Long-term peri-implantitis management: insights from a 9-year regenerative approach

Deleted Journal, Год журнала: 2025, Номер 9(1)

Опубликована: Май 7, 2025

Язык: Английский

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Indications and Regenerative Techniques for Lateral Window Sinus Floor Elevation With Ridge Augmentation

Clinical Implant Dentistry and Related Research, Год журнала: 2025, Номер 27(3)

Опубликована: Май 9, 2025

ABSTRACT Maxillary sinus elevation is a critical procedure in dental implantology, often necessary to address bone deficiencies the posterior maxilla. However, various medical conditions, local factors, and surgical complexities can significantly influence outcomes. This article delves into implications of systemic conditions such as smoking, diabetes, osteoporosis, antiresorptive antiangiogenic medications, radiotherapy, immunocompromised states, cardiovascular diseases, chronic alcoholism, oxidative stress on floor associated implant placements. Each condition presents unique challenges necessitates tailored clinical considerations mitigate risks enhance success. A comprehensive pre‐operative assessment essential, including detailed patient history radiographic evaluation. Local affecting maxillary sinus, sinusitis, require careful examination possible otolaryngologist consultation. The discusses standardized Digital Surgical Planning (DSP) protocol involving CBCT imaging, intraoral scans, virtual diagnostic wax‐ups, guided placement optimize planning techniques for lateral window antrostomy are examined, flap design, size location, piezoelectric rotary instrumentation. Subsequent regenerative procedures involve meticulous membrane particulate graft placement, with material technique ensure stability volume retention. Post‐operative care, encompassing antibiotic prophylaxis, corticosteroid use, decongestants, outlined prevent infections manage edema. Conclusively, stresses necessity implantologists be proficient make evidence‐based decisions individual needs, ensuring optimal therapy approach remains cornerstone procedures, maintaining its significance through evolving methodologies advances. has demonstrated consistent success pre‐prosthetic intervention over four decades, supported by multiple reviews. Initially hospital‐based requiring autogenous harvesting, it evolved minimally invasive, office‐based without need donor bone. Smaller access windows flaps have further reduced morbidity. Despite emergence less invasive transcrestal use tilted or short implants, relevant due advantages: Provides greater overcome obstacles like septa. Facilitates single‐surgery management sites. Remains applicable regardless residual crestal height. Allows intraoperative complications perforations.

Язык: Английский

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Efficacy of soft tissue augmentation in the maxillary esthetic region: A 5‐year randomized controlled trial

Journal of Periodontology, Год журнала: 2025, Номер unknown

Опубликована: Май 19, 2025

Abstract Background Soft tissue grafting at dental implant sites has been proposed to enhance esthetic outcomes. A xenogeneic collagen matrix (XCM) was introduced as an alternative material connective tissue. Only short‐term results are yet available. Methods Sixty patients were treated in a randomized controlled trial with graft ( n = 20, CTG group), XCM or received no NG group). The grafts placed the time of placement preserved alveolar ridge. primary outcome change mid‐buccal mucosal level (MBML) after 5 years (T 60 ). Secondary outcomes marginal bone level, clinical peri‐implant parameters, esthetics, and patient satisfaction. Results At T , mean changes MBML −0.41 ± 1.20 mm, −0.30 1.22 −0.61 1.72 mm CTG, XCM, groups p 0.78), respectively. Also, regarding secondary variables, significant between‐group differences observed. Conclusions single ridge preservation, either does not result better should be considered standard procedure. Plain Language Summary Implant case failing tooth is favorable treatment option. However, since extraction socket often associated large defect, preservation prior needed. To compensate for possible soft defects, application proposed. question arisen whether use will give than CTG. Furthermore, both augmentation therapies accompanied by performing therapy all? Therefore, 5‐year study carried out which frontal region upper jaw removal restoring gap sealing mucosagraft from tuberosity region. months thereafter, 20 therapy. After years, it appeared that there difference between 3 procedures. Thus, combined ridges outcome.

