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Current and Emerging Treatment Options in Dental Implatology
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Current and Emerging Treatment Options in Dental Implatology

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: closed (30 June 2024) | Viewed by 3385

Special Issue Editors

Dr. Domenico Dalessandri

E-Mail Website
Guest Editor
Dental School, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, 25121 Brescia, Italy
Interests: oral surgery; implant dentistry; restorative dentistry; AI; systematic reviews; 3D imaging; computed tomography
Special Issues, Collections and Topics in MDPI journals
Dr. Stefano Bonetti

E-Mail Website
Guest Editor
Dental School, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, 25121 Brescia, Italy
Interests: esthetic dentistry; restorative dentistry; information technology; orthodontics; dental education

Special Issue Information

Dear Colleagues,

This Special Issue aims to explore the current and emerging treatment options in the field of dental implantology. With the increasing demand for dental implants and advancements in implant technology, it is crucial to gather and disseminate the latest research findings to improve patient outcomes. The Special Issue will cover a wide range of topics related to different applications of dental implants in dentistry and maxillofacial surgery. These include but are not limited to:

  1. Surgical techniques and advancements in implant placement;
  2. Bone augmentation and regeneration strategies;
  3. Immediate loading protocols and accelerated implant therapy;
  4. Prosthetic options and innovations in implant-supported restorations;
  5. Dental implants as anchorage devices in orthodontics.

We invite original research articles, systematic reviews, meta-analyses, and clinical trials that contribute to the understanding and advancement of treatment options in dental implantology. However, please note that mini-reviews and case reports will not be considered for this Special Issue.

This Special Issue on "Current and Emerging Treatment Options in Dental Implatology" aims to bring together cutting-edge research and expert perspectives to enhance our understanding and management of dental implant therapies. We look forward to receiving submissions that contribute to the advancement of treatment strategies in dental implantology and ultimately improve patient care.

Dr. Domenico Dalessandri
Dr. Stefano Bonetti
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • osseointegration
  • immediate implant placement
  • guided bone regeneration
  • peri-implantitis
  • implant stability
  • soft tissue management around implants

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Further information on MDPI's Special Issue polices can be found here.

Published Papers (2 papers)

