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":"<p><p>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.</p>","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}
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":"<p><p>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.</p>","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}
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":"<p><p>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.</p>","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}
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":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}
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":"<p><p>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.</p>","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}
Ahmad Yamen M Nader Alhaf, Moataz Mostafa Bahgat Elmahdy, Sayed Mohamed Mohamed El Masry
{"title":"Clinical Evaluation of Peri-Implant Mucosal Response to Different Attachment Systems in Implant-Retained Overdentures: A 1-Year Randomized Trial.","authors":"Ahmad Yamen M Nader Alhaf, Moataz Mostafa Bahgat Elmahdy, Sayed Mohamed Mohamed El Masry","doi":"10.11607/prd.7420","DOIUrl":"https://doi.org/10.11607/prd.7420","url":null,"abstract":"<p><p>The aim of this in-vivo study is to evaluate the peri-implant mucosal response to different attachment systems in implant-retained overdentures through clinical examinations. All participants in this study are completely edentulous patients and have received a novel complete maxillary and mandibular dentures. Each patient received two dental implants in the canine area of the mandible. The patients were divided randomly into two equal groups (Group I) Mandibular overdentures were retained to the implants with Novaloc attachments. (Group II) Mandibular overdentures were retained to the implants with Locator attachments. peri-implant mucosal response was clinically evaluated using probing depth (PD), plaque index (PI) and bleeding on probing (BOP). Evaluations were performed (0, 4, 8 and 12) months after implants loading. Statistical comparison of the two groups showed that Group II consistently. experienced. This peer-reviewed, accepted manuscript will undergo final editing and production prior to print publication. Any blinded information will be available then an increase in PD. There was no statistically significant difference between the two groups in BOP and PI over time, although Group II had higher mean values. Based on the findings of this study, Novaloc attachments may have a superior impact on peri-implant soft tissue conditions and mucositis compared to Locator attachments after one year of follow up, potentially leading to improved long-term implant success.</p>","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":"144004486","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":"https://doi.org/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 biological, aesthetic 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 standardised measurements and reference points as well as the limitations inherent to the classical surgical protocol will be presented. This review discusses the importance of individualising 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":"1-21"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","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}
Tsutomu Tanno, Akira Hasuike, Koji Naito, Chihiro Ishikura, Akiyoshi Funato
{"title":"Orthodontic Implant Site Development Using Labial Root Torque: A Case Series with CBCT Analysis.","authors":"Tsutomu Tanno, Akira Hasuike, Koji Naito, Chihiro Ishikura, Akiyoshi Funato","doi":"10.11607/prd.7094","DOIUrl":"10.11607/prd.7094","url":null,"abstract":"<p><p>This case series assessed the efficacy of orthodontic implant site development with labial root torque (OISD-LRT) as a nonsurgical technique for addressing labial bone deficiencies in seven patients. The procedure involved strategically placing a multibracket device 2 to 3 mm apically on the hopeless teeth, gradually shifting them with Ni-Ti wires at the rate of 2 mm per month, and maintaining overcorrection for 2 months before extraction. OISD-LRT consistently augmented tissue for flapless guided implant surgery, with an average treatment duration of 404 ± 311.7 days. CBCT scans at various stages revealed increases in both vertical and horizontal bone dimensions, especially in the sockets with complete labial bone loss. Despite inevitable postextraction reductions in bone height and width, sufficient dimensions were maintained to ensure long-term implant stability. This case series highlights the effectiveness of OISD-LRT as a valuable method for horizontal bone augmentation, particularly in patients with labial bone deficiency. This approach provides a robust foundation for subsequent implant placement, showcasing its success in addressing challenging anatomical conditions and contributing to the broader field of implant dentistry.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"357-367"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139743026","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":"Periodontal Osseous Defects: A Treatment-Oriented Classification to Guide Regenerative Treatment Planning.","authors":"Luigi Nibali, Pierpaolo Cortellini","doi":"10.11607/prd.7125","DOIUrl":"10.11607/prd.7125","url":null,"abstract":"<p><p>Periodontal bony defects are classified as supraosseous (suprabony) or infraosseous (infrabony) according to the location of the base of the defect compared to the coronal part of the residual alveolar crest. Infraosseous defects are generally considered more challenging to treat and are thought to be associated with a higher risk of periodontal progression. The emergence and advancement of regenerative periodontal procedures have improved clinicians' ability to manage infraosseous defects. However, limitations still exist. This paper reviews the definitions of periodontal osseous defects and provides a new classification framework for infraosseous defects, relating them to the chances of successful regenerative procedures and therefore to their treatment planning options. Infraosseous defects are hereby divided into intrabony and interroot defects. Factors affecting treatment response-such as the number of walls, depth, and extension into buccal and lingual surfaces- are added to the classification framework.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"301-315"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768340","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}
Jefferson Pires da Silva Júnior, Pedro Paulo Lopes de Almeida, Felipe Nogueira Anacleto, Lucas Alves Moura, Sérgio Eduardo de Paiva Gonçalves, Marcelo Figueiredo Lobato
{"title":"Inverted Layering Technique as a Biomimetic Procedure in the Multidisciplinary Resolution of Discolored Teeth: A Case Report.","authors":"Jefferson Pires da Silva Júnior, Pedro Paulo Lopes de Almeida, Felipe Nogueira Anacleto, Lucas Alves Moura, Sérgio Eduardo de Paiva Gonçalves, Marcelo Figueiredo Lobato","doi":"10.11607/prd.6906","DOIUrl":"10.11607/prd.6906","url":null,"abstract":"<p><p>This case report aims to describe a restorative approach with composite resin applied in reverse in the esthetic resolution of darkened anterior teeth. A 27-year-old woman presented with the main complaint of dissatisfaction with the esthetics of her smile due to dental darkening (a result of childhood trauma) without painful symptoms, pathologic clinical signs, or change in care. The intraoral examination showed a darkening of teeth 11 and 21, which radiographically showed thickening of the periodontal ligament with disharmonious configuration of the marginal gingiva. From the clinical and radiographic characteristics, periodontal intervention was selected for recovery and gingival leveling, followed by endodontic intervention and esthetic restorative restoration. The restorative step was carried out sequentially, comprising internal tooth bleaching, removal of the dentin that was still pigmented after bleaching, and enamel preservation. Soon after, the teeth were restored in an alternative way and layered using a reverse technique, placing strips of polyethylene fiber over the dentin resin. The technique preserved the remaining enamel and maintained the preexisting anterior guidance, proving it a viable and conservative alternative to other restoration methods. Longitudinal success of the restorative efficacy was confirmed after 1 year.</p>","PeriodicalId":94231,"journal":{"name":"The International journal of periodontics & restorative dentistry","volume":"0 0","pages":"385-393"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185067","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}