Jose Nart

Universitat Internacional de Catalunya | UIC · Department of Odontology

To evaluate the clinical outcome, and the associated factors, of a treatment protocol for peri‐implant mucositis. Patients were evaluated 30 months after a treatment protocol including professional mechanical debridement and modification of the prosthesis contours to improve access for biofilm control. Clinical performance was assessed by means of...

Objectives: The first focused question (FQ1) was: What is the efficacy of connective tissue graft (CTG), as compared to the absence of soft tissue grafting procedure, in terms of gain in peri-implant soft tissue thickness (STT) reported by randomized controlled clinical trials (RCTs) or controlled clinical trials (CCTs)? The second focused questio...

Objectives The gingival thickness (GT) and keratinized tissue (KT) height are defined as the gingival phenotype. Both the modified coronally advanced tunnel technique (MCAT) and free gingival grafts (FGG) are used in modifying the gingival phenotype. This study aims to compare MCAT and FGG in gingival phenotype modification. Materials and methods...

Objectives: The aim of this study was to comprehensively assess the literature in terms of the effect of peri-implant mucosal thickness on esthetic outcomes and the efficacy of soft tissue augmentation procedures to increase the mucosal thickness with autogenous grafts or soft tissue substitutes. Material and methods: Two systematic reviews (SR)...

Background: To investigate the influence of vestibular depth (VD) on the outcomes of root coverage therapy. Material and methods: Patients presenting gingival recession defects (GRD) with a minimum depth of 2mm underwent root coverage therapy consisting of a coronally advanced flap plus a connective tissue graft (CAF+CTG). Clinical examinations...

Aim: To evaluate the inter-examiner reliability in classifying periodontitis using the 2018 Classification of Periodontal Diseases, when used by postgraduate students, academics and specialist clinicians trained in European Federation of Periodontology (EFP) and American Academy of Periodontology (AAP) postgraduate accredited programs. Material a...

Background: Studies around natural dentition demonstrated that smoking can reduce the tendency of inflamed tissue to bleed upon probing after controlling for possible confounders. In addition, previous research suggested that smokers may present alterations of the peri-implant microbiome. Aim: This study aimed at investigating the impact of smok...

Purpose: The scarce standard therapeutic protocols for the management of peri-implant diseases results in the empirical application of therapeutic modalities. The objective of this study was to carry out a survey to analyze the therapeutic trends of professionals with different academic backgrounds and levels of expertise. Materials and methods:...

Inappropriate and unnecessary implant therapy driven by an erroneous belief that dental implants provide enhanced function and esthetics over diseased or failing teeth has led to a growing burden of implant complications across the globe. Specifically, esthetic and biological complications frequently lead to the unfavorable prognosis of dental impl...

Objectives: To compare the dimensional ridge changes and the histological composition after the use of an allograft or xenograft and a resorbable membrane in ridge preservation in molar sites, and to evaluate the influence of bone plate thickness on dimensional changes and the need of lateral sinus augmentation following ridge preservation. Mater...

Citation: Verdeguer, P.; Gil, J.; Punset, M.; Manero, J.M.; Nart, J.; Vilarrasa, J.; Ruperez, E. Citric Acid in the Passivation of Titanium Dental Implants: Corrosion Resistance and Bactericide Behavior. Materials 2022, 15, 545. https://doi.org/10.3390/ ma15020545 Academic Editor: Tomasz Czujko

Background: A study was made of the dimensional changes in free epithelialized gingival/mucosal grafts (FEGs) used to augment keratinized tissue (KT) at tooth and implant sites, and of the confounders influencing the dynamic changes over 6 months of follow-up. Methods: A prospective cohort interventional study was made of implant and tooth sites...

Background The need of an adequate band of keratinized tissue (KT) to maintain periodontal health around teeth as well as around implants has been a debated topic over many years but still no conclusions have been drawn. Objectives This prospective case series evaluates the changes undergone by the keratinized mucosa (KM) and the soft tissue volum...

Peri-implant diseases at implant sites represent the most considerable concern for many dental clin-icians nowadays due to their detrimental effect on implant longevity. Preventive measures include patient education and motivation, supportive peri-implant therapy and routine assessment of the hard and soft tissues. Nevertheless, the reliability of...

Background Extended treatment times is the main reason that could affect patient compliance with orthodontic treatment. Objectives This systematic review aims to evaluate if the local administration of hormones and growth factors effectively enhance orthodontic tooth movement and identify any adverse effects in animal studies. Materials and metho...

