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Dentistry Journal
Special Issues
New Perspectives in Periodontology and Implant Dentistry
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New Perspectives in Periodontology and Implant Dentistry

A special issue of Dentistry Journal (ISSN 2304-6767). This special issue belongs to the section "Oral Hygiene, Periodontology and Peri-implant Diseases".

Deadline for manuscript submissions: 15 May 2025 | Viewed by 5907

Special Issue Editor

Prof. Dr. Daniele Cardaropoli

E-Mail Website
Guest Editor
PROED Institute for Professional Education in Dentistry, Turin, Italy
Interests: periodontology; implant dentistry; bone regeneration; soft tissue regeneration
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Scientific advances have made it possible to achieve highly predictable dental care. On the one hand, periodontal disease represents the sixth most widespread human disease, with approximately 35% of the world population affected by a form of periodontitis; it currently represents the main cause of the loss of dental elements. On the other hand, we know that the adequate control of inflammation associated with the achievement of excellent compliance by patients can stabilize the disease and allow the maintenance of teeth in the long term.

Similarly, osseointegrated implantology has extremely high success rates, so researchers can focus on the augmentation of hard tissues and soft tissues using tissue regeneration techniques specific to bone tissue and soft tissue augmentation techniques, with both autologous and heterologous grafts.

Prof. Dr. Daniele Cardaropoli
Guest Editor

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. Dentistry Journal is an international peer-reviewed open access monthly 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 2000 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

  • periodontal disease
  • biomaterials
  • soft tissue augmentation
  • bone augmentation
  • periodontal regeneration
  • guided tissue regeneration
  • alveolar ridge preservation
  • immediate implant placement

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

Published Papers (5 papers)

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Research

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11 pages, 1663 KiB  
Article
Ultra-Low Frequency TENS as an Adjunctive Therapy for Pain Management in Non-Surgical Periodontal Treatment: A Pilot Study
by Eleonora Ortu, Sara Di Nicolantonio, Roberta Di Felice, Antonella Barone, Davide Pietropaoli and Annalisa Monaco
Dent. J. 2025, 13(4), 161; https://doi.org/10.3390/dj13040161 - 9 Apr 2025
Viewed by 295
Abstract
Introduction: non-surgical periodontal treatment, primarily comprising scaling and root planing, is crucial for the maintenance and enhancement of oral health. However, the invasive nature of this procedure often leads to patient discomfort and pain, which may deter individuals from seeking necessary dental care, [...] Read more.
Introduction: non-surgical periodontal treatment, primarily comprising scaling and root planing, is crucial for the maintenance and enhancement of oral health. However, the invasive nature of this procedure often leads to patient discomfort and pain, which may deter individuals from seeking necessary dental care, ultimately compromising their oral health outcomes. Methods: This prospective randomized crossover split-mouth study involved the application of Ultra-Low Frequency (ULF) Transcutaneous Electrical Nerve Stimulation (TENS) in 20 adult patients undergoing non-surgical periodontal treatment. Pain and discomfort levels were quantitatively assessed during procedures conducted with and without the ULF-TENS intervention. Results: The assessment of maximum voluntary opening, pain intensity, and overall comfort levels indicated a statistically significant reduction in pain (p < 0.0001) and discomfort (p < 0.0001) when ULF-TENS was employed during the treatment, and an increase in the maximum mouth opening after TENS (p = 0.00062). Conclusions: The findings of this pilot study suggest that ULF-TENS may serve as a valuable adjunctive therapy in non-surgical periodontal treatment by reducing pain and discomfort, potentially enhancing patient comfort and compliance. Further research with larger sample sizes is warranted to confirm these findings. Full article
(This article belongs to the Special Issue New Perspectives in Periodontology and Implant Dentistry)
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11 pages, 463 KiB  
Article
Additive Manufacturing Titanium Dental Implants Placed in Sinuses Grafted with 70HA:30-TCP: A One-Year Retrospective Study for Evaluation of Survival Rate
by Ilton José Mafra, Dimorvan Bordin, Rafael S. Siroma, Vittorio Moraschini, Leonardo P. Faverani, João Gabriel Souza, Carlos Fernando Mourão and Jamil Awad Shibli
Dent. J. 2024, 12(6), 181; https://doi.org/10.3390/dj12060181 - 13 Jun 2024
Cited by 1 | Viewed by 1589
Abstract
The present short-term retrospective study evaluated the implant survival rate and peri-implant bone loss around additive-manufactured titanium implants placed in sinuses grafted with Plenum Osshp (Plenum Bioengenharia, Jundia, SP, Brazil) (70HA:30β-TCP) material. A total of 39 implants were inserted after 23 sinus floor [...] Read more.
The present short-term retrospective study evaluated the implant survival rate and peri-implant bone loss around additive-manufactured titanium implants placed in sinuses grafted with Plenum Osshp (Plenum Bioengenharia, Jundia, SP, Brazil) (70HA:30β-TCP) material. A total of 39 implants were inserted after 23 sinus floor elevation procedures in 16 consecutive patients. Prosthetic rehabilitation included fixed partial prostheses (three units), single crowns (eleven units), and fixed full arches (three units). Clinical and radiographic parameters of implant-supported restorations were evaluated after at least one year of occlusal loading. The implant–crown success criteria included the absence of pain, suppuration, and clinical mobility, an average distance between the implant shoulder and the first visible bone contact (DIB) < 1.0 mm from the initial surgery, and the absence of prosthetic complications at the implant–abutment interface. The overall cumulative implant survival rate was 97.43%. No prosthetic complications at the implant–abutment interface were reported. After one year, the mean DIB was 0.23 mm ± 0.14. Within the limits of this retrospective study, it can be concluded that 70 HA:30 β-TCP allowed stable and reliable bone support to maintain healthy conditions around titanium dental implants produced by additive manufacturing. Full article
(This article belongs to the Special Issue New Perspectives in Periodontology and Implant Dentistry)
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Review