Язык: Английский

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Positional Accuracy of Dental Implants Placed by Means of Fully Guided Technique in Partially Edentulous Patients: A Retrospective Study

Clinical and Experimental Dental Research, Год журнала: 2025, Номер 11(3)

Опубликована: Май 19, 2025

ABSTRACT Objectives Computer‐aided implant surgery (CAIS) is a fully digital approach that guides the biological and prosthetic ideal position. The aim of this retrospective clinical study was to assess accuracy position using CAIS outcomes, in partially edentulous patients. Material Methods This designed as study. Twenty‐one patients requiring maximum two implants were recruited from 2023 2024 at University Naples Federico II. For all patients, 3D cone‐beam computed tomography (CBCT) intraoral scans obtained superimposed by matching resulting DICOM STL data files software create tooth‐supported surgical guide. All placed guided protocol. technique measured deviation between actual (mesio‐distal deviation, depth error, axis deviation) postoperative CBCT preoperative planned Clinical outcomes assessed included complications, failures, esthetic patient satisfaction. Descriptive analysis performed mean standard deviation. Results A total 37 analyzed. results follows: 0.43 ± 0.20 mm mesio‐distal linear shoulder, 0.24 0.07 1.46° 0.31° At 6 months, healing uneventful for with no complications or failures reported. Patients implant‐supported restorations expressed high levels functional Conclusions achieved clinically acceptable positioning dental

Язык: Английский

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Endodontic and dental implant treatment: key considerations and comparisons

BDJ, Год журнала: 2025, Номер 238(10), С. 779 - 791

Опубликована: Май 23, 2025

Язык: 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, Год журнала: 2024, Номер 54(5), С. 295 - 295

Опубликована: Янв. 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

Язык: Английский

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

Journal of Clinical Medicine, Год журнала: 2024, Номер 13(12), С. 3501 - 3501

Опубликована: Июнь 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

Язык: Английский

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

Опубликована: Янв. 31, 2024

The present review compared the efficacy of soft tissue substitutes (STS) and autogenous free gingival graft (FGG) or connective (CTG) in mucogingival procedures to increase keratinized (KT) width around teeth implants. Two independent examiners performed electronic search on Medline Cochrane Library based following PICO’s format: (P) adult patients; (I) FGG/CTG; (C) STS vs CTG; FGG; CTR; (O) KT gain; (S) Systematic Reviews, Randomized Controlled Trials. Results showed that teeth, all biomaterials superior performance CAF alone for treating recessions. However, when CTG, ADM yields most similar outcomes gold standard (CTG), even though multiple recessions CTG still continue be considered favorable approach. Use STSs (acellular matrix engineered) combination with an apically positioned flap resulted a significantly less gain KTW what achieved FGG APF. Around dental implants, grafts were deemed more effective than enhancing mucosa width.

Язык: Английский

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Technical Note on Simplified Free Gingival Graft Using Tack Fixation (sFGG)

Medicina, Год журнала: 2023, Номер 59(12), С. 2062 - 2062

Опубликована: Ноя. 22, 2023

Free gingival graft (FGG) is the gold standard procedure for reliable augmentation of lost keratinized mucosa (KM) around dental implants. This conventional surgical approach has its drawbacks, including limitations in manipulation, requirement suturing, postoperative discomfort, and pain. case report aimed to evaluate efficacy a simplified free (sFGG) addressing issue inadequate Fixation tacks were used perform sFGG procedure. Initially, partial-thickness flap was created apically repositioned. The harvested from palate with narrow profile securely affixed recipient site using 5 mm long fixation tacks. Significant gains achieved successfully maintained within 1 year. Consequently, technique emerges as simple treatment managing

Язык: Английский

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Management of an Implant-Supported Fixed Partial Denture in the Esthetic Zone in a Patient With a Very Limited Mouth Opening: A Case Report

Cureus, Год журнала: 2024, Номер unknown

Опубликована: Март 28, 2024

In the maxillary anterior area, esthetic integration of prosthetic restorations is a challenge, particularly for screw-retained implant prostheses. This case report presents management and clinical outcome an old partial edentulous jaw in zone young patient with very limited mouth opening. was rehabilitated fixed denture (FPD) using both digital conventional techniques.

Язык: Английский

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