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International Journal of Periodontics & Restorative Dentistry

Maarten Glibert, Sara Östman, Hugo De Bruyn, Pär-Olov Östman
The aim of this case-control study was to evaluate the influence of soft tissue thickness at implant placement (thin [< 3 mm] vs thick [≥ 3 mm]) and bone volume (abundant vs limited) on initial crestal bone remodeling of immediate postextraction and delayed (healed site) implants in immediate loading situations. A total of 67 patients with 133 implants could be evaluated, of which 77 were placed immediately after extraction and 56 in healed ridges. If sufficient bone volume is present and primary stability is achieved, immediate loading of the implant yields good clinical and radiographic outcomes, yet implants placed in healed ridges with thin soft tissues are more prone to initial crestal bone loss...
November 2018: International Journal of Periodontics & Restorative Dentistry
Lorenzo Tavelli, Farah Asa'ad, Raffaele Acunzo, Giorgio Pagni, Dario Consonni, Giulio Rasperini
This clinical study was conducted to evaluate the impact of different hemostatic treatments following palatal gingival harvesting on patient discomfort. Fifty patients who needed a mucogingival surgery requiring gingival graft harvesting were enrolled and randomly assigned to one of five groups: (1) a control group in which only sutures were applied; (2) a cyanoacrylate group; (3) a periodontal dressing material group; (4) a hemostatic gelatin sponge group; and (5) a group in which the gelatin sponge and cyanoacrylate were combined...
November 2018: International Journal of Periodontics & Restorative Dentistry
Pollyanna Nogueira Ferreira da Silva, Lilian Costa Anami, Marco Antonio Bottino, Rodrigo Souza, Renata Marques de Melo, Guilherme Saavedra
The aim of this study was to assess the powdering technique and its effects on the flexural strength of bilayered zirconia. Bars made of zirconia partially stabilized by yttrium (Y-TZP) received porcelain by the following techniques (n = 10 per group): (1) L: VM9 application; (2) P: powdering technique + VM9 application; (3) C: Y-TZP coloring before sintering + Y-TZP sintering + VM9 application; or (4) CP: Y-TZP coloring before sintering + Y-TZP sintering + powdering technique + VM9 application. The powdering technique consisted of the application of VM9 margin powder followed by sintering...
November 2018: International Journal of Periodontics & Restorative Dentistry
Fahim Vohra, Zohaib Akram, Ishfaq A Bukhari, Saeed A Sheikh, Asma Riny, Fawad Javed
The aim of the present study was to compare clinical periodontal parameters and salivary interleukin (IL)-1β and IL-6 levels in patients with different obesity levels. A total of 419 individuals with class I, II, and III obesity and nonobese with chronic periodontitis were included. Clinical periodontal parameters were recorded, and whole salivary IL-1β and IL-6 were quantified using enzyme-linked immunosorbent assay. Clinical parameters and salivary cytokine concentrations were analyzed using one-way analysis of variance...
November 2018: International Journal of Periodontics & Restorative Dentistry
Shan-Huey Yu, Shih-Chang Tseng, Hom-Lay Wang
Since periodontal plastic surgery's recent emergence and continuous, extensive development, various treatment modalities and materials have been developed alongside it to help clinicians pursue optimal esthetics and long-term stability around natural teeth and dental implants. To achieve satisfying and predictable long-term outcomes, promote more predictable results, and reduce complications following periodontal plastic surgery procedures, the authors reviewed articles published in peer-reviewed journals to better understand the biologic principles and potential of the soft tissue grafting materials and techniques being applied...
November 2018: International Journal of Periodontics & Restorative Dentistry
Damien Feuillet, Jean-François Keller, Kevimy Agossa
Interdental papilla reconstruction is one of the most challenging clinical procedures in periodontal plastic surgery. Several surgical approaches have been proposed but have varying degrees of success. It has long been acknowledged that the narrowness of the interdental papilla and the limited blood supply are major impediments to achieving predictable outcomes. Advances in microsurgery could offer an opportunity to overcome these anatomic and biologic barriers. The authors propose an original microsurgical technique based on interproximal tunneling combined with utilization of a customized tissue graft for interdental papilla reconstruction...
