Pub Date : 2023-10-01DOI: 10.53106/261634032023100602005
Tsung-Tai Wu Tsung-Tai Wu, Yi-Chen Hsieh Tsung-Tai Wu, Ya-Chi Chen Yi-Chen Hsieh, Yu-Lin Lai Ya-Chi Chen, Ying-Ying Chu Yu-Lin Lai, Sung-Hui Wang Ying-Ying Chu, Yi-Chun Lin Sung-Hui Wang
Dental implant is a common choice for rehabilitation of edentulous areas in modern dentistry. However, alveolar bone destruction due to severe periodontitis, trauma, or other pathological conditions may compromise implant placement in an idea position. Ridge augmentation with autogenous bone blocks can be used to reconstruct the deficiency of the alveolar bone. This article reviewed about the relevant literatures and reported two cases of severe ridge atro¬phy using staged approaches with ridge augmentation using autogenous bone block grafting and implant placement for reconstruction. Case 1 showed alveolar bone destruction caused by severe periodontitis at left maxillary region, which was augmented with the autogenous bone block harvested from mandibular symphysis in combination with FDBA and collagen membrane. Case 2 presented alveolar ridge deficiency after tooth extraction due to severe periodontitis. Ridge augmentation was performed using autogenous bone block harvested from the mandibular ramus along with FDBA and collagen membrane. Both cases showed increased bone volume after ridge augmentation. Implants were successful and presented stable bone level for a follow up period at least one year after implant surgery. The literature review and case reports suggest that with appropriate case selection, careful treatment, and regular maintenance, using autogenous block bone grafts harvested from the mandibular symphysis or ramus for ridge augmentation and implant placement can achieve predictable outcomes.
{"title":"Reconstruction of the Atrophic Ridge with Staged approaches with the Autogenous Bone Block and Dental Implant: Case Reports and Literature Review","authors":"Tsung-Tai Wu Tsung-Tai Wu, Yi-Chen Hsieh Tsung-Tai Wu, Ya-Chi Chen Yi-Chen Hsieh, Yu-Lin Lai Ya-Chi Chen, Ying-Ying Chu Yu-Lin Lai, Sung-Hui Wang Ying-Ying Chu, Yi-Chun Lin Sung-Hui Wang","doi":"10.53106/261634032023100602005","DOIUrl":"https://doi.org/10.53106/261634032023100602005","url":null,"abstract":"Dental implant is a common choice for rehabilitation of edentulous areas in modern dentistry. However, alveolar bone destruction due to severe periodontitis, trauma, or other pathological conditions may compromise implant placement in an idea position. Ridge augmentation with autogenous bone blocks can be used to reconstruct the deficiency of the alveolar bone. This article reviewed about the relevant literatures and reported two cases of severe ridge atro¬phy using staged approaches with ridge augmentation using autogenous bone block grafting and implant placement for reconstruction. Case 1 showed alveolar bone destruction caused by severe periodontitis at left maxillary region, which was augmented with the autogenous bone block harvested from mandibular symphysis in combination with FDBA and collagen membrane. Case 2 presented alveolar ridge deficiency after tooth extraction due to severe periodontitis. Ridge augmentation was performed using autogenous bone block harvested from the mandibular ramus along with FDBA and collagen membrane. Both cases showed increased bone volume after ridge augmentation. Implants were successful and presented stable bone level for a follow up period at least one year after implant surgery. The literature review and case reports suggest that with appropriate case selection, careful treatment, and regular maintenance, using autogenous block bone grafts harvested from the mandibular symphysis or ramus for ridge augmentation and implant placement can achieve predictable outcomes.","PeriodicalId":150986,"journal":{"name":"Journal of Periodontics and Implant Dentistry","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139328202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.53106/261634032023100602004
Yi-Tien Tsai Yi-Tien Tsai, Chun-Jung Chen Yi-Tien Tsai, Lian-Ping Mau Chun-Jung Chen, Chen-Chou Tsai Lian-Ping Mau
Alveolar ridge preservation (ARP) can minimize alveolar ridge resorption following tooth ex¬traction and facilitate restorative-driven implant placement. Demineralized bone matrix (DBM) comprises a human allograft that is osteoinductive and osteoconductive. This report describes radiographic, histologic and clinical findings of ARP using DBM putty and non-resorbable high-density polytetrafluoroethylene (d-PTFE) membrane in three cases. Materials and Methods: From January 2018 to May 2018, three patients underwent the ARP procedure. The surgery involved atraumatic extraction, socket debridement, filling the socket with DBM putty, applying a d-PTFE membrane, and suturing with 5-0 nylon. After healing for 6–7 months, an implant was placed and biopsy specimens were collected simultaneously. Using the same customized surgical stent and computed tomography, the preoperative and postoperative alveolar ridge heights and widths were measured. Histological evaluations in¬cluding the percentage of newly formed bone, residual graft particles, and fibrous connective tissue were performed. Results: In all three cases, the health status of the hard and soft tissue improved (mean fol¬low-up: 54 months). Guided bone regeneration was not required during implant placement. Radiographically, the mean change was 0.5 mm in the alveolar ridge height and 1.2, 0.87, and 0.73 mm in the alveolar ridge width at 2, 4, and 6 mm apical to the initial vertical measure¬ment, respectively. Histologically, the mean percentage of new bone, residual graft particles, and fibrous connective tissue was 40.5±5.9%, 10.7±6.9%, and 48.8±9.6%, respectively, and the voids were not included in these calculations. Conclusion: This case series demonstrated the effectiveness of DBM putty as a biocompatible filler in extraction sockets for ridge preservation prior to implantation. Further longitudinal studies regarding the efficacy and stability of DBM putty in ridge preservation are required.
