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Dr. Homa Zadeh ist ein international renommierter Parodontologe, der für seine klinische und wissenschaftliche Expertise anerkannt ist. Dr. Zadeh ist Diplomate des American Board of Periodontology and Implant Surgery. Er war als ordentlicher Associate Professor im postdoktoralen Parodontologieprogramm (2012 bis 2019) sowie als Vorsitzender der Parodontologie-Abteilung (2003-2006) an der Ostrow School of Dentistry der University of Southern California tätig. Dr. Zadeh schloss sein Studium an der University of California Los Angeles (UCLA) mit einem BS-Abschluss ab, gefolgt von einem Doctor of Dental Surgery (DDS) von der Ostrow School of Dentistry der USC. Er absolvierte eine postdoktorale klinische Ausbildung in Parodontologie sowie einen Doktortitel in Immunologie an der School of Dental Medicine und der School of Medicine der University of Connecticut Health Center (UCHC) Dr. Zadeh hat national und international in über 30 Ländern auf angesehenen Konferenzen über Themen von Ästhetik bis hin zu minimalinvasiver Parodontal- und Implantatchirurgie sowie Gewebezüchtung referiert. Dr. Zadeh war 2017 Präsident der Western Society of Periodontology (WSP), der größten regionalen Gesellschaft für Parodontologie, die sich über 16 westliche US-Bundesstaaten und kanadische Provinzen erstreckt. Dr. Zadeh ist der Innovator der weltweit anerkannten VISTA-Technik, die als eine der effektivsten Methoden zur Behandlung von Gingivarezessionen gilt. Er hat auch viele Konzepte und Geräte entwickelt, die patentiert und zu Produkten in klinischer Anwendung in vielen Ländern weiterentwickelt wurden. Dr. Zadeh verfügt über eine umfangreiche Publikationsliste mit über 100 Veröffentlichungen in peer-reviewed Zeitschriften und zahlreichen Buchkapiteln. Er ist als Redaktionsprüfer für viele wissenschaftliche Zeitschriften tätig. Er war als wissenschaftlicher Gutachter beim National Institutes of Health (NIH) tätig und leitete ein wissenschaftliches Panel beim NIH Center for Scientific Review. Dr. Zadeh war Direktor des USC International Periodontal and Implant Symposium. Dr. Zadeh ist Empfänger vieler Ehrungen und Auszeichnungen, darunter herausragende Lehrpreise und herausragende Servicepreise von der Ostrow School of Dentistry der USC und viele Forschungsstipendien. Er ist aktives Mitglied der American Academy of Periodontology, der Western Society of Periodontology (WSP), der Academy of Osseointegration (AO), der American Academy of Implant Dentistry (AAID), der American Dental Association (ADA), der California Dental Association (CDA), der San Fernando Valley Dental Association (SFVDA) und der Santa Barbara Ventura Dental Association (SBVDA).
The aim of the present study was to develop a 3D digital image-analysis method to quantitatively assess gingival changes after clear-aligner orthodontic therapy. Using teeth as fixed reference points, 3D image analysis tools have been used to quantify mucosal level changes after specific therapies. This technology has not been applied to orthodontic therapy, primarily because orthodontic tooth movement precludes using teeth as fixed reference points. Rather than superimposing the pre- and posttherapy volumes for the entire dentition, the methodology presented herein superimposed the pre- and post-therapy volumes for individual teeth. The lingual tooth surfaces, which remained unaltered, were used as fixed references. Intraoral scans taken before and after clear-aligner orthodontic therapy were imported for comparison. Volumes were created for each 3D image and were superimposed in a 3D image-analysis software that allowed quantitative measurements. The results demonstrated this technique's ability to measure very small changes in the apicocoronal position of the gingival zenith, as well as alterations of gingival margin thickness, following clear-aligner orthodontic therapy. The present 3D image-analysis method offers a useful tool for investigating the periodontal dimensional and positional changes that accompany orthodontic therapy.
The International Journal of Oral & Maxillofacial Implants, 4/2022
DOI: 10.11607/jomi.9413Seiten: 722-730, Sprache: EnglischValentini, Pascal / Zadeh, Homayoun H / Jungo, Sebastien / Mangion, Jean P / Bianca, Giancarlo / Ferrandi, Jean M
Purpose: The aim of the present retrospective clinical study was to evaluate the outcome of a maxillary sinus lateral window augmentation protocol, which sought to shorten the treatment time.