November 2018: International Journal of Periodontics & Restorative Dentistry
Thomas J Balshi, Glenn J Wolfinger, Stephen F Balshi, Myron Nevins, David M Kim
Osseointegrated dental implants have become an integral factor in the replacement of missing teeth. These implants have demonstrated long-term success for periodontally compromised patients, who require a high level of success to maintain a sense of optimism. This case report offers 32-year results of implant treatment in the maxilla and 25-year results in the mandible. Some maxillary implants suffered a few threads of bone loss, but all seven mandibular implants met Albrektsson's definition of success after 25 years...
November 2018: International Journal of Periodontics & Restorative Dentistry
Gerardo Mendoza-Azpur, Pier Gallo, Frank Mayta-Tovalino, Renato Alva, Erick Valdivia
Vertical ridge augmentation (VRA) using titanium-reinforced dense polytetrafluorethylene (d-PTFE) membranes has been associated with promising clinical outcomes. This retrospective multicenter case series was prepared for the purpose of identifying the elements that contribute to the predictability of this surgical technique. VRA procedures were carried out in 35 patients (13 male and 22 female) with an age range of 43 to 76 years. The average bone gain was 5.44 mm. In the Kaplan-Meier estimates of cumulative survival calculated at 15 months, membrane exposure (P = ...
November 2018: International Journal of Periodontics & Restorative Dentistry
Mario Roccuzzo, Sissi Marchese, Paola Dalmasso, Andrea Roccuzzo
The aim of this study was to investigate the long-term clinical conditions of periodontally compromised teeth treated by means of orthodontics after periodontal regeneration (GTR). Forty-eight patients affected by severe periodontitis who presented at least one nonmolar, malpositioned tooth with a pocket depth (PD) ≥ 7 mm, were consecutively enrolled in a private specialist practice. The treatment consisted of the following steps: infection control, provisional splinting, GTR, orthodontic treatment, final splinting, and supportive periodontal therapy (SPT)...
November 2018: International Journal of Periodontics & Restorative Dentistry
Michael Stimmelmayr, Daniel Edelhoff, Josef Schweiger, Jan-Frederik Güth
This case report introduces a temporary denture with reduced extension stabilized in the edentulous maxilla as a possible treatment method for patients with a severe gag reflex, allowing them to test the function, esthetics, and tolerance of the denture prior to hard tissue augmentation and implant placement. A 4-mm implant was placed in the central anterior palate and allowed to heal for 3 months. During the complete treatment period, a denture with reduced extension can be delivered on a fixed Locator abutment...
November 2018: International Journal of Periodontics & Restorative Dentistry
Maurice A Salama, Alessandro Pozzi, Wendy Auclair Clark, Marko Tadros, Lars Hansson, Pinhas Adar
Inadequate restorative space can result in mechanical, biologic, and esthetic complications with full-arch fixed implant-supported prosthetics. As such, clinicians often reduce bone to create clearance. The aim of this paper was to present a protocol using stacking computer-aided design/computer-assisted manufacturing (CAD/CAM) guides to minimize and accurately obtain the desired bone reduction, immediately place prosthetically guided implants, and load a provisional that replicates predetermined tissue contour...
November 2018: International Journal of Periodontics & Restorative Dentistry
Jean-Marie Megarbane, Abdel Rahman Kassir, Nadim Mokbel, Nada Naaman
Root resection and hemisection is a well-documented treatment option for extending the life span of furcated molars. The aim of the present study was to retrospectively evaluate the long-term results of root resection and hemisection of 195 patients with up to 40 years of follow-up. Records of 195 patients who had undergone root resection or hemisection were reviewed. A minimum follow-up of 5 years was needed. A molar was recorded as a survival if it was still present and functional without any signs of discomfort, pain, or pathology from restorative, endodontic, and periodontal points of view...
November 2018: International Journal of Periodontics & Restorative Dentistry
Parham Pedram, Tabassom Hooshmand, Soolmaz Heidari
This study investigated the effect of different cavity lining techniques on the marginal sealing of Class II composite restorations. A total of 36 human molar teeth, free of caries and fillings, were each prepared with two proximal Class II boxes mesially and distally. In mesial boxes, cavity liners were applied as follows: in group 1, separately cured flowable composite; in group 2, co-cured flowable composite; and in group 3, resin-modified glass ionomer (RMGI). The remaining cavities were filled incrementally with a universal restorative composite...
November 2018: International Journal of Periodontics & Restorative Dentistry
Yifat Manor, Yakir Anavi, Ron Gershonovitch, Adi Lorean, Eithan Mijiritsky
The article describes complications following dental implant dislocation into the maxillary sinus and their management and attempts to elucidate the reasons for these complications and their prevention. This retrospective study presents 55 cases of dental implant migration into the maxillary sinus. Patients were 30 men and 25 women with average age of 58 years. Oroantral communication was found in 46 cases, primarily in cases without prior bone augmentation, in patients aged older than 60 years (mean), and medically compromised patients (ASA > 1)...