AimThe aim of this systematic review was to evaluate the efficacy of immediate implant placement (IIP) compared to implants placed after alveolar ridge preservation (ARP) in terms of clinical, esthetic, and patient-reported outcomes.MethodsA manual and electronic search (National Library of Medicine) was performed for controlled clinical trials, wi...

Objective To evaluate the 1-year bone level changes around subcrestal platform switching implants with 1- or 3-mm definitive abutments. The influence of mucosal thickness on bone level alterations was further analyzed. Material and methods Implants were placed in the posterior sextants and positioned 1.5 mm subcrestally with an abutment of 1 mm or...

Objective: To compare clinical efficacy, chairside time, and post-treatment hypersensitivity of four instruments used for subgingival periodontal debridement. Materials & methods: Seventeen patients with stage II and III periodontitis were enrolled in this randomized clinical trial using a split-mouth design. Quadrants were randomly divided into...

Background: The current evidence regarding the alterations experienced by the alveolar ridge (hard tissue changes) after implant removal due to peri-implantitis is limited. Purpose: To assess the hard tissue dimensional changes following implant removal due to peri-implantitis. Material and methods: Clinical records were examined to identify p...

Background: To evaluate the effect of different communication strategies on comprehension and recall of information about factors associated to peri-implantitis. Materials: A prospective, randomized controlled trial was conducted in consecutive patients diagnosed with peri-implantitis. The sample was divided into three groups according to the co...

Background: There is a paucity of data on the effectiveness of implantoplasty as adjunct to the surgical management of peri-implantitis. Purpose: To evaluate the resolution of peri-implantitis by means of implantoplasty as adjunct to surgical resective (RES) and reconstructive (REC) therapies and supportive maintenance. Material and methods: P...

Recent evidence suggests hypertension and periodontitis are closely linked but limited data is available on the nature of the association. We aimed to investigate the relationship between periodontitis and mean arterial blood pressure in a sample of otherwise systemically healthy individuals. A case-control study including 250 cases (participants w...

Background: Tooth autotransplantation is a valid method for replacing non-restorable teeth. This study aimed to assess mid-term survival and success of autotransplanted third molars and the clinical periodontal parameters and factors predicting successful periodontal attachment apparatus regeneration. Methods: In total, 36 patients who had under...

Background: A study was made of the prevalence, co-occurrence and association among caries, nutritional habits and peri-implant disease, with an analysis of the influence of other patient and implant factors upon peri-implant disease. Material and methods: The included subjects underwent a clinical examination and were asked to complete a questi...

Surface topography and physical-chemical properties usually play a key-role in both osseointegration improvement and bacterial colonization reduction over the surface of dental implants. The aim of this study is to compare the chemical and bacteriological behavior of two different acid passivation surface treatments on titanium c.p. grade 3 used fo...

Objectives To evaluate early and late implant loss rates in a sample of patients who had received implant therapy in a university setting as well as patient‐ and implant‐related variables for implant failure. Material and methods This is a retrospective analysis in a cohort of patients who were treated with implant‐supported restorative therapy du...

Implant dentistry has evolved over time, resulting in better treatment outcomes for both patients and clinicians. The aim of this trial was to test whether the immediate loading of implants with a platform-switching design influences the marginal bone level, compared to four-week loading, after one year of follow-up. Moreover, a comparison of clini...

Introduction: Antibiotic resistance is widely found even among bacterial populations not having been exposed to selective pressure by antibiotics, such as tetracycline. In this study we analyzed the tetracycline-resistant subgingival microbiota of healthy subjects and of patients with periodontitis, comparing the prevalence of tet genes and their m...

Objectives The aim of this study was to analyze the distribution of β-lactamase genes and the multidrug resistance profiles in β-lactam-resistant subgingival bacteria from patients with periodontitis.Materials and methodsSubgingival samples were obtained from 130 Spanish patients with generalized periodontitis stage III or IV. Samples were grown on...

The significance of keratinized mucosa around dental implants for the prevention of biologic complications has been a subject of controversy. Agreement, however, exists on the benefits provided to achieve more satisfactory oral hygiene measures and reduced clinical inflammation. A prospective interventional case series of 14 patients (31 implants)...

