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    Recent advances in the factors affecting the pathogenesis, diagnosis, and treatment of peri-implantitis
    Yan Fuhua, Song Shiyuan
    Chinese Journal of Oral Implantology    2023, 28 (6): 402-409.   DOI: 10.12337/zgkqzzxzz.2023.12.003
    Abstract932)      PDF (1334KB)(1136)       Save
    Oral implant therapy is one of the most common methods for restoring defective and missing dentition. Peri-implantitis is a prevalent biological complication of implant therapy, characterized by inflammation of the peri-implant mucosa and subsequent progressive loss of supporting bone. The occurrence of peri-implantitis can impact the prognosis of implant restorations or even lead to implant failure, significantly affecting the patient's health and quality of life. Therefore, reducing the risk factors of peri-implantitis, timely diagnosis and effective treatments are of great importance to enhance the prognosis of implant therapy. This review describes the factors influencing the pathogenesis of peri-implantitis, the current diagnostic criteria, and therapeutic methods. Furthermore, it discusses emerging treatment modalities with potential clinical applications and reviews ongoing research progress.
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    Expert consensus on the management of sinus floor elevation mucoperiosteum perforation (first edition)
    Chinese Society of Oral Implantology
    Chinese Journal of Oral Implantology    2021, 26 (5): 277-281.   DOI: 10.12337/zgkqzzxzz.2021.10.002
    Abstract887)      PDF (1059KB)(1104)       Save
    Maxillary sinus floor elevation is a common and standard method for the rehabilitation of atrophic bone in the posterior maxilla but has highly technical sensitivity and considerable complications. A common complication is the Schneiderian membrane perforation. Systemic reviews and expert-written forums are common in the literature. However, a consensus about the guideline for the management of the Schneiderian membrane perforation during maxillary sinus floor elevation has not been reached. To this end, experts from the Chinese Society of Oral Implantology discussed several times and have drafted this expert consensus in order to provide clinicians with practical and feasible measures for preventing, diagnosing, and treating the Schneiderian membrane perforation during the surgery of sinus floor elevation.
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    Research progress of 3D printing individualized titanium mesh for complex bone augmentation
    Ji Ping
    Chinese Journal of Oral Implantology    2022, 27 (6): 334-339.   DOI: 10.12337/zgkqzzxzz.2022.12.002
    Abstract422)      PDF (1160KB)(1075)       Save
    Complex and severe alveolar bone defect is an important factor affecting the esthetic and long-term stability of dental implants. Compared to conventional bone augmentation, digital and custom bone augmentation could reduce operation time and improve the accuracy of bone augmentation. Three-D printing individualized titanium mesh (3D-PITM) shows good biocompatibility and space-making capacity, which could accurately reconstruct the alveolar bone contour. Thus, 3D-PITM has been gradually applied in the bone augmentation surgery. This paper introduces the application and research progress of 3D-PITM used for complex bone augmentation.
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    Influence factors of achieving predictable maxillary sinus bone augmentation
    Zhao Yang
    Chinese Journal of Oral Implantology    2024, 29 (3): 289-294.   DOI: 10.12337/zgkqzzxzz.2024.06.016
    Abstract1296)      PDF (1348KB)(898)       Save
    Maxillary sinus floor elevation is a common surgical method to solve the problem of insufficient bone mass in the posterior maxillary region. Based on the special background of maxillary sinus bone augmentation, we explore the principles of achieving predictable maxillary sinus bone augmentation results from the mechanism of osteogenesis, which can be considered from four aspects: bone contact area, angiogenesis, stability of space, and safe healing.
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    Exploration and consideration on clinical solutions for complex alveolar bone defects
    Li Jinmeng, Li Xiaoban, Zhang Jian
    Chinese Journal of Oral Implantology    2022, 27 (5): 285-291.   DOI: 10.12337/zgkqzzxzz.2022.10.005
    Abstract417)      PDF (1566KB)(897)       Save
    Surgeons and patients find it challenging to reconstruct the complex alveolar bone defects clinically. For complex alveolar bone defects, surgeons are responsible for making the most appropriate surgical plan, which requires them to fully understand the indications and technical key points of the existing bone augmentation techniques, and then choose an appropriate method to complete the alveolar bone defect reconstruction and the following implant placement. Based on clinical experience and literature review, the author summarizes the classification of alveolar bone defects, and focuses on the most commonly used bone augmentation techniques during clinical practice, such as Onlay bone grafting, split bone block technique, sausage technique, GBR technique with non-resorbable membrane, and GBR technique using titanium mesh. This article aims to provide a reference for the reconstruction of complex alveolar bone defects for dental implant specialists.
