Periodontics and Periodontology Commons^™

Evaluation Of Optimal Force For Intrusion Of A Periodontally Compromised Maxillary Anterior Dentition Treated With Fixed Orthodontics – A Finite Element Analysis, Tanzim Ahmed, Amrita Puri, Aatira Nair, Anshul Singla, Mathew Koshy Vaidyan, Shruti Sharma, Chhavi Singh

International Arab Journal of Dentistry

Introduction: Adult orthodontic treatment is increasingly sought due to aesthetic and functional concerns, often involving periodontally compromised patients with altered biomechanics. Reduced bone support shifts the center of resistance and necessitates lower, carefully controlled forces, while finite element modeling has become a key tool to analyze tissue response under such conditions.

Objectives: The study aimed to determine the optimal intrusive force for periodontally compromised maxillary anterior teeth using Finite Element Analysis (FEA).

Methods: A 3D finite element model of the maxillary anterior dentition was created and divided into healthy and compromised halves, the latter with one-third alveolar bone loss. A …

Comparative Evaluation Of A-Prf+ Or Collagen Membrane On Hard And Soft Tissue Changes Following Immediate Implant Placement: A Randomized Clinical Trial, Raagul S, Rahul Chopra, Sumit Malhotra, Prashansa Sharma, Ankur Tyagi, Nancy Singh

International Arab Journal of Dentistry

Objectives: To evaluate and compare clinical and radiographic parameters viz. Gingival Index (GI), Plaque Index (PI), Width of Keratinized Tissue (WKT), Midbuccal & Midlingual/Midpalatal soft tissue thickness (STT), ISQ values and crestal bone levels (CBL) using CBCT at baseline and 6 months in Group I (Immediate implant placement & A-PRF+) and Group II (Immediate implant placement & Collagen Membrane).

Methods: A total of 20 sites indicated for extraction were selected and randomly divided into: GROUP I : 10 sites were treated with immediate implant placement and covered with an A-PRF+ membrane and GROUP II : 10 sites were treated with …

Predictive Analysis For Success And Complications In Dental Implant Therapy Using Artificial Intelligence Models, Vishnu Priya Veeraraghavan, Aysha Jebin A, Isha Dusane, Govind Baheti, Ankita Agarwal, Santosh R Patil

International Arab Journal of Dentistry

Introduction: Dental implant therapy is a predictable treatment for tooth replacement, but its success is influenced by multiple patient, surgical, and systemic factors. Traditional statistical models, such as logistic regression, are limited in capturing nonlinear relationships among these variables. Artificial intelligence (AI) can integrate diverse predictors to enhance clinical risk assessment and improve treatment outcomes.

Objective: To identify key predictors of dental implant success and develop AI-based models capable of accurately forecasting implant outcomes using clinical and surgical parameters.

Methods: This retrospective cohort study analyzed data from 172 patients (219 implants) placed between 2020 and 2021. Patient demographics, systemic health …

Therapeutic Potential Of Bacillus Coagulans Unique Is2 Probiotic Supplementation On Early Periodontitis Patients: A Randomized Controlled Trial, Renu Gaur, Aysha Jebin A, Prabhuji M L V

International Arab Journal of Dentistry

Objectives: Bacillus coagulans (B. coagulans) is a probiotic commonly used for broad spectrum of systemic infections, its potential to treat oral infections, particularly periodontitis, is still being studied.The aim of the study was to evaluate the efficacy of probiotic B. coagulans as an adjunct to SRP in periodontitis patients.

Methods: Thirty systemically healthy patients with stage I/ stage II and grade A/ grade B periodontitis were selected and randomly divided into two groups. The control group received SRP along with placebo and the test group received SRP + B. coagulans probiotic chewable tablets. At baseline, one month, and three months …

Artificial Intelligence, An Aid In Teledentistry: A Review, Kavery Ittira Kuttappa, Mamatha Shetty, Upasana Reddy, Srilakshmi Mahadevan

