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International Journal of Periodontics & Restorative Dentistry

Onur Ucak, Mustafa Ozcan, Gulsah Seydaoglu, M Cenk Haytac
The aim of this study was to evaluate the laterally moved coronally advanced flap (LMCAF) technique in which magnified vision was used in conjunction with microsurgical instruments (LMCAF-M), and to compare the results with conventional LMCAF technique (LMCAF-C) in Miller Class III isolated recession-type defects. A total of 50 patients with recessions located at incisors and canines were treated with LMCAF-M or LMCAF-C. Outcome parameters (complete root coverage [CRC] and mean root coverage [MRC]) were assessed 6 months postoperatively...
August 24, 2016: International Journal of Periodontics & Restorative Dentistry
Marco Tallarico, Silvio Mario Meloni, Erta Xhanari, Milena Pisano, David L Cochran
The aim of this study was to evaluate clinical and radiologic outcomes of a novel device that allows simultaneous hydraulic sinus membrane elevation, bone grafting, and implant placement. A sample of 18 consecutive participants with severe atrophy of the posterior maxilla underwent transcrestal elevation of the sinus membrane and implant placement. At the 6-month follow-up, the following parameters were assessed: implant success, any complications, marginal bone loss (MBL), three-dimensional (3D) graft measurements, implant stability quotient (ISQ), and graft density...
August 24, 2016: International Journal of Periodontics & Restorative Dentistry
Saeed Reza Motamedian, Fahimeh Sadat Tabatabaei, Fahimeh Akhlaghi, Maryam Torshabi, Parisan Gholamin, Arash Khojasteh
Different degrees of clinical success have been reported for synthetic, allograft, and xenograft bone substitutes in human trials. Although these substitutes have been clinically investigated, their in vitro effects on cell differentiation remain unclear. Proliferation, differentiation, and attachment of dental pulp stem cells (DPSCs) to β-tricalcium phosphate (β-TCP), freeze-dried bone allograft (FDBA), and deproteinized bovine bone mineral (DBBM) were compared in this study. MTT assay, measurement of total DNA, and reverse transcriptase polymerase chain reaction were performed...
August 24, 2016: International Journal of Periodontics & Restorative Dentistry
Ana-María García-De-la-Fuente, Luis Antonio Aguirre-Zorzano, Ruth Estefanía-Fresco, Laia Roig-Ódena, José-Manuel Aguirre-Urizar
Subepithelial connective tissue graft (SCTG) is considered the gold standard for treatment of gingival recessions. For ethical reasons, most studies report only clinical and not histologic results. A 20-year-old woman presenting with a localized gingival recession of 5 mm in the mandibular left central incisor was treated with SCTG. According to the initial treatment plan, the tooth was extracted 11 months later and a histologic study was performed, revealing new attachment of connective tissue with collagen fibers that were directly inserted in a perpendicular way into dentin areas and new cement areas (1...
August 24, 2016: International Journal of Periodontics & Restorative Dentistry
Grégoire Chevalier, Selma Cherkaoui, Hanna Kruk, Xavier Bensaïd, Marc Danan
A xenogeneic collagen matrix recently has been suggested as an alternative to connective tissue graft for the treatment of gingival recession. The matrix avoids the second surgical site, and as a consequence could decrease surgical morbidity. This new matrix was used in various clinical situations and compared to connective tissue graft (CTG) in a split-mouth design case series. A total of 17 recessions were treated with a coronally advanced flap, 9 with CTG, and 8 with the matrix. Mean recession reduction was 2...
August 24, 2016: International Journal of Periodontics & Restorative Dentistry
Taciana Marco Caneppele, Eduardo Bresciani, Daniele Mara Da Silva Ávila, Daphne Camara Barcellos, Cesar Rogério Pucci
This study evaluated the influence of liner agents placed under resin composite restorations on shear bond strength (SBS) to dentin. A total of 40 extracted bovine incisors were used. Enamel surfaces were ground to expose a flat dentin area of 7 mm in diameter. Teeth were divided into four groups according to tested liners: Group 1 (control) used no liner; Group 2 used a resin-modified glass-ionomer cement liner (Vitrebond Plus, 3M ESPE); Group 3 used a light-activated calcium hydroxide resin liner (Ultra-Blend Plus, Ultradent); and Group 4 used a polyacrylic acid surface treatment + conventional glass-ionomer cement liner (Vidrion F, SSWhite)...
