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Novel Developments in Dental and Oral Surgery
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Novel Developments in Dental and Oral Surgery

A Special Issue of Journal of Clinical Medicine (ISSN 2077-0383) belonging to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: 25 September 2026 | Viewed by 5109

Editors

Dr. Antonio Rapani

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Guest Editor
Department of Medical, Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy
Interests: dental implantology; oral and maxillofacial surgery; bone regeneration; alveolar ridge preservation; reconstructive oral surgery
Dr. Teresa Lombardi

E-Mail
Guest Editor
Department of Medical and Surgery Specialties, Radiological Sciences and Public Health, Dental School, University of Brescia, Brescia, Italy
Interests: oral surgery; bone healing; biomaterials; bone biology
Special Issues, Collections and Topics in MDPI journals
Prof. Federico Berton

E-Mail Website
Guest Editor
Associate Professor, Department of Medicine, Surgery and Health Sciences, University of Trieste, 34127 Trieste, Italy
Interests: maxillary sinus elevation; bone regeneration; graft materials; oral surgery; periodontal surgery; implant surgery; tooth extraction
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue highlights groundbreaking advancements in dental and oral surgical techniques, technologies, and treatment protocols. With rapid innovations in minimally invasive procedures, biomaterials, and digital dentistry, this collection aims to bridge the gap between research and clinical practice. We seek to compile high-impact studies that demonstrate improved patient outcomes, enhanced precision, and reduced recovery times in oral surgery.

We welcome original research articles and review papers focusing on the following topics:

  1. Advanced implantology and bone regeneration techniques;
  2. Robotic-assisted and computer-guided oral surgeries;
  3. Novel biomaterials for tissue engineering and wound healing;
  4. Management of complex craniofacial reconstructions;
  5. Innovations in anesthesia and pain control protocols.

This Special Issue will provide clinicians with evidence-based insights to refine surgical approaches and adopt emerging technologies in daily practice.

Dr. Antonio Rapani
Dr. Teresa Lombardi
Prof. Federico Berton
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 250 words) can be sent to the Editorial Office for assessment.

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-anonymized 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

  • guided bone regeneration
  • dental implant osseointegration
  • laser dentistry
  • maxillofacial reconstruction
  • sinus lift techniques

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

Published Papers (4 papers)