International Arab Journal of Dentistry

The central question is whether teledentistry can effectively access and provide treatment to dental patients. This review seeks to examine how teledentistry improves oral health services through the use of various enabling technologies. This explores the integration of artificial intelligence in teledentistry in modern oral healthcare. Teledentistry expands its access to dental services, especially in remote and undeserved communities through synchronous, asynchronous and remote patient monitoring while reducing costs, logistical barriers and chairside time. It shifts its dynamic from a curative model to a proactive preventive one which focuses on patient centered care. Artificial Intelligence (AI) includes machine learning, deep …

Severe Drug-Induced Gingival Overgrowth In A 21-Year-Old: A Rare Presentation And Its Surgical Resolution, Raagul Somasundaram, Sumit Malhotra, Rahul Chopra, Gaurav Das

International Arab Journal of Dentistry

Gingival overgrowth is well documented side effect associated with three major classes of drugs viz, anticonvulsants, calcium channel blockers, and immunosuppressants. Dental Surgeons need to discuss this issue with their medical colleagues and to practice care while prescribing the drugs associated with gingival overgrowth. The aim of present article is to report a rare case of gingival enlargement with long term Drug history. Drug-induced gingival enlargement often occurs due to patient’s lack of awareness about the side effects of prescribed medications. This case report presents with an unusual rare instance of massive drug-induced gingival overgrowth in a 21-year-old male, successfully …

Efficacy Of Autologous Platelet-Rich Fibrin (Prf) In Promoting Soft Tissue Healing And Bone Regeneration Following Extraction In The Anterior Maxilla: A Digital And Radiological Study, Anthony El Rai, Abdallah Menhall, Joseph Zaarour, Robin Jalkh, Joseph Bassil

International Arab Journal of Dentistry

Objectives: The main objective of this study was to evaluate the effectiveness of PRF in promoting soft tissue healing and bone regeneration after extraction in the anterior maxillary region. A secondary objective was to correlate soft tissue change with underlying bone structure variation. Finally, the study also aimed to compare soft and hard tissue alteration based on different types of extracted teeth.

Methods: The sample included five adult patients requiring the extraction of at least two symmetrical teeth in the anterior maxilla, totaling fourteen teeth. Participants underwent CBCT scans and digital impressions before extraction. Concerned teeth were then …

Patient-Related And Tooth-Related Factors As Predictors For Tooth Loss In Periodontitis Patients: A Systematic Review, Cleane Daraze, Carole Chakar, Abdelrahman Kassir, Charbel Anka, Jean-Marie Megarbane

International Arab Journal of Dentistry

Introduction: The treatment of periodontitis aims to prevent further disease progression, to minimize symptoms and perception of the disease, possibly to restore lost tissues and to support patients in maintaining a healthy periodontium. Management of chronic periodontal disease requires a combination of therapeutic modalities and a lifelong commitment to periodontal self-care.

Objectives: The aim of this study is to evaluate predictors for tooth loss in patients previously diagnosed with periodontitis. This systematic review covers studies of over 10 years of follow up.

Methods: Electronic literature search was conducted on 19/02/2024 by one author across several databases, including …

Multiple Implant Placements With Simultaneous Soft Tissue Augmentation Using A Volume-Stable Collagen Matrix Compared To Autogenous Connective Tissue Graft: A Clinical And Histological Pilot Study, Jamil Boulos, Abdel-Rahman Kassir, Gabriel Menassa, Nada Naaman

International Arab Journal of Dentistry

Introduction: The use of soft tissue grafts has been a key component in periodontal and implant surgeries for the past five decades, aiming to increase the width of keratinized tissue and soft tissue volume.

Objectives: This study evaluates the efficacy of a three-dimensional volume-stable collagen matrix (VCMX) compared to subepithelial connective tissue grafts (SCTG) in increasing soft tissue thickness and volume during multiple implant placements.

Methods: A randomized controlled clinical trial was conducted with four patients and eight implants. Patients were allocated to the SCTG or VCMX group, with soft tissue augmentation performed simultaneously with implant placement. …

The Impact Of Smoking Cessation On Clinical Outcomes Of Stage I/Stage Ii, Grade A/Grade B Periodontitis Patients In Periodontal Maintenance Phase: A 2-Year Longitudinal Study, Santosh R Patil, Shikhar Daniel, Aysha Jebin A

International Arab Journal of Dentistry

Objectives: The objective of this study is to investigate the influence of smoking cessation interventions on periodontal outcomes in individuals who have successfully abstained from smoking for a minimum of six months following non-surgical periodontal therapy.