Materials and methods: This protocol entailed sinus augmentation with deproteinized bovine bone minerals (DBBM) and simultaneous implant placement in patients with minimal residual bone height. A total of 89 sinus augmentation procedures were performed in 74 patients, in whom 160 implants were placed between 2005 and 2013. The mean residual bone height was 2.6 ± 0.6 mm. The healing time before loading was 4.18 ± 0.63 months.
Results: In a first evaluation in 2014 the early implant survival rate (EIsR) was 96.8% after a mean period of 5.4 ± 2.2 years. A second evaluation in 2019 after a mean period of 10.4 ± 2.2 years showed a late implant survival rate (LIsR) of 83.1%. The failures after 2014 were all caused by peri-implantitis, which affected 14.6% and 16.8% of patients and implants, respectively. This prevalence of peri-implantitis does not appear to be higher than that usually observed in nonaugmented sites.
Conclusion: This reduction in the duration of treatment compared to the usual duration of 9 to 12 months does not seem to affect the predictability of the technique.
Schlagwörter: atrophic sitres, lateral approach, long-term complications, maxillary sinus augmentation, reduction treatment time
International Journal of Periodontics & Restorative Dentistry, 6/2020
DOI: 10.11607/prd.4571, PubMed-ID: 33151198Seiten: 907-916, Sprache: EnglischBotelho, Sabrina V. / Perussolo, Jeniffer / Misawa, Mônica Y. O. / Zadeh, Homayoun H. / Araújo, Mauricio G.
The aim of this study was to describe the basal bone and alveolar process in the maxillary anterior region by assessing patient CBCT scans. Parasagittal reconstructions were made to quantify basal bone and alveolar process dimensions and inclination of teeth in the maxillary anterior region. The CBCT scans of 87 patients and 522 tooth sites were included in this study. The results showed that the surface areas of the basal bone, alveolar process, and palatal triangle varied from 22.1 to 54.1 mm2, 87.8 to 144.0 mm2, and 37.1 to 66.0 mm2, respectively. The basal bone in the canine region had a significantly smaller cross-sectional area than in the incisor region. The alveolar process in the canine region was markedly larger than those of the central and lateral incisor regions. The mean overall thickness of the alveolar facial bone at 3, 5, and 7 mm above the CEJ were 0.6 ± 0.5 mm, 0.9 ± 0.5 mm, and 0.7 ± 0.6 mm, respectively. Additionally, the findings demonstrated that the cross-sectional area of the alveolar process and palatal triangle were greater among men than women. The study identified significant anatomical differences among various tooth regions in the anterior maxilla. The results also demonstrated that the tooth type, but not the tooth inclination or apex location, correlates with the size of the alveolar process.
Immediate implant placement in extraction sockets requires management of postextraction alveolar resorption. This randomized controlled trial evaluated the facial alveolar bone dimension 10 months following immediate implant placement with or without the addition of anorganic xenograft at the time of flapless, one-stage placement of a sloped-platform implant. The primary outcome of facial crestal alveolar bone thickness revealed no difference in the mean dimension (no graft: 1.47 ± 0.85 mm; graft: 1.63 ± 0.71 mm; P = .950). Secondary outcomes, including pink esthetic score, were not different between the two groups. This study suggests that bone formation does occur along the facial surface of implants placed into extraction sockets.
This study sought to evaluate gingival volume changes following root coverage with the vestibular incision subperiosteal tunnel access (VISTA) procedure. Pre- and postoperative surface scans of 21 patients (154 teeth) treated with VISTA using various graft materials were digitally superimposed to quantify volumetric changes. A linear gingival thickness gain of approximately 1 mm and volumetric gain of 5.47 mm3 were achieved. A negative correlation was found between linear thickness gain and root prominence. The thickness achieved was not different with various graft materials. Since gingival thickness has been identified as an important predictor of periodontal root coverage, the methodology described in the present study, along with the identification of predictors of outcome, has important therapeutic implications.
This retrospective study investigated the changes in the maxillary sinus floor and alveolar crest following extraction of maxillary molars. Pre- and postextraction cone beam computed tomography scans of 23 patients were analyzed. Paired-sample t tests compared pre- and postextraction measurements, and independent-sample t tests were utilized for intergroup comparisons. Pearson correlation was used to assess the association between the measured variables and the outcome measures. The mean alveolar bone height reduction was 3.42 ± 2.40 mm and the alveolar crest loss was 3.07 ± 2.53 mm. The maxillary sinus floor position shifted coronally by a mean of 0.47 ± 0.32 mm. Approximately 88% of postextraction changes in alveolar bone height were due to alveolar crest changes, compared to 12% due to changes in the sinus floor position. The results of this study challenge the commonly held concept of extensive postextraction maxillary sinus floor alterations leading to sinus pneumatization.