{"title":"Alveolar Ridge Preservation with The Use of Demineralized Bone Matrix Putty: Clinical, Radiographic and Histological Observations in A Case Series","authors":"Yi-Tien Tsai Yi-Tien Tsai, Chun-Jung Chen Yi-Tien Tsai, Lian-Ping Mau Chun-Jung Chen, Chen-Chou Tsai Lian-Ping Mau","doi":"10.53106/261634032023100602004","DOIUrl":"https://doi.org/10.53106/261634032023100602004","url":null,"abstract":"Alveolar ridge preservation (ARP) can minimize alveolar ridge resorption following tooth ex¬traction and facilitate restorative-driven implant placement. Demineralized bone matrix (DBM) comprises a human allograft that is osteoinductive and osteoconductive. This report describes radiographic, histologic and clinical findings of ARP using DBM putty and non-resorbable high-density polytetrafluoroethylene (d-PTFE) membrane in three cases. Materials and Methods: From January 2018 to May 2018, three patients underwent the ARP procedure. The surgery involved atraumatic extraction, socket debridement, filling the socket with DBM putty, applying a d-PTFE membrane, and suturing with 5-0 nylon. After healing for 6–7 months, an implant was placed and biopsy specimens were collected simultaneously. Using the same customized surgical stent and computed tomography, the preoperative and postoperative alveolar ridge heights and widths were measured. Histological evaluations in¬cluding the percentage of newly formed bone, residual graft particles, and fibrous connective tissue were performed. Results: In all three cases, the health status of the hard and soft tissue improved (mean fol¬low-up: 54 months). Guided bone regeneration was not required during implant placement. Radiographically, the mean change was 0.5 mm in the alveolar ridge height and 1.2, 0.87, and 0.73 mm in the alveolar ridge width at 2, 4, and 6 mm apical to the initial vertical measure¬ment, respectively. Histologically, the mean percentage of new bone, residual graft particles, and fibrous connective tissue was 40.5±5.9%, 10.7±6.9%, and 48.8±9.6%, respectively, and the voids were not included in these calculations. Conclusion: This case series demonstrated the effectiveness of DBM putty as a biocompatible filler in extraction sockets for ridge preservation prior to implantation. Further longitudinal studies regarding the efficacy and stability of DBM putty in ridge preservation are required.","PeriodicalId":150986,"journal":{"name":"Journal of Periodontics and Implant Dentistry","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139328272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.53106/261634032023100602002
Chih-Pin Chen Chih-Pin Chen, In-Ru Lin Chih-Pin Chen, Ru-Yung Yang In-Ru Lin, Shao-Huai Lee Ru-Yung Yang, Tat-ming Lai Shao-Huai Lee, 陳正文 Tat-ming Lai, Wei-Ni Lin Jeng-Wen Chen, Heng-Yi Lin Wei-Ni Lin
The objective of this study is to determine whether oral health assessment factors commonly used in long-term care institutions are related to important physical and mental examination factors, including the daily life function assessment scale, physical health assessment sheet, mini nutritional assessment MNA, simple mental state assessment form, social adaptation, and psychological assessment form. Materials and Methods: This is a retrospective study that involved residents living in four long-term care service institutions in Xindian, Taiwan. A total of 233 residents who resided in these institutions before March 2021 were included in the study, and 110 residents with complete data were analyzed. Oral care assessments include halitosis severity and tongue coating de-gree. Severity of bad breath was classified into five grades, while degree of tongue coating was divided into three grades. Relevant factors were selected from routine physical and men¬tal examinations, such as history of hospitalization for pneumonia, eating or feeding duration, presence of dysphagia, cognitive function status, depression severity, functional status, nutri¬tional status, and body mass index. Chi-square and Fisher’s exact tests were used for analysis, with the prevalence ratio calculated for each independent variable in relation to the outcome at a 95% confidence level. Results: The study found no significant relationship between the severity of halitosis/ tongue coating accumulation and several variables, including hospitalization history of pneumonia, duration of eating or feeding, type of food eaten, denture wearing, cognitive function status, severity of depression, functional status, nutritional status, and body mass index. Conclusion: In conclusion, while our study did not find significant associations between halito¬sis/tongue coating accumulation and various potential risk factors in nursing home residents. Study with more participants more comprehensive oral examinations may be conducted in the future to better understand the underlying causes of halitosis in this population.