Methods: A total of 122 participants, based on inclusion & exclusion criteria, were divided into a smoking cessation group (n=61) and a control group (n=61). Demographic characteristics, smoking history, and baseline oral health parameters were assessed in these patients. Over a 2-year follow-up period, changes in probing depth and alveolar bone loss were measured, statistically analysis were performed using SPSS software.

Results …

Digital Assessment Of Soft And Hard Tissue Alterations After Anterior Maxillary Tooth Extraction, Robin Jalkh, Stephanie Mrad, Emile Chrabieh, Joe Bassil

International Arab Journal of Dentistry

Objectives: This study aimed to assess dimensional alterations in soft and hard tissues 12 weeks post-extraction using novel computerized methods. Secondary objectives included exploring potential correlations between soft tissue changes and underlying bone variations, as well as investigating relationships between soft and hard tissue alterations and various contributing factors.

Methods: For all patients, preoperative and postoperative CBCT scans and intra-oral scans were obtained. Soft and hard tissue dimensions before extraction and at 12 weeks post-extraction were measured using 3D-slicer software. Both DICOM and STL files were superimposed, and measurements were taken at 2mm and 4mm from the facial …

Bone-To-Implant Surface Contact As A Criterion For Immediate Implant Placement With Simultaneous Sinus Augmentation In The Upper Molars' Interradicular Bone: A Radiological Cbct Study, Nawal Baba, Nabil Ghosn, Abdel Rahman Kassir, Lara Nasr, Gabriel Menassa, Carole Chakar

International Arab Journal of Dentistry

Objectives: The aim of this study is to determine which type of vertical relationship (between molar apices and the sinus floor) is correlated with the most favorable bone to implant contact (BIC).

Methods: The CBCT database of the Faculty of Dental Medicine was used for datasets. For each dataset, a prosthetically-driven virtual implant placement was placed in the remaining interradicular bone. Potential BIC was measured using two different implant macrogeometries (straight and tapered).

Results: The study included 20 maxillary molars with divergent root anatomy: 90% of the molars had a type II vertical relationship with the sinus …

An Update Of Additive Manufacturing (3d Printing) Technology In Dentistry, Rami Saleh Al Fodeh, Ahed Al-Wahadni, Baker Otman, Mahmoud Almasri

International Arab Journal of Dentistry

Background: The development of procedures known as additive manufacturing, which aim to produce more complex items with a lower overall material consumption compared to processes known as subtractive manufacturing. In addition, in recent years there has been a significant rise in the quantity of dental materials that are produced via the use of these techniques. As a consequence of this, scientific research has been concentrating more and more on such technologies, particularly in order to shed light on the methodology, indicators, and boundaries of the emerging technology.

Methods: The purpose of this paper is to provide a narrative …

Efficiency Of Hyaluronic Acid Versus Red Injectable Platelet-Rich Fibrin (I-Prf) In Treatment Of Stage Iii Periodontitis: Randomized Controlled Clinical Trial, Toleen Mazloum, Ghanem Abdullah, Ghassan Amhaz, Nayer Aboelsaad

International Arab Journal of Dentistry

Introduction: This study aims to compare clinical efficacy of red injectable platelet-rich fibrin (i-PRF) and hyaluronic acid (HA) as adjuncts to professional mechanical plaque removal (PMPR) in non-surgical management of stage III periodontitis.

Methods: 75 patients were split into groups: group one (G1) received HA, group two (G2) received red i-PRF, and group three (G3), received only PMPR. Periodontal evaluation was done at baseline, 4th, 8th, and 12th weeks following treatment.