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    Expert consensus on complications of sinus floor elevation: displacement of dental implant into the maxillary sinus (first edition)
    Chinese Society of Oral Implantology
    Chinese Journal of Oral Implantology    2022, 27 (5): 264-268.   DOI: 10.12337/zgkqzzxzz.2022.10.001
    Abstract686)      PDF (1172KB)(876)       Save
    Dental implantation at the posterior maxillary region involving the sinus has become a routine treatment for the edentulous patients. However, due to medical or pathogenic factors, various postoperative complications may occur, among which the relatively rare but serious complication is the displacement of dental implant into the maxillary sinus. At present, there is still lack of guideline or consensus on the management of this complication at home and abroad. Therefore, the Chinese Society of Oral Implantology organized experts from different domestic universities to discuss and draft this consensus from the aspects of pathogenesis, clinical manifestations, treatment plans and prevention methods, aiming to provide clinicians with practical measures for the prevention and treatment of the complication of implant displacement into the maxillary sinus.
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    Research progress on the application and mechanism of nanomaterials in stomatology
    Zhang Han, Meng Lingxi, Wang Mican, Lu Jingwei, Mei Hongxiang, Liao Wen
    Chinese Journal of Oral Implantology    2021, 26 (5): 328-333.   DOI: 10.12337/zgkqzzxzz.2021.10.011
    Abstract682)      PDF (1091KB)(854)       Save
    Nanomaterials have been widely used in the field of oral disease prevention and treatment, especially in controlling the development of caries and alleviating dentin allergy, due to their superior antibacterial properties and biocompatibility. Meanwhile, nanomaterials provide solutions for tissue regeneration, especially for oral tissue regeneration, due to their small particle size, high antibacterial activity and biocompatibility. At present, the research on nanomaterials in the field of dentistry focuses on the biological effects of various nanomaterials on different oral cells and clinical application studies. In this paper, we will review the biological effects of nanoparticles on oral cells, potential mechanisms and influencing factors, aiming to provide references for the development of new materials in the field of oral medicine and the prevention, diagnosis and treatment of oral diseases.
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    Expert consensus on bone grafting materials for maxillary sinus floor elevation: bone substitutes
    Chinese Society of Oral Implantology
    Chinese Journal of Oral Implantology    2023, 28 (1): 3-8.   DOI: 10.12337/zgkqzzxzz.2023.02.002
    Abstract624)      PDF (1435KB)(840)       Save
    Autogenous bone has long been considered the "gold standard" for maxillary sinus floor elevation. However, secondary iatrogenic injury, limited source, easy resorption, and high risk of complications at donor sites limit its clinical application. Thus, the search for and selection of an ideal bone substitute for autologous bone becomes the development trend of bone augmentation technique. In this paper, the characteristics of three major bone substitutes including allograft, xenograft, and alloplastic graft, as well as the implant survival rate after the above bone substitutes were used on the maxillary sinus floor were summarized.
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    Applied anatomy and radiological diagnosis of maxillary sinus floor elevation
    Chen Deping, Pi Xuemin, Liu Qian, Pan Hong, Tan Baosheng, Su Yucheng
    Chinese Journal of Oral Implantology    2022, 27 (3): 193-198.   DOI: 10.12337/zgkqzzxzz.2022.06.012
    Abstract304)      PDF (1541KB)(830)       Save
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    Clinical application of three-dimensional printed digital customized titanium mesh in guided bone regeneration for alveolar bone reconstruction
    Wang Tingting, Wang Feng, Wu Yiqun
    Chinese Journal of Oral Implantology    2022, 27 (4): 208-216.   DOI: 10.12337/zgkqzzxzz.2022.08.003
    Abstract417)      PDF (1445KB)(830)       Save
    Severe alveolar bone defects seriously affect dental implant placement and its long-term performance. Guided bone regeneration(GBR)as a reliable technique is able to achieve predictable bone augmentation. Three-dimensional printed digital customized titanium mesh is a new technique to obtain alveolar bone augmentation.For patients with severe alveolar bone defects, the preoperative examination is performed, the information of alveolar and dentition is obtained by radiographic examination and oral scan or model scan respectively,then the implants position is placed according to the principle of prosthetic-driven implant placement. The extent of bone augmentation and the shape of customized titanium mesh are designed with software, and then the digital customized titanium mesh is manufactured with 3D printing technology. The application of customized titanium mesh is conducive to reconstruct the three-dimensional shape of alveolar ridge precisely,and individually. The aim of this article is to summarize pre-opreative evaluation of patients, the key points of the design, clinical application and precautions of customized titanium mesh, in order to further promote its wide and safe application in clinical practice.