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Research

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16 pages, 2471 KB  
Article
Development and Application of Nasal Spine-Guided Classification for Maxillary Sinus Pneumatization
by Ahmed M. Kabli, Rawan K. Kamal, Rayan M. Meer, Albraa Alolayan and Mohamed Omar Elboraey
J. Clin. Med. 2026, 15(6), 2124; https://doi.org/10.3390/jcm15062124 - 11 Mar 2026
Viewed by 521
Abstract
Background/Objectives: The aim of this study was to develop a novel Nasal Spine-Guided Classification for assessing the alveolar vertical extension of the maxillary sinus and to evaluate its anatomical relationship with the roots of the posterior teeth using CBCT in a Saudi [...] Read more.
Background/Objectives: The aim of this study was to develop a novel Nasal Spine-Guided Classification for assessing the alveolar vertical extension of the maxillary sinus and to evaluate its anatomical relationship with the roots of the posterior teeth using CBCT in a Saudi subpopulation. Methods: Maxillary sinus pneumatization was measured using cone-beam computed tomography for 380 patients. The assessment was performed along a horizontal plane extending between anterior and posterior nasal spine. In addition, pneumatization was evaluated in edentulous areas, and between the roots of multi-rooted teeth. Maxillary sinus membrane thickness was also measured. The results were expressed as mean, median and interquartile range, and considered statistically significant at a p-value < 0.05. Results: The mean maxillary sinus pneumatization on the left side was 8.8 ± 4.32 mm, and 8.58 ± 4.85 mm on the right side, with no statistically significant difference. The median of pneumatization in the edentulous area and between the roots on left side were 5.1 and 3.8 mm respectively, while on the right side, the median pneumatization was 5.03 and 3.04 mm. In addition, the proximity of the maxillary root apices to the sinus floor revealed a zero distance in 80.49% of the roots on the left side and in 79.48% on the right side. Furthermore, the results indicated no statistically significant association between maxillary sinus membrane thickness and pneumatization in the edentulous area. Conclusions: CBCT analysis revealed a predominance of advanced maxillary sinus pneumatization (Class III) and a high frequency of direct contact between posterior maxillary root apices and the sinus floor in the studied population. Additionally, no significant association was identified between maxillary sinus membrane thickness and sinus pneumatization in edentulous areas. Full article
(This article belongs to the Special Issue Novel Developments in Dental and Oral Surgery)
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15 pages, 1628 KB  
Article
Retrospective Observational Study on Implant Site Preparation Using Magnetodynamic Surgery vs. Piezoelectric and Traditional Surgery
by Lorenzo Bevilacqua, Luca De Angelis, Lucio Torelli, Antonio Scarano, Gianmarco Gronelli and Michele Maglione
J. Clin. Med. 2025, 14(24), 8841; https://doi.org/10.3390/jcm14248841 - 14 Dec 2025
Viewed by 730
Abstract
Objective: This study compared magnetodynamic surgery, traditional drill-based surgery, and piezoelectric surgery for the preparation of the implant site, focusing on operative time and intra/postoperative discomfort. Methods: A total of 86 patients (69.8% female, 30.2% male) treated at the Oral Surgery Clinic, University [...] Read more.
Objective: This study compared magnetodynamic surgery, traditional drill-based surgery, and piezoelectric surgery for the preparation of the implant site, focusing on operative time and intra/postoperative discomfort. Methods: A total of 86 patients (69.8% female, 30.2% male) treated at the Oral Surgery Clinic, University of Trieste, were included: 43 underwent implant placement with the Magnetic Mallet (MM); the remaining 43 received preparations with the Piezodevice (IP) on one side and drills (Ds) on the other. All surgeries were performed by the same operator. Data included bone quality, operative time, and postoperative questionnaire responses for pain (VAS) and analgesic use. A statistical analysis was conducted using Mann–Whitney U and Kruskal–Wallis tests. Results: Significant differences emerged in operative times and pain perception, influenced by bone quality. The MM and D had comparable times in D1–D2 and D3–D4 bone, but the D produced higher VAS scores. The MM vs. IP showed significant differences in absolute times (p = 0.00018) and relative times for both D1–D2 (p = 0.01875) and D3–D4 (p = 0.00584), with qualitative VAS differences. The IP vs. D also showed significant absolute (p = 0.000005) and relative time differences for D1–D2 (p = 0.00718) and D3–D4 (p = 0.000145), with VAS variations. In the MM group, higher bone density significantly prolonged times (p = 0.04136). Conclusions: Within the limits of this study, the traditional drill-based technique remains valid and widely used, but the Magnetic Mallet can offer advantages in terms of patient comfort and postoperative recovery. The Piezodevice, while excelling in tissue preservation, is limited by longer operative times. Full article
(This article belongs to the Special Issue Novel Developments in Dental and Oral Surgery)
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12 pages, 2851 KB  
Article
Long-Term Clinical Outcomes of Wedge-Shaped Implants Inserted in Narrow Ridges: A 7-Year Follow-Up Multicenter Prospective Single-Arm Cohort Study
by Antonio Rapani, Tomaso Vercellotti, Claudio Stacchi, Gianluca Gregorig, Francesco Oreglia, Emanuele Morella and Teresa Lombardi
J. Clin. Med. 2025, 14(17), 6299; https://doi.org/10.3390/jcm14176299 - 6 Sep 2025
Cited by 2 | Viewed by 2444
Abstract
Background: Wedge-shaped implants have been proposed as a minimally invasive solution for narrow alveolar ridges, aiming to avoid bone augmentation. While the short-term results are promising, long-term clinical evidence remains limited. Methods: This multicenter prospective single-arm cohort study reports the 7-year outcomes of [...] Read more.
Background: Wedge-shaped implants have been proposed as a minimally invasive solution for narrow alveolar ridges, aiming to avoid bone augmentation. While the short-term results are promising, long-term clinical evidence remains limited. Methods: This multicenter prospective single-arm cohort study reports the 7-year outcomes of tissue-level wedge-shaped implants (1.8 mm thickness) placed without grafting in horizontally atrophic ridges (mean thickness 3.73 ± 0.36 mm). Clinical and radiographic evaluations were performed on 45 implants (34 patients). Results: At the 7-year post-loading follow-up, the implant survival rate was 95.5%, with two failures recorded—one early loss and one due to peri-implantitis. Peri-implant mucositis was observed in 5 implants (11.4%), while peri-implantitis was diagnosed in 3 implants (6.8%). No mechanical complications were reported. The mean marginal bone loss (MBL) was 1.45 ± 1.41 mm, measured relative to the implant shoulder. Multivariate linear regression identified older age (β = +0.040; p = 0.012) and mandibular implant placement (β = +1.39; p = 0.007) as significant predictors of greater bone loss. Conclusions: Wedge-shaped implants demonstrated high long-term survival and stable marginal bone levels in narrow ridges without the need for bone augmentation. Age and mandibular location negatively influenced long-term bone stability, while smoking, gender, and history of periodontitis were not significant predictors. Full article
(This article belongs to the Special Issue Novel Developments in Dental and Oral Surgery)
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Other

