Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 37
Filter
1.
Article in English | MEDLINE | ID: mdl-37471155

ABSTRACT

Following implant placement, at healing abutment connection, a soft tissue barrier defined peri-implant mucosa will form. The dimension of this anatomical structure seems to play a key role in maintaining long- term peri-implant and marginal bone level stability. In its early stages, soft tissue healing is a process involving many cellular and molecular events. Enamel Matrix Derivative (EMD) may improve and fasten soft tissue wound healing and inflammatory resolution. In the present split-mouth randomized clinical trial, EMD was used to influence the early phase of soft tissue healing around dental implants placed with a single-stage approach into a completely healed ridge. A total of sixty implants were inserted in thirty patients. In the test group, EMD was administered around the healing abutment before soft tissues were sutured. Soft tissue healing index (HI), together with secondary endpoints (clinical, radiographic and PROMs), was measured. Better outcomes were recorded in patients receiving EMD when considering all parameters. Data here presented supports the use of EMD improve and accelerate soft tissue wound healing around implants.

2.
Bioengineering (Basel) ; 10(6)2023 Jun 07.
Article in English | MEDLINE | ID: mdl-37370626

ABSTRACT

In stage IV periodontitis patients with pathologic tooth migration (PTM), interdisciplinary treatment includes regenerative periodontal surgery (RPS) with an application of biomaterials and orthodontic therapy (OT) to restore function, esthetics and thereby quality of life (QoL). In a 24-month randomized trial we explored the synergy between regenerative medicine and biomechanical force application. The following methods were used: Forty-three patients had been randomized to a combined treatment comprising RPS and subsequent OT starting either 4 weeks (early OT) or 6 months (late OT) post-operatively. Clinical periodontal parameters and oral health-related QoL (GOHAI) were recorded up to 24 months. We obtained the following results: Mean clinical attachment gain (∆CAL ± SD) was significantly higher with early OT (5.96 ± 2.1 mm) versus late OT (4.65 ± 1.76 mm) (p = 0.034). Pocket closure (PPD ≤ 4 mm) was obtained in 91% of defects with early OT compared to 90% with late OT. GOHAI-scores decreased significantly from 26.1 ± 7.5 to 9.6 ± 4.7 (early OT) and 25.1 ± 7.1 to 12.7 ± 5.6 (late OT). Inconclusion, teeth severely compromised by intrabony defects and PTM can be treated successfully by RPS followed by early OT with the advantage of an overall reduced treatment time. As a result of the combined periodontal-orthodontic therapy, the oral health-related QoL of patients was significantly improved. Early stimulation of wound healing with orthodontic forces had a favorable impact on the outcomes of regenerative periodontal surgery.

3.
Article in English | MEDLINE | ID: mdl-36044694

ABSTRACT

A fully tapered implant was recently introduced to increase primary stability and to be used in challenging situations. Twenty single implants were inserted in maxillary postextraction sockets, from premolar to premolar, and immediately restored. Marginal bone level (MBL) and probing depth (PD) were evaluated over a 12-month follow-up period. All implants osseointegrated, achieving a success rate of 100%. The difference in MBL between implant placement and 1 year later was 0.20 ± 0.04 mm, while PD was 2.82 ± 0.51 mm at 1 year. The data reported here support the use of a fully tapered implant for immediate placement and immediate provisionalization for single-tooth replacements in the esthetic area.