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    Clinical procedure of transalveolar technique for sinus floor elevation
    Chen Deping, Liu Qian, Pi Xuemin, Pan Hong, Ren Bin, Su Yucheng
    Chinese Journal of Oral Implantology    2023, 28 (2): 128-132.   DOI: 10.12337/zgkqzzxzz.2023.04.011
    Abstract346)      PDF (1348KB)(814)       Save
    The transalveolar technique for sinus floor elevation is a common surgical approach when there is insufficient vertical bone height in the maxillary posterior region for implant treatment. This article describes the evolution of this technique and the technical points of the clinical approach. It is very difficult to assess the intactness of the maxillary sinus mucoperiosteum in transalveolar technique when simultaneous bone augmentation is required. The use of electronic endoscope is a very helpful method to better confirm the preparation depth of the implant site and the status of the maxillary sinus mucoperiosteum, thus effectively avoiding complications of bone augmentation due to the maxillary sinus mucoperiosteum perforation. This article focuses on the clinical procedures and considerations in the use of transalveolar technique for sinus floor elevation to provide a reference for clinicians to improve the predictability of this technique.
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    Advances of wound closure in alveolar ridge preservation
    Liu Zhenhui, Hu Wenjie
    Chinese Journal of Oral Implantology    2021, 26 (5): 322-327.   DOI: 10.12337/zgkqzzxzz.2021.10.010
    Abstract460)      PDF (1093KB)(800)       Save
    Favorable soft and hard tissue morphology is the basis of successful implant therapy, following a tooth extraction, the alveolar ridge undergoes physiological remodeling which affects prosthetically driven implant restoration. Alveolar ridge preservation can effectively preserve the soft and hard tissue contour of tooth extraction sites and create conditions for implant restorations. Good wound closure is one of the important keys to ensure the success of the operation. This article discusses different methods of wound closure, in order to provide a reference for the clinical application of this technique to achieve ideal results.
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    Applied anatomy and CBCT evaluation of blood supply and mucoperiosteum in the maxillary sinus
    Chen Deping, Liu Qian, Pi Xuemin, Pan Hong, Tan Baosheng, Su Yucheng
    Chinese Journal of Oral Implantology    2022, 27 (4): 259-263.   DOI: 10.12337/zgkqzzxzz.2022.08.011
    Abstract332)      PDF (1479KB)(790)       Save
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    Biological principle of emergence profile design of implant prosthesis
    Yang Yufei, Gu Xinhua
    Chinese Journal of Oral Implantology    2022, 27 (6): 352-357.   DOI: 10.12337/zgkqzzxzz.2022.12.005
    Abstract319)      PDF (1106KB)(786)       Save
    The emergence profile design of the implant prosthesis will not only affect the aesthetic effect of the prosthesis, but also affect the health of the tissues around the implant. Good emergence profile design helps to form a perfect soft tissue barrier, prevent microbial invasion, protect surrounding soft and hard tissues, and avoid aesthetic and biological complications. On the basis of understanding the biological characteristics of the tissue around the implant and based on the patient's soft and hard tissue conditions, designing a reasonable implant placement position to protect the health of the tissue around the implant is crucial to the success of the implant and also a necessary factor for the design of the emergence profile.
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    The decision-making principles of sinus floor elevation
    Pi Xuemin, Liu Qian, Chen Deping, Ren Bin, Pan Hong, Su Yucheng
    Chinese Journal of Oral Implantology    2022, 27 (5): 322-326.   DOI: 10.12337/zgkqzzxzz.2022.10.011
    Abstract463)      PDF (1653KB)(772)       Save
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    Systematic literature review of peri-implant cyst
    Gong Jiaming, Zhao Ruiming, Wang Jia, Dai Zhiming, Yu Zhanhai, Yin Lihua
    Chinese Journal of Oral Implantology    2022, 27 (3): 181-187.   DOI: 10.12337/zgkqzzxzz.2022.06.010
    Abstract343)      PDF (1148KB)(755)       Save
    In 2017, Kochaji described two cases of cysts around the implant after implant placement, which was defined as peri-implant cyst and might be caused by surgical trauma or infection. The peri-implant cyst is often confused with peri-implantitis and retrograde peri-implantitis due to its rarity and destruction of peri-implant supporting bone. Therefore, the paper systematically reviewed the current literature on the peri-implant cyst in order to summarize its clinical manifestations, differential diagnosis, and treatment protocols.
