Osteoperionews

Narrow implants in hyperglycaemic patients: HbA1c mattered more than diameter

Mon, 05 Oct 2026 09:04:35 GMT

In brief: 83 patients (166 implants) with HbA1c from 5.8% upward: 100% implant survival and no peri-implantitis at 1 year.

Peri-implantitis and systemic inflammation: the evidence is still thin

Mon, 05 Oct 2026 09:04:35 GMT

In brief: 21 studies included: conventional CRP was higher with peri-implantitis, but heterogeneity was extreme (I² = 99%).

Suture-free flap closure: less keratinised mucosa lost at 6 months

Mon, 28 Sep 2026 15:25:05 GMT

In brief: In 30 patients (posterior sites), a healing abutment attachment reduced buccal keratinised mucosa loss: −0.46 mm vs −1.23 mm with sutures.

Single implant crowns: neighbouring teeth show more complications over time

Mon, 28 Sep 2026 15:25:05 GMT

In brief: In 456 patients, teeth adjacent to a single implant had more caries, new restorations and tooth loss than teeth in other quadrants (8.0% vs…

Soft tissue at implants: autografts still lead, substitutes hurt less

Mon, 21 Sep 2026 09:11:55 GMT

In brief: Across 40 RCTs, a bilaminar connective tissue graft ranked best for mucosal thickness gain, regardless of timing.

Tirzepatide and the mouth: a signal in 196,000 records, not yet a proof

Mon, 21 Sep 2026 09:11:55 GMT

In brief: In nearly 98,000 matched pairs with type 2 diabetes, tirzepatide users had fewer recorded periodontitis diagnoses than GLP-1RA users over one…

Horizontal ridge augmentation: tunneling holds its own against the flap

Mon, 14 Sep 2026 09:13:30 GMT

In brief: In 43 patients, tunneling and conventional flap produced comparable width gain at 6 months (no significant difference, p > 0.05).

Peri-implant bone loss: abutment height matters in screw-retained cases

Mon, 14 Sep 2026 09:13:30 GMT

In brief: Reclassifying studies by retention type resolves much of the inconsistency on abutment height and marginal bone loss.

Save the tooth or replace it? In the Swedish cohort, it depends on the site

Mon, 07 Sep 2026 08:34:51 GMT

In brief: Swedish national cohort, over 16,000 propensity-matched patients, followed up to 9 years

ARP vs GBR: no single technique wins across all defects

Mon, 07 Sep 2026 08:34:51 GMT

In brief: Systematic review of 14 RCTs on alveolar ridge preservation (ARP) and guided bone regeneration (GBR)

Peri-implantitis surgery: submerged or not matters less than the patient in front of you

Mon, 07 Sep 2026 08:34:51 GMT

In brief: 2-year retrospective study, 33 patients and 53 implants treated with reconstructive surgery for peri-implantitis

In Switzerland, edentulism among seniors fell from 44% to 4% in 40 years

Mon, 07 Sep 2026 08:34:51 GMT

In brief: Meta-analysis of over 50 years of Swiss data on oral health in adults 65+

An RNA-binding protein decides if stem cells build bone or fat

Mon, 07 Sep 2026 08:34:51 GMT

In brief: In mice, OTUD1 stabilizes BMP2 mRNA and pushes mesenchymal stem cells toward bone formation

Gum bacteria in the bloodstream: a fresh signal for coronary risk

Tue, 18 Aug 2026 20:37:39 GMT

In brief: Oral P. gingivalis positivity was independently associated with higher CHD prevalence in this angiography cohort (PR 1.24).

HbA1c outpredicts every other glycemic marker for periodontitis severity

Tue, 18 Aug 2026 20:37:39 GMT

In brief: FBG, PPBS, and HbA1c all worsened stepwise with periodontitis severity in 396 patients (p<0.001).

Keratinized mucosa, not vestibule depth, protects peri-implant tissue

Tue, 18 Aug 2026 20:37:39 GMT

In brief: In 129 single-implant patients, adequate KMW (≥2 mm) correlated with greater VD, thicker mucosa, and less recession — but the two measures are…

Systemic conditions didn't predict implant loss over 11 years

Tue, 18 Aug 2026 20:37:39 GMT

In brief: Across 1,872 implants (602 patients), success was statistically identical between systemically healthy (96.76%) and compromised (97.60%)…

Nonsurgical EMD matched surgery for intrabony defects in this RCT

Tue, 18 Aug 2026 20:37:39 GMT

In brief: In a 3-arm RCT (n=60), nonsurgical EMD application achieved outcomes statistically indistinguishable from EMD-assisted minimally invasive…

Severe Periodontitis Flags Hidden Coronary Risk

Mon, 10 Aug 2026 09:21:06 GMT

In brief: Severe periodontitis (6% of 29,056 adults) was associated with higher coronary calcium levels (an indication of atherosclerosis).