Subject(s)
Dental Implants, Single-Tooth , Dental Implants , Immediate Dental Implant Loading , Esthetics, Dental , Follow-Up Studies , Humans , Maxilla/diagnostic imaging , Maxilla/surgery , Tooth Socket/diagnostic imaging , Tooth Socket/surgery , Treatment Outcome
4.
Article in English | MEDLINE | ID: mdl-35830312

ABSTRACT

This study evaluated the radiographic alterations that occur in immediate postextraction implants and in delayed implants inserted in a preserved ridge. In group A, an implant was placed immediately after tooth extraction, grafting the bone-to-implant gap. In group B, alveolar ridge preservation was performed after tooth extraction, and delayed implant placement was performed 4 months later. The final follow-up was 1 year after prosthetic loading in both groups. The marginal bone level (MBL) was measured at implant insertion (T1), at loading (T2), and at the final follow-up, 12 months after prosthetic loading (T3). At tooth extraction (T0) and T3, the horizontal ridge width (HW) was measured on CBCT scans at three different levels. No statistically significant differences in MBL or HW were found between the two study groups. The outcomes suggest that it is possible to maintain MBL and alveolar bone volumes regardless of whether the procedure is performed through immediate postextraction implant placement or through delayed implant placement in a preserved ridge.


Subject(s)
Alveolar Bone Loss , Dental Implants, Single-Tooth , Dental Implants , Alveolar Bone Loss/diagnostic imaging , Alveolar Bone Loss/prevention & control , Alveolar Process/diagnostic imaging , Alveolar Process/surgery , Dental Implantation, Endosseous/methods , Humans , Tooth Extraction/methods , Tooth Socket/diagnostic imaging , Tooth Socket/surgery , Treatment Outcome
5.
Article in English | MEDLINE | ID: mdl-35353088

ABSTRACT

Soft tissue changes were evaluated over a period of 1 year in 48 patients who required extraction of a single tooth in the anterior maxillary arch (premolar to premolar) and its replacement with an implant. The patients were randomly divided into two groups: In group A, an immediate postextraction implant was placed, and the bone-to-implant gap was filled with bovine bone mineral; in group B, the alveolar ridge preservation technique was performed after extraction, and the implant was placed 4 months later. On the day of tooth extraction (T0) and 1 year after tooth extraction (T1), the soft tissue horizontal width, mesial and distal papillary levels, midfacial gingival level, and Pink Esthetic Score were evaluated in both groups. No significant differences were observed between the groups in any of the considered parameters. Statistically significant differences were found in the soft tissue horizontal width between T0 and T1. The clinical results of the two procedures were similar and comparable over time. When evaluating the stability of the soft tissue contour, and considering the specific indications of the two techniques, it is possible to choose either an immediate implant or an alveolar ridge preservation technique with staged placement.


Subject(s)
Dental Implants, Single-Tooth , Dental Implants , Alveolar Process/surgery , Animals , Cattle , Esthetics, Dental , Humans , Tooth Socket/surgery
6.
Article in English | MEDLINE | ID: mdl-34547069

ABSTRACT

Ten patients with a diagnosis of generalized chronic periodontitis underwent nonsurgical periodontal therapy performed with the exclusive use of ultrasonic instrumentation and air polishing with erythritol powder. For each patient, four pockets with probing depths (PDs) of 4 to 10 mm were selected as experimental sites, and air polishing was performed either before (Group A) or after (Group B) ultrasonic scaling. PDs and clinical attachment levels significantly improved over a 12-month observation period. No significant difference was observed between the use of air polishing before or after ultrasonic instrumentation. The present clinical protocols could represent a suitable treatment for cause-related periodontal therapy.


Subject(s)
Erythritol , Ultrasonics , Adult , Debridement , Dental Scaling , Humans , Infection Control , Periodontal Debridement , Periodontal Pocket/therapy , Powders
7.
Article in English | MEDLINE | ID: mdl-34328473

ABSTRACT

The purpose of this randomized clinical study was to evaluate the efficacy of platform-switching (PS) vs platform-matching (PM) implants when paired with a newly designed marginless abutment (MA) vs a conventional abutment (CA) in maintaining peri-implant tissue stability. Marginal bone level (MBL) and probing depth were measured up to 1 year postloading. Eighty implants were inserted in 42 patients and randomly assigned to one of four groups, each with a different implant/abutment configuration: Group 1 (PM+CA), Group 2 (PM+MA), Group 3 (PS+CA), and Group 4 (PS+MA). Data were collected at implant placement (T0), abutment placement (T1), final crown placement (T2), and 1 year postloading (T3). At the 1-year follow-up, MBL was more stable in Groups 3 and 4 compared to Groups 1 and 2. These results suggest that the role played by the implant-abutment connection (PS vs PM) is more important than the type of abutment preparation (MA vs CA).


