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  • 1
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    M ultidisciplinary full‐mouth rehabilitation with soft tissue regeneration in the esthetic zone
    Wiley ; 2018
    In:  Journal of Esthetic and Restorative Dentistry Vol. 30, No. 1 ( 2018-01), p. 22-29
    Details
    In: Journal of Esthetic and Restorative Dentistry, Wiley, Vol. 30, No. 1 ( 2018-01), p. 22-29
    Abstract: Oral rehabilitation often requires a multidisciplinary approach including restorative dentistry, prosthodontics, and periodontology to fulfill high esthetic and functional demands, frequently combined with changes in the vertical dimension. The presence of gingival recessions can be associated with numerous factors, such as brushing or preparation trauma and persistent inflammation of the gingiva due to inadequate marginal fit of restorations. Because gingival recessions can cause major esthetic and functional problems, obtaining stability of the gingival tissue around prosthetic restorations is of essential concern. Modifications of the occlusal vertical dimension require sufficient experience of the whole dental team. Especially in patients with functional problems and craniomandibular dysfunction, a newly defined occlusal position should be adequately tested and possibly adjusted. Clinical considerations This case report presents a complete prosthetic rehabilitation combined with a periodontal surgical approach for a patient with gingival recessions and functional/esthetic related problems. The vertical dimension was carefully defined through long‐term polymethyl methacrylate provisionals as a communication tool between all parts involved. All‐ceramic crowns were inserted after periodontal healing as definitive rehabilitation. Conclusions Complex rehabilitation in patients with high esthetic demands including soft tissue corrections requires a multidisciplinary team approach that consists of periodontal surgeon, dentist and dental technician.
    Type of Medium: Online Resource
    ISSN: 1496-4155 , 1708-8240
    URL: Issue
    URL: Article
    DOI: 10.1111/jerd.2018.30.issue-1
    DOI: 10.1111/jerd.12336
    Language: English
    Publisher: Wiley
    Publication Date: 2018
    detail.hit.zdb_id: 2110391-4
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  • 2
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    Clinical Benefits of the Immediate Implant Socket Shield Technique
    Wiley ; 2017
    In:  Journal of Esthetic and Restorative Dentistry Vol. 29, No. 2 ( 2017-04), p. 93-101
    Details
    In: Journal of Esthetic and Restorative Dentistry, Wiley, Vol. 29, No. 2 ( 2017-04), p. 93-101
    Abstract: Extraction‐socket resorption is considered a major problem that can limit implantological rehabilitation options and compromise the esthetic outcome. Surgical techniques to reduce remodeling are of restricted predictability and commonly require several surgical interventions and grafting. This increases the treatment cost and places a physical and psychological strain on the patient. This clinical case report presents a replacement of an upper canine using the socket‐shield technique (SST) with a CAD/CAM surgical guide, resulting in a predictable, high esthetic, and functional result. Clinical considerations The SST is an alternative approach to curbing remodeling and resorption by retaining the facial part of the root during tooth extraction. An immediately placed implant supports the facial root fragment, preventing the collapse of the buccal wall. The SST with digital precision planning in combination with a CAD/CAM surgical guide benefits patients by preserving their tissue architecture and causing only insignificant trauma. Furthermore, the SST reduces the number of surgical and prosthetic interventions required to one each for pre‐operative planning, surgical procedures, and prosthetic rehabilitation. Conclusions The socket shield technique is a minimally invasive implantological approach offers patients and clinicians multiple benefits. Clinical Significance The socket‐shield technique (SST) represents an alternative approach to intervene remodeling and resorption processes by the maintenance of the facial part of the root during tooth extraction. The immediate placement of an implant supports the facial root fragment and thereby prevents a collapse of the buccal wall. The SST associated with a CAD/CAM fabricated surgical guide, can reduce the amount of appointments, due to the immediate fabrication of the definitive restoration with the existing model. Therefore, no further necessary appointments are required apart from first pre‐operative planning, second for surgical treatment, and third for prosthetic rehabilitation. (J Esthet Restor Dent 29:93–101, 2017)
    Type of Medium: Online Resource
    ISSN: 1496-4155 , 1708-8240
    URL: Issue
    URL: Article
    DOI: 10.1111/jerd.2017.29.issue-2
    DOI: 10.1111/jerd.12291
