Doppler ultrasonographic evaluation of tissue revascularization following connective tissue graft at implant sites

Journal Of Clinical Periodontology, Год журнала: 2023, Номер unknown

Опубликована: Окт. 20, 2023

Abstract Aim To assess the Doppler ultrasonographic tissue perfusion at dental implant sites augmented with connective graft (CTG) using coronally advanced flap (CAF) or tunnel technique (TUN). Materials and Methods Twenty‐eight patients presenting isolated healthy peri‐implant soft‐tissue dehiscence (PSTD) were included in this randomized clinical trial. PSTDs treated either CAF + CTG TUN CTG. Ultrasound scans taken baseline, 1 week, month, 6 months 12 months. Tissue mid‐facial, mesial distal aspects of was assessed by colour velocity (CDV) power imaging (PDI). Early vascularization week month evaluated via dynamic measurements (DTPMs), including flow intensity (FI), mean relief (pRI) perfused area (pA). Results Regression analysis did not reveal significant differences terms mid‐facial CDV PDI changes between over ( p > .05), while two groups observed interproximal areas < .001 for both changes). Higher early DTPMs TUN‐treated FI = .027) .024) pRI .031) compared CAF‐treated week. Assessment direction showed that mainly occurred from towards implant/bone. outcomes found to be associated 12‐month PSTD coverage mucosal thickness gain. Conclusions ultrasonography shows occurring The main sites, volumetric

Язык: Английский

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The Bio‐Restorative Concept for Implant‐Supported Restorations

Journal of Esthetic and Restorative Dentistry, Год журнала: 2024, Номер unknown

Опубликована: Авг. 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.

Язык: Английский

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Risk indicators for gingival recession in the esthetic zone: A cross‐sectional clinical, tomographic, and ultrasonographic study

Journal of Periodontology, Год журнала: 2024, Номер 95(5), С. 432 - 443

Опубликована: Янв. 9, 2024

Abstract Background To evaluate the risk indicators associated with midfacial gingival recessions (GR) in natural dentition esthetic regions. Methods Cone‐beam computed tomography (CBCT) results of thirty‐seven subjects presenting 268 eligible teeth were included cross‐sectional study. Clinical measurements presence/absence GR; depth midfacial, mesial, and distal recession; recession type (RT); keratinized tissue width (KT); attached gingiva (AG). Questionnaires utilized to capture patient‐reported esthetics dental hypersensitivity for each study tooth. Buccal bone dehiscence (cBBD) buccal thickness (cBBT) measured on CBCT scans. High‐frequency ultrasonography was performed assess (GT) (uBBD). Intraoral optical scanning obtained quantify buccolingual position site (3D profile analysis). Multilevel logistic regression analyses generalized estimation equations factors conditions interest. Results The presence GR significantly history periodontal treatment pocket reduction (OR 7.99, p = 0.006), KT 0.62, < 0.001), cBBD 2.30, 0.015), GT 1.5 mm from margin 0.18, 0.04) 3D 1 1.04, 0.001). correlated previous 0.96, −0.18, fenestration 0.24, 0.044), 0.43, also only factor −3.38, 0.022), while 0.77, 0.018) AG 0.82, 0.047) hypersensitivity. Conclusions Several interproximal region identified. use imaging technologies allowed detection parameters interest, and, therefore, their incorporation future clinical studies is advocated. Ultrasonography could be preferred over a noninvasive assessment phenotype.

Язык: Английский

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Echo‐intensity characterization at implant sites and novel diagnostic ultrasonographic markers for peri‐implantitis

Journal Of Clinical Periodontology, Год журнала: 2024, Номер unknown

Опубликована: Апрель 1, 2024

Abstract Aim To apply high‐frequency ultrasound (HFUS) echo intensity for characterizing peri‐implant tissues at healthy and diseased sites to investigate the possible ultrasonographic markers of health versus disease. Materials Methods Sixty patients presenting 60 implants diagnosed as ( N = 30) peri‐implantitis were assessed with HFUS. HFUS scans imported into a software where first‐order greyscale outcomes [i.e., mean (EI)] second‐order assessed. Other interest involved vertical extension hypoechoic supracrestal area (HSA), soft‐tissue (STA) buccal bone dehiscence (BBD), among others. Results EI values obtained from soft tissue 122.9 ± 19.7 107.9 24.7 grey levels (GL); p .02, respectively. All showed appearance an HSA that was not present in (area under curve 1). The proportion HSA/STA 37.9% 14.8%. Regression analysis significantly different between (odds ratio 0.97 [95% confidence interval: 0.94–0.99], .019). Conclusions characterization shows significant difference sites. presence/absence may be valid diagnostic discriminate status.

Язык: Английский

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Therapeutic effectiveness of keratinized mucosa augmentation for functioning dental implants: A systematic review and meta-analysis

Journal of Prosthodontic Research, Год журнала: 2024, Номер unknown

Опубликована: Янв. 1, 2024

This study aimed to provide the latest updates on therapeutic effectiveness of keratinized mucosa (KM) augmentation using autogenous soft tissue grafts for dental implants retaining prostheses.

Язык: Английский

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Soft tissue elasticity at teeth and implant sites. A novel outcome measure of the soft tissue phenotype

Journal of Periodontal Research, Год журнала: 2024, Номер unknown

Опубликована: Июнь 5, 2024

To assess ultrasonographic tissue elasticity at teeth and implant sites its variation after peri-implant soft augmentation with a connective graft (CTG).

