The etiology of mandibular prognathism has been attributed to various genetic inheritance patterns and some environmental factors. The variation in inheritance patterns can be partly due to the use of different statistical approaches in the respective studies. The objective of this study was to investigate the role of genetic influences in the etiology of this trait. We performed segregation analysis on 37 families of patients currently being treated for mandibular prognathism. Mandibular prognathism was treated as a qualitative trait, with cephalometric radiographs, dental models, and photographs used to verify diagnosis. Segregation analysis of a prognathic mandible in the entire dataset supported a transmissible Mendelian major effect, with a dominant mode of inheritance determined to be the most parsimonious.

The purpose of this study was to evaluate effects of titanium surfaces air-abraded with particles of Bioglass® 45S5 and three-ZnO and SrO doped compositions on the viability, adhesion and biofilm formation of Streptococcus mutans. A statistically significant decrease in the viability of S. mutans was observed for all titanium discs air-particle abraded with the BAGs (p < 0.001). Also, a significant effect on diminishing biofilm formation on the titanium discs was seen for all BAGs (p < 0.01). No differences were noticed in S. mutans adhesion on titanium surfaces treated with different glasses (p = 0.964). Static SBF immersion experiments showed that after 2 and 48 h the BAG doped with 4 mol% ZnO demonstrated the highest Zn ²⁺ ion concentration released into SBF (0.2 mg L ⁻¹ ). 45S5 BAG demonstrated the highest statistically significant increase in the pH throughout the 120 min of static immersion (p < 0.001). In conclusion, we showed that titanium alloy discs abraded with particles of the experimental compositions and 45S5 BAG had strong antimicrobial activity against S. mutans and they suppressed S. mutans biofilm formation. The antimicrobial activity of 45S5 BAG was attributed to high pH whereas for the Zn-containing BAGs antimicrobial activity was due to steady release of Zn ²⁺ into the interfacial solution.

The soft tissue-implant interface requires the formation of epithelium and connective tissue seal to hinder microbial infiltration and prevent epithelial down growth. Nanoporous titanium dioxide (TiO₂) surface coatings have shown good potential for promoting soft tissue attachment to implant surfaces. However, the impact of their surface properties on the biological response of gingival cells needs further investigation. This systematic review aimed to investigate the cellular behavior of gingival cells on TiO₂-implant abutment coatings based on in vitro studies. The review was performed to answer the question: “How does the surface characteristic of TiO₂ coatings influence the gingival cell response in in vitro studies?”. A search in MEDLINE/PubMed and the web of science databases from 1990 to 2022 was performed using keywords. A quality assessment of the studies selected was performed using the SciRAP method. A total of 11 publications were selected from the 289 studies that fulfilled the inclusion criteria. The mean reporting and methodologic quality SciRAP scores were 82.7 ± 6.4/100 and 87 ± 4.2/100, respectively. Within the limitations of this in vitro systematic review, it can be concluded that the TiO₂ coatings with smooth nano-structured surface topography and good wettability improve gingival cell response compared to non-coated surfaces.

Establishing a proper soft tissue adhesion around the implant abutment is essential to prevent microbial invasion, inhibit epithelial downgrowth, and obtain an optimal healing process. This systematic review aims to evaluate the real potential of TiO₂ coating on the behavior of peri‐implant soft tissue health and maintenance. A specific aim was to evaluate clinically and histologically the effect of TiO₂ abutment coating on epithelial and connective tissue attachment. Electronic database searches were conducted from 1990 to 2023 in MEDLINE/PubMed and the Web of Science databases. In total, 15 out of 485 publications were included. Eight studies involved humans, and seven were animal studies. Exposure time ranges from 2 days to 5 years. The peri‐implant soft tissue evaluations included clinical assessment (plaque index (PI), peri‐implant probing pocket depth (PPD), and bleeding on probing (BoP)), histological as well as histomorphometric analysis. The Office of Health Assessment and Translation (OHAT) Risk of Bias Rating Tool for Human and Animal Studies was used to evaluate the overall quality of the studies included in the review. The results showed some variation but remained within acceptable limits. Within the limitations of this systematic review, the present findings suggest that TiO₂ coatings seem to influence soft tissue healing. TiO₂‐coated abutments with a roughness value between 0.2 and 0.5 μm enhance soft tissue health. Sol‐gel‐derived TiO₂ coatings induced better soft tissue attachment than noncoated machined abutment surfaces. The anodized titanium abutments demonstrate comparable clinical and histological outcomes to conventional machined abutments. However, there was variation among the included studies concerning TiO₂ coating characteristics and the measured outcomes used to evaluate the soft tissue response, and therefore, quantitative analysis was not feasible. Long‐term in vivo studies with standardized soft tissue analysis and coating surface parameters are necessary before a definitive conclusion can be drawn. OSF Registration No.: 10.17605/OSF.IO/E5RQV.