{"title":"Factors Associated with Oral Health and Oral Hygiene Status in Long Term Care Facilities","authors":"Chih-Pin Chen Chih-Pin Chen, In-Ru Lin Chih-Pin Chen, Ru-Yung Yang In-Ru Lin, Shao-Huai Lee Ru-Yung Yang, Tat-ming Lai Shao-Huai Lee, 陳正文 Tat-ming Lai, Wei-Ni Lin Jeng-Wen Chen, Heng-Yi Lin Wei-Ni Lin","doi":"10.53106/261634032023100602002","DOIUrl":"https://doi.org/10.53106/261634032023100602002","url":null,"abstract":"The objective of this study is to determine whether oral health assessment factors commonly used in long-term care institutions are related to important physical and mental examination factors, including the daily life function assessment scale, physical health assessment sheet, mini nutritional assessment MNA, simple mental state assessment form, social adaptation, and psychological assessment form. Materials and Methods: This is a retrospective study that involved residents living in four long-term care service institutions in Xindian, Taiwan. A total of 233 residents who resided in these institutions before March 2021 were included in the study, and 110 residents with complete data were analyzed. Oral care assessments include halitosis severity and tongue coating de-gree. Severity of bad breath was classified into five grades, while degree of tongue coating was divided into three grades. Relevant factors were selected from routine physical and men¬tal examinations, such as history of hospitalization for pneumonia, eating or feeding duration, presence of dysphagia, cognitive function status, depression severity, functional status, nutri¬tional status, and body mass index. Chi-square and Fisher’s exact tests were used for analysis, with the prevalence ratio calculated for each independent variable in relation to the outcome at a 95% confidence level. Results: The study found no significant relationship between the severity of halitosis/ tongue coating accumulation and several variables, including hospitalization history of pneumonia, duration of eating or feeding, type of food eaten, denture wearing, cognitive function status, severity of depression, functional status, nutritional status, and body mass index. Conclusion: In conclusion, while our study did not find significant associations between halito¬sis/tongue coating accumulation and various potential risk factors in nursing home residents. Study with more participants more comprehensive oral examinations may be conducted in the future to better understand the underlying causes of halitosis in this population.","PeriodicalId":150986,"journal":{"name":"Journal of Periodontics and Implant Dentistry","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139329395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.53106/261634032023100602003
Min-Chi Huang Min-Chi Huang, Chieh-Chun Lin Min-Chi Huang, Lein-Tuan Hou Chieh-Chun Lin
It is a challenging situation for clinicians in managing deep non-contained intrabony de¬fects associated simultaneously with soft tissue recession nowadays. Besides, prevention of post-operative gingival recession is one of treatment goals for ideal regenerative surgery as well. The case reports tended to achieve periodontal regeneration and root coverage in teeth affected with both deep intrabony defects and the buccal gingival recession using the concept of connective tissue (CTG) wall technique combined with enamel matrix derivative (EMD) and bone graft materials. The surgeries involved a single flap approach (SFA) and augmentation of soft tissue, attempting to minimize post-operative gingival recession, by suturing the CTG on the inner surface of coronally advanced flap (CAF) as a barrier wall for the coronal portion of the bone defect. The bony defects were filled with allograft and/or xenograft as a space mak¬ing scaffold and followed by primary closure of wound. Significant probing depth (PD) reduc¬tion, clinical attachment level (CAL) gain and improvement in the level of gingiva margin were noticed after 7- and 11- months follow-up respectively. Comparisons of pre-operative and different periods of radiographic images demonstrated that the bone defects were indeed filled. It can be concluded that the CTG does support the bone regeneration and overlying soft tissue flap stability within the periods of observation. This surgical approach provides an alter-native aid on the clinical outcome of bone healing and root coverage simultaneously in deep intrabony defects.
