scholarly journals Aesthetic Outcomes of Early Occlusal Loaded SLA Dental Implants with Hydroxyl Ion Modified Surface—A 12 Months Prospective Study

Materials ◽  
2021 ◽  
Vol 14 (21) ◽  
pp. 6353
Author(s):  
Maciej Krawiec ◽  
Jakub Hadzik ◽  
Cyprian Olchowy ◽  
Marzena Dominiak ◽  
Paweł Kubasiewicz-Ross
Keyword(s):  
Soft Tissue ◽  
Pain Perception ◽  
Marginal Bone Loss ◽  
Implant Surface ◽  
Pocket Depth ◽  
Probing Pocket Depth ◽  
Keratinized Tissue ◽  
Soft Tissue Thickness ◽  
Hydroxyl Ion ◽  
Periodontal Biotype

Background: Many efforts have been made recently to arrange a newer, more hydrophilic and more osteoconductive implant surface. One of the possible options in this matter is modification with hydroxyl ion. Materials and Methods: Forty implants with the diameters 3.5 and 4.0 mm were inserted as a single missing tooth restoration protocol in the frontal aspect of the maxilla. All implants were loaded early in a 4 week period. Prior to and during the surgery, the following indices were considered: height of keratinized tissue, the thickness of soft tissue, and the initial level of bone tissue. After 12 months, the implant and the tissues in its direct vicinity were evaluated once more with the following indices: marginal bone loss (MBL), height of keratinized tissue (HKT), probing pocket depth (PPD), pink and white aesthetics scores (PES, WES), as well as pain sensations combined with the procedure (VAS). All results were related to the diameter of the implant and thickness of periodontal biotype. Results: High aesthetic outcomes were reported regardless of soft tissue thickness and implant diameter. The VAS score was higher for the 4.0 implant group, and the thickness of soft tissue had no influence on VAS. In case of implantation in thin or soft tissue, higher MBL levels were reported (0.26 mm), while in case of a thick phenotype, MBL was 0.06 mm. Conclusions: Hydrophilic surface implants can be used for a protocol of early functional occlusal loading. The initial thickness of soft tissue does not influence aesthetic outcomes and does not raise pain perception, although it may elevate crestal bone resorption.

scholarly journals Association of Glycated Proteins with Inflammatory Proteins and Periodontal Disease Parameters

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Jeneen Panezai ◽  
Mohammad Altamash ◽  
Per-Erik Engstrӧm ◽  
Anders Larsson
Keyword(s):  
Glycated Hemoglobin ◽  
Marginal Bone Loss ◽  
Missing Teeth ◽  
Serum Samples ◽  
Pocket Depth ◽  
Probing Pocket Depth ◽  
Glycated Proteins ◽  
Chronic Inflammatory Condition ◽  
Inflammatory Proteins ◽  
Proximity Extension Assay

Periodontitis is a chronic inflammatory condition that may contribute to diabetogenesis. The aim was to investigate the levels of glycated proteins and their correlation with periodontal and systemic inflammation. Fifty-one patients with periodontitis and 20 healthy subjects underwent probing pocket depth (PPD) measurements. PPD total and PPD disease with and without tooth adjustment were used as continuous indices. Marginal bone loss (MBL) for mandibular premolars and molars was measured digitally. Body mass index (BMI) and waist circumference (WC) were also analyzed. Glycated hemoglobin (HbA1c) and fructosamine (FrAm) levels were measured in all subjects. A multiplex proximity extension assay (PEA) was used to analyze the serum samples for simultaneous measurement of 92 proteins. Both HbA1c and FrAm inversely correlated with IL-10, FGF-21, MCP-1, and TNF beta amongst 16 proteins. HbA1c correlated directly with OPG. Parameters of disease severity were consistently significant for HbA1c. Adjusted PPD total and number of missing teeth were increased in diabetes whereas levels of RANKL and RANKL to OPG ratio were the highest in nondiabetic periodontitis patients. Hyperglycemic conditions in periodontitis patients are associated with reduced levels of anti-inflammatory proteins as well as dysregulated bone resorption.

scholarly journals Peri-Implant Behavior of Sloped Shoulder Dental Implants Used for All-On-Four Protocols: An Histomorphometric Analysis in Dogs

