Pub Date : 2024-02-09DOI: 10.58624/svoade.2024.05.0167
Salvatore Luca La Terra
Wound healing is a complex and dynamic process that involves a series of intricately regulated phases, each contributing to the restoration of tissue integrity. This comprehensive review dives into the fundamental aspects of wound healing, exploring the physiological mechanisms, phases, and influencing factors. The review begins with describing the significance of wound healing and navigates through sequential phases, such as hemostasis and inflammation, proliferation, remodelling, wound classification and closure techniques, thus providing insights into the diverse strategies employed in clinical settings. Much focus lies to bone healing, addressing both primary and secondary healing mechanisms, as well as the bone healing in extraction sockets. A significant segment of the review explores the factors affecting wound healing, which are categorized into local, surgical, and systemic factors encompassing ageing, diabetes mellitus, hormonal changes, immunocompromised conditions, medications, smoking, alcohol consumption, obesity, and nutrition deficiency. A synthesis of the reviewed content highlights the interplay of these factors in the ‘wound healing’ process. Understanding these elements is imperative for clinicians and researchers alike to develop effective therapeutic interventions tailored to individual patient needs. This review serves as a valuable resource for those seeking a comprehensive understanding of the intricate dynamics of wound healing in the human body.
{"title":"What Factors can have an impact on the wound Healing Process from an oral surgery perspective? A Review","authors":"Salvatore Luca La Terra","doi":"10.58624/svoade.2024.05.0167","DOIUrl":"https://doi.org/10.58624/svoade.2024.05.0167","url":null,"abstract":"Wound healing is a complex and dynamic process that involves a series of intricately regulated phases, each contributing to the restoration of tissue integrity. This comprehensive review dives into the fundamental aspects of wound healing, exploring the physiological mechanisms, phases, and influencing factors. The review begins with describing the significance of wound healing and navigates through sequential phases, such as hemostasis and inflammation, proliferation, remodelling, wound classification and closure techniques, thus providing insights into the diverse strategies employed in clinical settings. Much focus lies to bone healing, addressing both primary and secondary healing mechanisms, as well as the bone healing in extraction sockets. A significant segment of the review explores the factors affecting wound healing, which are categorized into local, surgical, and systemic factors encompassing ageing, diabetes mellitus, hormonal changes, immunocompromised conditions, medications, smoking, alcohol consumption, obesity, and nutrition deficiency. A synthesis of the reviewed content highlights the interplay of these factors in the ‘wound healing’ process. Understanding these elements is imperative for clinicians and researchers alike to develop effective therapeutic interventions tailored to individual patient needs. This review serves as a valuable resource for those seeking a comprehensive understanding of the intricate dynamics of wound healing in the human body.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":"229 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140459790","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 : 2024-01-29DOI: 10.58624/svoade.2024.05.0165
Carine Tabarani
Following tooth extraction, resorption in alveolar bone results in narrowing of remaining ridge in the extraction site leading to compromised functional and aesthetic outcomes. The overall goal of the present article is to shed light on the importance of the socket preservation procedure in preserving the original bone dimensional contours, while comparing two essential approaches, using non-resorbable high density d-PTFE membranes v/s the non-cross linked collagen resorbable membranes, by assessing the clinical results in terms of regenerated bone volume, postoperative complications and evaluation of keratinized tissue in grafted areas with either one of the above mentioned membranes.
{"title":"Socket Preservation Technique Using Resorbable Collagen Membrane v/s High Density d-PTFE Membrane: A Must in today’s Implant Rehabilitations. A Literature Review and 2 Clinical Cases Report.","authors":"Carine Tabarani","doi":"10.58624/svoade.2024.05.0165","DOIUrl":"https://doi.org/10.58624/svoade.2024.05.0165","url":null,"abstract":"Following tooth extraction, resorption in alveolar bone results in narrowing of remaining ridge in the extraction site leading to compromised functional and aesthetic outcomes. The overall goal of the present article is to shed light on the importance of the socket preservation procedure in preserving the original bone dimensional contours, while comparing two essential approaches, using non-resorbable high density d-PTFE membranes v/s the non-cross linked collagen resorbable membranes, by assessing the clinical results in terms of regenerated bone volume, postoperative complications and evaluation of keratinized tissue in grafted areas with either one of the above mentioned membranes.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":"36 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140488621","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 : 2024-01-12DOI: 10.58624/svoade.2024.05.0163
I. Pedron, Thais Cordeschi, João Marcelo Ferreira de Medeiros, Luciano Mayer
Dyspepsia is a condition resulting from problems related to poor digestion and changes in the sensitivity of the stomach mucosa. It is usually related to diseases such as gastritis, gastroesophageal reflux disease, peptic ulcer and neoplasms of the upper gastrointestinal tract. Dyspepsia is strongly related to the presence of Helicobacter pylori bacteria. Dyspepsia is characterised by pain, pyrosis (heartburn or a burning sensation), anorexia (loss of appetite), abdominal distention, gastric bloating, eructation, flatulence, nausea and a feeling of satiety. Fantogeusia (bitter taste) and halitosis can also be observed. The purpose of this article is to present the case of a patient with dyspepsia caused by erosive gastritis. After periodontal treatment and control of the periodontal disease, an improvement in the symptoms of dyspepsia was reported.