Subject(s)
Alveolar Bone Loss , Dental Implants , Alveolar Bone Loss/diagnostic imaging , Crowns , Dental Implant-Abutment Design , Dental Implantation, Endosseous , Humans
8.
J Clin Periodontol ; 48(10): 1282-1292, 2021 10.
Article in English | MEDLINE | ID: mdl-34312872

ABSTRACT

AIM: To compare the outcomes after early (4 weeks post surgery) or late (6 months post surgery) orthodontic therapy (OT) following regenerative surgery of intra-bony defects (IDs). MATERIALS AND METHODS: In a multi-center, parallel-group, randomized clinical trial, 43 patients with stage IV periodontitis were randomized to receive either early (n = 23) or late OT (n = 20) following regenerative surgery of IDs. Primary outcome was change in clinical attachment level (CAL) in one target ID at 12 months after surgery. Secondary outcomes were changes of probing pocket depth (PPD), bleeding on probing (BOP), and frequency of pocket closure. RESULTS: No statistically significant differences between groups could be observed for CAL gain (5.4 mm [±2.1 mm] for early; 4.5 mm [±1.7 mm] for late OT). PPD was reduced by 4.2 mm (±1.9 mm) in the early group and by 3.9 mm (±1.5 mm) in the late group (p > .05). Pocket closure (PPD ≤ 4 mm) was obtained in 91% of defects in early compared to 85% in late OT. CONCLUSION: In the inter-disciplinary treatment of periodontitis stage IV, OT can be initiated already 4 weeks after regenerative surgery of IDs with favourable results, thus reducing the overall treatment time.


Subject(s)
Periodontitis , Follow-Up Studies , Guided Tissue Regeneration, Periodontal , Humans , Periodontal Attachment Loss/surgery , Periodontal Pocket/surgery , Periodontitis/surgery , Treatment Outcome
9.
Article in English | MEDLINE | ID: mdl-33819328

ABSTRACT

A postextraction socket is always open to different treatment possibilities. A straightforward clinical classification may help evaluate which surgical approach is best suited for the case being treated. Four different classes are defined on the basis of the local anatomy of the site, available bone volume, and soft tissue level. For every clinical situation, either immediate placement, early placement, alveolar ridge preservation, or staged approach can be selected as a treatment modality according to the classifications listed.


Subject(s)
Alveolar Bone Loss , Alveolar Ridge Augmentation , Alveolar Process/surgery , Dental Care , Humans , Tooth Extraction , Tooth Socket/diagnostic imaging , Tooth Socket/surgery
10.
Oral Health Prev Dent ; 18(1): 363-371, 2020 Apr 01.
Article in English | MEDLINE | ID: mdl-32618459

ABSTRACT

PURPOSE: No information is available on the perception of the quality of care in patients treated for periodontitis. The purpose of this article was to assess how periodontitis-affected patients perceive the quality of periodontal treatment (PT) and to measure the factors which may influence it. MATERIALS AND METHODS: 306 subjects who completed PT were invited to participate. Questionnaires and visual analogic scales (VAS) evaluating perception of quality of care, symptoms, and oral health related quality of life (OHRQoL) were handed out. Oral and periodontal indicators were collected before and after treatment. The impact of different factors on perception of quality was assessed with a regression model. RESULTS: Quality evaluation was high yet unrelated for both patients and clinicians (p = 0.983). Quality was negatively influenced by the number of residual oral infections (p < 0.001), patient's age (p = 0.07) and presence of residual pain at completion of PT (p = 0.02). Professionalism, kindness of the staff and communication skills were the characteristics mostly appreciated. The OHRQoL was influenced by the number of residual teeth (p < 0.001), increasing age of patients (p = 0.08), number of residual infections (p < 0.01) and pain (p = 0.04). CONCLUSIONS: Patients' quality perception appeared to be influenced by clinical and emotional aspects. Oral care providers should be aware of the impact of non-clinical factors in patients' appreciation of quality of treatment.