{"title":"Treatment of Deep Intrabony Defect with Buccal Gingival Recession using Connective Tissue Graft Combined with Enamel Matrix Derivative and Bone Graft: case reports","authors":"Min-Chi Huang Min-Chi Huang, Chieh-Chun Lin Min-Chi Huang, Lein-Tuan Hou Chieh-Chun Lin","doi":"10.53106/261634032023100602003","DOIUrl":"https://doi.org/10.53106/261634032023100602003","url":null,"abstract":"It is a challenging situation for clinicians in managing deep non-contained intrabony de¬fects associated simultaneously with soft tissue recession nowadays. Besides, prevention of post-operative gingival recession is one of treatment goals for ideal regenerative surgery as well. The case reports tended to achieve periodontal regeneration and root coverage in teeth affected with both deep intrabony defects and the buccal gingival recession using the concept of connective tissue (CTG) wall technique combined with enamel matrix derivative (EMD) and bone graft materials. The surgeries involved a single flap approach (SFA) and augmentation of soft tissue, attempting to minimize post-operative gingival recession, by suturing the CTG on the inner surface of coronally advanced flap (CAF) as a barrier wall for the coronal portion of the bone defect. The bony defects were filled with allograft and/or xenograft as a space mak¬ing scaffold and followed by primary closure of wound. Significant probing depth (PD) reduc¬tion, clinical attachment level (CAL) gain and improvement in the level of gingiva margin were noticed after 7- and 11- months follow-up respectively. Comparisons of pre-operative and different periods of radiographic images demonstrated that the bone defects were indeed filled. It can be concluded that the CTG does support the bone regeneration and overlying soft tissue flap stability within the periods of observation. This surgical approach provides an alter-native aid on the clinical outcome of bone healing and root coverage simultaneously in deep intrabony defects.","PeriodicalId":150986,"journal":{"name":"Journal of Periodontics and Implant Dentistry","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139329930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
臺灣牙周病醫學會雜誌收錄之文章類型以文獻回顧居多，而摘要則是快速檢視全文資訊的首要部分，本文旨在評估臺灣牙周病醫學會雜誌中文獻回顧摘要之質量，並比較PRISMA-A評讀工具發表前與後之差異以及探討影響摘要品質的相關因素。 材料方法: 搜尋2003至2022年臺灣牙周病醫學會雜誌之文獻回顧摘要，最終納入共186篇使用PRSIMA-A評估項目對摘要質量進行分析。以2013年PRISMA-A評讀工具發表年分為Pre-PRISMA組(2003-2012年)及Post-PRISMA組(2013-2022年)進行兩個時期之比較。另外，使用回歸分析探討與摘要質量可能相關之因素。 結果: 整體摘要得分(ORS)僅2.40±1.25分，只有兩個項目 ”Title”和”Objective”在大多數摘要（>70%）中有紀錄，其餘PRISMA-A項目達成比例低。Pre-PRISMA組(ORS: 2.26±1.22) 和Post-PRISMA組(ORS: 2.53±1.28)之間亦無顯著差異(p =0.073)。根據多變量分析，更多的字數與較高的摘要品質具有相關性。 結論: 臺灣牙周病醫學會雜誌文獻回顧摘要之分析研究結果顯示，依PRISMA-A評讀工具之標準，整體摘要品質尚有可提升之空間，而較多的字數與摘要質量有顯著正相關。 The purpose of present study investigated and compared the reporting quality of abstract of review articles published in Journal of the Taiwan Academy of Periodontology (JTAP) before and after the release of PRISMA-A. The factors associated with reporting quality of abstract of published review articles were also identified. Materials and Methods: The review abstracts of JTAP was searched during 2003–2022 and a total of 186 articles were included for analysis of abstract quality using the PRISMA-A assess¬ment tool. The articles were divided into two groups for comparison: the Pre-PRISMA group (2003-2012) and the Post-PRISMA group (2013-2022), based on the year of publication of the PRISMA-A assessment tool in 2013. In addition, the factors associated with reporting quality was identi¬fied with univariable and multivariable linear regression. Results: In majority of analyzed abstracts, only two items (“Title”and “Objective”) were ade¬quately reported (> 70%), whereas the other PRISMA-A items were unreported or reported inadequately. The overall reporting score (ORS) was only 2.40±1.25. There was no significant difference (p = 0.073) between Pre-PRISMA group (ORS: 2.26±1.22) and Post-PRISMA group (ORS: 2.53±1.28). Higher reporting quality was significantly associated with greater word count by multivariable analysis. Conclusion: The reporting quality of review article abstracts in JTAP was still suboptimal. The length of abstract was associated with reporting quality.
