A weekly digest of peer-reviewed research in periodontology, dental implantology, and peri-implant medicine. Articles are selected and summarized by Dr. Ernesto Bruschi — periodontist, implantologist, and oral surgeon.
Clinical question. In horizontal augmentation of the atrophic alveolar ridge, does surgical access change the result? The authors compared a conventional full-thickness flap with a tunneling approach, using freeze-dried ...
Clinical question. Studies on abutment height and peri-implant marginal bone loss (MBL) contradict each other. The authors propose that the contradiction is not in the biology but in the way the evidence has been pooled:...
One of the most common clinical decisions in general practice is whether to save an endodontically diseased tooth with root canal treatment or extract it and replace it with an implant. This large, register-based cohort ...
Alveolar bone loss after tooth extraction is one of the persistent obstacles in implant dentistry, prompting the development of alveolar ridge preservation (ARP) and guided bone regeneration (GBR) techniques using graft ...
Read more →Clinical implant dentistry and related research
Reconstructive surgery is a common approach to peri-implantitis, but clinicians still debate whether covering the graft with a submerged healing approach offers real advantages over a non-submerged (open) approach. This ...
As populations age, understanding long-term trends in oral health among older adults becomes essential for planning care. This systematic review and meta-analysis synthesized more than five decades of Swiss data on oral ...
With aging, mesenchymal stem cells (MSCs) — the progenitor cells responsible for forming new bone — progressively shift away from becoming bone-forming osteoblasts and toward becoming fat cells instead, contributing to a...
Periodontal pathogens have long been implicated in cardiovascular disease, but direct evidence linking bacterial detection — rather than periodontal diagnosis alone — to coronary heart disease (CHD) has remained limited....
Periodontitis and diabetes are known to interact bidirectionally, but data from South Asian populations — where both conditions are highly prevalent and often under-managed — remain sparse. This hospital-based cross-sect...
Read more →Journal of periodontal & implant science
Adequate keratinized mucosa width (KMW) around implants is widely accepted as protective, but whether vestibule depth (VD) — a related but distinct anatomical measure — independently contributes to peri-implant soft tiss...
Read more →Journal of cranio-maxillo-facial surgery
Systemic disease is often treated as a relative contraindication—or at least a risk factor requiring extra caution—for dental implant placement, but the actual magnitude of that risk in modern practice is debated. This r...
Read more →Journal of periodontal & implant science
Enamel matrix derivative (EMD) is an established adjunct for regenerative treatment of intrabony periodontal defects, typically applied during minimally invasive surgery. Whether a fully nonsurgical application of EMD ca...
Clinical question: is periodontitis mechanistically linked to coronary heart disease (CHD) through subclinical atherosclerosis, and does it associate with inflammation in epicardial adipose tissue (EAT)?
Methodology: th...
Clinical question: does tooth loss (edentulism) predict cognitive decline and dementia, and is this association mediated by blood-based markers of neurodegeneration?
Methodology: 4,238 participants aged 50+ from the nat...
Clinical question: do collagen membranes with different thickness-related mechanical properties, used to cover bone grafts in guided bone regeneration (GBR), produce different biological healing responses during lateral ...
Read more →Journal of Advanced Periodontology & Implant Dentistry
Clinical question: how does allogenic demineralized dentin matrix (ADDM) — a donor-derived bone graft substitute — compare with xenograft for maxillary sinus floor augmentation (MSFA) in the atrophic posterior maxilla?
...
Clinical question: does adding hyaluronic acid (HA) to natural bovine bone grafting material improve outcomes when grafting fresh extraction sockets around immediate implants?
Methodology: randomized clinical trial, 16 ...
Diabetes and oral disease are both massive global burdens — roughly 828 million people live with diabetes, 3.7 billion with some form of oral disease — and the two are often assumed to interact, but the direction and str...
Lymphocytes are the principal source of RANKL in periodontitis, but exactly how they get organised and activated within inflamed gingiva has been unclear. This mechanistic study looks at tertiary lymphoid structures (TLS...
Read more →Clinical Implant Dentistry and Related Research
Treated periodontitis patients make up a large share of implant candidates, but whether residual probing pocket depth (PPD) left over after active periodontal therapy actually raises peri-implant risk has never been revi...