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    Research progress of bone window design for maxillary sinus floor elevation through lateral window approach
    Zhang wen, Gu Xinhua
    Chinese Journal of Oral Implantology    2021, 26 (5): 334-338.   DOI: 10.12337/zgkqzzxzz.2021.10.012
    Abstract533)      PDF (1090KB)(740)       Save
    The key of maxillary sinus floor elevation through lateral window approach is to expose and lift the sinus membrane, and the design of bone window is the primary factor to expose the sinus membrane. The traditional bone window is designed as a single and large window. If there is a sinus septum, 2 or 3 bone windows will be designed to avoid sinus septum. The lower boundary of the bone window is generally 3-5 mm at the bottom of the maxillary sinus. In recent years, many scholars have continuously studied the size, height, and distance from the alveolar ridge border, which has reduced intraoperative and postoperative discomfort and increased patient satisfaction. This article reviews the size, position, and shape of the bone window and digitally assisted lateral window osteotomy by consulting the recent literature.
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    Research advances in the production process of dental collagen membrane
    Shu Qianyi, Su Yucheng
    Chinese Journal of Oral Implantology    2022, 27 (6): 358-364.   DOI: 10.12337/zgkqzzxzz.2022.12.006
    Abstract373)      PDF (1076KB)(732)       Save
    Guided bone regeneration (GBR) is an important technique in implant dentistry, in which oral collagen membranes play a key role. According to the production process, oral collagen membranes can be divided into acellular matrix membranes, purified collagen membranes and recombinant collagen membranes. At present, acellular membranes are main ones used clinically. Different types of collagen membranes have similarities and differences in production processes, and different production processes also have different effects on the properties of collagen membranes. This paper reviews the classification, production processes, comparison of different collagen membranes and the improvement of collagen membranes.
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    Root cause analysis of 3 cases of adverse events involving swallowing and aspiration in dental implant procedures
    Jiao Mingxiu, Bao Xianjing, Chen Haixia
    Chinese Journal of Oral Implantology    2023, 28 (5): 347-350.   DOI: 10.12337/zgkqzzxzz.2023.10.009
    Abstract183)      PDF (1400KB)(704)       Save
    Objective The retrospective analysis was conducted on three cases of adverse events involving swallowing and aspiration in our hospital by applying the root cause analysis method. Methods The root causes of the events were identified in terms of systematic processes by creating a cause-and-effect diagram. Results The root causes of these incidents were identified in the system process: the lack of standardized preventive measures, insufficient patient evaluation, inadequate preoperative precautionary measures, and treatment positions that could easily result in swallowing and aspiration. Conclusion To address these three root causes, specific improvement measures were implemented: conducting adequate preoperative patient evaluations, enhancing preoperative precautionary measures, adjusting patient treatment positions, strengthening preventive measures during procedures, and enhancing supervision of such incidents.
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    Application of robots in the field of dental implantology
    Chen Jiang
    Chinese Journal of Oral Implantology    2022, 27 (5): 274-279.   DOI: 10.12337/zgkqzzxzz.2022.10.003
    Abstract458)      PDF (1495KB)(681)       Save
    Recently, with the development of digital technology in the field of dental implantology, from static computer-assisted implant surgery to dynamic navigation, and then to today's dental implant robot system, the accuracy of implants has been a hot topic in the field of dental implantology. After clinical application, on the basis of expounding the classification, workflow, and application status of oral implant robots, this paper also discusses the shortcomings and thinks about the coming era of dental implant robots, in order to provide a reference for further application and development of oral implant robot in the future.
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    Research progress of the socket shield technique
    Luo Zhen, Liu Hong, Wu Wangxi
    Chinese Journal of Oral Implantology    2023, 28 (2): 119-123.   DOI: 10.12337/zgkqzzxzz.2023.04.009
    Abstract822)      PDF (1177KB)(680)       Save
    The socket shield technique is a new technology emerging in oral implantology in the last decade or so. Its introduction is to fundamentally interrupt the process of physiologic resorption in the alveolar socket after the tooth extraction. But no consensus has been reached on the standard operation and long-term effect of this treatment. Meanwhile with the development of digital technology, how to accurately and efficiently apply the socket shield technique has gradually attracted attention. The clinical procedure, the complication, the evaluation index and the digital application of the socket shield technique will be reviewed in this paper, hoping to provide a theoretical basis for the promotion of this technique in oral implantology.
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    Progress in evaluation methods of dental implant placement accuracy
    Su Tianyue, Teng Weiwei, Wang Qi, Shu Qianyi, Zhou Libo
    Chinese Journal of Oral Implantology    2022, 27 (4): 248-253.   DOI: 10.12337/zgkqzzxzz.2022.08.009
    Abstract346)      PDF (1171KB)(671)       Save
    The application of digital technologies such as static guide, dynamic navigation and dental implant robot in the field of dental implant achieves the purpose of accurate implant placement. However, there is no unified standard for accurate recording and evaluation of dental implant sites, it is particularly important to select high-resolution postoperative evaluation methods to accurately reflect the accuracy of dental implants. At present, the commonly used instruments for assessment after dental implant surgery include CBCT, intraoral scanner, desktop optical scanner, and three-coordinate measuring instrument. In drilling experiments in other fields, calipers, plug gauges, digital measuring instruments such as three-coordinate measuring machine and laser tracker are also used for measurement, which can provide reference for the evaluation of the accuracy of dental implant implantation. In this paper, the principles, precision and characteristics of the accuracy evaluation methods involved in the drilling experiments of dental implants are reviewed, in order to provide a theoretical reference for the accuracy evaluation of dental implants in experiments and clinical practice.
