Treatment Options for the Management of the Postextraction Socket: Report From the First Giuseppe Cardaropoli Foundation Consensus Conference

Journal of Periodontal Research, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 26, 2025

ABSTRACT Aim Different approaches have been proposed for implant placement following tooth extraction. A Consensus conference was organised to provide expert‐based recommendations the treatment of postextraction site in aesthetic zone conjunction with therapy. Methods panel eight experts a documented longstanding clinical and research experience field therapy were invited participate structured survey. Participants asked select their preferred approach different scenarios from list options. Results summarised discussed person at 2 day consensus conference. Based on outcome, phrased are reported here. The group agreed that case an intact alveolus, immediate prosthetics represents reference choice if proper primary stability can be achieved buccal bone plate is present. bone‐to‐implant gap more than mm should seeked grafted. Alveolar ridge preservation early contour augmentation may represent alternative. If alveolus compromised, staged (early or delayed placement) preferred. Conclusions characteristics site, terms available volume, integrity periodontal phenotype determining factors therapeutic choice. Therefore, selection based well‐defined criteria extremely important adequate way guide clinician choosing most appropriate management timing placement.

Language: Английский

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The Bio‐Restorative Concept for Implant‐Supported Restorations

Journal of Esthetic and Restorative Dentistry, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 30, 2024

This study aims to present the bio-restorative approach in implant dentistry, which combines biological and restorative concepts through digital planning. concept periodontal, surgical, prosthetic variables, aiming reduce patient morbidity while achieving satisfactory esthetic functional outcomes implant-supported restorations long term.

Language: Английский

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Comprehensive treatment protocol for peri-implantitis: an up-to date narrative review of the literature

Journal of Periodontal & Implant Science, Journal Year: 2024, Volume and Issue: 54(5), P. 295 - 295

Published: Jan. 1, 2024

This narrative review describes up-to-date treatment options for peri-implantitis and proposes a protocol flowchart based on the current scientific evidence. Peri-implantitis should be phased periodontitis, which is continuous flow of decisions extraction, nonsurgical surgical treatments with step-by-step re-evaluation. The protocol's goals are to fulfill success criteria (probing depth ≤5 mm, absence bleeding probing, suppuration, progressive bone loss) halt disease progression. Fixtures can initially classified as failed or failing. A implant needs removed. In contrast, applied failing implant. Nonsurgical initial implants; however, sole was regarded inefficient peri-implantitis. Recent studies have found that adjunctive use antibiotics debridement increased Surgical into resective, access, reconstructive surgeries. technique selected according patient's defect configuration, relate regenerative potential. Various combinations decontamination methods (e.g., mechanical, chemical, pharmacological approaches) required achieve absolute surface decontamination. Clinicians select an appropriate strategy purpose surgery. After signs disappear its progression halted through active treatment, it necessary enroll patients maintenance programs. Compliance program reduces recurrence sustains clinical after treatment. Maintenance visits include professional plaque control hygiene care reinforcement patients, their interval set individual risk. remind not single procedure, but rather continuing cycle

Language: Английский

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Soft Tissue Substitutes in Periodontal and Peri-Implant Soft Tissue Augmentation: A Systematic Review

Materials, Journal Year: 2024, Volume and Issue: 17(5), P. 1221 - 1221

Published: March 6, 2024

Different extracellular matrix (ECM)-based technologies in periodontal and peri-implant soft tissue augmentation have been proposed the market. The present review compared efficacy of substitutes (STSs) autogenous free gingival grafts (FGGs) or connective (CTGs) mucogingival procedures to increase keratinized (KT) width around teeth implants. Two independent examiners performed an electronic search on MEDLINE Cochrane Library based following PICOS format: (P) adult patients; (I) FGGs/CTGs; (C) STSs vs. CTGs; FGGs; vs control; (O) KT gain; (S) systematic reviews, randomized controlled trials. Studies published before November 2023 were included. Around teeth, all biomaterials showed superior performance a coronally advanced flap (CAF) alone for treating recessions. However, when CTGs, acellular dermal matrices (ADMs) yield most similar outcomes gold standard (CTGs), even though multiple recessions, CTGs continue be considered favorable approach. use (acellular tissue-engineered) combination with apically positioned flaps (APF) resulted significantly less gain that achieved FGGs APFs. dental implants, deemed more effective than enhancing mucosa width. Based available evidence, questions remain about alternative conventional grafting using

Language: Английский

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The Significance of Keratinized Mucosa in Implant Therapy: Narrative Literature Review and Case Report Presentation