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16 pages, 238 KiB  
Review
The Decision Between Tooth Retention or Replacement with Implants: A Continuing Dilemma
by Eleni Bentour, Eirini Papamanoli and Ioannis K. Karoussis
Dent. J. 2025, 13(3), 99; https://doi.org/10.3390/dj13030099 - 26 Feb 2025
Viewed by 692
Abstract
The global adoption of dental implants has significantly reshaped modern dental practices, with the market projected to reach USD 16 billion by 2029. However, despite high success rates, dental implants can still be prone to complications, particularly when underlying causes of tooth loss, [...] Read more.
The global adoption of dental implants has significantly reshaped modern dental practices, with the market projected to reach USD 16 billion by 2029. However, despite high success rates, dental implants can still be prone to complications, particularly when underlying causes of tooth loss, such as periodontal disease and bone loss, are not addressed. This paper explores the biological and mechanical considerations in the decision-making process between preserving a tooth through periodontal therapy or opting for extraction and implant placement. It also highlights the importance of a holistic approach that includes assessing the patient’s oral health, periodontal status, and the biomechanical factors influencing tooth retention. Periodontal therapy has been proven to be highly effective, with both non-surgical and surgical therapies showing long-term efficacy in preserving natural teeth, especially in the presence of furcation involvement. Studies show that proper periodontal management, including regular maintenance therapy after the active therapy, significantly enhances tooth survival, even in cases of severe periodontitis. In contrast, dental implants, while effective, are not free of complications, mainly inflammatory peri-implant diseases, but also mechanical complications, which can compromise long-term outcomes. The paper reviews clinical studies on implant survival, demonstrating that periodontal therapy can sometimes offer a more cost-effective and biologically sound alternative to implant therapy, especially for teeth with severe attachment loss or furcation involvement. In conclusion, treatment decisions should be based on a comprehensive evaluation of clinical, biological, and patient-specific factors. By integrating regenerative therapies even in more compromised teeth and addressing the root causes of tooth loss, implant rehabilitation can be postponed for many years and offer a cost-effective and successful long-term treatment plan. This approach underscores the importance of individualized care in the evolving landscape of restorative dentistry and implantology. Full article
(This article belongs to the Special Issue New Perspectives in Periodontology and Implant Dentistry)
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Other