Язык: Английский

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Double‐vestibular incision subperiosteal tunnel access (double‐VISTA) with connective tissue graft for treating multiple gingival recessions: 2‐year follow‐up

Clinical Advances in Periodontics, Год журнала: 2025, Номер unknown

Опубликована: Янв. 15, 2025

Gingival recession has a multifactorial etiology, involving various predisposing and precipitating factors. Non-carious cervical lesions (NCCLs) are often associated with gingival pose challenges due to their complex pathodynamics. There is limited evidence regarding tunnel-based procedures combined connective tissue grafts (CTGs) for treating recession-associated NCCLs. This case study illustrates periodontal-restorative approach addressing multiple adjacent A healthy, non-smoking 55-year-old Asian male presented generalized mucogingival conditions, including recessions lack of keratinized on the facial aspect maxillary right first molar through left molar, accompanied by physiological pigmentation. The were classified as Cairo RT I. NCCLs evident in all six anterior teeth. After restoring maximum root coverage (MRC) level composite resin, patient underwent procedure via double-vestibular incision subperiosteal tunnel access (double-VISTA) autogenous CTG defects. Due availability, side was treated first, followed 3 months later. Post-surgical healing uneventful, except mild swelling 5 days, which subsided within week. 12 months, teeth exhibited complete predetermined MRC level, thick phenotype. At 2-year follow-up, maintained stable outcome harmonious margins. demonstrates that double-VISTA technique promising achieving at sites where predetermined. introduces modified vestibular (VISTA) technique, termed double-VISTA, employs two distant incisions enhance instrumentation recipient site preparation treatment detailed this study, demonstrating step-by-step process managing non-carious using outcome. advantages disadvantages further discussed study. Limitations include shallow depth close proximity mental nerve, necessitating careful attention during under these conditions. recession, gums recede expose tooth roots, can result from causes. Non-cavity necks condition challenging treat. Limited exists presents method treat healthy man gum his upper pigmented gums. had non-cavity front Initially, exposed covered surgical CTGs address recession. graft then experienced resolved showed thickened gums, results remained even margins check-up. suggests shows coverage, offering viable option dental

Язык: Английский

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Tissue Perfusion and Biomarkers Assessment Following Root Coverage Procedures

Journal of Periodontal Research, Год журнала: 2025, Номер unknown

Опубликована: Янв. 22, 2025

ABSTRACT Aim To assess tissue perfusion changes and wound healing biomarker levels after root coverage procedures with coronally advanced flap in combination the cross‐linked xenogeneic collagen matrix (CCMX), loaded either a placebo or recombinant human platelet‐derived growth factor‐BB (rhPDGF). Methods This study was designed as secondary analysis from previously published clinical trial, it assessed over 6 months around multiple gingival recession defects, treated CCMX alone (control) + rhPDGF (test). High frequency Doppler ultrasonography (HFUS) scans were obtained at sites of interest baseline, 2 weeks, 3 months, surgery. Dynamic measurements (DTPMs) performed midfacial, interproximal, transverse aspects teeth by an operator, blinded to treatment allocation, using software package. The expression different biomarkers crevicular fluid also assessed. Results regression analyses showed similar between two groups throughout majority months. DTPMs weeks test group have significantly higher relief intensity (pRI, p < 0.001), mean perfused area (pA, blood flow (FI , = 0.021), total tot 0.021) graft region (ROI) compared control sites. exhibited greater pA ( 0.033) “blue” blue meaning away transducer, 0.035) level At FI directly correlated final 0.008) complete 0.003). direct correlation volume gain 0.031 for both parameters). GT early (pA ) flap. expressions IL‐1β, PDFG‐BB, VEGF 1‐week PDGF‐BB that associated time recovery. Conclusions HFUS allowed exquisite assessment occurring entire surgical reconstructive regions within graft. Sites DTPMs, primarily ROIs 2‐week timepoint augmented saline. Early associations PROMs outcomes. Trial Registration: ClinicalTrials.gov : NCT04462237

Язык: Английский

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The Modified Coronally Advanced Tunnel Technique for Coverage of Mucosal Recessions at Dental Implants

Journal of Esthetic and Restorative Dentistry, Год журнала: 2025, Номер unknown

Опубликована: Янв. 31, 2025

To clinically evaluate the outcomes following surgical coverage of single peri-implant mucosal recessions in aesthetic maxillary area by means modified coronally advanced tunnel (MCAT) and subepithelial connective tissue graft (SCTG). Eleven systemically healthy non-smoking patients (8 females) each presenting a recession anterior region were consecutively treated with MCAT conjunction SCTG. In all cases, facial was associated an impaired appearance. Before reconstructive surgery at 12 months postoperatively, clinical parameters assessed. The primary outcome variable mean (MRC). Healing uneventful cases. At months, statistically significant (p < 0.05) (MRC 94.71%) improvement aesthetics (pink score) obtained implants. Complete RC 10 out 11 (90.9%). treatment gain keratinized attached mucosa 0.05). present results demonstrate that can be successfully

Язык: Английский

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From tradition to innovation: a bibliometric analysis of the evolution of periodontal plastic surgery

Journal of Periodontal & Implant Science, Год журнала: 2025, Номер 55

Опубликована: Янв. 1, 2025

The aim of this study was to conduct a bibliometric analysis the periodontal plastic surgery literature identify trends, research gaps, and key themes within field establish perspective on documented research. This examined outputs mucogingival indexed in Web Science database from 1990 2023. Mapping Analysis Tool (SciMAT) software used visualize predict trends topic. An publication distribution by year revealed decline number publications between 1984 1995, followed an overall upward trend after 1996 despite occasional decreases. United States contributed most with 593 publications, Wang HL (n=74) prolific author. frequently keyword "gingival recession" (n=625). Overall, received 44,859 citations, averaging 25.49 citations per publication. Researchers have made significant efforts improve clinical practices procedures surgery, resulting increase studies over recent years. By analyzing thematic maps clusters-using indicators such as frequency, centrality-researchers can strengths, weaknesses, gaps current

Язык: Английский

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