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(12), P. 3501 - 3501

Published: June 14, 2024

Background/Objectives: Implant treatment in patients who require teeth extraction due to periodontitis presents a significant challenge. The consideration of peri-implantitis is crucial when planning the placement dental implants. predictability implant relies on suitability both hard and soft tissue quality. aim this article present case report demonstrating secure protocol for procedures with requiring all teeth, management targeted at increasing keratinized mucosa zone, provision reliable prosthetic solution. secondary objective review relevant literature regarding significance surrounding implants its association occurrence peri-implantitis. Case presentation: A 65-year-old female generalized periodontitis, stage IV grade C very poor oral hygiene came rehabilitation lower jaw. CBCT revealed periodontal lesions labio-lingual ridge dimensions region 34–44 from 8.0 10.2 mm. first surgery included enucleation simultaneous four positions 32, 34, 42, 44. second-stage involved using two free gingival grafts. Conclusions: described process patient including immediate implantation infected region, augmentation grafts ultimate bar-retained overdenture final restoration. After years observation, despite questionable hygiene, no symptoms inflammation were detected. Furthermore, there limited information correlation between inadequate gingiva

Language: Английский

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Evaluation of keratinized tissue augmentation using amnion/chorion allograft vs. autogenous connective tissue in implant therapy: a retrospective study

Clinical Oral Investigations, Journal Year: 2025, Volume and Issue: 29(1)

Published: Jan. 25, 2025

Abstract Objectives Successful implant therapy must also ensure the integration of soft tissues around crown/abutment emergence profile. The existing literature does not consistently agree on necessity a minimal amount keratinized tissue (KT), though it appears advantageous for long-term stability and aesthetics implants. purpose this clinical retrospective study is to compare effectiveness amnion/chorion membrane autogenous subepithelial connective in increasing mucosa maintaining over 5-year follow-up. Methods Twenty patients who had previously undergone surgery were included study. Ten received allograft (Group 1) ten 2).An independent examiner retrospectively analyzed patient records at 7, 15, 60 days, five years post-procedure. Data from these observations collected using SPSS Statistics, version 25. Descriptive statistical analysis was conducted. Results All exhibited an increase KT. For Group 1, mean KT width measurements 1.27 ± 0.46 mm initial evaluation, 2.00 0.38 mm, 2.80 0.78 3.27 0.80 3.01 0.68 days post-surgery (with prosthesis delivery day 60), after prosthetic rehabilitation, respectively. Conclusions Within limitations study, both show significant potential expansion when used conjunction with surgery. Clinical relevance use allografts, due their low morbidity, acceptable results should be considered as viable option augmentations.

Language: Английский

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Peri‐Implant Soft Tissue Increase at Small Buccal Bone Dehiscences With Either Volume‐Stable Collagen Matrix or Connective Tissue Graft: A Randomized Controlled Trial

Clinical Oral Implants Research, Journal Year: 2025, Volume and Issue: unknown

Published: March 19, 2025

ABSTRACT Objectives This randomized clinical study compared the profilometric measurements of buccal tissue volume at sites augmented using a volume‐stable collagen matrix (VCMX) or connective graft (CTG) simultaneously to implant placement in presence small bone dehiscence (SBBD ≤ 3 mm). Methods Forty‐four patients with SBBD were treated soft augmentation (STA) simultaneous VCMX SCTG. Clinical and 3D intraoral scans collected prior STA (BL), 1, months, 1 year after prosthetic loading. Digital files superimposed compare on profile (primary outcome); peri‐implant health, radiographic levels, patient‐reported outcome measures (PROMs) also assessed. Results Both treatments achieved significant slight decrease observed from month. At mean increase was 1.07 mm (SD 0.22) for 1.22 0.44) CTG group ( p = 0.156). PROMs revealed difference perception bleeding day pain 2 days, swelling days favoring < 0.05). year, no intergroup probing pocket depth, bleeding, recession detected, but provided higher stability than terms (0.21 [SD 0.32] vs. −0.05 0.36], respectively; 0.014) levels (0.09 0.65] −0.34 0.70]; 0.038). Conclusion For posterior dehiscences, resulted an initially comparable parameters, leading better PROMs. maintained slightly levels. Trial Registration ClinicalTrials.gov identifier: NCT05466006 https://classic.clinicaltrials.gov/ct2/show/NCT05466006 )

Language: Английский

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Evaluation of palatal mucosal thickness in maxillary posterior teeth using cone-beam computed tomography combined with intraoral scanning: a cross-sectional study on correlating factors