{"title":"Periodontal Treatment Improves Dyspepsia caused by Erosive Gastritis: A Case Report","authors":"I. Pedron, Thais Cordeschi, João Marcelo Ferreira de Medeiros, Luciano Mayer","doi":"10.58624/svoade.2024.05.0163","DOIUrl":"https://doi.org/10.58624/svoade.2024.05.0163","url":null,"abstract":"Dyspepsia is a condition resulting from problems related to poor digestion and changes in the sensitivity of the stomach mucosa. It is usually related to diseases such as gastritis, gastroesophageal reflux disease, peptic ulcer and neoplasms of the upper gastrointestinal tract. Dyspepsia is strongly related to the presence of Helicobacter pylori bacteria. Dyspepsia is characterised by pain, pyrosis (heartburn or a burning sensation), anorexia (loss of appetite), abdominal distention, gastric bloating, eructation, flatulence, nausea and a feeling of satiety. Fantogeusia (bitter taste) and halitosis can also be observed. The purpose of this article is to present the case of a patient with dyspepsia caused by erosive gastritis. After periodontal treatment and control of the periodontal disease, an improvement in the symptoms of dyspepsia was reported.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":"6 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140509437","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 : 2023-12-12DOI: 10.58624/svoade.2023.04.0162
Background: A common and tried-and-true ingredient in mouthwashes that works well against the development of plaque, gingivitis, and oral microbial growth is chlorhexidine gluconate (CHX). However, when it must be taken for an extended period of time, its benefits are limited by the accompanying side effects, which include taste modification, cytotoxicity, supragingival calculus formation, mucosal irritation, and tooth discoloration. In the 1980s, octenidine dihydrochloride (OCT), a new antibacterial cationic surfactant molecule, was produced at the Sterling-Winthrop Research Institute in Rensselaer, NY. OCT binds to negatively charged microbial surfaces and has a strong adherence to lipid components, which causes disruption of the cell membrane of bacteria, yeast, and fungus. Aim: The purpose of the study was to evaluate the efficacy of mouthwashes with 0.1% octenidine and 0.2% chlorhexidine in patients with gingivitis and periodontitis. Material and Method: Participants in this clinical experiment were split into two groups, each consisting of forty patients with periodontitis and gingivitis. Next, as an addition to scaling and root planning (SRP), 20 patients from each group were provided chlorhexidine mouthwash and 20 patients were recommended to use octenidine mouthwash. At baseline and three months later, clinical measures such as the O’Leary plaque index (PI), bleeding index, probing pocket depth (POD), and clinical attachment loss (CAL) were assessed. Result: All clinical measurements showed that the Octenidine group performed much better than the chlorhexidine group in both the gingivitis and periodontitis groups. Conclusion: When compared to chlorhexidine, Octenidine performed better across all of the previously listed clinical parameters. As a result, it can be regarded as a promising mouthwash for upcoming medical and scientific investigations.