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    Treatment decision-making and prognosis assessment of peri-implantitis
    Xu Shulan, Zhu Yuanxi
    Chinese Journal of Oral Implantology    2023, 28 (6): 394-401.   DOI: 10.12337/zgkqzzxzz.2023.12.002
    Abstract239)      PDF (1706KB)(662)       Save
    Peri-implantitis is a common biological complication of dental implant treatment, and it is one of the significant causes of implant failure as well. The treatment decision-making and prognosis assessment of peri-implantitis present two major problems for implantologists in clinical practice. Evidence-based treatment decision-making and accurate prognosis assessment could help doctors propose appropriate treatment approaches and guide patients to conduct oral self-care and systemic factors control according to their own conditions, aiming for more a streamlined treatment process and better clinical outcomes. This literature review provides a comprehensive overview of the treatment decision-making and prognosis assessment of peri-implantitis, discusses its research progress and clinical recommendations, and puts forth suggestions for further research.
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    Clinical implications of 3-dimensional osteogenesis model for maxillary sinus to promote osteogenesis in maxillary sinus
    Zhou Yanmin, Qin Qiuyue
    Chinese Journal of Oral Implantology    2023, 28 (2): 69-76.   DOI: 10.12337/zgkqzzxzz.2023.04.001
    Abstract377)      PDF (2718KB)(651)       Save
    The "3-dimensional osteogenesis model for maxillary sinus" (3D-OMMS) elucidated the osteogenic mechanism of maxillary sinus floor elevation. It provides a scientific theoretical basis for the treatment of maxillary sinus floor elevation in patients with missing maxillary posterior teeth. This manuscript reports the clinical application of "3D-OMMS" in the implants including single tooth or multiple teeth, immediate and delayed implants, transalveolar sinus floor elevation and lateral window approach sinus floor elevation, respectively. Preoperative and postoperative cone-beam computed tomography(CBCT)images were used to evaluate the osteogenic effect of the maxillary sinus region. In conclusion, the application of 3D-OMMS can form a three-dimensional space with diversified osteogenic directions in the maxillary sinus, shorten the vascularization osteogenesis path, accelerate the osteogenic process, improve the quality of new bone, and increase the success rate of implantation, which can be widely used in clinical practice.
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    Expert consensus on the clinical application of dental implant robots (first edition)
    Chen Jiang, Su Yucheng, Shen Guofang, Zhou Yanmin, Man Yi, Wu Yiqun, Yang Guoli, Zhang Yufeng, Tang Chunbo, Liu Qian, Fu Gang, Du Liangzhi, Liu Feng, Gao Yongbo, Yang Xingmei, Chen Deping, Chen Zhuofan, Xu Shulan, Wang Liping, Zhang Sihui
    Chinese Journal of Oral Implantology    2023, 28 (3): 134-139.   DOI: 10.12337/zgkqzzxzz.2023.06.002
    Abstract386)      PDF (1437KB)(647)       Save
    Dental implant robot is a new clinical technology in the field of dental implantology in recent years. In view of its high accuracy and stability, it has been applied in many professional fields of stomatology, such as dental implant, oral and maxillofacial surgery, etc. On the basis of clinical application and document retrieval, this consensus discusses the definition of related terms, clinical application requirements, operation specifications and risk prevention of dental implant robots, putting forward consensus views based on the clinical operation experience of some domestic experts.
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    Decision tree for the selection of immediate restoration options after full-arch implant placement
    Peng Lingyan, Wang Yong, Su Yucheng
    Chinese Journal of Oral Implantology    2022, 27 (6): 381-386.   DOI: 10.12337/zgkqzzxzz.2022.12.010
    Abstract434)      PDF (1568KB)(645)       Save
    Today, immediate fixed restoration after full-arch implant placement is being used by more and more clinicians and patients. New technologies, devices and software continue to emerge, and there is some confusion in clinical application. To standardize the application of this protocol and provide patients with a variety of options, according to the article “Immediate temporary restoration options after full-arch implant placement” published in June 2022 in this journal, the author team further establishes this decision tree to solve such clinical cases, with the aim of providing implant prosthetic dentists with advices and references of diagnosis and treatment, which dentists can adopt with a comprehensive decision-making based on clinical situation, dentist's experience, available equipment and software.