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15 pages, 2430 KiB  
Article
Partial Implant Rehabilitations in the Posterior Regions of the Jaws Supported by Short Dental Implants (7.0 mm): A 7-Year Clinical and 5-Year Radiographical Prospective Study
by Miguel de Araújo Nobre, Carolina Antunes, Armando Lopes, Ana Ferro, Mariana Nunes, Miguel Gouveia, Francisco Azevedo Coutinho and Francisco Salvado
J. Clin. Med. 2024, 13(6), 1549; https://doi.org/10.3390/jcm13061549 - 8 Mar 2024
Viewed by 968
Abstract
Background: Short implants have been used in the restoration of edentulous jaws in the past several years. However, some studies have suggested that short implants are less successful than standard implants. The aim of this study is to investigate the outcome of [...] Read more.
Background: Short implants have been used in the restoration of edentulous jaws in the past several years. However, some studies have suggested that short implants are less successful than standard implants. The aim of this study is to investigate the outcome of short implants placed in the posterior maxilla or mandible following one-stage or immediate-function protocols with a follow-up of 7 years (clinically) and 5 years (radiographically). Methods: This study included 127 patients rehabilitated with 217 implants measuring 7 mm and supporting 157 fixed prostheses in the posterior segments of both jaws. Final abutments were delivered at the surgery stage and were loaded after 4 months in 116 patients (199 implants). The primary outcome measure was implant survival measured through life tables. Secondary outcome measures were marginal bone loss and the incidence of biological and mechanical complications at the patient level and implant level (evaluated through descriptive statistics). Results: Twenty-four patients (18.9%) with 45 implants (20.7%) were lost to the follow-up. In total, 32 implants failed (14.8%) in 22 patients (17.3%), resulting in a cumulative survival rate at 7 years of 81.2% for 7 mm implants in the rehabilitation of the posterior regions of the maxilla and mandible. The average (standard deviation) marginal bone loss was 1.47 mm (0.99 mm) at 5 years. The incidence rate of biological complications was 12.6% and 10.6% at the patient and implant levels, respectively. The incidence rate of mechanical complications was 21.3% for patients and 16.1% for implants. A higher failure rate was registered in smokers and in implant arrangements with a sequence of three fixtures in proximity. Conclusions: Within the limitations of this study, it can be concluded that the placement of 7 mm long implants for the partial implant-supported rehabilitation of atrophic posterior jaws is possible in the long term, judging by the survival rate and stable average marginal bone loss. Nevertheless, strict case selection should be performed, especially in smokers and with implant arrangements that provide a minimum of one unit in inter-implant distance. Full article
(This article belongs to the Special Issue Current and Emerging Treatment Options in Dental Implatology)
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23 pages, 3713 KiB  
Systematic Review
The Use of Tissue Grafts Associated with Immediate Implant Placement to Achieve Better Peri-Implant Stability and Efficacy: A Systematic Review and Meta-Analysis
by Enrico Maria Rondone, Bruno Leitão-Almeida, Miguel Silva Pereira, Gustavo Vicentis Oliveira Fernandes and Tiago Borges
J. Clin. Med. 2024, 13(3), 821; https://doi.org/10.3390/jcm13030821 - 31 Jan 2024
Cited by 4 | Viewed by 2058
Abstract
Background: The goal of this systematic study and meta-analysis was to evaluate the efficacy of hard and/or soft tissue grafts associated with type-1 implants on healing and treatment outcomes. The primary outcomes studied were implant survival rate, pocket depth, marginal peri-implant recession, [...] Read more.
Background: The goal of this systematic study and meta-analysis was to evaluate the efficacy of hard and/or soft tissue grafts associated with type-1 implants on healing and treatment outcomes. The primary outcomes studied were implant survival rate, pocket depth, marginal peri-implant recession, bone loss, bone thickness (volumetric change), interproximal bone level, mesial and distal papilla migration, and radiographic evaluation; and the secondary parameters were Pink Esthetic Score (PES), vertical distance from implant shoulder and bone, Visual Analogue Score (VAS), Implant Stability Quotient (ISQ), and biological complications (fistulas, pain, mucositis, and peri-implantitis). Methods: The PICO strategy was used to formulate the hypothesis under study: “For patients who underwent extraction and immediate implant placement, what is the efficacy of using any type of graft (bone or soft tissue) compared to non-grafting regarding the peri-implant parameters?” The electronic search process was performed on the MedLine/PubMed and Cochrane databases. It included randomized controlled trials (RCTs) from the last 11 years (from 2012 to November 2023), which were identified and analyzed. Results: Nine RCTs (κ = 0.98) were selected (403 patients and 425 implants); they were divided into three groups: bone graft (75 patients and 75 implants inserted), bone graft and membrane (213 patients and 235 implants inserted), and without bone graft (115 patients and 115 implants inserted). Three studies calculated the mid-facial mucosa level and two reported better results when a connective tissue graft was combined with the xenograft, whereas another study found better results in the combination of a dual-zone technique with a xenograft. Three studies evaluated the total Pink Esthetic Score (PES) at 12 months, where the authors found no significant difference in using a xenogeneic graft with or without a membrane. In the same period, the facial bone thickness was assessed in two articles; the authors reported better results in graft-treated and flapless groups. The risk-of-bias assessment found four studies with low risk, four with moderate risk, and one with a high risk of bias. The meta-analysis showed a medium level of heterogeneity for the mid-facial mucosa level analysis (I2 = 46%) and an overall effect size of 0.79 (95% CI [0.18; 1.40]), a statistically significant results (p = 0.01), with a tendency to favor the experimental group. Also, there was a medium level of heterogeneity among studies regarding total PES (I2 = 45%), with no significant differences between studies (p = 0.91). Homogeneous results (I2 = 0%) were found among studies analyzing facial bone thickness, favoring the experimental group; the forest plot showed an effect of 0.37 (95% CI [0.25; 0.50]), which was statistically significant (p < 0.00001) for this parameter. Conclusions: Then, it was possible to conclude that using bone and soft tissue grafting techniques associated with immediate implant placement (IIP), even though they are not fundamental, was a valuable resource to prevent significant tissue reduction, reaching greater bone stability and higher levels in the Pink Esthetic Score (PES) and Visual Analogue Score (VAS). Full article
(This article belongs to the Special Issue Current and Emerging Treatment Options in Dental Implatology)
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