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Medicina
Special Issues
Clinical Updates and Future Perspectives in Dental and Maxillofacial Surgery
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Clinical Updates and Future Perspectives in Dental and Maxillofacial 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 April 2025) | Viewed by 1392

Special Issue Editor

Dr. Ali-Farid Safi

E-Mail Website
Guest Editor
1. Craniologicum, Center for Cranio-Maxillo-Facial Surgery, Bern, Switzerland
2. Faculty of Medicine, University of Bern, Bern, Switzerland
Interests: maxillofacial surgery; craniomaxillofacial surgery; oral surgery

Special Issue Information

Dear Colleagues,

The field of dental and maxillofacial surgery is evolving rapidly, with breakthroughs in surgical techniques, advanced biomaterials, and innovative technologies such as 3D printing and robotics. These advancements are transforming the way complex implantology, augmentation, and craniofacial deformities are diagnosed, treated, and managed. This Special Issue, "Clinical Updates and Future Perspectives in Dental and Maxillofacial Surgery", seeks to showcase cutting-edge research that will shape the future of this discipline.

We invite scientists and clinicians to contribute original articles, comprehensive reviews, and clinical case studies that highlight the latest trends, innovations, and challenges in dental and maxillofacial surgery. This includes new methodologies in surgical planning and execution, emerging applications of regenerative medicine, and advancements in patient-specific therapies. Additionally, we welcome contributions that explore future perspectives on integrating artificial intelligence, machine learning, and precision medicine into surgical practice.

This Special Issue aims to provide a platform for sharing knowledge that could influence future clinical practice, improve patient outcomes, and inspire the next generation of researchers. By contributing to this Special Issue, authors will have the opportunity to disseminate their work to a global audience and help shape the trajectory of dental and maxillofacial surgery for years to come.

Dr. Ali-Farid Safi
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.

Keywords

  • oral surgery
  • maxillofacial surgery
  • trends
  • future perspectives
  • innovations
  • biomaterials
  • precision
  • regenerative medicine

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

Published Papers (1 paper)

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Research

22 pages, 7420 KB  
Article
The Novel iMPACT Tool and Quadrant Protocol for Peri-Implantitis: Surface Refinement and Re-Osseointegration Validated by SEM/EDS and Long-Term Clinical Case Reports
by Gustavo Vicentis Oliveira Fernandes, Bruno Gomes dos Santos Martins, Juliana Campos Hasse Fernandes, Yankel Gabet and Amiram Vizanski
Medicina 2025, 61(6), 1094; https://doi.org/10.3390/medicina61061094 - 16 Jun 2025
Viewed by 1021
Abstract
Background and Objectives: The goal of this study was to introduce a novel device, the iMPACT implant planer, designed to machine (create a complete smooth surface) contaminated implant surfaces intraorally, promoting peri-implant tissue healing and possible re-osseointegration, and the new Quadrant protocol, [...] Read more.
Background and Objectives: The goal of this study was to introduce a novel device, the iMPACT implant planer, designed to machine (create a complete smooth surface) contaminated implant surfaces intraorally, promoting peri-implant tissue healing and possible re-osseointegration, and the new Quadrant protocol, evaluating them in vitro and clinically. The null hypothesis was that there would be no improvement in the clinical parameters for the implants with peri-implantitis (PI) treated with the new protocol and tool. Materials and Methods: The Quadrant protocol was used in conjunction with the iMPACT tool, which primarily functions to remove biofilm and microbial contaminants from the exposed implant surface, while simultaneously preparing the surface through standardized implantoplasty, thereby enhancing the potential for re-osseointegration. An in vitro analysis was developed, and three medium/long-term cases were presented, detailing the procedures and outcomes. Results: The in vitro assessment showed smooth surfaces after treatment. Different areas presented minimal particles (<1 μm) on the implant surface, with a high content of titanium (Ti) and tungsten (W). In case 1, severe and advanced peri-implantitis around implants #46 and #47 was found. A combination of resective (Quadrant + iMPACT) and regenerative surgery was used for treatment, along with a buccal single flap (BSF). Significant clinical and radiographic improvements were observed at 14 and 43 months postoperatively, including vertical bone gain with re-osseointegration and stable probing depths (PDs). In the second case, a severe PI and prosthesis instability were observed. Resective (Quadrant + iMPACT) and regenerative procedures were applied. At 3 and 12 months postoperatively, clinical and radiographic evaluations demonstrated significant improvements with re-osseointegration, including PDs reduced to 0–1 mm and a vertical bone gain of approximately 6.5 mm. In case 3, mandibular implants from 42 to 47 exhibited inflammation, suppuration, and moderate-to-severe bone loss. Just resective surgery (Quadrant + iMPACT), without grafting, was performed. At 6- and 12-month follow-ups, clinical and radiographic assessments showed the resolution of inflammation, stable bone levels, and healthy peri-implant gingiva. Conclusions: Favorable outcomes were achieved using the iMPACT and Quadrant protocols in the three clinical cases, resulting in re-osseointegration when combined with regenerative procedures. The favorable medium/long-term outcomes achieved, despite the patient’s complex medical history and, at times, inconsistent oral hygiene, underscore the potential efficacy of such interventions. Full article
(This article belongs to the Special Issue Clinical Updates and Future Perspectives in Dental and Maxillofacial Surgery)
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