Materials ◽  
2018 ◽  
Vol 11 (1) ◽  
pp. 119 ◽  
Author(s):  
Jose Calvo Guirado ◽  
Aldo Lucero-Sánchez ◽  
Ana Boquete Castro ◽  
Marcus Abboud ◽  
Sergio Gehrke ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Bone Loss ◽  
Dental Implants ◽  
Test Group ◽  
Control Group ◽  
Histomorphometric Analysis ◽  
Tissue Thickness ◽  
Marginal Bone Loss ◽  
Soft Tissue Thickness ◽  
The Mean

The aim of this study was to evaluate the soft tissue thickness and marginal bone loss around dental implants with sloped micro-threaded shoulder (30° angle) in comparing with conventional design, inserted 30° degrees angulated in post extraction sockets and immediate loaded with temporary prosthesis simulating the all-on-four protocol. Materials and Methods: Six fox hound dogs received forty-eight post extraction dental implants with the different diameter and length (Medentika, Germany), but with different neck configurations. Two group of implants were inserted 1mm subcrestal. Control group has a micro-threaded neck and the Test group has a sloped microthreaded neck. Immediate loading was applied using a constructed metallic structure. After three months, soft and hard tissue levels were assessed by histomorphometric analysis. Results: The mean soft tissue thickness (STT) was 2.5 ± 0.2 mm for the Control group and 3.3 ± 0.3 mm for Test group (p = 0.036), meanwhile the mean marginal bone loss (MBL) was 1.53 ± 0.34 mm for Control group and, 1.62 ± 0.22 mm for Test group (p > 0.05). Conclusions: Within the limitations of this experimental model in dogs, the findings showed that dental implants with microthreaded and microthreaded sloped necks installed in immediate post extraction sites with immediate load, presented a comparable perimplant tissue behavior.

scholarly journals Clinical parameters in soft tissue adjunctive periodontal procedures for orthodontic patients: surgical laser vs scalpel -: A systematic review

2021 ◽  
Author(s):  
Eduardo Otero Amaral Vargas ◽  
Karoline de Melo Magalhães ◽  
Daniele Masterson Tavares Pereira Ferreira ◽  
Guido Marañón-Vásquez ◽  
Eduardo Franzotti Sant'anna ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Soft Tissue ◽  
Randomized Clinical Trials ◽  
Cochrane Library ◽  
Clinical Parameters ◽  
Conventional Surgery ◽  
Pocket Depth ◽  
Probing Pocket Depth ◽  
Orthodontic Patients ◽  
Surgical Laser

ABSTRACT Objectives To systematically review existing literature regarding clinical parameters comparing surgical laser and conventional surgery with scalpel for soft tissue adjunctive periodontal procedures in orthodontic patients. Methods and Materials MEDLINE, Scopus, Web of Science, The Cochrane Library, LILACS, Bibliografia Brasileira de Odontologia (Brazilian Dental Literature - BBO), Embase, Open Grey, Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Coordination for the Improvement of Higher Education Personnel - CAPES), and Google Scholar were searched up to December 2020 without language restriction. Clinical trials comparing clinical parameters from surgical laser and conventional surgery with scalpel for soft tissue adjunctive periodontal procedures in orthodontic patients were selected. Risk of bias (RoB) assessments were performed using the Cochrane RoB2 tool. Narrative syntheses were performed, and the certainty of evidence was determined using the GRADE tool. Results Five randomized clinical trials were included. One study was rated as low RoB, whereas others presented some concerns or high RoB. The studies were highly heterogeneous in relation to the procedure performed, laser protocol, outcomes evaluated, and follow-up periods. In general, regardless of the procedure and laser protocol used, the studies did not show significant differences between laser and scalpel for the outcomes of probing pocket depth, clinical crown length, gingival index, and relapse rate. Pain and bleeding were significantly lower with the use of laser compared with the scalpel. The certainty of evidence ranged from moderate to very low. Conclusions The existing literature on the subject is scarce and very heterogeneous and has methodological limitations. Based on the available evidence, it is not possible to draw definitive conclusions about the beneficial effect of laser use in orthodontic patients.