{"title":"Reporting Quality of Review Abstracts in Journal of the Taiwan Academy of Periodontology: An assessment using the PRISMA for Abstracts Guidelines","authors":"Siao- Han Chen Siao- Han Chen, Chi-Hsiang Chung Siao- Han Chen, Ying-Wu Chen Chi-Hsiang Chung, Cheng-En Sung Ying-Wu Chen, Da-Yo Yuh Cheng-En Sung, Ren- Yeong Huang Da-Yo Yuh, Cheng-Yang Chiang Ren- Yeong Huang, Wan- Chien Cheng Cheng-Yang Chiang","doi":"10.53106/261634032023100602001","DOIUrl":"https://doi.org/10.53106/261634032023100602001","url":null,"abstract":"臺灣牙周病醫學會雜誌收錄之文章類型以文獻回顧居多，而摘要則是快速檢視全文資訊的首要部分，本文旨在評估臺灣牙周病醫學會雜誌中文獻回顧摘要之質量，並比較PRISMA-A評讀工具發表前與後之差異以及探討影響摘要品質的相關因素。 材料方法: 搜尋2003至2022年臺灣牙周病醫學會雜誌之文獻回顧摘要，最終納入共186篇使用PRSIMA-A評估項目對摘要質量進行分析。以2013年PRISMA-A評讀工具發表年分為Pre-PRISMA組(2003-2012年)及Post-PRISMA組(2013-2022年)進行兩個時期之比較。另外，使用回歸分析探討與摘要質量可能相關之因素。 結果: 整體摘要得分(ORS)僅2.40±1.25分，只有兩個項目 ”Title”和”Objective”在大多數摘要（>70%）中有紀錄，其餘PRISMA-A項目達成比例低。Pre-PRISMA組(ORS: 2.26±1.22) 和Post-PRISMA組(ORS: 2.53±1.28)之間亦無顯著差異(p =0.073)。根據多變量分析，更多的字數與較高的摘要品質具有相關性。 結論: 臺灣牙周病醫學會雜誌文獻回顧摘要之分析研究結果顯示，依PRISMA-A評讀工具之標準，整體摘要品質尚有可提升之空間，而較多的字數與摘要質量有顯著正相關。 The purpose of present study investigated and compared the reporting quality of abstract of review articles published in Journal of the Taiwan Academy of Periodontology (JTAP) before and after the release of PRISMA-A. The factors associated with reporting quality of abstract of published review articles were also identified. Materials and Methods: The review abstracts of JTAP was searched during 2003–2022 and a total of 186 articles were included for analysis of abstract quality using the PRISMA-A assess¬ment tool. The articles were divided into two groups for comparison: the Pre-PRISMA group (2003-2012) and the Post-PRISMA group (2013-2022), based on the year of publication of the PRISMA-A assessment tool in 2013. In addition, the factors associated with reporting quality was identi¬fied with univariable and multivariable linear regression. Results: In majority of analyzed abstracts, only two items (“Title”and “Objective”) were ade¬quately reported (> 70%), whereas the other PRISMA-A items were unreported or reported inadequately. The overall reporting score (ORS) was only 2.40±1.25. There was no significant difference (p = 0.073) between Pre-PRISMA group (ORS: 2.26±1.22) and Post-PRISMA group (ORS: 2.53±1.28). Higher reporting quality was significantly associated with greater word count by multivariable analysis. Conclusion: The reporting quality of review article abstracts in JTAP was still suboptimal. The length of abstract was associated with reporting quality.","PeriodicalId":150986,"journal":{"name":"Journal of Periodontics and Implant Dentistry","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139327483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.53106/261634032023100602006
Tsai-Ying Li Tsai-Ying Li, Yu-Lin La Tsai-Ying Li, Ya-Chi Chen Yu-Lin La, Bor-Jian Chen Ya-Chi Chen, Yi-Chun Lin Bor-Jian Chen
Treatment of multiple gingival recessions with periodontal plastic surgery is challenging due to several factors that needed to be considered in one surgical session. The success and stability of root-coverage outcomes depend on gingival thickness (GT), defect characteristics and anatomical limitations addressing hard and soft tissue relationships and periodontal structures. Root coverage is less predictable in the presence of interproximal attachment loss. Evidence on the treatment of multiple recession-type defects, particularly Miller Classes III and IV, is scarce. The modified coronally advanced tunnel technique (MCAT) has been report-ed to exert root-coverage effects in Miller Class III cases via partial papilla elevation. To gain surgical access in challenging anatomies, the use of additional vestibular incisions (vestibular incision subperiosteal tunnel access, [VISTA]) has been proposed. In this case report, two patients who underwent surgeries for Miller Class II-III recessions with thin phenotypes are described. After non-surgical periodontal treatment, creeping attachment of 0.5-1 mm was observed in some teeth in case 1. Both patients underwent the treatment of MCAT technique combined with connective tissue grafting, whereas only the patient in case 2 underwent VIS-TA. Complete root coverage, increased GT and aesthetic outcomes with a follow-up period of at least 5 months were achieved in multiple teeth in both cases. The report and the literature review suggested that MCAT w/wo VISTA can predict root coverage and modify phenotypes for the treatment of multiple recessions.