November 2018: International Journal of Periodontics & Restorative Dentistry
Celia Clemente de Arriba, Miguel Angel Alobera Gracia, Paulo G Coelho, Rodrigo Neiva, Dennis P Tarnow, Mariano Del Canto Pingarron, Soledad Aguado-Henche
Porous tantalum trabecular-structured metal (PTTM) has been applied to titanium orthopedic and dental implants. This study evaluated the healing pattern of bone growth into experimental PTTM cylinders (N = 24; 3.0 × 5.0 mm) implanted in the partially edentulous jaws of 23 healthy volunteers divided into four groups. Six PTTM cylinders per group were explanted, prepared, and analyzed histologically/metrically after 2, 3, 6, and 12 weeks of submerged healing. PTTM implant osseoincorporation resulted from the formation of an osteogenic tissue network that over the course of 12 weeks resulted in vascular bone volume levels in PTTM that are comparable to clinically observed mean trabecular volumes in edentulous posterior jaws...
November 2018: International Journal of Periodontics & Restorative Dentistry
Nuria Otero, Javier Scarton, Laura Lugo Pizzolante, Stefano Inglese, Anthony G Sclar, Fong Wong
Prosthetic rehabilitation of malpositioned anterior dental implants can be challenging. Interdisciplinary treatment planning and precise execution of biologically acceptable prosthetic and surgical protocols are essential to achieve optimal esthetic results and while avoiding and managing esthetic complications. This case study focuses on the restorative aspect. Two sets of custom gold abutments were used prior to and following surgical correction of a pre-existing soft and hard tissue ridge defect surrounding maxillary central incisor implant restorations...
November 2018: International Journal of Periodontics & Restorative Dentistry
Nejat Nizam, Aliye Akcalı
This case series describes a treatment method in which the natural tooth was used as the temporary and permanent reconstruction after immediate implantation in the esthetic zone of periodontally compromised patients. Five patients with a hopeless tooth in the esthetic zone due to periodontal causes were included. The tooth was extracted, and immediate implantation protocol was followed. The extracted tooth was adapted over a temporary abutment during the osseointegration period, and the same tooth served as the final prosthetic reconstruction with a customized zirconia abutment...
November 2018: International Journal of Periodontics & Restorative Dentistry
Luca Francetti, Roberto Weinstein, Silvio Taschieri, Stefano Corbella
Gingival recession can cause an esthetic impairment or dentin hypersensitivity due to root surface exposure to the oral cavity. These conditions may require specific surgical interventions to achieve root coverage. This controlled clinical trial on 20 subjects compared coronally advanced flap (CAF) technique and CAF plus subepithelial connective tissue graft (CTG) for the treatment of single maxillary gingival recession. Recession height (REC) and complete root coverage (CRC) were considered as primary outcomes...
November 2018: International Journal of Periodontics & Restorative Dentistry
Aws ArRejaie, Haidar Alalawi, Fahad A Al-Harbi, Reem Abualsaud, Ahmad M Al-Thobity
The purpose of this in vitro study was to measure the marginal and internal fit of single-unit all-ceramic zirconia copings (ZCs) fabricated through three different computer-aided design/computer-assisted manufacture (CAD/CAM) systems using microcomputed tomography (microCT). A total of 10 ZCs were produced for each experimental group. Scanning of the stainless steel (SS) model with its respective copings was conducted with a SkyScan machine. DataViewer software was used to acquire cross-sectional images. Locations of cross-sections for all specimens were standardized to reduce errors...
November 2018: International Journal of Periodontics & Restorative Dentistry
Emmanuel Englezos, Jan Cosyn, Sebastiaan Koole, Wolfgang Jacquet, Hugo De Bruyn
A prospective case series was performed to examine the clinical and radiographic changes to peri-implant tissues 2 years after resective treatment of peri-implantitis, including an apically positioned flap, osteoplasty, and implantoplasty. In total, 25 patients with 40 titanium implants of multiple brands and advanced peri-implantitis were included in this study. After 2 years, all implants survived, mean probing pocket depth was reduced from 8.7 to 3.3 mm, and bone level remained stable in 92.5% of the implants...
September 2018: International Journal of Periodontics & Restorative Dentistry
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