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17 pages, 3643 KiB  
Systematic Review
Bony Defect Regeneration in Periodontitis: A Systematic Review of the Literature Regarding the Use of Enamel Matrix Derivative Proteins
by Eugen Bud, Silvia-Izabella Pop, Anamaria Bud, Benjamin Robert Steele and Alexandru Vlasa
Dent. J. 2025, 13(3), 92; https://doi.org/10.3390/dj13030092 - 20 Feb 2025
Viewed by 1095
Abstract
Background: Periodontitis is characterized as a change in the total periodontal tissues that includes tissue loss, as evidenced by clinical loss of attachment, and radiographically determined alveolar bone loss, periodontal pockets, and gingival bleeding. Objectives: The aim of this study was [...] Read more.
Background: Periodontitis is characterized as a change in the total periodontal tissues that includes tissue loss, as evidenced by clinical loss of attachment, and radiographically determined alveolar bone loss, periodontal pockets, and gingival bleeding. Objectives: The aim of this study was to observe and analyze recent information from the literature on the effect of enamel matrix derivative proteins on the bony defects caused by periodontitis. Methods: Through using two major online databases and search engines, the literature was manually searched for papers published until May 2024. To find relevant studies, this research utilized a combination of target keywords, and the reference lists of manuscripts that were chosen for inclusion in this study were checked and analyzed in tabular form, enabling the collection and comparison of data. Results: According to the results, the average value of the probing depth gained was 4 mm for the EMD™ alone and 4.25 mm for the EMD combined with surgical techniques such as open-flap techniques, platelet derivatives, and growth factors. In regard to clinical attachment level (CAL) gaining, average values of 3.6 mm in EMD™ alone and 3.86 mm with EMD™ combined with other techniques were observed. Conclusions: It can be concluded that the healing propensity depends on the morphological structure of the bone defect represented by the wall stage, and there is a certain coherence and correlation between the values of probing depth (PD) and clinical attachment level (CAL), whether for the use of EMD alone or its use in combination with other materials. Full article
(This article belongs to the Special Issue New Perspectives in Periodontology and Implant Dentistry)
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11 pages, 5594 KiB  
Case Report
Using the Modified Apical Access Technique to Treat Peri-Implant Mucosa Defects: Description of the Technique and Three-Dimensional Quantitative Measurement of Buccal Augmented Tissue
by Norberto Quispe-López, Tiago Marques, Yasmina Guadilla, Javier Flores-Fraile, Pablo Garrido-Martínez and Javier Montero
Dent. J. 2024, 12(7), 194; https://doi.org/10.3390/dj12070194 - 24 Jun 2024
Viewed by 1531
Abstract
The importance of augmenting the peri-implant soft- and hard-tissue architecture is now widely accepted. However, while most contemporary research supports this premise, clinicians are encountering peri-implant soft tissue defects with increasing frequency, which they are therefore required to reconstruct. These complications can result [...] Read more.
The importance of augmenting the peri-implant soft- and hard-tissue architecture is now widely accepted. However, while most contemporary research supports this premise, clinicians are encountering peri-implant soft tissue defects with increasing frequency, which they are therefore required to reconstruct. These complications can result from the difficulty of establishing an appropriate diagnosis and treatment plan or from suboptimal clinical situations (implant malposition, insufficient vestibular alveolar bone thickness or inadequate mucosal thickness). In this context, it is the peri-implant soft-tissue phenotype that most influences esthetic and health-related results in the short and long term. This article describes two clinical cases in which a modification of the apical access technique is presented that may be useful in clinical scenarios requiring large gains in mucosal thickness. Use of the modified bilaminar apical access with de-epithelialized free gingival graft technique showed promising results, with a significant increase in mucosal thickness and satisfactory outcomes in esthetics and peri-implant health. Full article
(This article belongs to the Special Issue New Perspectives in Periodontology and Implant Dentistry)
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