Tooth Loss Tracks With Blood Markers of Neurodegeneration

Mon, 10 Aug 2026 09:21:06 GMT

In brief: In 4,238 US adults 50+, edentulism predicted a 49% higher risk of cognitive impairment and 28% higher risk of dementia over 10 years

Membrane Stiffness May Shape Early GBR Healing, Not the Outcome

Mon, 10 Aug 2026 09:21:06 GMT

In brief: Preclinical (beagle) model compared two collagen membranes with different thickness/stiffness in lateral bone augmentation

Donor-Derived Dentin Matches Xenograft in Sinus Lift

Mon, 10 Aug 2026 09:21:06 GMT

In brief: Randomized split-mouth trial (n=9, bilateral sinus augmentation) comparing allogenic demineralized dentin matrix (ADDM) vs xenograft

Hyaluronic Acid Boosts Early Stability in Immediate Implants

Mon, 10 Aug 2026 09:21:06 GMT

In brief: RCT, 16 immediate implants: bovine bone + hyaluronic acid vs unfilled fresh socket (control)

Periodontitis and diabetes: the risk really does run both ways

Mon, 03 Aug 2026 19:50:59 GMT

In brief: Periodontitis at baseline predicted 18-25% more newly diagnosed type 2 diabetes over follow-up.

A new cellular hub behind bone loss in periodontitis

Mon, 03 Aug 2026 19:50:59 GMT

In brief: Ectopic immune structures (tertiary lymphoid structures) form in gingiva as inflammation worsens and track with worse surgical outcomes.

Leftover pockets after perio therapy don't stay quiet at implants

Mon, 03 Aug 2026 19:50:59 GMT

In brief: Four cohort studies (1-23 year follow-up) consistently linked residual periodontal pockets after therapy to higher peri-implantitis rates.

Zirconia implants: low peri-implantitis rates, at least short-term

Mon, 03 Aug 2026 19:50:59 GMT

In brief: Pooled peri-implantitis prevalence around zirconia implants was 2% up to 5 years, rising to 8% beyond 5 years (wide CI).

Even routine antibiotic prophylaxis leaves a mark on the microbiome

Mon, 03 Aug 2026 19:50:59 GMT

In brief: A single prophylactic antibiotic course before dental surgery significantly disrupted oral and gut microbial diversity, peaking at days 3-10.

What AI Can (and Can't Yet) See on a Peri-Implantitis X-Ray

Tue, 28 Jul 2026 15:32:33 GMT

In brief: Ten qualifying studies show AI models (YOLO, U-Net, ResNet, etc.) can localize implants, detect marginal bone loss, and classify severity on…

Two Oral Protozoa Track Closely With Peri-Implant and Periodontal Disease

Tue, 28 Jul 2026 15:32:33 GMT

In brief: T. tenax and E. gingivalis were detected far more often at diseased sites (periodontitis, peri-implantitis) than at healthy sites, on both…

A Cheap Adjunct That Cut Post-Op Pain — Pilot RCT on Local Insulin

Tue, 28 Jul 2026 15:32:33 GMT

In brief: In this pilot RCT (n=21, 7/group), insulin, HA, and collagen sponge alone all improved CAL and PPD equally at 6 months in intrabony defects…

Thin Gingival Phenotype Emerges as the Strongest Peri-Implant Risk Signal in a 968-Implant Cohort

Tue, 28 Jul 2026 15:32:33 GMT

In brief: In 968 implants (199 patients), 26.4% showed some degree of peri-implant disease (17.9% mucositis, 8.5% peri-implantitis).

Bone Type and Zirconia Choice Both Move the Needle in All-on-4 Outcomes

Tue, 28 Jul 2026 15:32:33 GMT

In brief: In 1,000 All-on-4 implants (250 patients), overall survival was 94.8%, dropping to 89.1% in low-density Type 4 bone versus 98.3% in dense Type 1…

Wide-diameter implants: failure risk shifts with time after placement

Mon, 20 Jul 2026 09:46:31 GMT

In brief: 97.5% overall survival across more than 12,000 implants ≥5.0 mm followed for up to 10 years.