Subject(s)
Oral Health , Periodontitis , Dental Care , Humans , Quality of Life , Surveys and Questionnaires
11.
Article in English | MEDLINE | ID: mdl-31613939

ABSTRACT

Soft tissue contour changes were evaluated in 20 patients who underwent immediate implant placement with provisional restoration. The bone-to-implant gap was accurately grafted with xenograft prior to implant placement, and enamel matrix derivative was applied prior to delivery of an immediate screw-retained restoration. No significant differences were observed between baseline and 1 year after implant placement in soft tissue contour measurements and the Pink Esthetic Score. Furthermore, no differences were observed between thin or thick biotypes. It was shown that the use of immediate single-tooth implants with immediate restoration resulted in the maintenance of the soft tissue contour and esthetics when compared to pretreatment independently from the soft tissue phenotype.


Subject(s)
Dental Implants, Single-Tooth , Immediate Dental Implant Loading , Dental Care , Dental Implantation, Endosseous , Esthetics, Dental , Humans , Tooth Extraction , Treatment Outcome
12.
Article in English | MEDLINE | ID: mdl-31449572

ABSTRACT

Immediate implant placement may represent a possible treatment plan for single tooth restoration. This study evaluated the insertion of osseointegrated implants in intact fresh extraction sockets in the anterior maxilla. The bone-to-implant gap was accurately grafted with a bovine bone mineral prior to implant engagement, and an immediate screw-retained restoration was delivered. After 3 months, the provisional crown was replaced with the definitive ceramic crown. Marginal bone levels remained stable after 1 year. The horizontal ridge dimension was also evaluated at three levels using CBCT scans after 1 year. The horizontal width of the postextraction crest was well preserved independently from the thickness of the buccal bone plate at baseline.


Subject(s)
Dental Implants, Single-Tooth , Immediate Dental Implant Loading , Animals , Cattle , Humans , Maxilla , Tooth Extraction , Tooth Socket
13.
Article in English | MEDLINE | ID: mdl-30794251

ABSTRACT

This case report aims to demonstrate the regenerative potential of particles obtained from a crushed extracted tooth. Following tooth removal, the clean root was ground and the dentin and cementum granules were grafted into a fresh extraction socket for a ridge preservation procedure. After 24 weeks, a successful implant placement was allowed. Tissue healing was evaluated by histologic and radiologic analysis. The volume of the ridge was preserved. Histologically, a dentin-bone complex was reported. New bone formation was evident, with an intimate contact between bone and both dentin/cementum. This novel procedure suggests the use of tooth particles as graft material.


Subject(s)
Alveolar Process/growth & development , Alveolar Ridge Augmentation/methods , Biocompatible Materials/therapeutic use , Osteogenesis , Tooth Extraction , Adult , Alveolar Process/diagnostic imaging , Alveolar Process/pathology , Bicuspid , Female , Humans , Radiography, Dental
14.
Int J Periodontics Restorative Dent ; 38(Suppl): s29-s35, 2018.
Article in English | MEDLINE | ID: mdl-30118530

ABSTRACT

Alveolar ridge preservation is of great importance for successful implant therapy. This study investigated the effects of a xenogeneic tridimensional collagen matrix (CM) in conjunction with deproteinized bovine bone mineral blended with 10% collagen (DBBM-C) on the healing of 12 intact extraction sockets in the esthetic area. Cone beam computed tomograpy examinations revealed nearly stable alveolar ridge dimensions (> 90% of the ridge horizontal dimension was preserved). New bone formation of approximately 45% and adequate resorption of the grafted material were histologically observed. Thus, application of CM together with DBBM-C using minimally invasive flapless approach can preserve the original ridge volume and support bone formation, contributing to adequate bone volume for implant insertion.