Comparative Evaluation of Root Coverage Between Smokers and Non-Smokers After Surgical Therapy-A Review and Meta-Analysis

2020 ◽  
Author(s):  
Shivaprasad Bilichodmath
Keyword(s):  
Surgical Therapy ◽  
English Language ◽  
Meta Analysis ◽  
Gingival Recession ◽  
Root Coverage ◽  
Pocket Depth ◽  
Surgical Interventions ◽  
Probing Pocket Depth ◽  
Keratinized Tissue ◽  
Different Types

Background: Several studies have demonstrated that nicotine induces a pro-inflammatory effect due to the upregulation of receptors of the advanced glycation end product as well as the fibroblastic cell migration in the gingiva is reduced in smokers. Thus, this meta-analysis aims to evaluate and compare the effectiveness of root coverage after surgical therapy in smoker and non-smoker individuals. Methods: A total of 15 articles were included in this study in which the different types of periodontal surgical procedures for root coverage of gingival recession were evaluated in both smokers and non-smokers. The databases are searched from 1997 to 2018. The inclusion criteria included the available evidence and the articles published only in the English language. Result: In this meta-analysis, comparing smokers and non-smokers treated with different types of periodontal surgery, the result showed a statistically significant reduction in probing pocket depth (PPD), whereas, Gingival recession height (GRH), Gingival recession width (GRW) reduction and gain in clinical attachment level (CAL) and Keratinized tissue thickness (KTT) between smokers and non-smokers were not statistically significant. The percentage of complete and mean root coverage showed statistically significant variations when compared with smokers. Conclusion: Periodontal surgical interventions exhibited less favorable healing outcomes and there were significant variations observed in the percentage of mean and complete root coverage in smokers than compared with non-smoker.

scholarly journals Composition of Human Peri-implantitis and Periodontitis Lesions

2014 ◽  
Vol 93 (11) ◽  
pp. 1083-1088 ◽  
Author(s):  
O. Carcuac ◽  
T. Berglundh
Keyword(s):  
Soft Tissue ◽  
Connective Tissue ◽  
Chronic Periodontitis ◽  
Immunohistochemical Analysis ◽  
Pocket Depth ◽  
Bleeding On Probing ◽  
Probing Pocket Depth ◽  
Tissue Area ◽  
Vascular Structures

The aim of the present study was to examine differences in cellular characteristics of human peri-implantitis and periodontitis lesions. Two groups of patients were included: 40 patients with generalized severe chronic periodontitis and 40 patients presenting with severe peri-implantitis. Soft tissue biopsies were obtained from diseased sites (probing pocket depth ≥ 7 mm with bleeding on probing) and prepared for histologic and immunohistochemical analysis. In contrast to periodontitis samples, peri-implantitis lesions were more than twice as large and contained significantly larger area proportions, numbers, and densities of CD138-, CD68-, and MPO-positive cells than periodontitis lesions. Peri-implantitis lesions also extended to a position that was apical of the pocket epithelium and not surrounded by noninfiltrated connective tissue. They further presented with significantly larger densities of vascular structures in the connective tissue area lateral to the infiltrated connective tissue than within the infiltrate. This study suggests that peri-implantitis and periodontitis lesions exhibit critical histopathologic differences, which contribute to the understanding of dissimilarities in onset and progression between the 2 diseases.

Clinical Effectiveness of Mandibular Implant-retained Overdentures

2001 ◽  
Vol os8 (1) ◽  
pp. 19-24 ◽  
Author(s):  
Robert G Jagger ◽  
Sahar Shaikh ◽  
Daryll C Jagger
Keyword(s):  
Clinical Effectiveness ◽  
Marginal Bone Loss ◽  
Patient Mobility ◽  
Pocket Depth ◽  
Probing Pocket Depth ◽  
Dental Hospital ◽  
Edentulous Patients ◽  
High Degree ◽  
Term Data

Introduction The literature reports that the treatment of fully edentulous mandibles with implant-retained over-dentures has become a recognised form of therapy: however long-term data on the success are limited. The aim of the present study was to describe the clinical effectiveness of mandibular implant-supported/retained overdentures in the management of a group of edentulous patients. Materials and Methods The study group consisted of 59 consecutive edentulous patients attending the clinic of prosthetic dentistry at Cardiff Dental Hospital, who had been provided with implants in the mandible for complete overdenture retention. Several clinical parameters were examined in each patient: mobility of each implant, probing pocket depth, the presence or absence of plaque and calculus on each implant, bleeding index, marginal bone loss, jaw bone quality and quantity, complications that had occurred with the implants and patients opinions of the treatment. Discussion Of implants placed, 97% remained in function. Three fixtures had been lost. There was a high frequency of bleeding on probing. Complications associated with treatment included damage or looseness of abutment screws, fracture of the bar, entrapment of food beneath the overdenture and looseness of the opposing non-implant-retained complete denture. Conclusion In general a very high degree of patient satisfaction with the implant-retained overdentures was recorded.