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2110391-4
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  • 3
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    Dimensional changes of the alveolar ridge contour after different socket preservation techniques
    Wiley ; 2008
    In:  Journal of Clinical Periodontology Vol. 35, No. 10 ( 2008-10), p. 906-913
    Details
    In: Journal of Clinical Periodontology, Wiley, Vol. 35, No. 10 ( 2008-10), p. 906-913
    Type of Medium: Online Resource
    ISSN: 0303-6979 , 1600-051X
    URL: Issue
    URL: Article
    DOI: 10.1111/cpe.2008.35.issue-10
    DOI: 10.1111/j.1600-051X.2008.01305.x
    Language: English
    Publisher: Wiley
    Publication Date: 2008
    detail.hit.zdb_id: 2026349-1
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  • 4
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    Dimensional changes of the ridge contour after socket preservation and buccal overbuilding: an animal study
    Wiley ; 2009
    In:  Journal of Clinical Periodontology Vol. 36, No. 5 ( 2009-05), p. 442-448
    Details
    In: Journal of Clinical Periodontology, Wiley, Vol. 36, No. 5 ( 2009-05), p. 442-448
    Abstract: Objectives: The aim of the study was to volumetrically assess alterations of the ridge contour after socket preservation and buccal overbuilding. Material and Methods: In five beagle dogs, four extraction sites were subjected to one of the following treatments: Tx 1 : The socket was filled with BioOss Collagen ® and covered with a free gingival autograft from the palate (SP). Tx 2 : The buccal bone plate was forced into a buccal direction using a manual bone spreader and SP was performed. Tx 3 : The buccal bone plate was forced into a buccal direction using a manual bone spreader; SP was performed. Tx 4 : The socket was filled with BioOss Collagen and a combined free gingival/connective tissue graft was used to cover the socket and for buccal tissue augmentation. Impressions were obtained at baseline, 2 weeks and 4 months post‐operatively. Casts were optically scanned and superimposed in one common coordinate system. Using digital image analysis, the volumetric differences per area among the different treatment time points and among the treatment groups were calculated. Results: Four months after tooth extraction, no statistically significant differences with regard to the buccal volume per area could be assessed among the treatment groups. Conclusion: Overbuilding the buccal aspect in combination with socket preservation is not a suitable technique to compensate for the alterations after tooth extraction.
    Type of Medium: Online Resource
    ISSN: 0303-6979 , 1600-051X
    URL: Issue
    URL: Article
    DOI: 10.1111/cpe.2009.36.issue-5
    DOI: 10.1111/j.1600-051X.2009.01381.x
    Language: English
    Publisher: Wiley
    Publication Date: 2009
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  • 5
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    Tunnel technique with connective tissue graft versus coronally advanced flap with enamel matrix derivative for root coverage: a RCT using 3D digital measuring methods. Part I. Clinical and patient‐centred outcomes
    Wiley ; 2014
    In:  Journal of Clinical Periodontology Vol. 41, No. 6 ( 2014-06), p. 582-592
    Details
    In: Journal of Clinical Periodontology, Wiley, Vol. 41, No. 6 ( 2014-06), p. 582-592
    Abstract: The aim of this randomized clinical trial ( RCT ) was to introduce 3D digital measuring methods for evaluating the outcomes after surgical root coverage (RC) and to assess the clinical performance of the tunnel technique with subepithelial connective tissue graft ( TUN ) versus the coronally advanced flap ( CAF ) with enamel matrix derivative in the treatment of shallow localized gingival recession defects. Material and Methods Twenty‐four patients contributed a total of 47 Miller class I or II recessions for scientific evaluation. Clinical outcomes were evaluated at 6 and 12 months. Precise study models gained at baseline and follow‐up examinations were optically scanned and virtually superimposed for digital evaluation of clinical outcome measures including percentage of RC and complete root coverage ( CRC ). Patient‐centred outcomes were evaluated with questionnaires. Final aesthetic outcomes were assessed using the root coverage esthetic score ( RES ). Results At 12 months, RC was 98.4% for TUN ‐treated and 71.8% for CAF ‐treated defects ( p  =   0.0004). CRC was observed in 78.6% ( TUN ) and 21.4% ( CAF ) of the cases ( p  =   0.0070). Results for patient‐centred outcomes were equivalent for both groups but evaluation of the final aesthetic outcomes using the RES revealed a significant difference (9.06 versus 6.92, p  =   0.0034) in favour of TUN . Conclusions TUN resulted in significantly better clinical outcomes compared with CAF . The new measuring method provided high accuracy and unforeseen precision in the evaluation of treatment outcomes after surgical RC.