BMC Oral Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 22, 2025

Cone-beam computed tomography (CBCT) combined with intraoral scanning (IOS) technology was used to measure and analyze the variation patterns of palatal masticatory mucosa (PMM) in maxillary posterior region its correlation gender, gingival biotype (GB), bone thickness (PBT), thereby establishing a theoretical foundation for autogenous soft tissue augmentation procedures. A total 57 Han Chinese patients 342 affected teeth were included study. CBCT IOS data obtained all participants, 3D models constructed by segmenting images based on standardized parameters, followed alignment using reference points. Measurements conducted at predetermined intervals evaluate PMM, PBT, GB. The variability PMM from first premolar molar analyzed bilaterally age, GB t-tests Games-Howell post-hoc analysis. Pearson's test examined relationship between while linear regression utilized associations clinical factors such as PBT. There no statistically significant difference left right sides maxilla (P > 0.05). Overall, increased greater distance margin, differences observed specific measurement points different tooth positions. second exhibited greatest 6 mm, 8 10 mm. Gender had relatively minor impact PMM. Significant across age groups, middle-aged group showing compared younger < At 2 mm molar's identified PBT weak. Regression analysis revealed primary determinant gender exerting site-specific effects. proved effective measuring symmetrical distribution areas optimal graft harvesting. While found GB, or notably thicker individuals. This study presents comprehensive various positions distances facilitating identification donor sites autologous grafts. It highlights regional ethnic variations among validates use accurate, non-invasive measurements.

Language: Английский

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Soft‐tissue volume augmentation during early, delayed, and late dental implant therapy: A systematic review and meta‐analysis on professionally determined esthetics and self‐reported patient satisfaction on esthetics

Periodontology 2000, Journal Year: 2025, Volume and Issue: unknown

Published: April 16, 2025

Abstract The objective of the study was to assess effect soft‐tissue volume augmentation during early, delayed, and late dental implant therapy in terms professionally determined esthetics self‐reported patient satisfaction on esthetics. For this, a comprehensive electronic literature search performed identify randomized clinical trials (RCTs) controlled (CCTs) reporting esthetic outcomes (primary outcomes) placement comparing absence grafting (control) (PICO 1) or various techniques, procedures, materials 2). Secondary were mucosal thickness (MT), intra‐ postoperative complications, marginal soft‐tissue‐level changes, keratinized tissue width, radiographic bone levels, parameters for diagnosis peri‐implant health. standard mean differences (SMD)/weighted (WMD) estimated Pink Esthetic Score (PES), assessed by Visual Analog Scale (VAS) MT gain PICO 1 2 employing random model. Five RCTs included 1, whereas 7 CCT addressed 2. 1: SMD PES between autogenous ( SCTG ) (control group) 0.47; 95% CI [−0.15, 1.09; p = 0.14] based 5 . VAS values patient‐reported control group 0.46; [−0.12, 1.03; 0.12] (2 ). WMD amounted 1.06 mm; [0.81, 1.31; 0.00] favor (3 2: collagen‐based matrices CM −0.32; : (−0.57, −0.07; 0.01), (5 0.24; (−0.31, 0.78; 0.40) vs. −0.27 (−0.36, −0.17; 0.00), significantly favoring (4 Professionally patient‐assessed showed no substantial placement. However, grafts led improved as professionals compared substitutes. Patient‐assessed outcomes, nevertheless, similar regardless material (i.e., substitute). Therefore, grafting, though, resulted considerably higher both use Complications adverse events rarely reported studies, thus suggesting that many underreport harms (e.g., complications).

Language: Английский

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Timing of keratinized mucosa augmentation and peri‐implant outcomes: A systematic review and meta‐analysis

Journal of Prosthodontics, Journal Year: 2025, Volume and Issue: unknown

Published: April 29, 2025

Abstract Purpose : This study aimed to compare different surgical timings for keratinized mucosa (KM) augmentation and assess the impact on peri‐implant parameters stability. Methods Electronic searches were conducted through MEDLINE (via PubMed), Scopus, Embase, Web of Science up June 13, 2024, which was completed with a manual search. The inclusion criteria focused randomized non‐randomized human clinical studies that assessed outcomes KM augmentation, at least 3‐months follow‐up. analysis included changes in width over time several secondary outcomes. Results Twenty‐five satisfied criteria. 855 patients 1588 implants. significantly increased after surgery, regardless or method intervention (MD: 5.17, 95% CI: 4.59, 5.75, p <0.001). second‐stage particularly use autogenous graft, indicated lowest reduction 3 months while significant shrinkage found when performed post‐restoratively. Conclusion evidence suggests surgery is acceptable whereas post‐restorative phase generally not primary option. In cases where suboptimal soft tissue conditions are detected, it advisable either undertake refer patient additional assessment before proceeding delivery restoration. Due limited data, possible come definitive conclusion about other phases.

Language: Английский

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