Background: To explore the diagnostic usefulness of extracellular vesicles (EVs), and their subpopulations (micro-vesicles and exosomes), and microRNAs (miRNA-21-3p, miRNA-150-5p, and miRNA-26a-5p) in peri-implant crevicular fluid (PICF) of subjects with healthy, peri-implant mucositis and peri-implantitis implants. Methods: A total of 54 patien...

Objectives The main objective of this study was to assess changes in the position of the gingival margin (GM) after performing an aesthetic crown lengthening (ACLP) by means of submarginal incisions, buccal osseous surgery, and a replaced flap after a healing period of 6 months.Methods Twenty-one patients who needed a surgical crown lengthening in...

Aim The primary goal was to compare the amount of keratinized tissue width (KTW) gain after free gingival graft (FGG) procedures around implants and teeth after 6 and 12 months of healing. Materials and Methods Patients with mucogingival defects (<2 mm of KT) around teeth and implants underwent a gingival augmentation procedure by means of a FGG....

Objective: The primary objective was to investigate the relationship between periodontitis and hypertension in two independent large surveys. The secondary objective was to ascertain whether systemic inflammation had a mediation effect in the association. Methods: This cross-sectional study analyzed representative samples of the US (n=3460; NHAN...

Purpose of Review The present review aimed at assessing the primary and secondary diagnostic tools currently used to monitor peri-implant conditions. Recent Findings There has been much debate on the diagnostic accuracy of clinical parameters in monitoring peri-implant conditions. Given the association between pocket depth measured around teeth an...

Background The present case series assesses the response to reconstructive therapy for the management of 2 3 wall peri implantitis bone defects following submerged healing guided bone regeneration Material and Methods Fifteen consecutive patients with 27 implants presenting peri implantitis were included Guided bone regeneration was applied by mean...

Background: Dental plaque biofilm is considered to be the underlying cause of peri-implant diseases. Moreover, it has been corroborated recently the association between the presence of these diseases and deficiently designed implant-supported prostheses. In this regard, professional-administered oral hygiene measures have been suggested to play a...

Background: Suppuration (SUP) as a diagnostic parameter for monitoring dental implants is not yet well understood. The retrospective clinical and radiographic study was therefore carried out to investigate the patient, implant and site characteristics among individuals exhibiting SUP. Material and methods: Demographic characteristics and clinica...

RESUMEN ARTÍCULOS CIENTÍFICOS señalan que aproximadamente 2 de cada 10 españoles portadores de implantes podrían padecer periimplantitis. En efecto, la periimplantitis es una patología inflamatoria de origen infeccioso que cursa con pérdida ósea alrededor de implantes dentales. Es una entidad condicionada, en parte, por la presencia de algunos fact...

Aim To compare the soft tissue stability (STA) around single implants previously augmented with either subepithelial connective tissue graft (SCTG) from the lateral palate (LP) or from the tuberosity area (TA). Material & methods Twenty‐nine patients showing 33 implants with buccal volume deficiency randomly received SCTG from LP (control group/CG...

Objective To characterize extracellular vesicles (EVs) in gingival crevicular fluid (GCF) and saliva samples from healthy/gingivitis and periodontitis patients and correlate them with clinical inflammatory periodontal parameters. Material and Method An exploratory study, including 86 subjects was conducted. Clinical and periodontal data were recor...

Objectives To assess the clinical and radiographic outcomes of implants treated by means of non-surgical debridement with systemic antibiotic therapy. Materials and methods A prospective case series study evaluating the 12-month clinical and radiographic outcomes of peri-implantitis lesions treated with ultrasonic scaler debridement, a glycine air...

Recent evidence suggests a link between periodontitis (PD) and hypertension, but the nature of this association remains unclear. The overall aim of this review was to critically appraise the evidence linking these two common disorders. Systematic search was conducted for studies published up to December 2018. Prevalence of hypertension in patients...

Aim: The present systematic review aimed at assessing the degree of compliance with supportive periodontal/peri-implant therapy as well as identifying patient-related factors that could potentially play a role on patient compliance. Methods: Electronic and manual literature searches were carried out to assess patient compliance during maintenanc...

Tetracycline resistance can be achieved through tet genes, which code for efflux pumps, ribosomal protection proteins and inactivation enzymes. Some of these genes have only been described in either Gram-positive or Gram-negative bacteria. This is the case of tet(B), which codes for an efflux pump and, so far, had only been found in Gram-negative b...

Aim: To evaluate the adjunctive effect of modifying the implant-supported prosthesis to facilitate access to oral hygiene when treating peri-implant mucositis. Material and methods: A 6-month randomized clinical trial was designed. Patients with peri-implant mucositis were treated by implant surface debridement with plastic curettes and a plasti...

