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Medicina
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Clinical Advances in Dentoalveolar Surgery
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Clinical Advances in Dentoalveolar Surgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Dentistry and Oral Health".

Deadline for manuscript submissions: closed (30 September 2023) | Viewed by 14067

Special Issue Editor

Dr. Mihai Săndulescu

E-Mail Website
Guest Editor
Department of Implant Prosthetic Rehabilitation, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Interests: oral implantology; dentoalveolar surgery; implant rehabilitation; prosthodontics; dental esthetics

Special Issue Information

Dear Colleagues,

The field of dentoalveolar surgery is rapidly evolving. The tremendous advances in the past decade in the areas of biomaterials and biotechnologies have set the premises to develop new surgical protocols, and to make the existing ones more predictable. Additionally, with the massive incorporation of digital technologies in daily practice, treatment planning and execution have become increasingly accurate. Therefore, we continuously need new scientific data to validate new protocols, to compare the outcomes with the current standard of care, to make all clinical decisions evidence based.

The aim of this Special Issue is to present an update in the field of dentoalveolar surgery, focusing on novel surgical protocols and new biomaterials and technological solutions to restore the anatomy and function of the jaws. Authors are encouraged to submit original studies, case series, systematic reviews and letters related, but not limited, to the following topics:

  • Digital solutions for dental implant planning and placement;
  • Surgical techniques for bone regeneration;
  • Enhancement of soft tissue quality, quantity and esthetics;
  • Implant-supported oral rehabilitation;
  • Biomaterials for implants, tissue grafting or prosthetics;
  • Partial extraction therapies and alveolar ridge preservation;
  • Surgical techniques supporting other specialties, like orthodontics and endodontics.

Dr. Mihai Săndulescu
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. Medicina 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 2200 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.

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Published Papers (6 papers)