scholarly journals Clinical and Radiographic Evaluation of Narrow-Diameter Titanium-Zirconium Implants in Unilateral Atrophic Mandibular Distal Extensions: A 1-Year Pilot Study

2014 ◽  
Vol 15 (4) ◽  
pp. 417-422 ◽  
Author(s):  
Ali M El-Sheikh ◽  
Omar F Shihabuddin
Keyword(s):  
Survival Rate ◽  
Pilot Study ◽  
Radiographic Evaluation ◽  
Marginal Bone Loss ◽  
Pocket Depth ◽  
Probing Pocket Depth ◽  
Bone Level ◽  
Titanium Zirconium ◽  
Functional Loading

ABSTRACT Background The use of endosseous dental implants has led to more sophisticated fixed options when considering treatment of patients with distal extensions. The use of narrow-diameter implants may reduce the necessity for bone augmentation. The mechanical strength of titanium is limited, so titanium alloys with greater tensile and fatigue strength may be preferable. Purpose The purpose of this study was to evaluate clinically and radiographically the performance of narrow-diameter bone level implants made from titanium-zirconium alloy (TiZr, RoxolidTM) in restoring unilateral atrophic mandibular distal extensions with fixed dental prostheses. Materials and methods Twenty partially edentulous patients with unilateral atrophic mandibular distal extensions received two 3.3 mm diameter bone level TiZr implants (Straumann AG, Basel, Switzerland). The two implants were restored with 3-units ceramo-metal fixed partial dentures. Standardized clinical and radiographic parameters (survival rate, probing pocket depth and marginal bone loss) were evaluated at the time of the completion of the prosthetic treatment (baseline) and after 3, 6 and 12 months of functional loading. Prosthetic complications were also assessed. Results The survival rate for narrow-diameter bone level TiZr implants was 100% after 1 year of functional loading. There were no statistically significant differences between the values of probing pocket depth over the follow-up period. All implants showed less than 1 mm of marginal bone loss at the end of the follow-up period. Conclusion Within the limitations of this 1-year pilot study, the use of narrow-diameter bone level TiZr implants appears to be predictable in restoring the unilateral atrophic mandibular distal extensions. This type of implants meets established success and survival criteria after 1 year. How to cite this article El-Sheikh AM, Shihabuddin OF. Clinical and Radiographic Evaluation of Narrow-Diameter Titanium-Zirconium Implants in Unilateral Atrophic Mandibular Distal Extensions: A 1-Year Pilot Study. J Contemp Dent Pract 2014;15(4):417-422.

scholarly journals Effects of Implant Surface Debridement and Systemic Antibiotics on the Clinical and Microbiological Variables of Periimplantitis

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Muhammad Irshad ◽  
Mohammad Khursheed Alam ◽  
Sajid Ali ◽  
Ahmad Alawneh ◽  
Mohammed Alhadi ◽  
...  
Keyword(s):  
Bone Loss ◽  
Dental Implant ◽  
Implant Surface ◽  
Pocket Depth ◽  
Bleeding On Probing ◽  
Probing Pocket Depth ◽  
Group A ◽  
Group B ◽  
Clinical Records ◽  
Systemic Antibiotics

Objective. To investigate the role of implant surface debridement alone and in conjunction with systemic antibiotics on the clinical and microbiological variables of periimplantitis. Materials and Methods. Data of forty-six patients with at least one dental implant having bleeding-on-probing (BoP), probing pocket depth (PPD) of more than 5 mm, and radiographic bone loss of more than 3 mm were retrieved from clinical records. Data was recorded for dental implant with the deepest PPD, BoP, and bone loss from each patient. “Group-A” received implant surface debridement alone, while “group-B” additionally received systemic antibiotics. Clinical and microbiological data of patients were compared before and after the treatment. Results. At the implant level, a significant reduction of PPD, mucosal recession (MR), and BoP was achieved for all patients. Group B achieved significant improvement in MR and BoP compared to group A at implant level. PPD, MR, and plaque scores showed improvement at implant site level. At 3 months recall visit, 44% of group A and 52% of group B implants required surgical treatment. The presence and proportions of studied bacteria of both groups did not differ significantly at the recall visit when compared to the initial visit. However, P. intermedia and P. micros showed a significant reduction in group A at the recall visit. Conclusions. Implant surface debridement improved the clinical parameters of periimplantitis. In addition, adjunctive use of systemic antibiotics increased mucosal recession and improved bleeding on probing in periimplantitis.

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