Minimally Invasive Protocols for Prosthetic Implant Maintenance

A special issue of Prosthesis (ISSN 2673-1592).

Deadline for manuscript submissions: closed (28 April 2024) | Viewed by 3949

Special Issue Editors


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Guest Editor
Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
Interests: dental materials; dental caries; oral diseases; teeth whitening; periodontology; laser dentistry; ozone dentistry; dental education; clinical orthodontics; dental hygiene; oral health
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Guest Editor
Department of Surgical Sciences, Pediatrics and Gynecology, Section of Dentistry and Maxillofacial Surgery, University of Verona, Verona, Italy
Interests: periodontal rehabilitation care; periodontal health; dental hygiene; dental prevention; oral health and systemic diseases

Special Issue Information

Dear Colleagues,

Recently, dental implantology has gained more and more ground in the rehabilitation of single elements or entire dental arches. Therefore, in the light of the new classification of peri-implant disease it is essential to have clinical protocols for maintenance, not only in case of inflammation, but also to have minimally invasive protocols that avoid the onset of the disease.

Therefore, when studying the variation of the oral microbiota in the implant patient, it is essential to know which professional and home aids can be used to reduce the incidence of mucositis, avoid the onset of peri-implantitis, and keep the prosthesis products intact, which are guarantors of long-term rehabilitation. An intact zirconia or lithic disilicate crown, by keeping its layer of glaze, makes it possible to avoid an excessive accumulation of bacterial biofilm and thus enables a constant maintenance of eubiosis.

This Special Issue aims to highlight the continuous evolution of prophylaxis systems, and to focus on new perspectives in this field.

We are happy to invite you to submit a manuscript for this Special Issue. Original research articles and reviews are welcome. Research areas may include (but are not limited to) the following:

  • oral microbiota;
  • implantology;
  • prosthodontics;
  • peri-implant mucositis;
  • peri-implant disease;
  • zirconia and lithium disilicate crowns;
  • micro abrasive powders;
  • minimally invasive instrumentation;
  • laser;
  • ozone;
  • natural substances;
  • gradual release gel.

Prof. Dr. Andrea Butera
Dr. Alessia Pardo
Guest Editors

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Published Papers (2 papers)

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Research

12 pages, 2531 KiB  
Article
Patients’ Satisfaction with Mandibular Overdentures Retained Using Mini-Implants: An Up-to-16-Year Cross-Sectional Study
by Antonio Scarano, Francesco Inchingolo, Iris Alla, Felice Lorusso, Sergio Rexhep Tari, Sergio Alexandre Gehrke and Ahmad G. A. Khater
Prosthesis 2024, 6(2), 251-262; https://doi.org/10.3390/prosthesis6020019 - 12 Mar 2024
Cited by 1 | Viewed by 1707
Abstract
Background: Patients with edentulism often have an impaired functional, phonetic, and esthetic status, resulting in poor quality of life; hence, the mandibular overdenture has been considered the standard implant treatment for such patients. Therefore, this study aimed to assess the effectiveness of mandibular [...] Read more.
Background: Patients with edentulism often have an impaired functional, phonetic, and esthetic status, resulting in poor quality of life; hence, the mandibular overdenture has been considered the standard implant treatment for such patients. Therefore, this study aimed to assess the effectiveness of mandibular overdentures retained using mini-implants on patient-reported satisfaction and their long-term survival. Methods: We searched patients’ medical records for eligible subjects, screening and inviting patients who received a mandibular overdenture anchored on mini-implants over ten years ago. We used a numerical rating scale from 0 (the worst) to 10 (the best) to assess four aspects: comfort, retention, chewing ability, and speaking ability before and after having mini-implants. We carried out Kaplan–Meier analysis to assess their survival. Results: Forty-eight elderly patients who were medically compromised and had a mandibular overdenture anchored on four permucosal mini-implants were included. All patient-reported satisfaction (comfort, retention, chewing ability, and speaking ability) was significantly improved after supporting mandibular overdentures with mini-implants (p-values < 0.05), with retention and chewing ability being the most substantially improved. The 10- and 15-year mini-implant survival rates were both 97.9%. Conclusions: Mandibular overdentures with mini-implants can be considered a valid and practical alternative to conventional implant-supported overdentures in patients with atrophic ridges, medically compromised, and the elderly. Full article
(This article belongs to the Special Issue Minimally Invasive Protocols for Prosthetic Implant Maintenance)
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21 pages, 6394 KiB  
Article
Five-Year Follow-Up of 8 and 6 mm Locking-Taper Implants Treated with a Reconstructive Surgical Protocol for Peri-Implantitis: A Retrospective Evaluation
by Giorgio Lombardo, Annarita Signoriello, Mauro Marincola, Estevam Augusto Bonfante, Antonio Díaz-Caballero, Nicolò Tomizioli, Alessia Pardo and Alessandro Zangani
Prosthesis 2023, 5(4), 1322-1342; https://doi.org/10.3390/prosthesis5040091 - 12 Dec 2023
Cited by 8 | Viewed by 1305
Abstract
Peri-implant infections, in the absence of adequate treatment, can finally lead to premature loss of the implant. Among targeted protocols recently proposed for the treatment of peri-implant bone defects, and in the case of short implants, reconstructive surgery represents a recommended option. The [...] Read more.
Peri-implant infections, in the absence of adequate treatment, can finally lead to premature loss of the implant. Among targeted protocols recently proposed for the treatment of peri-implant bone defects, and in the case of short implants, reconstructive surgery represents a recommended option. The purpose of this study was to evaluate the outcomes, in terms of maintenance, of a reconstructive treatment for peri-implantitis in locking-taper plateau-design single-crown implants, followed for 5 years after surgery. A retrospective evaluation was conducted in 20 patients treated with access flap surgery, concomitant chemical and mechanical surface decontamination, and bone grafting (using a self-hardening mixture of bone substitutes and biphasic calcium sulfate without the use of membranes). Of the 21 implants assessed, 9 were 8 mm-length, and 12 were 6 mm-length. Implant loss and treatment success were, respectively, 0% and 80.95% after 5 years from surgery. All parameters related to bone levels and soft tissue conditions significantly improved after 3 years and remained stable at the 5-year follow-up. The proposed protocol, followed by an effective supporting periodontal therapy, demonstrated the maintenance of the function of all implants, providing adequate stability during the healing process after surgery and limiting the onset of disease recurrence. Full article
(This article belongs to the Special Issue Minimally Invasive Protocols for Prosthetic Implant Maintenance)
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