通过牙周整形手术治疗多发性牙龈凹陷具有挑战性，因为在一次手术过程中需要考虑多个因素。牙根覆盖效果的成功率和稳定性取决于牙龈厚度（GT）、缺损特征以及针对软硬组织关系和牙周结构的解剖限制。如果存在近端间附着丧失，牙根覆盖的可预测性就会降低。治疗多发性退缩型缺损，尤其是 Miller III 级和 IV 级缺损的证据很少。据报道，改良冠状前移隧道技术（MCAT）通过部分乳头抬高，对米勒三类病例起到了根面覆盖的效果。为了在具有挑战性的解剖结构中获得手术入路，有人提出使用额外的前庭切口（前庭切口骨膜下隧道入路，[VISTA]）。在本病例报告中，描述了两名因米勒II-III类凹陷而接受手术的患者，他们的表型都很瘦。在非手术牙周治疗后，病例 1 中的一些牙齿出现了 0.5-1 mm 的匍匐附着。两名患者都接受了 MCAT 技术结合结缔组织移植的治疗，而只有病例 2 中的患者接受了 VIS-TA 治疗。两例患者的多颗牙齿都实现了完全的牙根覆盖，GT和美学效果均有所提高，随访时间至少为 5 个月。该报告和文献综述表明，MCAT w/wo VISTA 可以预测牙根覆盖率并改变表型，从而治疗多发牙槽骨凹陷。
{"title":"Modified Coronally Advanced Tunnel (MCAT) Technique with or without Vestibular Incision for the Treatment of Multiple Gingival Recessions: A Case Series and Literature Review","authors":"Tsai-Ying Li Tsai-Ying Li, Yu-Lin La Tsai-Ying Li, Ya-Chi Chen Yu-Lin La, Bor-Jian Chen Ya-Chi Chen, Yi-Chun Lin Bor-Jian Chen","doi":"10.53106/261634032023100602006","DOIUrl":"https://doi.org/10.53106/261634032023100602006","url":null,"abstract":"Treatment of multiple gingival recessions with periodontal plastic surgery is challenging due to several factors that needed to be considered in one surgical session. The success and stability of root-coverage outcomes depend on gingival thickness (GT), defect characteristics and anatomical limitations addressing hard and soft tissue relationships and periodontal structures. Root coverage is less predictable in the presence of interproximal attachment loss. Evidence on the treatment of multiple recession-type defects, particularly Miller Classes III and IV, is scarce. The modified coronally advanced tunnel technique (MCAT) has been report-ed to exert root-coverage effects in Miller Class III cases via partial papilla elevation. To gain surgical access in challenging anatomies, the use of additional vestibular incisions (vestibular incision subperiosteal tunnel access, [VISTA]) has been proposed. In this case report, two patients who underwent surgeries for Miller Class II-III recessions with thin phenotypes are described. After non-surgical periodontal treatment, creeping attachment of 0.5-1 mm was observed in some teeth in case 1. Both patients underwent the treatment of MCAT technique combined with connective tissue grafting, whereas only the patient in case 2 underwent VIS-TA. Complete root coverage, increased GT and aesthetic outcomes with a follow-up period of at least 5 months were achieved in multiple teeth in both cases. The report and the literature review suggested that MCAT w/wo VISTA can predict root coverage and modify phenotypes for the treatment of multiple recessions.","PeriodicalId":150986,"journal":{"name":"Journal of Periodontics and Implant Dentistry","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139326427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.53106/261634032023050601005
邱仲凡 邱仲凡
Trauma from occlusion (TFO) is a common clinical sign of periodontitis. The relationship between TFO and periodontitis has been discussed for a century and it is still a controversial issue that TFO could cause periodontitis or not. In recent studies, more and more scholars believed TFO could not cause periodontitis directly but may accelerate the progression of this disease. Therefore, how to assess and manage about this kind of cases is important and remains challenge to clinicians. Due to limited of case series about TFO management, this article is aim to the cases with secondary TFO with management by non-surgical treatment and review literature about current management.
{"title":"Occlusal therapy of secondary TFO teeth: two case reports and literature review","authors":"邱仲凡 邱仲凡","doi":"10.53106/261634032023050601005","DOIUrl":"https://doi.org/10.53106/261634032023050601005","url":null,"abstract":"\u0000 Trauma from occlusion (TFO) is a common clinical sign of periodontitis. The relationship between TFO and periodontitis has been discussed for a century and it is still a controversial issue that TFO could cause periodontitis or not. In recent studies, more and more scholars believed TFO could not cause periodontitis directly but may accelerate the progression of this disease. Therefore, how to assess and manage about this kind of cases is important and remains challenge to clinicians. Due to limited of case series about TFO management, this article is aim to the cases with secondary TFO with management by non-surgical treatment and review literature about current management.\u0000 \u0000","PeriodicalId":150986,"journal":{"name":"Journal of Periodontics and Implant Dentistry","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123379041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.53106/261634032023050601003
洪繹旻 洪繹旻
Purpose: A novel method, socket shield technique (SST), preserving the peri-implant tissue dimensions by retaining the buccal aspect of root was published by Hurzeler et al in 2010. Our study aims to compare the clinical and radiographic outcomes between conventional immediate implantation and socket shield technique (SST) based on prospective clinical trials. Also, we will discuss the different protocols and modifications of the socket shield technique. Material and methods: A PubMed, Cochrane Library, Embase database search was conducted to identify relevant publication up to March 2022. Result: 7 articles were included in our systemic review. The follow-up periods of the included literature ranged from 6 months to 4 years and contained 106 cases of socket shield technique (Test group) and 112 cases of conventional immediate implantation technique (Control group). None of the implants failed to have osseointegration. The horizontal bone loss at the crestal area in test group and control group ranged from 0.12~0.29mm and 0.29~1.45mm half a year post-operatively on CBCT, respectively. On the other hand, the vertical bone loss in test group and control group ranged from 0.28~0.36mm and 0.77~1.71mm half a year after operation on CBCT. All the results showed the socket shield techniques had less tissue alterations compared to the conventional immediate implantation with statistical significance. The overall Pink Esthetic Score (PES) of the test group (Socket shield technique) in the included studies ranged from 12.0 to 13.25 postoperatively, comparing to those ranging from 8.85 to 12.60 for the control group. Conclusion: All the included clinical trials showed promising results of socket shield technique in respect of less bone and soft tissue volume changes than the conventional immediate implantation. However, it is still unclear whether the socket shield technique will provide a stable long-term outcome in this stage.