August 24, 2016: International Journal of Periodontics & Restorative Dentistry
Fernanda Campos, Rodrigo Oa Souza, Marco A Bottino, Mutlu Özcan
The required connector dimension for zirconia fixed dental prostheses (FDPs) may be a clinical limitation due to limited space in the occlusogingival direction. Using no veneering in the gingival regions of the pontics and connectors may solve this problem. This study evaluated the mechanical durability of zirconia FDPs with and without veneering in the gingival area of the connectors and pontics and subsequent air abrasion of this region with different protocols. Models were made of resin abutments (diameter = 6 or 8 mm, height = 6 mm, 6 degrees convergence) and embedded in polyurethane resin (distance = 11 mm)...
November 2016: International Journal of Periodontics & Restorative Dentistry
Alberto Fernandez Ayora, Oscar González-Martín, Eric Rompen, Geoffrey Lecloux, France Lambert
The primary objective of this pilot study was to evaluate a new socket preservation technique involving the intentional expansion of the extraction socket buccal plate using a flapless internal corticotomy and biomaterials. A total of 11 patients requiring tooth extraction were enrolled in this study. The aim of this technique was to maintain or improve the hard and soft tissue contour of the ridge after tooth extraction. All surgical sites healed uneventfully. Significant alveolar bone dimension changes were observed in the coronal region of the ridge (-1...
November 2016: International Journal of Periodontics & Restorative Dentistry
Shin Hye Chung, Young-Seok Park, Kwang-Shik Bae, Seung-Ho Baek, Kee-Yeon Kum, Woocheol Lee, Won-Jun Shon
Endodontic implant pathology (EIP) refers to cases in which endodontic infections cause infections in adjacent implants, and vice versa. This case report demonstrates the successful resolution of two types of EIPs, implant endodontitis and endodontic implantitis, by endodontic intervention with surgical treatment. In case 1, the patient complained of tooth discomfort after implant placement in the adjacent tooth. The tooth was sensitive to percussion and showed slight mobility with a negative reaction to an electric pulp test...
November 2016: International Journal of Periodontics & Restorative Dentistry
Rodrigo Dos Santos Pereira, Fernanda Brasil Boos, Luis Fernado Gorla, Idelmo Rangel Garcia, Roberta Okamoto, Eduardo Hochuli-Vieira
The aim of this study was to compare the bone resorption rate and histometry of ChronOS, a beta-tricalcium phosphate (β-TCP), mixed with autogenous bone grafts (1:1) with that of autogenous bone grafts alone in maxillary sinus elevation surgery. A total of 12 maxillary sinuses were grafted with an autogenous bone graft (control group) and 9 with ChronOS mixed with an autogenous bone graft (test group). Postoperative cone beam computed tomography (CBCT) was used to measure the initial graft volume after 15 days (T₁), and 6 months later another CBCT scan was performed to evaluate the final graft volume (T₂) and determine the graft resorption rate...
November 2016: International Journal of Periodontics & Restorative Dentistry
Paul P Lin, Lewis Claman, Hua-Hong Chien
The success of dental implant therapy in the esthetic zone requires not only functional osseointegration but also favorable esthetic results. The greatest challenge in the esthetic zone is to establish harmony, balance, and continuity of gingival form between implant restorations and the adjacent natural teeth. In the esthetic zone, a localized ridge defect or loss of a peri-implant papilla is common and can be corrected via soft tissue augmentation. This case report describes a novel surgical technique using connective tissue grafts via an apical pouch to increase soft tissue volume over an alveolar ridge defect or around natural teeth or implants in the maxillary anterior area...
November 2016: International Journal of Periodontics & Restorative Dentistry
Domenico Laurito, Riccardo Cugnetto, Marco Lollobrigida, Fabrizio Guerra, Annarita Vestri, Francesca Gianno, Sandro Bosco, Luca Lamazza, Alberto De Biase
This study aimed to evaluate the efficacy of an exposed high-density polytetrafluoroethylene (d-PTFE) membrane in preventing epithelial migration in postextraction sockets. For this purpose, a histologic description of the newly formed soft tissue underlying the membrane is presented. The periodontal status of the adjacent teeth was also evaluated to assess the gingival response. Ten premolar extraction sockets were treated. After tooth extraction, the sockets were filled with nanocrystalline hydroxyapatite and covered with d-PTFE membranes...
November 2016: International Journal of Periodontics & Restorative Dentistry
Carlos Parra, Y Natalie Jeong, Charles E Hawley
Recession on the lingual aspect of mandibular incisors may occur in patients with history of tongue piercing and other factitious traumatic habits. Treatment of these areas is challenging due to the site-specific anatomical features of the region. This case report presents a novel approach for a specific type of mandibular lingual defect caused by tongue piercing. A nonresorbable titanium-reinforced barrier membrane combined with an allograft and enamel matrix derivatives was used to promote regeneration of periodontal attachment...