Results: The plaque index, gingival index, and bleeding on probing were significantly improved in all groups. Moreover, the probing depth in all three groups displayed lower …

Leukocytic Platelet Rich Fibrin (L-Prf) Versus Subepithelial Connective Tissue Graft (Sctg) Using Tunneling Technique In Treatment Of Gingival Recession: Randomized Controlled Clinical Study, Joulia Jouni, Ahmed Bader, Nayer Aboelsaad

International Arab Journal of Dentistry

Introduction: Gingival recession is a problem encountered daily in clinical practice, its etiology is often a multifactorial one. Surgical treatment is the only method to reverse this condition.

Objective: to evaluate the effectiveness of leukocytic platelet rich fibrins (L-PRF) versus subepithelial connective tissue graft (SCTG) in the management of recession defects Miller’s class I or II (RT1) using the tunnel technique (TUN). Methods: 20 systemically healthy patients were allocated randomly to TUN with L-PRF (group A), and TUN with SCTG (group B). Probing depth, clinical attachment level, recession depth, width of keratinized tissue, gingival thickness, and recession esthetic …

Effect Of Supportive Periodontal Therapy On Tooth Loss In Regular And Irregular Compliant Smokers And Non-Smokers: A Retrospective Cohort Study With A Follow-Up Up To 50 Years, Jean-Marie Megarbane, Roudy Khayat, Carole Chakar, Nadim Mokbel

International Arab Journal of Dentistry

Introduction: The aim of this study is to compare retrospectively tooth loss (TL) rates in two cohorts, regular vs irregular compliant individuals, and smokers vs non-smokers, with a follow-up up to 50 years.

Methods: Chart data were collected from 192 patients undergoing supportive periodontal therapy (SPT) after non-surgical and/or surgical periodontal treatment for 10 - 50 (mean 24.89 ± 10.23) years. Patients were categorized as RC (attending regularly to their scheduled SPT with maximum delay of 6 months), and IC (patients missed at least one of the recall visits but continued to come on an irregular basis with …

Clinical And Radiographic Evaluation Of Bone Remodeling Around Implants Placed In Horizontally Augmented Bone: A Pilot Study, Nadim El Khoury, Menassa Gabriel, Carole Chakar, Abdel Rahman Kassir, Nada Naaman

International Arab Journal of Dentistry

Introduction: Marginal bone loss after implant placement is one of the most used criteria to assess the success of osseointegrated implants over time. The type of implant connection and implant surface type are reported to have an influence on bone remodeling around the placed implants. This study aimed to evaluate marginal bone loss around two implant systems with different connections and surfaces in horizontally augmented sites.

Methods: This randomized control pilot study included 8 implants placed in 3 patients who needed implant placement in previously horizontally grafted sites. The placed implants were divided into two groups: group 1 …

Effect Of Supportive Periodontal Therapy On Tooth Loss In Regular And Irregular Compliant Smokers And Non-Smokers: A Systematic Review, Roudy Khayat, Jean-Marie Megarbane, Abdel Rahman Kassir, Nadim Mokbel

International Arab Journal of Dentistry

Aim: The aim of this systematic review is to analyze and compare tooth loss (TL) rates between regular and irregular compliant patients having different smoking habits.

Materials and Methods: Electronic and manual literature searches were conducted by one author in several databases, including Medline (PubMed), Embase, Google Scholar. A total of 156 publications were screened. Three reviewers analyzed the articles and extracted the data. A total of 33 studies met the inclusion criteria.

Results: A total of 30 articles were eligible for qualitative analysis, and only 3 for quantitative analysis. Compliance and smoking case definition as well as …

Correlation Of The Initial Bone Height To The Middle Facial Height And The Maxillary Sinus Volume: A Retrospective Study, Mark Bou Chaaya, Gabriel Menassa, Nabil Ghosn, Joyce Nicolas, Nada Naaman

International Arab Journal of Dentistry

This study aims to measure and establish a correlation between the initial bone height (IBH) at the dentate posterior maxillary sextants to the middle facial height (MFH) and the maxillary sinus volume (SV). Thirty CBCTs split evenly between males and females were retrospectively selected and processed to measure the SV and the IBH from the first premolar to the second molar. A clinical measurement was performed on each patient to evaluate the MFH. A significant positive correlation was found between MFH and SV. No significant correlation was found between the IBH of the first premolar and the SV or MFH …