    Type of Medium: Online Resource
    ISSN: 0303-6979 , 1600-051X
    URL: Issue
    URL: Article
    DOI: 10.1111/jcpe.2014.41.issue-6
    DOI: 10.1111/jcpe.12178
    Language: English
    Publisher: Wiley
    Publication Date: 2014
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  • 6
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    Socket Shield Technique for immediate implant placement – clinical, radiographic and volumetric data after 5 years
    Wiley ; 2017
    In:  Clinical Oral Implants Research Vol. 28, No. 11 ( 2017-11), p. 1450-1458
    Details
    In: Clinical Oral Implants Research, Wiley, Vol. 28, No. 11 ( 2017-11), p. 1450-1458
    Abstract: Implant placement immediately after tooth extraction is often accompanied by resorption of surrounding tissues. A clinical technique was developed where the buccal portion of the root is retained to preserve the periodontal ligament and bundle bone. This technique is based on animal studies showing the potential to preserve the facial tissues utilizing this approach. The purpose of this study was to gain more insight regarding the safety of the technique with regard to biological and implant‐related long‐term complications and to observe the clinical appearance of the peri‐implant tissues. Another objective was to evaluate volumetric changes of the affected facial contours in long‐term and the esthetic outcomes. Material and Methods This study is a retrospective case series of 10 consecutive patients with implant replacement between the maxillary first premolars. Impressions were made prior to extraction (t1) and 5 years post‐implant placement (t2). 3D‐surface scans of the casts were digitally superimposed for quantitative evaluation of alterations of the facial peri‐implant tissue contours and soft tissue recessions. Additionally, clinical data were collected ( PPD , BOP , peri‐apical radiographs and photographs). Results All implants healed without adverse events. Peri‐implant probing revealed healthy conditions. The comparison of radiographic images showed physiologic bone remodeling at the implant shoulders. Mean tissue loss on the facial side in oro‐facial direction was −0.21 ± 0.18 mm. Average recession at implants was −0.33 ± 0.23 mm and at neighboring teeth −0.38 ± 0.27 mm. Mean loss of the marginal bone level at the implant shoulder amounted to 0.33 ± 0.43 mm at the mesial and 0.17 ± 0.36 mm at the distal aspect of the implants. A mean pink esthetic score of 12 was recorded. Conclusion Volumetric analysis showed a low degree of contour changes from extraction and implant placement to the follow‐ups. Mucosal recession at the implant restoration was comparable to that of the neighboring teeth. Within the limitations of this descriptive study, the socket shield technique offers reduced invasiveness at the time of surgery and high esthetic outcomes with effective preservation of facial tissue contours. This technique should not be used in routine clinical practice until a higher level evidence in the form of prospective clinical trials is available.
