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Regenerative and reconstructive periodontal plastic surgery are important options for treating marginal tissue recession and can be indicated for root coverage or periodontal procedures prior to implant placement. Among the available procedures, periodontal flaps with subepithelial connective tissue graft (CTG) is the most common treatment option to achieve proper tissue manipulation. The present study proposes a modification of a previous technique for inducing spontaneous gingival growth around teeth that will be extracted prior to implant placement, through successive reduction of the buccal root surface. This successive reduction of root surfaces is performed with diamond burs, and such reductions create space for the gingival tissue to grow coronally by reducing root convexity and, consequently, stimulating the healing process with the formation of granulation tissue that will then differentiate into keratinized tissue. The presented technique is suggested to improve the esthetic outcomes for cases involving tooth extraction, implant placement in the extraction socket, and immediate loading with interim restoration and CTG. [ABSTRACT FROM AUTHOR]

Purpose: The "one-abutment, one-time" concept entails the placement of a definitive abutment at the time of implant placement, without removal during prosthesis manufacture, with the aim to promote a safer environment for the periimplant tissues. Identifying surgical and radiographic parameters that can assist with the abutment height selection would facilitate the adoption of the one-abutment, one-time concept. Therefore, the aim of this study was to assess the role of surgical and radiographic parameters as predictive factors for abutment height selection in implant-retained single crowns. Materials and Methods: This prospective study assessed the role of surgical and radiographic measurements in the implant survival and success rates and marginal bone loss in implant-retained single crowns. Implants were placed in both healed sites and extraction sockets, and the distances between the implant platform and alveolar bone crest, implant platform and gingival margin, and buccal gap (when present) were recorded using a straight periodontal probe. Digital radiographs were made at implant placement (T0), abutment height selection (Ta), and 1-year follow-up (Tf), and the distance between the implant platform and the alveolar bone crest (mm) was assessed. Linear regression models and Pearson correlation were used to assess the influence of primary and secondary outcomes on abutment height. Results: A total of 130 implants were placed in 68 patients. The mean surgical distance between the bone crest and the implant platform was 1.71 ± 1.01 mm, and the mean distance from the gingival margin to the implant platform was 3.94 ± 1.90 mm, while at the abutment selection appointment, the mean transmucosal height was 3.58 ± 1.50 mm. A high linear correlation was found between the selected abutment height and two primary outcomes: the radiographic implant platform to alveolar bone crest distance at T0 (r² = 0.66; P < .001) and the transmucosal height at Ta (r² = 0.81; P < .001). Conclusion: Radiographic measurements of the distance between the implant platform and the alveolar bone crest at implant placement can serve as an important parameter to select the abutment height for definitive restorations. [ABSTRACT FROM AUTHOR]

This systematic scoping review aimed to map available evidence regarding endodontic therapy in patients with inherited bleeding disorders (IBDs). Studies in medicine or dentistry were selected if they reported on endodontic therapy in individuals with IBDs such as hemophilia A, hemophilia B, or von Willebrand disease. Two independent researchers performed searches and screening in PubMed/MEDLINE, Embase, Scopus, Web of Science, and Cochrane Library. The search initially yielded 676 potentially relevant studies, 14 of which were included in the final analysis. Of these 14 studies, 3 were classified as consensus statements or guidelines, 3 as observational studies, 2 as reviews, 5 as case reports, and 1 as an editorial. Most of the evidence regarding prophylactic treatment (eg, blood transfusion, replacement therapy, or medication administration) prior to endodontic therapy was derived from observational studies. The most frequently reported procedure was endodontic therapy, while 1 case report described a surgical endodontic procedure. Most studies included in the analysis reported that these procedures could be performed under local anesthesia. Two case reports and 1 observational study described complications after endodontic therapy in patients with IBDs. This scoping review revealed a lack of well-designed studies related to the topic of endodontic therapy in patients with IBDs. The available evidence suggests that endodontic therapy in patients with IBDs can be considered a low-risk procedure; local anesthesia should be used in most cases when patients with IBDs are treated, but the use of prophylactic measures is preferred when nerve block anesthesia is required; endodontic therapy can be conducted in a clinical setting without the need for hospital admittance; and, although the number of reported complications is small, the risk should not be ignored. [ABSTRACT FROM AUTHOR]