Sleep apnea and periodontitis: a plausible link resting on weak evidence

Mon, 20 Jul 2026 09:46:31 GMT

In brief: 70% of included studies (14/20) report a significant association between OSA and periodontitis.

It's not the penicillin allergy — it's the alternative antibiotic chosen

Mon, 20 Jul 2026 09:46:31 GMT

In brief: Across 374 implants, early failure was 6.1% and surgical complications 8.0%.

Fewer teeth, same accuracy: a faster way to score plaque

Mon, 20 Jul 2026 09:46:31 GMT

In brief: An optimized 12-surface subset reproduces full-mouth plaque scores almost perfectly (ICC 0.962).

Triangular-neck implants perform well — but nobody has compared them head-to-head

Mon, 20 Jul 2026 09:46:31 GMT

In brief: Pooled analysis of 5 studies shows mean 1-year marginal bone loss of just 0.35 mm. Pooled implant survival rate is 97.8%.

At 25 years, peri-implantitis doubles — the lesson from the Bern cohort

Mon, 13 Jul 2026 09:22:27 GMT

In brief: Implant survival 94.0% and success 90.8% at 25 years — but peri-implantitis rises from 3.5% to 9.1% (implant level) and 10% to 18.1% (patient…

L-PRF in intrabony defects: a real 1.1 mm gain, but evidence stays weak

Mon, 13 Jul 2026 09:22:27 GMT

In brief: 23 RCTs pooled: L-PRF+OFD vs OFD alone at 9 months 1.11 mm PPD reduction and 1.13 mm CAL gain, statistically significant

Short implants vs vertical GBR: the 8-year model favors the simpler choice

Mon, 13 Jul 2026 09:22:27 GMT

In brief: 8-year microsimulation model: short implants (6-8.5mm) without GBR vs regular (>10mm) with vertical GBR

Immediate implants in diabetics survive — but bone pays the price of glycemic control

Mon, 13 Jul 2026 09:22:27 GMT

In brief: Meta-analysis of 10 studies (1,350 patients, 1,623 implants): implant survival does NOT differ between diabetics and healthy patients,…

A statin as antibiotic adjuvant: flushing out P. gingivalis hiding inside host cells

Mon, 13 Jul 2026 09:22:27 GMT

In brief: P. gingivalis invades host cells and evades extracellular antibiotics, fueling recurrence

At 20 years implants hold up like natural teeth — but only with maintenance

Mon, 06 Jul 2026 15:10:39 GMT

In brief: Over 20 years, implants and contra-lateral teeth showed comparable attachment loss (~4.5 vs ~4.4 mm) and survival in maintained periodontitis…

Antibiotics add half a millimetre in peri-implantitis — local beats systemic

Mon, 06 Jul 2026 15:10:39 GMT

In brief: Across 22 RCTs, adjunctive antibiotics improved PPD by ~0.69 mm and CAL by ~0.55 mm over debridement alone — statistically significant,…

Xenogeneic blocks match autogenous bone at 4 years — except in the esthetic zone

Mon, 06 Jul 2026 15:10:39 GMT

In brief: At 4 years, collagenated xenogeneic and autogenous bone blocks gave comparable implant survival and success after lateral ridge augmentation.

Fascia lata allograft thickens peri-implant mucosa without a palatal harvest

Mon, 06 Jul 2026 15:10:39 GMT

In brief: In a 16-patient pilot RCT, fascia lata allograft and connective tissue graft both significantly increased peri-implant mucosal thickness and…

Patients on Ozempic-class drugs: a risk modifier in perio, not a treatment

Mon, 06 Jul 2026 15:10:39 GMT

In brief: GLP-1 receptor agonists may affect periodontal tissues both indirectly (glycemic control, weight, inflammation) and directly (GLP-1R / DPP-4…

Past 10 cigarettes a day, GBR implants lose twice the bone

Mon, 22 Jun 2026 09:17:17 GMT

In brief: In this 5-year cohort, smokers of >10 cigarettes/day lost about twice the marginal bone (2.67 mm) of non- and light smokers (1.34-1.40 mm).

PEEK or titanium mesh for the ridge? They tie once you control the graft

Mon, 22 Jun 2026 09:17:17 GMT

In brief: RCT in 14 patients (28 sites): no significant difference in horizontal bone gain between prebent titanium mesh (3.02 mm) and customized PEEK…