Background: The purpose of this study is to compare bone union and soft-tissue healing in titanium implants with sandblasted, large-grit, acid-etched surfaces (SLA group) and femtosecond laser-treated surfaces (FEMTO group) in a rabbit model. Methods: Implants were inserted into rabbit tibiae, and implant stability, soft-tissue healing, and microscopic analyses (micro-CT and biopsy) were conducted. All animals maintained normal weight and health post-surgery. Results: Hemostasis was achieved at the laser incision site on the surgery day, but healing was slower compared to conventional methods. Micro-CT showed no significant differences in new bone formation or inflammatory tissue infiltration between groups. Tissue biopsy revealed slightly higher bone-implant contact in the FEMTO group compared to the SLA group, though not statistically significant. Conclusion: These findings suggest that femtosecond laser surface treatment may provide bone union comparable to or better than SLA treatment, though laser-assisted soft-tissue incisions heal more slowly.
The study aimed to evaluate changes in buccal gingival contour following implant surgery using the simultaneous roll technique on Seibert class I defects, as determined by 3D intraoral scan data. Three patients requiring implant placement were recruited, and implants were placed using the roll flap technique. Digital impressions of the surgical site were obtained with a 3D intraoral scanner before surgery, after suture removal, and 4 months postoperatively. The results showed an overall increase in buccal gingival contour, with a maintained increase in soft tissue contour after 4 months. The study concluded that 3D scanning is a suitable method for assessing small changes in gingival contour, making it ideal for evaluating these changes. The roll flap technique was also found to effectively enhance the buccal gingival contour and soft tissue appearance around the implant collar.
Background and Objectives: The current study aimed to compare the extent of bone growth achieved after guided tissue regeneration (GTR) based on the location and nature of the initial periodontal lesion. Materials and Methods: The study sample included 80 patients who underwent GTR at Kyungpook National University Dental Hospital since 2012 and were radiologically followed up for at least 2 years after treatment. The patients were divided into four groups based on the location (maxilla and mandible) and nature (furcation involvement and intrabony defects) of the lesion. Differences in bone levels before and after treatment were analyzed. Additionally, a comparison of outcomes based on the type of bone graft material used was conducted. Statistical analysis included a comparison of groups using a t-test, assuming equal variance. Results: The proportion of bone growth observed in the maxillary furcation, mandibular furcation, maxillary intrabony, and mandibular intrabony lesions was 26%, 22%, 31%, and 34%, respectively. No statistically significant differences in the amount of bone fill were observed between the groups. However, a significant positive correlation was found between the initial depth of the bone defect and the amount of bone fill observed after treatment. Conclusions: Contrary to previous evidence, the current study observed no significant differences in the amount of bone fill after GTR based on the location and nature of the lesion. Furthermore, the amount of bone regenerated was directly proportional to the initial depth of the alveolar bone defect.