    Type of Medium: Online Resource
    ISSN: 0905-7161 , 1600-0501
    URL: Issue
    URL: Article
    DOI: 10.1111/clr.2017.28.issue-11
    DOI: 10.1111/clr.13012
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2027104-9
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  • 7
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    In vitro efficacy of non‐surgical and surgical implant surface decontamination methods in three different defect configurations in the presence or absence of a suprastructure
    Wiley ; 2023
    In:  Clinical Implant Dentistry and Related Research Vol. 25, No. 3 ( 2023-06), p. 549-563
    Details
    In: Clinical Implant Dentistry and Related Research, Wiley, Vol. 25, No. 3 ( 2023-06), p. 549-563
    Abstract: Analysis of the in vitro efficacy of non‐surgical and surgical dental implant surface decontamination with or without suprastructure. Materials and Methods Three hundred and sixty implants were dipped in indelible red and distributed to 30°, 60°, or 90° angulated bone defect models. One hundred and twenty implants were used for each bone defect, 40 of which were assigned to a decontamination method (CUR: curette; SOSC: soundscaler; APA: air powder abrasion). Of these, 20 were subjected to a simulated non‐surgical (NST) or surgical treatment (ST), with/without mucosa mask, of which 10 were carried out with (S+) or without (S−) suprastructure. Uncleaned implant surface was assessed by both‐sided implant surface photography. Surface morphology changes were analyzed using scanning electron microscopy (SEM). Results Cleaning efficacy was significantly better within NST if the suprastructure was removed ( p   〈  0.001). No significant difference was found within ST ( p  = 0.304). Overall, cleaning efficacy in the order APA  〉  SOSC 〉 CUR decreased significantly ( p   〈  0.0001) for both S+ and S− in NST as well as ST. Separated by NST/ST, S+/S−, defect angulation and decontamination method, only isolated significant differences in cleaning efficacy were present. Linear regression analysis revealed significant associations of remnants with the treatment approach, decontamination method, and defect angle ( p   〈  0.0001). SEM micrographs showed serious surface damage after use of CUR and SOSC. Conclusions Suprastructure removal is an additional option to improve cleaning efficacy of non‐surgical implant surface decontamination in this in vitro model.
    Type of Medium: Online Resource
    ISSN: 1523-0899 , 1708-8208
    URL: Issue
    URL: Article
    DOI: 10.1111/cid.v25.3
    DOI: 10.1111/cid.13198
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2094120-1
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  • 8
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    Effect of Subgingival Instrumentation on Neutrophil Elastase and C-Reactive Protein in Grade B and C Periodontitis: Exploratory Analysis of a Prospective Cohort Study
    MDPI AG ; 2022
    In:  Journal of Clinical Medicine Vol. 11, No. 11 ( 2022-06-02), p. 3189-
    Details
    In: Journal of Clinical Medicine, MDPI AG, Vol. 11, No. 11 ( 2022-06-02), p. 3189-
    Abstract: Background: Assessment of the effect of subgingival instrumentation (SI) on systemic inflammation in periodontitis grades B (BP) and C (CP). Methods: In this prospective cohort study, eight BP and 46 CP patients received SI. Data were collected prior to and 12 weeks after SI. Blood was sampled prior to, one day, 6, and 12 weeks after SI. Neutrophil elastase (NE), C-reactive protein (CRP), leukocyte count, lipopolysaccharide binding protein, interleukin 6 (IL-6) and IL-8 were assessed. Results: Both groups showed significant clinical improvement. NE was lower in BP than CP at baseline and 1 day after SI, while CRP was lower in BP than CP at baseline (p 〈 0.05). NE and CRP had a peak 1 day after SI (p 〈 0.05). Between-subjects effects due to CP (p = 0.042) and PISA (p = 0.005) occurred. Within-subjects NE change was confirmed and modulated by grade (p = 0.017), smoking (p = 0.029), number of teeth (p = 0.033), and PISA (p = 0.002). For CRP between-subjects effects due to BMI (p = 0.008) were seen. Within-subjects PISA modulated the change of CRP over time (p = 0.017). Conclusions: In untreated CP, NE and CRP were higher than in BP. SI results in better PPD and PISA reduction in BP than CP. Trial registration: Deutsches Register Klinischer Studien DRKS00026952 28 October 2021 registered retrospectively.
