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.
The posterior mandible with a distal-extension gap is where a clinician most often wonders whether a narrow implant is enough. Add hyperglycaemia, and the doubt doubles: will thinner fixtures in a metabolically compromis...
For periodontitis, the link with systemic inflammation has become part of the clinical conversation. For peri-implantitis the same story is often told by analogy. This systematic review, published in the Journal of Perio...
Closing the flap around a freshly placed implant is one of the most repetitive gestures in implant surgery, and one of the least questioned. Sutures hold the tissue, but they take time, and the way the flap is stabilised...
A single implant is often presented as the conservative choice: it replaces the missing tooth without touching its neighbours. This retrospective longitudinal study from the University of Michigan (Wang HL and colleagues...
How should we thicken the mucosa around an implant, or widen its band of keratinised tissue: with the patient's own tissue, or with a substitute? This systematic review, commissioned for the AAP/Osteology Foundation/SEPA...
Read more →Diabetes research and clinical practice
Do the newest glucose-lowering drugs leave a trace in the mouth? This retrospective cohort study compared tirzepatide, a dual GIP/GLP-1 receptor agonist, with GLP-1 receptor agonists (GLP-1RAs) in adults with type 2 diab...
Read more →Clinical implant dentistry and related research
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...