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14 pages, 442 KB  
Systematic Review
Dynamic Computer-Assisted Surgery in Oral Surgery: A Systematic Review
by Ariadna Requena-Gatell, Tania Moya-Martínez, Alba Sánchez-Torres, Eduard Valmaseda-Castellón, Rui Figueiredo and Esther Delgado-Molina
J. Clin. Med. 2026, 15(2), 886; https://doi.org/10.3390/jcm15020886 - 21 Jan 2026
Viewed by 680
Abstract
Background/Objectives: Dynamic computer-assisted surgery (dCAS) has emerged as a promising tool, particularly in implantology, enabling real-time procedural adjustments through 3D image-based tracking. However, their application in other areas of oral surgery remains limited. This systematic review aims to evaluate the advantages, limitations, clinical [...] Read more.
Background/Objectives: Dynamic computer-assisted surgery (dCAS) has emerged as a promising tool, particularly in implantology, enabling real-time procedural adjustments through 3D image-based tracking. However, their application in other areas of oral surgery remains limited. This systematic review aims to evaluate the advantages, limitations, clinical implications, and complications associated with the use of dCAS in oral surgery (excluding implants or miniscrew insertion) beyond implant placement, in comparison to conventional freehand (FH) techniques. Methods: A systematic review was conducted in accordance with the PRISMA guidelines. A focused PICO question was developed, and a comprehensive literature search was performed in PubMed, Scopus, and the Cochrane Library between February and March 2025, and supplemented by manual screening. The risk of bias of the included studies was evaluated using the Cochrane Risk of Bias tool (RoB 2) for randomized controlled trials (RCTs) and the ROBINS-I tool for non-randomized controlled trials (NRCTs). Data were summarized in tables and analyzed through qualitative synthesis. Results: Ten studies evaluating dCAS in several oral surgical procedures, including complex tooth extractions and endodontic surgery, were included. A substantial improvement was observed in accuracy of endodontic procedures. Operator experience was a key factor in surgical outcomes. Regarding postoperative complications, no significant differences were observed, although the trend indicated an equal or lower risk in comparison with conventional FH techniques. Conclusions: dCAS may significantly improve accuracy and efficiency in endodontic surgery and reduce operative time in complex mandibular third molar (M3M) extractions. The complication rate is comparable to that of conventional FH techniques. However, current evidence remains limited, heterogeneous, and mainly experimental. Further studies are recommended to validate the benefits of dCAS in clinical settings. Full article
(This article belongs to the Special Issue Novel Developments in Dental and Oral Surgery)
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