    Type of Medium: Online Resource
    ISSN: 2077-0383
    URL: Article
    DOI: 10.3390/jcm11113189
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2662592-1
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  • 9
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    Tunnel technique with connective tissue graft versus coronally advanced flap with enamel matrix derivate for root coverage: 5‐year results of an RCT using 3D digital measurement technology for volumetric comparison of soft tissue changes
    Wiley ; 2021
    In:  Journal of Clinical Periodontology Vol. 48, No. 7 ( 2021-07), p. 949-961
    Details
    In: Journal of Clinical Periodontology, Wiley, Vol. 48, No. 7 ( 2021-07), p. 949-961
    Abstract: Comparison of the clinical efficacy (digitally volumetric, aesthetic, patient‐centred outcomes) of tunnel technique (TUN) with subepithelial connective tissue graft (CTG) versus coronally advanced flap (CAF) with enamel matrix derivate (EMD) 5 years after gingival recession therapy. Materials and methods In 18 patients contributing 36 RT1 recessions, study models were collected at baseline and follow‐ups. Optical scans assessed recessions computer‐assisted [recession depth, recession reduction (RECred), complete root coverage (CRC), percentage of root coverage (RC), pointwise (pTHK) and mean areal (aTHK) marginal soft tissue thickness]. Root coverage aesthetic Score (RES) was used for aesthetic evaluation and visual analogue scales for patient‐centred data collection applied. Results Sixty months after surgery, 50.0% (TUN+CTG) and 0.0% (CAF+EMD) of sites showed CRC ( p  = 0.0118), 82.2% (TUN+CTG) and 32.0% (CAF+EMD) achieved RC, respectively ( p  = 0.0023). CTG achieved significantly better RECred (TUN+CTG: 1.75±0.74 mm; CAF+EMD: 0.50 ± 0.39 mm; p  = 0.0009) and aTHK (TUN+CTG: 0.95 ± 0.41 mm; CAF+EMD: 0.26 ± 0.28 mm; p  = 0.0013). RES showed superior outcomes ( p  = 0.0533) for TUN+CTG (6.86 ± 2.31) compared to CAF+EMD (4.63 ± 1.99). The study failed to find significant differences related to patient‐centred outcomes (TUN+CTG: 8.30 ± 2.21; CAF+EMD: 7.50 ± 1.51; p  = 0.1136). Conclusions Five years after treatment, CTG resulted in better clinical and aesthetic outcomes than CAF+EMD. Increased THK was associated with improved outcomes for RECred and RC.
    Type of Medium: Online Resource
    ISSN: 0303-6979 , 1600-051X
    URL: Issue
    URL: Article
    DOI: 10.1111/jcpe.v48.7
    DOI: 10.1111/jcpe.13470
    Language: English
    Publisher: Wiley
    Publication Date: 2021
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  • 10
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    Microsurgical access flap and enamel matrix derivative for the treatment of periodontal intrabony defects: a controlled clinical study : Microsurgical access flap and EMD
    Wiley ; 2003
    In:  Journal of Clinical Periodontology Vol. 30, No. 6 ( 2003-06), p. 496-504
    Details
    In: Journal of Clinical Periodontology, Wiley, Vol. 30, No. 6 ( 2003-06), p. 496-504
    Type of Medium: Online Resource
    ISSN: 0303-6979
    URL: Article
    DOI: 10.1034/j.1600-051X.2003.00013.x
    Language: English
    Publisher: Wiley
    Publication Date: 2003
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