolar Canal Dehiscence During Vertical Ridge Augmentation of the Posterior Mandible.","authors":"Istvan A Urban, Maryia Karaban, Debora R Dias, Matteo Serroni, Janos Grosz, Andrea Ravidà","doi":"10.11607/prd.7792","DOIUrl":"10.11607/prd.7792","url":null,"abstract":"<p><p>Extensive posterior mandibular bone resorption can result in exposure of the inferior alveolar neurovascular bundle, challenging implant rehabilitation and increasing the risk of surgical complications. This case report describes the successful management of a severely atrophic posterior mandible with emergence of the mandibular canal by means of guided bone regeneration (GBR) using a perforated titanium-reinforced PTFE (Polytetrafluoroethylene) mesh and a combination of autogenous and xenogeneic bone grafts, followed by successful implant placement and prosthetic rehabilitation, with a 12-month follow-up. A bone deficiency coronal to the inferior alveolar nerve, resulting from a complication of a prior surgical intervention, led to an unintended communication between the neurovascular bundle and the overlying oral soft tissues. The \"soft tissue island\" technique, executed with the aid of a surgical guide to identify the defect, allowed complete isolation of this communication through precise manipulation of the vestibular flap. This technique facilitated the execution of all necessary procedures for bone augmentation and implant placement without inducing neurological complications. The described approach may serve as a valuable and less invasive alternative to conventional surgical techniques, which are often associated with a higher risk of post-operative complications involving the inferior alveolar neurovascular bundle.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-25"},"PeriodicalIF":1.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884715","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":"Papilla Reconstruction via Incision and Submucosal Mobilization (PRISM): A Technique Illustration.","authors":"Julien Mourlaas, Benjamin Cortasse, Lorenzo Tavelli","doi":"10.11607/prd.7815","DOIUrl":"10.11607/prd.7815","url":null,"abstract":"<p><p>The loss of interdental papillae in the anterior maxilla presents significant esthetic and functional challenges. This report introduces a refined, tunnel-like surgical technique using a vestibular access incision for three-dimensional papilla augmentation ('Papilla Reconstruction via Incision and Submucosal Mobilization' [PRISM]). Three patients (seven sites) with deficient papillae underwent treatment involving connective tissue grafts (CTGs) from the lateral palate and maxillary tuberosity. The technique aimed to enhance surgical access, preserve vascular integrity, and facilitate atraumatic graft placement. Outcomes were assessed through clinical indices (Papilla Presence Index), volumetric analysis via STL superimposition, and patient-reported esthetic and comfort scores. After 6 months, all sites demonstrated successful healing, significant volumetric gain (vertical: 0.8-1.7 mm; horizontal: 0.8-1.4 mm), and improved patient satisfaction. The proposed approach represents a promising option for papilla reconstruction, combining the advantages of a tunnel technique with a dual-graft harvesting strategy. The loss of interdental papillae in the anterior maxilla presents significant esthetic and functional challenges. This report introduces a refined, tunnel-like surgical technique using a vestibular access incision for three-dimensional papilla augmentation ('Papilla Reconstruction via Incision and Submucosal Mobilization' [PRISM]). Three patients (seven sites) with deficient papillae underwent treatment involving connective tissue grafts (CTGs) from the lateral palate and maxillary tuberosity. The technique aimed to enhance surgical access, preserve vascular integrity, and facilitate atraumatic graft placement. Outcomes were assessed through clinical indices (Papilla Presence Index), volumetric analysis via STL superimposition, and patient-reported esthetic and comfort scores. After 6 months, all sites demonstrated successful healing, significant volumetric gain (vertical: 0.8-1.7 mm; horizontal: 0.8-1.4 mm), and improved patient satisfaction. The proposed approach represents a promising option for papilla reconstruction, combining the advantages of a tunnel technique with a dual-graft harvesting strategy.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-20"},"PeriodicalIF":1.1,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877660","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":"Replacement of the Missing Maxillary Lateral Incisor.","authors":"J William Robbins, Marcela G Alvarez, Hiro Tokutomi","doi":"10.11607/prd.7413","DOIUrl":"https://doi.org/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. The 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 will discuss 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":"1-24"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","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}