{"title":"Comparative Assessment of Octenidine and Chlorhexidine Mouthwash in Gingivitis and Periodontitis Patient: A Clinical Trial","authors":"","doi":"10.58624/svoade.2023.04.0162","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0162","url":null,"abstract":"Background: A common and tried-and-true ingredient in mouthwashes that works well against the development of plaque, gingivitis, and oral microbial growth is chlorhexidine gluconate (CHX). However, when it must be taken for an extended period of time, its benefits are limited by the accompanying side effects, which include taste modification, cytotoxicity, supragingival calculus formation, mucosal irritation, and tooth discoloration. In the 1980s, octenidine dihydrochloride (OCT), a new antibacterial cationic surfactant molecule, was produced at the Sterling-Winthrop Research Institute in Rensselaer, NY. OCT binds to negatively charged microbial surfaces and has a strong adherence to lipid components, which causes disruption of the cell membrane of bacteria, yeast, and fungus. Aim: The purpose of the study was to evaluate the efficacy of mouthwashes with 0.1% octenidine and 0.2% chlorhexidine in patients with gingivitis and periodontitis. Material and Method: Participants in this clinical experiment were split into two groups, each consisting of forty patients with periodontitis and gingivitis. Next, as an addition to scaling and root planning (SRP), 20 patients from each group were provided chlorhexidine mouthwash and 20 patients were recommended to use octenidine mouthwash. At baseline and three months later, clinical measures such as the O’Leary plaque index (PI), bleeding index, probing pocket depth (POD), and clinical attachment loss (CAL) were assessed. Result: All clinical measurements showed that the Octenidine group performed much better than the chlorhexidine group in both the gingivitis and periodontitis groups. Conclusion: When compared to chlorhexidine, Octenidine performed better across all of the previously listed clinical parameters. As a result, it can be regarded as a promising mouthwash for upcoming medical and scientific investigations.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139182365","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 : 2023-12-08DOI: 10.58624/svoade.2023.04.0161
Sachin Philip, Varun Goyal, Gurkeerat Singh, S. Kannan, R. Singh, Ankit Chaudari, Triparna Kapoor
Malocclusion is the world's third most common oral ailment. The fixed orthodontic procedure is now the most successful treatment strategy for malocclusion. Archwire bending is an important part of orthodontic therapy. However, because to the great stiffness and exceptional flexibility of orthodontic wire, it is a very difficult task. The old method of obtaining the created archwire curve is dependent on manual operation, which would bring various errors induced by human causes. Customised archwires are required in clinics for lingual orthodontics treatment. Previously, only expert orthodontists could physically bend these archwires. This is a pattern demands specialised skill training, precision, and extensive chairside time, but cannot guarantee the accuracy of appliances. So, what are the most recent developments?
{"title":"Robotic Applications in Orthodontics: Overview of Existing Research","authors":"Sachin Philip, Varun Goyal, Gurkeerat Singh, S. Kannan, R. Singh, Ankit Chaudari, Triparna Kapoor","doi":"10.58624/svoade.2023.04.0161","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0161","url":null,"abstract":"Malocclusion is the world's third most common oral ailment. The fixed orthodontic procedure is now the most successful treatment strategy for malocclusion. Archwire bending is an important part of orthodontic therapy. However, because to the great stiffness and exceptional flexibility of orthodontic wire, it is a very difficult task. The old method of obtaining the created archwire curve is dependent on manual operation, which would bring various errors induced by human causes. Customised archwires are required in clinics for lingual orthodontics treatment. Previously, only expert orthodontists could physically bend these archwires. This is a pattern demands specialised skill training, precision, and extensive chairside time, but cannot guarantee the accuracy of appliances. So, what are the most recent developments?","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139185113","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 : 2023-11-29DOI: 10.58624/svoade.2023.04.0159
Ziyad S. Haidar
In the ever-evolving landscape of healthcare, where science, technology, and clinical practice converge, the realm of cranio-maxillo-facial and oro-dental interventions stands at the forefront of transformative possibilities. This communication embarks on an illuminating journey into the heart of this dynamic field, where innovation knows no bounds. Collaborative student engagement has been instrumental in not only exploring but also bridging the chasm between diverse scientific disciplines and the practical intricacies of clinical application. Recent strides in drug delivery mechanisms, characterized by the ingenious fusion of cells and nano-carriers, have laid the foundation for a revolution in regenerative medicine. These breakthroughs promise a future where treatments are not only precise but also meticulously controlled, enhancing patient quality of life through the amelioration of disease conditions and restoration of bodily functions. Injectable hydrogels, another trailblazing innovation, have emerged as a beacon of hope. They offer versatile solutions that promise to redefine surgical and clinical practices by affording healthcare professionals spatio-temporal control, tunability, and stimuli-responsiveness. These hydrogels unlock the potential for the targeted delivery of therapeutic agents, including cells, genes, proteins, and drugs, revolutionizing tissue engineering, regenerative medicine, and aesthetic surgical interventions. BioCeramics, a burgeoning field, is redefining conventional wisdom in bone grafting and implant technology. These biomaterials are poised to usher in a new era of innovative approaches that enhance the mechanical and biological compatibility of implants, facilitating improved clinical outcomes and patient quality of life. Moreover, this communication serves as a herald of exciting news: the inauguration of a Doctoral (PhD) Program in Dental Sciences at the prestigious Universidad de los Andes in Santiago de Chile. This program beckons forward-thinkers, visionaries, and emerging scholars to partake in pioneering research at the Laboratorio de Biomateriales, Farmace uticos y Bioingenierí a de Tejidos Cra neo Ma xilo-Facial. As we embrace the future, limitless possibilities abound in this transformative health field, where advancing science and technology merge seamlessly to enhance the clinical and surgical armamentarium available for contemporary practices and users. This journey represents not only a dedication to scientific exploration yet an unwavering commitment to improving patient quality of life (QoL) and well-being thru the amalgamation of cutting-edge research, innovation, and compassionate care.
