Clinical and Experimental Dental Research,
Год журнала:
2024,
Номер
10(6)
Опубликована: Ноя. 4, 2024
ABSTRACT
Objectives
The
aim
of
this
systematic
review
was
to
assess
the
effectiveness
available
techniques
for
management
peri‐implant
soft
tissue
defects
around
single
implants
in
anterior
region.
Material
and
Methods
A
comprehensive
search
conducted
PubMed
(MEDLINE),
Web
Science
(all
databases),
Cochrane,
using
keywords
MeSH
terms
related
topic.
This
included
prospective
interventional
studies
with
a
minimum
10
patients
at
least
6
months
follow‐up.
Results
total
13
articles
were
included,
eight
focusing
on
outcomes
buccal
dehiscence
coverage
procedures
remaining
five
investigating
interventions
aimed
augmenting
thickness.
Coronally
advanced
flap
combination
connective
graft
most
effective
technique
medium
long
term.
In
increasing
thickness,
both
acellular
dermal
matrix
demonstrated
satisfactory
short‐term
outcomes;
however,
their
long‐term
efficacy
remains
unclear.
Conclusions
Soft
augmentation
resulted
outcomes,
thickness
increase,
esthetic
area.
Peri‐implant
plastic
surgery
has
improved
appearance
quality
life
patients.
PROSPERO
Registration
Code
CRD42023398424
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
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.
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.
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.
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.
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).
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
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
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
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