Subject(s)
Alveolar Ridge Augmentation/methods , Bone Substitutes/therapeutic use , Collagen/therapeutic use , Minerals/therapeutic use , Alveolar Process/diagnostic imaging , Alveolar Process/pathology , Animals , Cattle , Cone-Beam Computed Tomography , Esthetics, Dental , Female , Humans , Male , Middle Aged , Osteogenesis , Pilot Projects
15.
Eur J Oral Implantol ; 11(1): 77-87, 2018.
Article in English | MEDLINE | ID: mdl-29557402

ABSTRACT

PURPOSE: To evaluate whether there are aesthetic and clinical benefits to using a newly designed abutment (Curvomax), over a conventional control abutment (GingiHue). MATERIALS AND METHODS: A total of 49 patients, who required at least two implants, had two sites randomised according to a split-mouth design to receive one abutment of each type at seven different centres. The time of loading (immediate, early or delayed) and of prosthesis (provisional crowns of fixed prosthesis) was decided by the clinicians, but they had to restore both implants in a similar way. Provisional prostheses were replaced by definitive ones 3 months after initial loading, when the follow-up for the initial part of this study was completed. Outcome measures were: prosthesis failures, implant failures, complications, pink esthetic score (PES), peri-implant marginal bone level changes, and patient preference. RESULTS: In total, 49 Curvomax and 49 GingiHue abutments were delivered. Two patients dropped out. No implant failure, prosthesis failure or complication was reported. There were no differences at 3 months post-loading for PES (difference = -0.15, 95% CI -0.55 to 0.25; P (paired t test) = 0.443) and marginal bone level changes (difference = -0.02 mm, 95% CI -0.20 to 0.16; P (paired t test) = 0.817). The majority of the patients (30) had no preference regarding the two abutment designs; 11 patients preferred the Curvomax, while five patients preferred the GingiHue abutments (P (McNemar test) = 0.210). CONCLUSIONS: The preliminary results of the comparison between two different abutment designs did not disclose any statistically significant differences between the evaluated abutments. However the large number of missing radiographs and clinical pictures casts doubt on the reliability of the results. Longer follow-ups of wider patient populations are needed to better understand whether there is an effective advantage with one of the two abutment designs.


Subject(s)
Dental Implant-Abutment Design , Dental Implantation, Endosseous/methods , Esthetics, Dental , Adult , Aged , Aged, 80 and over , Dental Prosthesis Design , Female , Humans , Immediate Dental Implant Loading , Jaw, Edentulous, Partially/rehabilitation , Male , Middle Aged , Treatment Outcome
16.
Quintessence Int ; 47(4): 293-6, 2016 Apr.
Article in English | MEDLINE | ID: mdl-26574612

ABSTRACT

Air polishing was introduced as an alternative approach for the supra- and submucosal biofilm management at dental implants. An international expert meeting involving competent clinicians and researchers took place during the EUROPERIO 8 conference in London, UK, on 4 June 2015. Prior to this meeting a comprehensive systematic review dealing with the efficacy of air polishing in the treatment of peri-implant mucositis and peri-implantitis was prepared and served as a basis for the group discussions. This paper summarizes the consensus statements and practical recommendations on the clinical application of air polishing for the management of peri-implant mucositis and peri-implantitis.