在不断发展的医疗保健领域,科学、技术和临床实践相互交融,颅颌面和口腔干预领域正处于变革的最前沿。这篇通讯开启了一段富有启发性的旅程,让我们走进这个创新无止境、充满活力的领域。学生的合作参与不仅有助于探索,也有助于弥合不同科学学科与错综复杂的临床应用之间的鸿沟。最近,以细胞和纳米载体的巧妙融合为特征的给药机制取得了长足进步,为再生医学的革命奠定了基础。这些突破预示着,未来的治疗不仅精确,而且控制细致,通过改善疾病状况和恢复身体功能来提高病人的生活质量。可注射水凝胶是另一项开拓性创新,已成为希望的灯塔。它们提供了多功能解决方案,通过为医护人员提供时空控制、可调性和刺激反应性,有望重新定义外科和临床实践。这些水凝胶释放了靶向输送治疗剂(包括细胞、基因、蛋白质和药物)的潜力,彻底改变了组织工程、再生医学和美容手术干预。生物陶瓷是一个新兴领域,正在重新定义骨移植和植入技术的传统智慧。这些生物材料有望开创创新方法的新时代,提高植入物的机械和生物兼容性,促进临床效果和患者生活质量的改善。此外,这篇通讯还预示着一个振奋人心的消息:智利圣地亚哥著名的安第斯大学(Universidad de los Andes)将开设牙科学博士(PhD)课程。该项目召唤着那些具有前瞻性思维、远见卓识和新兴学者,让他们参与到克拉尼奥马西洛-面部生物材料、农场和生物工程实验室的开拓性研究中来。在我们拥抱未来的过程中,这一变革性的健康领域蕴含着无限的可能性,不断进步的科学与技术在这里完美融合,为当代的临床实践和用户提供了更多的临床和外科手术手段。这一历程不仅代表着我们对科学探索的执着,也代表着我们对通过融合尖端研究、创新和爱心护理来提高患者生活质量(QoL)和福祉的坚定承诺。
{"title":"Advancing Oro-Dental and Cranio-Maxillo-Facial Interventions for QoL: Injectable Hydrogel and BioCeramic NanoDelivery Platforms","authors":"Ziyad S. Haidar","doi":"10.58624/svoade.2023.04.0159","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0159","url":null,"abstract":"In the ever-evolving landscape of healthcare, where science, technology, and clinical practice converge, the realm of cranio-maxillo-facial and oro-dental interventions stands at the forefront of transformative possibilities. This communication embarks on an illuminating journey into the heart of this dynamic field, where innovation knows no bounds. Collaborative student engagement has been instrumental in not only exploring but also bridging the chasm between diverse scientific disciplines and the practical intricacies of clinical application. Recent strides in drug delivery mechanisms, characterized by the ingenious fusion of cells and nano-carriers, have laid the foundation for a revolution in regenerative medicine. These breakthroughs promise a future where treatments are not only precise but also meticulously controlled, enhancing patient quality of life through the amelioration of disease conditions and restoration of bodily functions. Injectable hydrogels, another trailblazing innovation, have emerged as a beacon of hope. They offer versatile solutions that promise to redefine surgical and clinical practices by affording healthcare professionals spatio-temporal control, tunability, and stimuli-responsiveness. These hydrogels unlock the potential for the targeted delivery of therapeutic agents, including cells, genes, proteins, and drugs, revolutionizing tissue engineering, regenerative medicine, and aesthetic surgical interventions. BioCeramics, a burgeoning field, is redefining conventional wisdom in bone grafting and implant technology. These biomaterials are poised to usher in a new era of innovative approaches that enhance the mechanical and biological compatibility of implants, facilitating improved clinical outcomes and patient quality of life. Moreover, this communication serves as a herald of exciting news: the inauguration of a Doctoral (PhD) Program in Dental Sciences at the prestigious Universidad de los Andes in Santiago de Chile. This program beckons forward-thinkers, visionaries, and emerging scholars to partake in pioneering research at the Laboratorio de Biomateriales, Farmace uticos y Bioingenierí a de Tejidos Cra neo Ma xilo-Facial. As we embrace the future, limitless possibilities abound in this transformative health field, where advancing science and technology merge seamlessly to enhance the clinical and surgical armamentarium available for contemporary practices and users. This journey represents not only a dedication to scientific exploration yet an unwavering commitment to improving patient quality of life (QoL) and well-being thru the amalgamation of cutting-edge research, innovation, and compassionate care.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139214667","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 : 2023-11-29DOI: 10.58624/svoade.2023.04.0160
G. Deryabin, S. Grybauskas, Tadas Korzinskas