{"title":"Socket Shield Technique and Immediate Implant Placement – A Systematic Review","authors":"洪繹旻 洪繹旻","doi":"10.53106/261634032023050601003","DOIUrl":"https://doi.org/10.53106/261634032023050601003","url":null,"abstract":"\u0000 Purpose: A novel method, socket shield technique (SST), preserving the peri-implant tissue dimensions by retaining the buccal aspect of root was published by Hurzeler et al in 2010. Our study aims to compare the clinical and radiographic outcomes between conventional immediate implantation and socket shield technique (SST) based on prospective clinical trials. Also, we will discuss the different protocols and modifications of the socket shield technique. Material and methods: A PubMed, Cochrane Library, Embase database search was conducted to identify relevant publication up to March 2022. Result: 7 articles were included in our systemic review. The follow-up periods of the included literature ranged from 6 months to 4 years and contained 106 cases of socket shield technique (Test group) and 112 cases of conventional immediate implantation technique (Control group). None of the implants failed to have osseointegration. The horizontal bone loss at the crestal area in test group and control group ranged from 0.12~0.29mm and 0.29~1.45mm half a year post-operatively on CBCT, respectively. On the other hand, the vertical bone loss in test group and control group ranged from 0.28~0.36mm and 0.77~1.71mm half a year after operation on CBCT. All the results showed the socket shield techniques had less tissue alterations compared to the conventional immediate implantation with statistical significance. The overall Pink Esthetic Score (PES) of the test group (Socket shield technique) in the included studies ranged from 12.0 to 13.25 postoperatively, comparing to those ranging from 8.85 to 12.60 for the control group. Conclusion: All the included clinical trials showed promising results of socket shield technique in respect of less bone and soft tissue volume changes than the conventional immediate implantation. However, it is still unclear whether the socket shield technique will provide a stable long-term outcome in this stage.\u0000 \u0000","PeriodicalId":150986,"journal":{"name":"Journal of Periodontics and Implant Dentistry","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127233515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.53106/261634032023050601002
黃湘翎 黃湘翎
Abstract (Word Count: 202) Objective: This study aimed to evaluate whether 3D-printed (3DP) hydroxyapatite (HA)-based scaffolds can be customized to fit furcation defects. Materials and Methods: Two experimental degree II furcation defects were created in pig jaws, and cone-beam computed tomography (CBCT) images were taken before and after defect creation. Computer-aided design (CAD) models of scaffolds were produced by subtracting two CBCT images. For each defect, one 3DP resin block printed using a stereolithographic 3D printer served as the control, and three 3DP HA-based scaffolds were printed using an extrusion-based 3DP bioprinter. The resultant 3DP resin blocks and HA-based scaffolds were placed in the defects, and micro-CT images were taken to assess the fitness of the scaffolds. Results: Compared with the CAD models, the 3DP resin blocks and HA-based scaffolds showed approximately 90% and > 80% volume stability, respectively. Regarding the furcation defects, the linear adaptation ratio was approximately 90% for the 3DP resin blocks and > 70% for the 3DP HA-based scaffolds. The fitness of the 3DP HA-based scaffolds was inferior, with a notable depression in the central area. Conclusion: The 3DP HA-based scaffolds exhibited acceptable volume stability and fitness for the furcation defect and could be a potential strategy for promoting furcation defect regeneration.