Subject(s)
Air Abrasion, Dental , Dental Implants/adverse effects , Glycine/therapeutic use , Mucositis/therapy , Peri-Implantitis/therapy , Biofilms , Humans , Powders , Treatment Outcome
17.
Article in English | MEDLINE | ID: mdl-26357697

ABSTRACT

Forty-eight single dental implants were inserted 4 months after tooth extraction following ridge preservation (RP; n = 24) or spontaneous healing (EXT; n = 24). During surgery, 1 (7%) of 24 implants in the RP group and 14 (58%) of 24 in the EXT group required additional bone grafting, and the implant stability quotient value was similar in the two groups. The survival rate of the implants in both groups was 100% at the 1-year follow-up. The success rate was 95.83% in the RP group and 91.66% in the EXT group. No statistically significant differences in the marginal bone level were detected between the two groups. Similar outcomes of implants inserted in preserved or spontaneously healed ridges can be anticipated, but the use of an RP procedure reduces the need for further bone augmentation.


Subject(s)
Alveolar Ridge Augmentation/methods , Dental Implantation, Endosseous , Dental Implants, Single-Tooth , Tooth Socket/surgery , Bone Transplantation , Collagen/therapeutic use , Crowns , Dental Prosthesis, Implant-Supported , Female , Humans , Italy , Male , Middle Aged , Minerals/therapeutic use , Reoperation , Surgical Wound Dehiscence/surgery , Tooth Extraction , Treatment Outcome , Wound Healing
18.
Article in English | MEDLINE | ID: mdl-25738339

ABSTRACT

In the maxillary arch from premolar to premolar, 26 single dental implants were inserted in fresh extraction sockets and immediately provisionalized. The bone-to-implant gap was grafted with a bovine bone mineral. After 3 months, definitive ceramic crowns were placed. At baseline and after 1 year, the soft tissue horizontal width, mesiodistal papillary level, midfacial gingival level, and pink esthetic score were evaluated. No statistical differences were found between baseline and 1 year for all parameters. Immediate single-tooth implants, with immediate restoration, are capable of maintaining the soft tissue contour and esthetics compared to the pretreatment status.


Subject(s)
Dental Implants, Single-Tooth , Immediate Dental Implant Loading , Tooth Extraction , Adult , Animals , Cattle , Esthetics, Dental , Female , Humans , Male , Middle Aged , Prospective Studies
19.
Article in English | MEDLINE | ID: mdl-25171033

ABSTRACT

In 52 patients, single anterior teeth were extracted and replaced by immediate implants. The peri-implant gap was left either untreated (control) or was grafted and covered with a membrane (test group). After 12 months the horizontal bone resorption was significantly lower in the test group (test sites: 0.69 ± 0.68 mm, 8.13%; control sites: 1.92 ± 1.02 mm, 21.62%; P = .001), and there was less reduction in ridge height (test sites: 0.58 ± 0.77 mm; control sites: 1.69 ± 1.74 mm;P = .004). Ridge preservation considerably limited the amount of horizontal and vertical soft tissue alterations when compared with implant placement alone.


Subject(s)
Connective Tissue/pathology , Immediate Dental Implant Loading , Dental Implants, Single-Tooth , Humans
20.
Int J Periodontics Restorative Dent ; 34 Suppl 3: s97-102, 2014.
Article in English | MEDLINE | ID: mdl-24956099

ABSTRACT

Multiple adjacent recession defects were treated in 32 patients using a coronally advanced flap (CAF) with or without a collagen matrix (CM). The percentage of root coverage was 81.49% ± 23.45% (58% complete root coverage) for CAF sites (control) and 93.25% ± 10.01% root coverage (72% complete root coverage) for CM plus CAF sites (test). The results achieved in the test group were significantly greater than in the control group, indicating that CM plus CAF is a suitable option for the treatment of multiple adjacent gingival recessions.


Subject(s)
Collagen/metabolism , Gingival Recession/surgery , Surgical Flaps , Adult , Female , Gingival Recession/metabolism , Humans , Male , Middle Aged
SELECTION OF CITATIONS
SEARCH DETAIL
...