Background: This study evaluated the efficacy of recombinant human bone morphogenetic protein-2 (rhBMP-2) in inducing de novo bone formation during the augmentation of the severely resorbed posterior maxilla for dental implant placement. Methods: Composite grafts consisting of rhBMP-2/absorbable collagen sponge (ACS) mixed with deproteinized bovine bone mineral (DBBM) Bio-Oss in a 1:1 ratio were used to reconstruct severely resorbed posterior maxillae in 13 patients (five men, eight women; age range: 50 to 66 years). Three patients were treated with sinus floor augmentation alone, and 10 patients with a combination of sinus floor augmentation and guided bone regeneration. A total of 71 dental implants were used in this study. The residual bone height below the maxillary sinus ranged from 0.5 to 3.0 mm. Clinical, radiological, and histomorphometric analyses were performed to assess the outcomes of bone augmentation. Results: The healing period was uneventful in all patients. The mean alveolar ridge height increased by 14 mm (range, 10–18 mm) and the mean alveolar width increased by 6 mm (range, 4–7 mm). Histopathological analysis revealed that newly formed bone was detectable throughout the implantation sites of sinus biopsies. The analysis of vascularization of the implant bed revealed large numbers of high-lumen vessels, in addition to moderate numbers of smaller blood vessels within the connective tissue. The histomorphometrical analysis of the tissue distribution showed that the amount of newly formed bone was 20.39 ± 4.95%, the amount of the remaining bone substitute was 41.85 ± 11.97%, and connective tissue was 37.76 ± 8.82%. The overall dental implant success and survival rates were 100% and remained unchanged at a follow-up period of 3 to 12 years. Conclusions: The results of this study demonstrated that a composite graft of rhBMP-2/ACS and DBBM can result in predictable reconstruction of a large bone volume of the maxilla for dental implant placement and functional loading.
{"title":"Application of Recombinant Human Bone Morphogenetic Protein-2 (RhBMP-2) in the Reconstruction of Edentulous Posterior Maxilla: Clinical Protocol, Histological Analysis, and Long-Term Implant Success and Survival Rates","authors":"G. Deryabin, S. Grybauskas, Tadas Korzinskas","doi":"10.58624/svoade.2023.04.0160","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0160","url":null,"abstract":"Background: This study evaluated the efficacy of recombinant human bone morphogenetic protein-2 (rhBMP-2) in inducing de novo bone formation during the augmentation of the severely resorbed posterior maxilla for dental implant placement. Methods: Composite grafts consisting of rhBMP-2/absorbable collagen sponge (ACS) mixed with deproteinized bovine bone mineral (DBBM) Bio-Oss in a 1:1 ratio were used to reconstruct severely resorbed posterior maxillae in 13 patients (five men, eight women; age range: 50 to 66 years). Three patients were treated with sinus floor augmentation alone, and 10 patients with a combination of sinus floor augmentation and guided bone regeneration. A total of 71 dental implants were used in this study. The residual bone height below the maxillary sinus ranged from 0.5 to 3.0 mm. Clinical, radiological, and histomorphometric analyses were performed to assess the outcomes of bone augmentation. Results: The healing period was uneventful in all patients. The mean alveolar ridge height increased by 14 mm (range, 10–18 mm) and the mean alveolar width increased by 6 mm (range, 4–7 mm). Histopathological analysis revealed that newly formed bone was detectable throughout the implantation sites of sinus biopsies. The analysis of vascularization of the implant bed revealed large numbers of high-lumen vessels, in addition to moderate numbers of smaller blood vessels within the connective tissue. The histomorphometrical analysis of the tissue distribution showed that the amount of newly formed bone was 20.39 ± 4.95%, the amount of the remaining bone substitute was 41.85 ± 11.97%, and connective tissue was 37.76 ± 8.82%. The overall dental implant success and survival rates were 100% and remained unchanged at a follow-up period of 3 to 12 years. Conclusions: The results of this study demonstrated that a composite graft of rhBMP-2/ACS and DBBM can result in predictable reconstruction of a large bone volume of the maxilla for dental implant placement and functional loading.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":"112 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139210966","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 : 2023-11-10DOI: 10.58624/svoade.2023.04.0157
Thomas Borris, Ogden Deaton, Jane Chang, Samia Nawaz
The purpose of this report was to document a case with a 1-week and 2-month follow up and contribute to the small body of existing literature to better understand this rare odontogenic tumor. There have been few aggressive and large dentinogenic ghost cell tumor case reports found in this literature.