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    Department of Oral Implantology, Hospital of Stomatology,Anhui Medical University, Hefei 230032, China
    Zhang Wanting, He Jiacai
    Chinese Journal of Oral Implantology    2022, 27 (1): 28-33.   DOI: 10.12337/zgkqzzxzz.2022.02.006
    Abstract426)      PDF (1405KB)(619)       Save
    Objective To analyze impact factors of failed dental implant cases, and provide the theoretical guidance for clinical operation. Methods Cases in the Center of Oral Implantology from January 2012 to January 2021 with complete medical records were selected. The differences of gender, age, periodontal disease status, location of implants, implant, and surgical factors were compared between failed implants and successful implants. Statistical analysis software was SPSS 24.0. Statistical methods were the χ² test, Fisher’s Exact Test, and binary logistic regression. The level of statistical significance is expressed as P< 0.05. Results A total of 6124 implant cases were included in this study including 82 failed cases. The implant failure rate was 1.34%. There were 72 early failed cases and 10 late failed, with failure rates of 1.18% and 0.16%. Statistics results showed that the failure risk of men was higher than that of women (P< 0.001). Cases with implant diameter < 4.0 mm, implant length < 10 mm, and bone quality type Ⅳ showed a higher failure rate (P< 0.01). The failure risk in cases with internal sinus floor elevation (ISFE) was higher than those without the surgery (P< 0.001). The implant surface which were not sandblasted, large-grit, acid-etched (SLA) had a higher failure rate than those of SLA and SLActive (P=0.001). Age, upper or lower jaw, surgical site, the shape of implants, lateral approach of sinus floor elevation (LASF), and guided bone regeneration (GBR) had no statistical significance for dental implant failure. Conclusion The risk factors for the failure of dental implants were male, bone quality typeⅣ, implant diameter< 4 mm, implant length< 10 mm, non-SLA implant surface, ISFE surgical treatment, and periodontal disease.
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    Expert consensus on complications of sinus floor elevation: compromised osteogenesis (first edition)
    Chinese Society of Oral Implantology
    Chinese Journal of Oral Implantology    2022, 27 (1): 4-8.   DOI: 10.12337/zgkqzzxzz.2022.02.002
    Abstract476)      PDF (920KB)(613)       Save
    Maxillary sinus floor elevation procedure is often used as a solution to increase the residual bone height in the maxillary posterior tooth area. There is no consensus on the prevention and management of complications after maxillary sinus elevation procedure despite numerous intra- and postoperative complications. This review mainly focuses on compromised osteogenesis after maxillary sinus floor elevation and reviews risk factors, clinical manifestations, methods for preventing and managing this complication, to provide evidence for clinical practice.
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    Expert consensus on complications of sinus floor elevation: sinus infection and sinus graft infection (first edition)
    Chinese Society of Oral Implantology
    Chinese Journal of Oral Implantology    2022, 27 (2): 71-74.   DOI: 10.12337/zgkqzzxzz.2022.04.002
    Abstract512)      PDF (907KB)(612)       Save
    Sinus floor elevation is a well-established technique but with high technical sensitivity. Postoperative infection including sinus infection and graft infection is one of the major complication, which could cause severe problems though the incidence is not high. Bone augmentation procedures in the posterior maxilla increase dramatically as the demands for dental implant therapy from patients grow rapidly in China. The treatment and prevention of postoperative infection has drawn more and more attention from clinicians. But there is still a lack of consensus on the management of the complications. Therefore, the Chinese Society of Oral Implantology has organized the conference to discuss and draft the expert consensus, which aims to provide clinicians with guidelines for preventing, diagnosing and treating the complications of sinus infection and sinus graft infection.
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    Research progress of intraoperative complications during lateral window technique for sinus floor elevation
    Luo Shaokang, Li Shuchun
    Chinese Journal of Oral Implantology    2022, 27 (2): 119-123.   DOI: 10.12337/zgkqzzxzz.2022.04.012
    Abstract321)      PDF (1250KB)(592)       Save
    Lateral window technique for sinus floor elevation is an effective surgical method to solve the lack of bone mass in the posterior maxilla after tooth loss. The technical sensitivity is high. The most common intraoperative complications include bleeding and maxillary sinus membrane perforation. If the surgical risk is not fully evaluated or the intraoperative complications are not properly handled, it may lead to surgical failure and compromised long-term effects of implantation. In this article a literature review will be conducted on the influencing factors, prevention and management of intraoperative complications related to lateral fenestration of lateral window technique for sinus floor elevation procedure.