{"title":"Observational Analysis of Discrepancy Between the Interpupillary Line and the Horizon Line in Natural Head Position.","authors":"Germán Albertini, Diego Bechelli, Anibal Capusotto, Malena Aguilar Porta, María Pia Burelli, Alejandro Lanis","doi":"10.11607/prd.7501","DOIUrl":"10.11607/prd.7501","url":null,"abstract":"<p><strong>Statement of problem: </strong>When performing a facially driven oral rehabilitation, the interpupillary line (IL) is usually the main reference to establish esthetic and occlusal planes (EP and OP) in a frontal view. However, literature is not conclusive yet to determine the prevalence of tilted IL in natural head position (NHP) and its possible consequences on diagnosis and treatment planning.</p><p><strong>Purpose: </strong>The aim of this study is to determine the prevalence of discrepancy between IL and real horizon (HOR) in Natural Head Position (NHP).</p><p><strong>Materials and methods: </strong>Calibrated facial photographs in NHP using an external vertical reference of 235 participants were taken. Two horizontal lines were drawn on each image (IL and HOR) and the angle between them was measured. The participants were allocated in six groups, depending on the discrepancy angle, starting from 0 to 5 degrees.</p><p><strong>Results: </strong>The discrepancy frequence between IL and HOR was: 20,4% presented 0° deviation (n=48); 30,6% presented ±1° (n=72); 25,9% presented ±2° (n=61); 15,3% presented ±3° (n=36); 5,9% presented ±4° (n=14); and 1,7% presented ±5° (n=4). The prevalence of individuals with 2 or more degrees of discrepancy between IL and HOR in NHP (which is perceptible by the human eye) was 49% of the sample.</p><p><strong>Conclusions: </strong>Within the limitations of this study, we might conclude that almost half of the population has 2 or more degrees of discrepancy between IL and HOR in NHP, which is a risk for a inaccurate digital treatment plan when exclusively based on IL. Further research is necessary to validate these findings.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-16"},"PeriodicalIF":1.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736462","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 Pilot Study Comparing Dimensional Alterations After Alveolar Ridge Preservation with Xenograft Versus Allograft.","authors":"Daniel Rolotti, Lan-Lin Chiou, Martin Freilich, Aditya Tadinada, Ajay Dhingra, Sejal Thacker","doi":"10.11607/prd.7732","DOIUrl":"https://doi.org/10.11607/prd.7732","url":null,"abstract":"<p><p>This single-center pilot randomized clinical trial compared ridge dimensional changes following alveolar ridge preservation (ARP) with allograft (AG) versus xenograft (XG) in non molar sites with buccal dehiscence defects. 12 patients (6 per group) needing a single rooted tooth extraction were included. After extraction, sockets were grafted with the assigned bone substitute, covered with an absorbable membrane and collagen matrix. Cone beam computed tomography (CBCT) scans were taken at two time points: immediately post surgery and six months later. The need for additional bone augmentation at the time of implant placement was evaluated using implant planning software. Six months after ARP, AG demonstrated significantly better ridge width preservation (0.41 mm vs. 1.78 mm for XG, measured at 2 mm below the crest; p = 0.007). A trend favoring XG for better preservation of buccal and palatal/lingual ridge height was observed, though differences were not statistically significant (p = 0.11 and 0.58, respectively). Only one site (8.3%), from the AG group, required additional bone augmentation at implant placement. This pilot clinical trial suggests allograft and xenograft were both able to minimize dimensional changes when used for ARP in non-molar extraction sites with buccal dehiscence defect. Allograft may be more effective in minimizing ridge width reduction 2 mm from the crest while the xenograft appears to better preserve ridge height. Both bone graft materials are effective in reducing the need for additional bone augmentation; however, larger clinical studies are needed to confirm these findings.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"1-25"},"PeriodicalIF":1.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736461","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":"Merging Mandibular Virtual Datasets in Partially Edentulous Patients with a High Level of Scattering on CBCT Scans: A Technical Report.","authors":"Alejandro Lanis, Alwaleed Helmi, Samuel Akhondi, Adam Hamilton, Bernard Friedland","doi":"10.11607/prd.7183","DOIUrl":"10.11607/prd.7183","url":null,"abstract":"<p><p>Digital implant planning-utilizing the convergence of digital surface scanners, CBCT scans, and advanced planning software-has transformed dental implantology. The merging of these datasets through triangulation of landmarks provides a detailed digital model of the dental arches, facilitating precise implant positioning in edentulous areas. A critical step in this digital workflow is the accurate merging of DICOM files with .STL/.PLY/.OBJ files, which underpins the design and fabrication of surgical templates for accurate implant placement. Errors in this phase can lead to implant mispositioning or damage to adjacent structures. Particularly in partial edentulism, the merging is based on the occlusal topography of the remaining teeth, but scattering in the CBCT data-caused by interactions of radiation with radiodense materials-can complicate this process or even render it impossible. The present article presents a technique utilizing radiopaque markers to overcome scattering effects, ensuring accurate dataset superimposition in the mandible.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"539-546"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185069","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}