{"title":"Dentinogenic Ghost Cell Tumor: An Unusual Aggressive Oral Lesion","authors":"Thomas Borris, Ogden Deaton, Jane Chang, Samia Nawaz","doi":"10.58624/svoade.2023.04.0157","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0157","url":null,"abstract":"The purpose of this report was to document a case with a 1-week and 2-month follow up and contribute to the small body of existing literature to better understand this rare odontogenic tumor. There have been few aggressive and large dentinogenic ghost cell tumor case reports found in this literature.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":"119 15","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135137169","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 : 2023-11-09DOI: 10.58624/svoade.2023.04.0156
Harsha Pujari, Preetpal Sandhu
Objective: The purpose of this work is to compare the incidence of dentinal defects in oval root canals with two different file systems and examine and contrast the creation of dentinal cracks using a scanning electron microscope (SEM) and a stereomicroscope during the root canal preparation process. Material and Method: Three groups of 15 were created from the sixty extracted human mandibular premolars: two were experimental and one was control. The experimental groups underwent root canal therapy. Group I the control group, did not receive any preparations. Group II is the Waldent walflex file and group III is the Trunatomy (TRN) file. After sectioning the roots at 3, 6, and 9 mm from the apex, the surfaces were examined with a stereomicroscope and SEM. Results: The data were examined using the Chi-square test. There were no fissures in the untreated group. The area between 3mm and 6mm was where the cracks in Waldent Walflex were most evident. There was no statistically significant difference between the experimental groups at either the 6 mm or 9 mm levels (P > 0.05). Conclusion: In conclusion, each rotary file utilized in the testing caused dentinal cracks. Compared to the Trunatomy file group, the Waldent walflex file group has more errors. The apical area of the samples had much more defects than the median and coronal regions.
{"title":"Comparing the Incidence of Dental Defects in Oval Root Canals Prepared with Two Distinct Endodontic Rotary Files: An In Vitro Study","authors":"Harsha Pujari, Preetpal Sandhu","doi":"10.58624/svoade.2023.04.0156","DOIUrl":"https://doi.org/10.58624/svoade.2023.04.0156","url":null,"abstract":"Objective: The purpose of this work is to compare the incidence of dentinal defects in oval root canals with two different file systems and examine and contrast the creation of dentinal cracks using a scanning electron microscope (SEM) and a stereomicroscope during the root canal preparation process. Material and Method: Three groups of 15 were created from the sixty extracted human mandibular premolars: two were experimental and one was control. The experimental groups underwent root canal therapy. Group I the control group, did not receive any preparations. Group II is the Waldent walflex file and group III is the Trunatomy (TRN) file. After sectioning the roots at 3, 6, and 9 mm from the apex, the surfaces were examined with a stereomicroscope and SEM. Results: The data were examined using the Chi-square test. There were no fissures in the untreated group. The area between 3mm and 6mm was where the cracks in Waldent Walflex were most evident. There was no statistically significant difference between the experimental groups at either the 6 mm or 9 mm levels (P > 0.05). Conclusion: In conclusion, each rotary file utilized in the testing caused dentinal cracks. Compared to the Trunatomy file group, the Waldent walflex file group has more errors. The apical area of the samples had much more defects than the median and coronal regions.","PeriodicalId":93501,"journal":{"name":"SVOA Dentistry","volume":" 24","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135290967","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}