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    The application of dynamic navigation system in dental implant training
    Jiang Ruifang, Zhang Yanfang, Li Xue, Liu Liu, Xue Peng
    Chinese Journal of Oral Implantology    2022, 27 (4): 254-258.   DOI: 10.12337/zgkqzzxzz.2022.08.010
    Abstract286)      PDF (1341KB)(587)       Save
    Objective To explore the application of dynamic navigation technique in dental implant training. Methods 20 postgraduate students were included in the training course which combined theoretical course with model simulation operation. The theoretical course of implant dentistry was delivered first and subsequently all students performed free-hand and dynamic navigation implant surgery on the simulation jaw models in sequence. At the end of the course, an error analysis between the two techniques was conducted and a questionnaire was registered by the students, focusing on the comparisons of advantages and disadvantages between dynamic navigation system and free hand surgery, and put forward suggestions for improvement. ResultThe values of implant platform deviation, apical deviation and angle deviation in the dynamic navigation group were lower than those in the free-hand operation group, and the difference was statistically significant (P<0.05), indicating that the students were more accurate in implant placement under the assistance of dynamic navigation.The results of the questionnaire survey show that dynamic navigation helps to improve the students' hands-on ability, increase their interest in learning, and the students' satisfaction is high. Conclusions The application of the dynamic navigation system in the implant training course has exhibited a satisfying teaching effect and is worthy of spreading.
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    Expert consensus on titanium mesh supported guided bone regeneration
    Editorial Board of Chinese Journal of Oral Implantology
    Chinese Journal of Oral Implantology    2024, 29 (2): 95-100.   DOI: 10.12337/zgkqzzxzz.2024.04.001
    Abstract328)      PDF (1401KB)(585)       Save
    Nowadays, the clinical application of titanium mesh supported guided bone regeneration (TMs-GBR), especially using 3D printing individualized titanium mesh (3D-PITM), is increasing, serving as a reliable solution for bone augmentation in various cases of bone defects, particularly complex ones encountered during implant surgery. Given the technical sensitivity of TMs-GBR and the higher risk of complications such as titanium mesh exposure, as well as the current lack of relevant guidelines or international consensus, the editorial board of the Chinese Journal of Oral Implantology organized discussions among relevant experts and drafted this consensus, aiming to provide clinical reference for practitioners.
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    A systematic review comparing the exposure of customized titanium mesh and conventional titanium mesh after guided bone regeneration
    Zhou Libo, Su Yucheng, Li Xinru, Zhang Liqiang, Chen Deping
    Chinese Journal of Oral Implantology    2022, 27 (2): 112-118.   DOI: 10.12337/zgkqzzxzz.2022.04.011
    Abstract486)      PDF (1585KB)(574)       Save
    Objective To explore the exposure rate of customized titanium mesh and traditional titanium mesh after guided bone regeneration(GBR) and the time point of soft tissue dehiscence, and to provide clinical reference for GBR. Methods Databases, including PubMed, EMbase, Web of Science and Cochrane Central Register Controlled Trials, were searched by two independent researchers, for published articles on titanium mesh exposure after GBR. This study selected English articles published from January 1st, 2011 to December 31th, 2021. Stata 16.0 software was used to systematically analyze the research data that finally met the inclusion criteria. Results A total of 962 articles were found, and 9 of which were quantitatively analysed. The combined value of the total exposure rate of titanium mesh was 0.37(95% CI=0.31~0.42). The result of subgroup analysis showed that the combined value of the customized titanium mesh exposure rate was 0.20(95% CI=0.13~0.27) and the combined value of the traditional titanium mesh exposure rate was 0.60(95% CI=0.52~0.68). Conclusion The exposure rate of customized titanium mesh is lower than that of traditional titanium mesh, which is of great significance to provide sufficient grafting space for accurate bone reconstruction in GBR.
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    The decision-making principles of sinus floor elevation (part 3)
    Pi Xuemin, Liu Qian, Chen Deping, Ren Bin, Pan Hong, Su Yucheng
    Chinese Journal of Oral Implantology    2023, 28 (1): 58-66.   DOI: 10.12337/zgkqzzxzz.2023.02.011
    Abstract313)      PDF (1350KB)(566)       Save
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    Some comments on the "fitting"
    Wang yong
    Chinese Journal of Oral Implantology    2022, 27 (2): 75-75.   DOI: 10.12337/zgkqzzxzz.2022.04.003
    Abstract315)      PDF (1150KB)(565)       Save
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    Expert consensus on bone grafting materials for sinus floor elevation: bioactive agents, cell therapies and graft-free sinus floor elevation
    Chinese Society of Oral Implantology
    Chinese Journal of Oral Implantology    2022, 27 (6): 329-333.   DOI: 10.12337/zgkqzzxzz.2022.12.001
    Abstract434)      PDF (1062KB)(565)       Save
    Sinus floor elevation is a reliable approach to solve the problem of vertical bone deficiency in the posterior maxillary area. At present, there are many bone grafting materials available for sinus floor elevation, but no consensus on their selection is achieved. This consensus focuses on bioactive agents, cell therapies and graft-free sinus floor elevation, and summarizes the results on their clinical application, hoping to provide a reference for the selection during clinical practice.