{"title":"Fitness of Custom 3D-Printed Hydroxyapatite Scaffolds for Furcation Defects: A Preliminary Investigation Using Pig Jaws","authors":"黃湘翎 黃湘翎","doi":"10.53106/261634032023050601002","DOIUrl":"https://doi.org/10.53106/261634032023050601002","url":null,"abstract":"\u0000 Abstract (Word Count: 202) Objective: This study aimed to evaluate whether 3D-printed (3DP) hydroxyapatite (HA)-based scaffolds can be customized to fit furcation defects. Materials and Methods: Two experimental degree II furcation defects were created in pig jaws, and cone-beam computed tomography (CBCT) images were taken before and after defect creation. Computer-aided design (CAD) models of scaffolds were produced by subtracting two CBCT images. For each defect, one 3DP resin block printed using a stereolithographic 3D printer served as the control, and three 3DP HA-based scaffolds were printed using an extrusion-based 3DP bioprinter. The resultant 3DP resin blocks and HA-based scaffolds were placed in the defects, and micro-CT images were taken to assess the fitness of the scaffolds. Results: Compared with the CAD models, the 3DP resin blocks and HA-based scaffolds showed approximately 90% and > 80% volume stability, respectively. Regarding the furcation defects, the linear adaptation ratio was approximately 90% for the 3DP resin blocks and > 70% for the 3DP HA-based scaffolds. The fitness of the 3DP HA-based scaffolds was inferior, with a notable depression in the central area. Conclusion: The 3DP HA-based scaffolds exhibited acceptable volume stability and fitness for the furcation defect and could be a potential strategy for promoting furcation defect regeneration.\u0000 \u0000","PeriodicalId":150986,"journal":{"name":"Journal of Periodontics and Implant Dentistry","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131623508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.53106/261634032023050601004
魏少華 魏少華
Backgrounds: With the advantage of maximizing esthetic results and minimizing treatment procedures, immediate implant placement and provisionalization (IIPP) would be the first choice when planning to replace failing teeth in esthetic zone. However, the previous cone-beam computed tomography (CBCT) analysis of maxillary anterior teeth in Taiwanese patients revealed that the higher probability of labial bony perforation (LBP) when immediate implant surgery due to undesirable labial ridge concavity. Therefore, this case series demonstrated an alternative strategic approach that combined prophylactic root resection and simultaneous guided bone regeneration (GBR), which could effectively achieve the prerequisites for IIPP and decrease the risks of LBP. Materials and Methods: In this retrospective case-series study, four clinical cases with one or more failing anterior teeth were included. Following the initial CBCT analysis, all cases showed insufficient implant bone support due to apical lesion or buccal bone concavity. Besides, all patient were highly esthetic demand. Thus, we performed the prophylactic root resection with an attempt to maintain gingiva contour, and simultaneous GBR for ridge augmentation. After 8-month uneventful healing, IIPP was accomplished in all cases. The change of bone volume was compared by the preoperative computed tomography scans with those obtained eight months later. The quantitative analysis was calculated by Wilcoxon Signed-Rank Test and Kruskal-Wallis Test. Results: In all cases, significant bone fill was observed and adequate bone volume for IIPP in ideal position in CBCT planning after our alternative bone augmentation procedure. There were no biological or mechanical complications of implant restoration upon clinical and radiographic examination at follow up. Conclusion: This approach could not only preserve the architecture of hard and soft tissue, fulfill the patients’ expectation, but also achieve esthetic and functional outcomes.
{"title":"Alternative Ridge Augmentation for Esthetic Implant Placement: Case Series","authors":"魏少華 魏少華","doi":"10.53106/261634032023050601004","DOIUrl":"https://doi.org/10.53106/261634032023050601004","url":null,"abstract":"\u0000 Backgrounds: With the advantage of maximizing esthetic results and minimizing treatment procedures, immediate implant placement and provisionalization (IIPP) would be the first choice when planning to replace failing teeth in esthetic zone. However, the previous cone-beam computed tomography (CBCT) analysis of maxillary anterior teeth in Taiwanese patients revealed that the higher probability of labial bony perforation (LBP) when immediate implant surgery due to undesirable labial ridge concavity. Therefore, this case series demonstrated an alternative strategic approach that combined prophylactic root resection and simultaneous guided bone regeneration (GBR), which could effectively achieve the prerequisites for IIPP and decrease the risks of LBP. Materials and Methods: In this retrospective case-series study, four clinical cases with one or more failing anterior teeth were included. Following the initial CBCT analysis, all cases showed insufficient implant bone support due to apical lesion or buccal bone concavity. Besides, all patient were highly esthetic demand. Thus, we performed the prophylactic root resection with an attempt to maintain gingiva contour, and simultaneous GBR for ridge augmentation. After 8-month uneventful healing, IIPP was accomplished in all cases. The change of bone volume was compared by the preoperative computed tomography scans with those obtained eight months later. The quantitative analysis was calculated by Wilcoxon Signed-Rank Test and Kruskal-Wallis Test. Results: In all cases, significant bone fill was observed and adequate bone volume for IIPP in ideal position in CBCT planning after our alternative bone augmentation procedure. There were no biological or mechanical complications of implant restoration upon clinical and radiographic examination at follow up. Conclusion: This approach could not only preserve the architecture of hard and soft tissue, fulfill the patients’ expectation, but also achieve esthetic and functional outcomes.\u0000 \u0000","PeriodicalId":150986,"journal":{"name":"Journal of Periodontics and Implant Dentistry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129614111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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