Periodontal regeneration is a complex biological process involving de novo formation of the lost tooth-supporting structures, particularly the periodontium, over previously diseased root surfaces. Regenerative periodontal procedures decrease the progression of periodontitis and requirement of reintervention to facilitate long-term tooth stability a...

Background: Tooth location has been shown to play a significant role on root coverage outcomes. However, whether this has an impact on the outcomes of coronally advanced flap (CAF) for treating multiple adjacent gingival recessions (MAGRs) remains to be determined. The aim of this study was to investigate the impact of tooth location, flap design...

Background: The transition from a tooth requiring extraction to its replacement (with a dental implant) requires a series of clinical decisions related to timing, approach, materials, cost-effectiveness and the assessment of potential harm and patient preference. This workshop focused on the formulation of evidence-based consensus statements and c...

Background Peri‐implant defect morphology has shown to potentially impact upon the reconstructive outcomes for the management of peri‐implantitis. Given the role that defect morphology plays upon the decision‐making in the treatment of peri‐implantitis, the present study aimed at assessing the morphology and severity of peri‐implantitis bone defect...

Objectives To determine if the treatment of mucositis with mechanical debridement, 0.12% chlorhexidine, and a further application of Lactobacillus reuteri (L. reuteri) will result in an improvement of the clinical and microbiological parameters in comparison to the treatment with mechanical debridement and 0.12% chlorhexidine alone. Material and m...

Background: Statins are drugs used for the treatment of dyslipidemia. However, statins have multiple actions, including anti-inflammatory and immunomodulatory effects, as well as the ability to stimulate new bone formation. Such features could be beneficial for periodontal pathology therapy. Methods: A literature review was conducted using filtere...

Tuberosity grafts had a greater percentage of lamina propria and lower percentage of submucosa when compared to lateral palate grafts. Objective: The study aims to understand the differences in the structural composition of soft tissue autografts harvested from the lateral palate or the tuberosity. Material and methods: Patients were randomly a...

Reconstructive periodontal procedures improve tooth survival while reducing periodontitis progression and re-intervention needs providing long-term outcome stability. Even when periodontal attachment level is largely reduced, natural dentition yields better long-term survival rate and marginal bone level changes compared with dental implants. Perio...

Introducción La pregunta en cuanto a si el trauma oclusal per se acelera el proceso inflamatorio y contribuye a la destrucción periodontal en sujetos con enfermedad periodontal ha sido largamente investigada. Sin embargo, sigue siendo un tema que suscita interés en cuanto a su manejo clínico. Metodología En esta revisión de la literatura se resume...

RESUMEN Introducción Es importante disponer de las herramientas y conocimientos necesarios para poder diagnosticar y planificar el tratamiento de un paciente periodontal. Presentación del caso Se describe de manera detallada el diagnóstico y el plan de tratamiento interdisciplinar de una paciente de 52 años de edad con periodontitis crónica general...

Peri-implantitis is an infectious disease that affects the supporting soft and hard tissues around dental implants and its prevalence is increasing considerably. The development of antibacterial strategies, such as titanium antibacterial-coated surfaces, may be a promising strategy to prevent the onset and progression of peri-implantitis. The aim o...

The cover image, by Giovanni N. E. Maino et al., is based on the Randomized Clinical Trial Influence of suturing technique on wound healing and patient morbidity after connective tissue harvesting. A randomized clinical trial, DOI: 10.1111/jcpe.12960.

Objectives: To assess the clinical and radiographic outcomes of the regenerative treatment of peri-implantitis using a vancomycin and tobramycin impregnated allograft (VTA) after a 12-month period. Material and methods: Thirteen consecutive patients who required a regenerative treatment of peri-implantitis were recruited. For the 17 implant site...

Background: Lack of consensus on the clinical parameters of peri-implantitis may complicate accurate diagnosis of the disorder. Furthermore, the lack of reliable estimates of the diagnostic capacity of the clinical endpoints precludes the definition of an effective treatment protocol for peri-implantitis. The present canine study assesses the diag...

The aetiology of periodontitis is complex and begins with the adhesion of non-pathogenic and pathogenic bacteria and the activation of the host immune response, resulting in a major cause of tooth loss in adults. Prevotella intermedia is a black-pigmented gram-negative anaerobe which is considered a putative periodontal pathogen because it is isola...