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    A case of teeth extraction and immediate implants with the application of ridge splitting technique in anterior mandibular alveolar ridge
    Shi Wen, Wang Miaozhen, Liu Feng
    Chinese Journal of Oral Implantology    2022, 27 (6): 340-345.   DOI: 10.12337/zgkqzzxzz.2022.12.003
    Abstract419)      PDF (1500KB)(553)       Save
    In the anterior mandibular aesthetic area, there is usually sufficient bone in the vertical direction and insufficient bone in the buccolingual and horizontal direction. In this paper, we present a case of a patient with multiple mandibular incisors to be extracted due to chronic periodontitis, in which the ridge splitting was applied to the anterior mandibular alveolar ridge with teeth extraction and immediate implant placement simultaneously. Teeth extraction, ridge splitting and implant placement were performed at the same time, and the second surgery was performed 6 months after the operation, and temporary restoration and permanent restoration were completed by digital technology 7 and 8 months after the first surgery.Teeth extraction and immediate implant placement with ridge splitting procedure allows the clinician to effectively augment the horizontal bone, improve implant success rate, reduce the number of operations and avoid a second operative area. The simultaneous application of ridge splitting technique with tooth extraction and implant placement with proper indications and operation details may have certain advantages over other implant options.
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    The decision-making principles of sinus floor elevation (part 2)
    Pi Xuemin, Chen Deping, Liu Qian, Ren Bin, Pan Hong, Su Yucheng
    Chinese Journal of Oral Implantology    2022, 27 (6): 387-392.   DOI: 10.12337/zgkqzzxzz.2022.12.011
    Abstract280)      PDF (1289KB)(536)       Save
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    New clinical operation of comprehensive sequential treatment for immediate implant placement in the posterior mandibular region
    Zhou Qin, Zhao Zhengyi, Zou Duohong, Yang Chi, Zhang Zhiyuan
    Chinese Journal of Oral Implantology    2022, 27 (2): 93-98.   DOI: 10.12337/zgkqzzxzz.2022.04.008
    Abstract286)      PDF (1635KB)(526)       Save
    Objective Immediate implant placement has been widely employed in the anterior teeth area. Unlike the immediate implantation in the anterior zone which serve the patients' aesthetic needs, treatment in the posterior region pays more attention to the recovery of masticatory function. However, most of the mandibular posterior teeth consist of two roots, implants that are placed immediately after extraction of posterior teeth are prone to mesial-distal deviation when drilling in the interradicular septa, which will ultimately affect the axial direction of the implants. This article introduces an exploration and practice of new treatment for immediate implantation in the posterior mandibular area, which can effectively solve the above problems. Methods Our team summed up a new method of “a comprehensive sequential treatment plan for immediate implantation of posterior mandibular teeth”, minimally invasive extraction of unreserved mandibular posterior teeth, and the maximum possible preservation of the volume of interradicular bone and the bone wall of the alveolar socket, accurate placement of implants in the alveolar socket interval. To this end, we have developed a special series of surgical instruments for immediate implantation in the posterior teeth area, applied for 18 patents, and completed the achievements of transformation and the production and clinical application of medical products. Results Clinical application confirmed that this method increased the initial stability and precision of implants of mandibular posterior teeth. Conclusion This scheme is conducive to the ideal position of implant placement effectively improving the success rate of immediate implantation of mandibular posterior teeth and is worthy of clinical promotion.
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    Clinical assessment of evaluating passive fit of implant-supported fixed prostheses
    Guo Yongqing, Ma Yun, Yu Hao
    Chinese Journal of Oral Implantology    2022, 27 (4): 243-247.   DOI: 10.12337/zgkqzzxzz.2022.08.008
    Abstract315)      PDF (1191KB)(502)       Save
    Passive fit is closely associated with the long-term success rate of implant-supported prostheses. Therefore, clinical assessment of passive fit is important in the implant therapy. Based on the current evidence, an absolutely passive fit cannot be obtained, and a certain level of misfit was considered to be clinically acceptable. Various methods are applied to assess the passive fit of prostheses, which are mainly divided into two aspects: passiveness and marginal fit. The screw resistance test could be used to assess passiveness. Regarding marginal fit, the following methods are available: alternate finger pressure, visual inspection, tactile sensation, radiographs, one-screw test and disclosing materials. Each assessment method has its advantages and limitations. This article briefly reviewed the definition of passive fit and the common clinical assessment methods to provide references for clinical diagnosis and treatment.
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