November 2016: International Journal of Periodontics & Restorative Dentistry
Tobias Thalmair, Stefan Fickl, Hannes Wachtel
The aim of this clinical case series was to evaluate the clinical performance of the modified tunnel technique for treatment of multiple gingival recessions in the anterior mandible. A total of 20 patients with 63 Miller Class I and II defects were treated via a modified tunnel technique with subepithelial connective tissue graft. At baseline and 6 months postoperative, recession depth, probing pocket depth, width of keratinized tissue, and gingival tissue thickness were assessed. At 6 months, the results revealed a mean recession coverage of 93...
November 2016: International Journal of Periodontics & Restorative Dentistry
Giacomo Santoro, Giovanni Zucchelli, Enrico Gherlone
The case reports presented in this article describe a surgical approach for improving root coverage and regenerative parameters in deep intrabony defects associated with buccal gingival recession. A mandibular canine and a maxillary premolar were treated. The surgical technique consisted of a connective tissue graft (CTG) that was placed and sutured at the inner surface of a coronally advanced envelope flap (CAF), thickening the buccal soft tissue wall of the most coronal extension of the intrabony defect and treated with biomaterials as scaffold...
November 2016: International Journal of Periodontics & Restorative Dentistry
Joseph P Fiorellini, Sven Glindmann, Jairo Salcedo, Hans-Peter Weber, Chang-Joo Park, Hector L Sarmiento
Osteopontin (OPN) and an OPN-derived synthetic peptide, OC-1016, have demonstrated their potential to enhance osseointegration in vitro. The purpose of this study was to evaluate bone-to-implant contact (BIC) and surrounding bone density (BD) of implants coated with either recombinant human OPN (rhOPN) or OC-1016 as compared with noncoated titanium plasma sprayed (TPS) surface in a canine model. Histomorphometric analysis revealed that at 4 weeks, %BIC and %BD of coated implants were significantly higher than those of noncoated TPS implants...
November 2016: International Journal of Periodontics & Restorative Dentistry
Stephen K Harrel, Pillar Valderrama, James B Barnes, Evan L Blackwell
Small linear microgrooves have been observed on root surfaces associated with osseous defects when videoscope-assisted minimally invasive surgery (V-MIS) is performed. The aim of this study was to evaluate the frequency of occurrence of these microgrooves associated with osseous defects. Videos of dry skulls from an anatomy department collection and videos made during consecutive V-MIS procedures on patients were evaluated to determine the presence or absence of microgrooves associated with osseous defects...
November 2016: International Journal of Periodontics & Restorative Dentistry
Barry P Levin
Different parameters can be measured during dental implant insertion to determine the primary stability of the implant. The purpose of this retrospective study was to investigate whether a correlation exists between immediate implant insertion torque value (ITV) and implant stability quotient (ISQ) in nonmolar sites. A total of 59 implants in 52 patients were placed into extraction sockets. ITV was recorded at surgery, and ISQ was recorded at surgery and at follow up. Implants with higher ITV and/or ISQ were evaluated at 6 to 8 weeks...
November 2016: International Journal of Periodontics & Restorative Dentistry
Elen Guerra, Cristiane Pereira, Renata Faria, Antonio Olavo Jorge, Marco Antonio Bottino, Renata Marques de Melo
This study evaluated the in vitro bacterial microleakage at the implant-abutment interface of three prosthetic connections: external (EH) and internal hexagon (IH) and taper connection (TC: solid [ST], taper with internal hexagon [IT], and short taper [OT]). Escherichia coli (E coli) and Streptococcus sanguinis (S sanguinus) were inoculated in the apical portion of the abutment screw, which was immersed in sterile brain-heart infusion broth for 14 days. There were no differences between the percentages of bacterial infiltration for IH (9...
November 2016: International Journal of Periodontics & Restorative Dentistry
Thomas von Arx, Simone Fm Janner, Stefan Hänni, Michael M Bornstein
The successful outcome of apical surgery is usually defined by absence of clinical signs and symptoms and resolution of previous periapical radiolucencies. However, little attention is given to soft tissue scarring. The present study evaluated the severity of gingival and mucosal scarring 1 year following apical surgery of 52 teeth. Clinical pictures taken at the 1-year examination were rated by three observers using specific scarring scores. The overall repeatability of the two scores was high (85.3%), whereas the overall reproducibility was relatively low (44...
November 2016: International Journal of Periodontics & Restorative Dentistry
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