The objective of this study was to investigate marginal bone level (MBL) changes as the primary outcome of implants placed following healing of extraction sockets treated with ridge preservation, compared to implants placed following unassisted healing. A total of 268 patients (contributing 572 implants) treated from April 2005 to March 2013 were included in this retrospective study. Following estimation of the overall success rate of implants placed in the practice, 129 patients (contributing 222 implants) met the inclusion and exclusion criteria to be further evaluated. Of these, 78 patients (contributing 105 implants) received ridge preservation procedures, which entailed placement of anorganic bovine bone mineral covered with polytetrafluoroethylene membrane. The other 51 patients (contributing 117 implants), with healed sites without history of bone grafting, served as controls. Digital radiographs were taken at the time of implant placement and during follow-up visits. The mean follow-up period for ridge preservation sites was 33.6 months (range: 7.5 to 61.5 months) and for healed sites was 36.3 months (range: 6 to 91.2 months). The survival rate of implants in sites following healing of ridge preservation was 97.3%, compared to 98.5% in the nongrafted healed sites. The mean MBL changes during the observation period were 0.11 and 0.07 mm on the mesial and 0.06 and 0.06 mm on the distal aspects of the ridge preservation and healed sites, respectively (P > .05). The mean crestal bone remodeling during the observation period was 0.63 and 0.45 mm on the mesial and 0.48 and 0.12 mm on the distal aspects in the ridge preservation and healed sites, respectively (P .05). The results of this study demonstrated stable MBL and survival of implants placed in sites following ridge preservation with xenograft as well as nongrafted healed sites.
The objective of this study was to examine wound healing in extraction sockets following ridge preservation and the outcome of implants placed in those sites. Extraction sockets (N = 31) were grafted with anorganic bovine bone mineral (ABBM) and covered with dense polytetrafluoroethylene membrane. Bone cores obtained during implant placement were examined histologically and histomorphometrically. Percentages of vital bone and residual graft were 37.5% ± 21.3% and 12.5% ± 8.9%, respectively. New vital bone showed a negative correlation with patient age. Percentage of vital bone formation in sockets was correlated with neither postgraft wound healing time nor peri-implant marginal bone level.
A total of 68 extraction sockets were grafted with anorganic bovine bone mineral and covered by dense polytetrafluoroethylene membrane. Quantitative analysis of three-dimensional microcomputed tomography imaging of core samples retrieved after a mean of 21.0 ± 14.2 weeks revealed 40.1% bone volume fraction (bone volume [BV]/total volume [TV]) and 12% residual graft. Evidence of de novo bone formation was observed in the form of discrete islands of newly formed bone in direct apposition to graft particles, separated from parent bone. Anterior sockets exhibited a significantly higher percentage of residual graft compared to premolar sockets (P = .05). The BV/TV and percentage of residual graft correlated well with histomorphometric analysis of the same sites, but not with implant outcomes.
Purpose: Dental implant therapy for posterior partial edentulism may utilize short implants. The advantages of short implants include the ability to avoid the additional surgical procedures that would be required to place longer implants. The aim of this study was to systematically review studies concerning dental implants of = 8.5 mm placed in the posterior maxilla and/or mandible to support fixed restorations.
Materials and Methods: English-language articles published between 1992 and May 2011 were identified electronically and by hand search of the PubMed, Embase, and Cochrane libraries. Data were extracted and compared statistically. Forest plots were generated to compare outcomes of short versus long implants.
Results: An initial screening of 1,354 studies led to direct evaluation of 401 articles. Of these, 33 met the research criteria: 5 randomized clinical studies; 16 prospective, nonrandomized, noncontrolled studies; 12 retrospective, nonrandomized studies; and 1 study with both prospective and retrospective data. These studies indicated that there is no significant difference in the reported survival of short versus long implants. Failure of 59 of 2,573 short implants at 1 year was recorded, with 71% of them failing before loading. Only 101 short implants were followed for 5 years.
Conclusions: The initial survival rate for short implants for posterior partial edentulism is high and not related to implant surface, design, or width. Short implants may constitute a viable alternative to longer implants, which may often require additional augmentation procedures.
Schlagwörter: posterior partial edentulism, short dental implant, systematic review