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Research

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13 pages, 5888 KiB  
Article
Three-Dimensional Scanning Accuracy of Intraoral Scanners for Dental Implant Scan Bodies—An Original Study
by Cristian Rotaru, Elena Adina Bica, Cristian Butnărașu and Mihai Săndulescu
Medicina 2023, 59(11), 2037; https://doi.org/10.3390/medicina59112037 - 19 Nov 2023
Viewed by 2274
Abstract
Background and Objectives: With the increased trend towards digitalization in dentistry, intraoral scanning has, to a certain extent, replaced conventional impressions in particular clinical settings. Trueness and precision are essential traits for optical impressions but have so far been incompletely explored. Materials [...] Read more.
Background and Objectives: With the increased trend towards digitalization in dentistry, intraoral scanning has, to a certain extent, replaced conventional impressions in particular clinical settings. Trueness and precision are essential traits for optical impressions but have so far been incompletely explored. Materials and Methods: We performed a study to evaluate the differences in the three-dimensional spatial orientations of implant analogs on a stone cast when using an intraoral scanner compared to a dental laboratory scanner. We assessed the deviation of the intraoral scans compared to the laboratory scan for three standardized implant measurement plans and compared these results with control scans of the neighboring natural teeth. Results: We found no statistically significant correlation between the measurements at the scan body level and the landmarks chosen as controls on the neighboring natural teeth (p = 0.198). The values for the implant scans presented wider variation compared to the control scans. The difference between the implant and the control planes ranged from −0.018 mm to +0.267 mm, with a median of −0.011 mm (IQR: −0.001–0.031 mm). While most values fell within a clinically acceptable margin of error of 0.05 mm, 12.5% of the measurements fell outside of this acceptable range and could potentially affect the quality of the resulting prosthetic work. Conclusions: For single-unit implant-supported restorations, intraoral scanning might have enough accuracy. However, the differences that result when scanning with an intraoral scanner may affect the quality of prosthetic work on multiple implants, especially if they are screw-retained. Based on our results, we propose different adaptations of the prosthetic protocol to minimize the potential effect of errors that may occur during the digital workflow. Full article
(This article belongs to the Special Issue Clinical Advances in Dentoalveolar Surgery)
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10 pages, 1852 KiB  
Article
Panoramic Radiography vs. CBCT in the Evaluation of the Maxillary Third Molar Roots
by Marcia Almeida-Marques, Mara Magnoler Sampaio Ingold, Alberto Ferreira da Silva-Junior, Ademir Franco, José Luiz Cintra Junqueira and Anne Caroline Oenning
Medicina 2023, 59(11), 1975; https://doi.org/10.3390/medicina59111975 - 9 Nov 2023
Viewed by 1254
Abstract
Background and Objectives: A comprehensive understanding of the position of third molar roots and adjacent structures, such as the maxillary sinus (MS), is essential for safe extractions. Diagnostic imaging plays a fundamental role in achieving accurate treatment planning. This study aimed to compare [...] Read more.
Background and Objectives: A comprehensive understanding of the position of third molar roots and adjacent structures, such as the maxillary sinus (MS), is essential for safe extractions. Diagnostic imaging plays a fundamental role in achieving accurate treatment planning. This study aimed to compare panoramic radiography (PR) and cone-beam computed tomography (CBCT) for the evaluation of maxillary third molar roots and their relationship with the MS. Materials and Methods: Two trained radiologists evaluated third molar images. The number of roots, morphology (fused/conical, divergent, dilacerated, or atypical), and their relationship with the MS in PR and CBCT were registered. Descriptive and inferential statistics were performed using the weighted Kappa test. Results: Regarding the number and morphology of the roots, Kappa values showed moderate (κ = 0.42) and fair agreement (κ = 0.38), respectively. Regarding the proximity with the MS, most of the roots showed close contact (30.6%), or 1/3 of root superimposition (35%), in PR evaluation, while in CBCT, the third molars were in contact with the MS floor (32%), and with alveolar domes (27.2%). Conclusions: PR is a moderately reliable image technique to identify the number of roots and root morphology of maxillary third molars. PR, however, does not provide any radiographic signs that clearly indicate the anatomical relationship between the maxillary third molar roots and the maxillary sinus detected in CBCT images. Full article
(This article belongs to the Special Issue Clinical Advances in Dentoalveolar Surgery)
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12 pages, 2137 KiB  
Article
A New Model of Salivary Pacemaker—A Proof of Concept and First Clinical Use
by Cristian Funieru, Dan Ștefan Tudose, Bogdan Dobrică, Mihai Săndulescu, Ion Alexandru Popovici, Emil Ioan Slușanschi, Sorin Mihai Croitoru, Daniela Vrînceanu, Bogdan Bănică and Mihnea Ioan Nicolescu
Medicina 2023, 59(9), 1647; https://doi.org/10.3390/medicina59091647 - 12 Sep 2023
Viewed by 1751
Abstract
Background and Objectives: Saliva is of utmost importance for maintaining oral health. Management of saliva flow rate deficiency recently includes salivary neuro-electrostimulation. The aim of this paper is to present a new model of salivary pacemaker—the MICROSAL device (MD), an intelligent, miniaturized, and [...] Read more.
Background and Objectives: Saliva is of utmost importance for maintaining oral health. Management of saliva flow rate deficiency recently includes salivary neuro-electrostimulation. The aim of this paper is to present a new model of salivary pacemaker—the MICROSAL device (MD), an intelligent, miniaturized, and implant-supported oral device used for salivary stimulation. Materials and Methods: This report presents the development, calibration, and first clinical tests which involved the MD. The novel features of this device are the pH sensor and the fact that it communicates with the patient’s smartphone, where oral wetness and pH are graphically exposed. Saliva samples were taken before and after the MD was used on a 68-year-old patient suffering from post-irradiation xerostomia, and albumin and total protein were analyzed. Results: The device uses up to 3 V and time intervals of 2 s seconds for stimulation. The total volume of all saliva samples collected during the clinical trial was almost seven times higher after the device was used. Albumin decreased from a maximum of 0.15 g/dL to 0.04 g/dL, and total proteins from 0.65 g/dL to 0.21 g/dL, after salivary stimulation. Conclusions: The MD increased saliva secretion of the patient, and we are confident it will be a good solution for future management of salivary gland hypofunction. Full article
(This article belongs to the Special Issue Clinical Advances in Dentoalveolar Surgery)
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14 pages, 3032 KiB  
Article
Buccally or Lingually Tilted Implants in the Lateral Atrophic Mandible: A Three-Year Follow-Up Study Focused on Neurosensory Impairment, Soft-Tissue-Related Impaction and Quality of Life Improvement
by Iulian Filipov, Lucian Chirila, Federico Bolognesi and Corina Marilena Cristache
Medicina 2023, 59(4), 697; https://doi.org/10.3390/medicina59040697 - 2 Apr 2023
Cited by 2 | Viewed by 2238
Abstract
Background and Objectives: In the severely resorbed posterior mandible, implant placement requires either bone regenerative procedures, subperiosteal implants or short implant placement with drawbacks including morbidity and increased treatment costs and duration. To overcome these inconveniences, some unconventional alternatives have been suggested, such [...] Read more.
Background and Objectives: In the severely resorbed posterior mandible, implant placement requires either bone regenerative procedures, subperiosteal implants or short implant placement with drawbacks including morbidity and increased treatment costs and duration. To overcome these inconveniences, some unconventional alternatives have been suggested, such as buccally or lingually tilted implants in the lateral mandible, bypassing the inferior alveolar nerve. The aim of the present retrospective study was to evaluate the three-year survival rate of implants inserted in the posterior atrophic mandible, bypassing the inferior alveolar nerve. The assessment was focused on the occurrence of postoperative complications related to neurosensory impairment and soft tissue impaction, as well as overall improvement in quality of life. Materials and Methods: Patients with severe bone atrophy in the lateral area of the mandible were included in the present study. Only the implants tilted either buccally or lingually to bypass the inferior alveolar nerve were analysed. The relation between peri-implant soft tissue and the healing abutment was assessed and a secondary revision surgery was performed when indicated. The Semmes–Weinstein pressure neurological test was used for qualitative assessment of inferior alveolar nerve function and the Geriatric Oral Health Assessment Index (GOHAI) was used for evaluating Oral-Health-Related Quality of Life (OHRQoL). Results: Fourteen implants were placed in nine patients during the evaluation period. Survival rate was 100%, temporary paraesthesia occurred in one patient and a limited definitive paraesthesia was seen in another patient. Mild or significant discomfort related to soft tissue impaction with healing abutment was observed in six out of nine patients. A statistically significant OHRQoL improvement was observed in all patients. Conclusions: Despite the limited number of patients and observation time, insertion of implants buccally or lingually bypassing the inferior alveolar nerve is a predictive treatment option for patients with severe bone atrophy in the posterior mandible. Full article
(This article belongs to the Special Issue Clinical Advances in Dentoalveolar Surgery)
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Review

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13 pages, 1459 KiB  
Review
Guided Endodontic Surgery: A Narrative Review
by Azhar Iqbal, Thani Al Sharari, Osama Khattak, Farooq Ahmad Chaudhry, Alzarea K. Bader, Muhammad Mudassar Saleem, Rakhi Issrani, Ibrahem T. Almaktoom, Raghad Fayez H. Albalawi and Ebtehal Dhyab M. Alserhani
Medicina 2023, 59(4), 678; https://doi.org/10.3390/medicina59040678 - 29 Mar 2023
Cited by 4 | Viewed by 4010
Abstract
Background and objectives: Endodontic surgery has evolved over the last two decades. The use of state-of-the-art guided endodontic surgical procedures produces a predictable outcome in the healing of lesions of endodontic origin. The main objective of this review paper is to define [...] Read more.
Background and objectives: Endodontic surgery has evolved over the last two decades. The use of state-of-the-art guided endodontic surgical procedures produces a predictable outcome in the healing of lesions of endodontic origin. The main objective of this review paper is to define and characterize guided surgical endodontics as well as its benefits and drawbacks by reviewing the most recent relevant scientific literature. Methods: A literature search was conducted using multiple databases comprising of MEDLINE (via PubMed), EMBASE, and Web of Science. The terms used for the search were ‘guided endodontics’, ‘surgical endodontics’, and ‘endodontic microsurgery’. Results: In total, 1152 articles were obtained from the analysis of the databases. Unrelated articles from the available full text of 388 articles were excluded. A total of 45 studies were finally included in the review. Conclusions: Surgical-guided endodontics is a relatively new area of study that is still maturing. It has many applications such as root canal access and localization, microsurgical endodontics, endodontic retreatment, and glass fiber post removal. Additionally, it does not matter how experienced the operator is; the procedure can be completed for the patient in less time and provides greater accuracy and safety than conventional endodontics. Full article
(This article belongs to the Special Issue Clinical Advances in Dentoalveolar Surgery)
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Other

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13 pages, 2504 KiB  
Case Report
Use of a Lateral Sinus Bony Window as an Intraoral Donor Site for Guided Bone Regeneration in Wide Post-Extraction Defects
by Won-Bae Park, Philip Kang, Wonhee Park and Ji-Young Han
Medicina 2022, 58(12), 1785; https://doi.org/10.3390/medicina58121785 - 4 Dec 2022
Cited by 1 | Viewed by 1772
Abstract
Maxillary sinus augmentation (MSA) and guided bone regeneration (GBR) have shown successful clinical, radiological, and histological outcomes for implant-related bone reconstruction and have been used to augment bony defects of various shapes and sizes. This study demonstrated that the lateral sinus bony window [...] Read more.
Maxillary sinus augmentation (MSA) and guided bone regeneration (GBR) have shown successful clinical, radiological, and histological outcomes for implant-related bone reconstruction and have been used to augment bony defects of various shapes and sizes. This study demonstrated that the lateral sinus bony window obtained during MSA can be used as an autogenous block bone graft for the augmentation of wide post-extraction defects. During the uncovering procedure performed 6 months after surgery, the grafted lateral bony window was well integrated with the adjacent native bone, and complete bone filling was observed in all bony defects around the implants. All of the implants survived. Within the limitations of this study, autogenous block bone obtained from lateral window sites can be used as novel donors for the resolution of wide bony defects around implants. Full article
(This article belongs to the Special Issue Clinical Advances in Dentoalveolar Surgery)
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