Pier Paolo Poli

Pier Paolo Poli
University of Milan | UNIMI · Department of Biomedical, Surgical , and Dental Sciences

DDS | MSc in Oral Surgery | PhD in Oral Sciences
I am open to clinical and research collaborations in the fields of oral surgery, implantology and periodontology.

About

108
Publications
23,841
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
1,301
Citations
Introduction
I earned a Dental degree from the University of Milan in 2012. I completed a 3-year residency in Oral Surgery at the same University in 2016. I successfully defended my PhD dissertation in December 2018 at the University of Milan. I served as Adjunct Professor until December 2021. Since then, I am a Research Fellow at the University of Milan. My current research interests cover all aspects of oral surgery, implantology, and periodontology. Do not hesitate to contact me for any collaboration!
Additional affiliations
June 2017 - December 2017
São Paulo State University
Position
  • Research Associate
October 2014 - April 2015
Loma Linda University
Position
  • Research Associate
Education
September 2015 - December 2018
University of Milan
Field of study
  • Oral Sciences | XXXI Cycle, MED/28
January 2013 - March 2016
University of Milan
Field of study
  • Post-graduate in Oral Surgery
October 2007 - July 2012
University of Milan
Field of study
  • Dentistry

Publications

Publications (108)
Article
Full-text available
Purpose The aim of the present study was to retrospectively investigate the influence of potential risk indicators on the development of peri-implant disease. Methods Overall, 103 patients referred for implant treatment from 2000 to 2012 were randomly enrolled. The study sample consisted of 421 conventional-length (>6 mm) non-turned titanium impla...
Article
Introduction: The aim of this study was to evaluate the outcome of fresh-frozen bone allografts in preprosthetic surgery for implant placement purposes. Materials and methods: The cohort comprised 45 patients treated with fresh-frozen bone block grafts and dental implants. Clinical and radiological evaluations were performed to evaluate the surv...
Article
Full-text available
The purpose of the present study was to assess the cumulative survival rate (CSR) of 192 implants placed in association with guided bone regeneration (GBR) procedures to evaluate the long-term predictability of this technique. Moreover, the Kaplan Meier survival analysis was applied to the data in order to evaluate predictors of implant failures, i...
Article
Purpose: The purpose of this systematic review was to evaluate the outcome of dental implant treatment in fully edentulous patients who underwent Le Fort I osteotomy as a preprosthetic surgical technique. Materials and methods: A search was conducted of the PubMed (MEDLINE), EMBASE, Scopus, and Cochrane databases to identify records published fr...
Article
Full-text available
(1) Objective: The aim of this study was to assess the biological behavior of bone tissue on a machined surface (MS) and modifications made by a laser beam (LS) and by a laser beam incorporated with hydroxyapatite (HA) using a biomimetic method without thermic treatment (LHS). (2) Methods: Scanning electron microscopy coupled with energy-dispersive...
Article
Full-text available
Dental implant fractures pose a significant challenge to long-term treatment success. This systematic review aims to comprehensively examine the clinical factors influencing dental implant fractures (IFs). Furthermore, strategies to choose the right type of implant and prevent this complication are addressed. A systematic search was conducted acros...
Article
Full-text available
This study evaluated the bone incorporation process of a screw-shaped internal fixation device made of poly (L-lactide-coD , L-lactide) (PLDLLA). Thirty-two male Wistar rats received 32 fixation devices (2 mm × 6 mm) randomly assigned to either the right or left tibia and one implant in each animal. After 7, 14, 28, and 42 days, the rats were eutha...
Article
Full-text available
Background Oral Health-Related Quality of Life (OHRQoL) is a comprehensive concept covering daily comfort, self-esteem, and satisfaction with oral health, including functional, psychological, and social aspects, as well as pain experiences. Despite abundant research on OHRQoL related to oral diseases and hygiene, there is limited data on how patien...
Article
Objectives The effect of the implant position within the prosthesis on bone remodeling is scarcely documented so far. Thus, the aim of the present study was to investigate whether central implants may suffer higher peri‐implant marginal bone levels (MBL) compared to laterals in case of fixed splinted bridges supported by ≥ three implants. Material...
Article
The present case series aims to investigate the use of polynucleotides mixed with hyaluronic acid (PNs-HA) in the form of gel to promote bone regeneration in horizontal alveolar defects. Overall, 6 adult pa-tients underwent localized horizontal guided bone regeneration by means of xenogeneic bone substitute and a resorbable barrier with a staged ap...
Article
Full-text available
Aim: Polydeoxyribonucleotide (PDRN) is a chain-like polymer derived from DNA. Recent in vitro and animal studies have showcased the beneficial impacts of PDRN on the process of bone mending, whether used on its own or in conjunction with other substances that aid in regeneration. This scoping review aims to synthesize the current understanding of h...
Article
Full-text available
This technical note aims to present a recently developed computer-guided protocol characterized by titanium-reinforced stackable surgical guides during post-extractive implant placement and subsequent immediate loading. A full maxillary edentulism was rehabilitated with one-piece implants, starting from a pre-existing removable denture. 3D digital...
Article
Full-text available
The extraction of impacted third molars is a common but potentially complication-prone oral surgical procedure. Wound healing plays a vital role in preventing complications. This scoping review aimed to assess the clinical and microbiological aspects of various suture materials and cyanoacrylates. Unlike existing studies, we included more articles...
Preprint
Full-text available
Objective The aim of this study was to assess the biological behavior of bone tissue on the machined surface (MS) and the modifications by laser beam (LS), and by laser beam incorporated with hydroxyapatite (HA) by biomimetic method without heat treatment (LHS). Materials and methods Scanning electron microscopy coupled with energy dispersive X-ray...
Preprint
Full-text available
A maxillary totally edentulism was rehabilitated with one-piece implants starting from pre-existing totally removable denture. A 3D digital scan of the removable denture and upper and lower arches was performed. On this basis, a prototype with optimal esthetic and functional outcomes was re-alized and turned into a custom-made radiological stent wi...
Article
Full-text available
The present pilot study was designed by hypothesizing a possible correlation between lack of accuracy in implant placement and peri-implant hard and soft tissue health. A total of five patients underwent computer-guided implant surgery and full-arch immediate loading between 2013 and 2014. They subsequently underwent postoperative cone-beam compute...
Article
Full-text available
The aim of this systematic scoping review was to provide scientific evidence on the efficacy and methods of application of hyaluronic acid (HA) in the coverage of gingival recessions in terms of recession depth (RD) reduction, clinical attachment level (CAL) gain and probing depth (PD). An electronic search of the literature on the main databases w...
Article
Statement of problem: Titanium has been considered the standard element in implant manufacturing. Recent studies have evaluated the role of titanium as a biological modulator of oral health. However, evidence regarding the association between the release of metal particles and peri-implantitis is lacking. Purpose: The purpose of this scoping rev...
Preprint
Full-text available
Background.To evaluate Oral Health-Related Quality of Life (OHRQoL) perceived by the patient before and after implant-prosthetic rehabilitation, to determine the physical and psychological impact that dental implants and related prosthetic rehabilitations could have in partial or edentulous patients. Finally, it was evaluated if demographic and cli...
Preprint
Full-text available
The aim of this systematic scoping review was to provide scientific evidence on the efficacy and methods of application of hyaluronic acid in the coverage of gingival recessions in terms of recession depth (RD) reduction, clinical attachment level (CAL) gain, probing depth (PD). An electronic search of the literature on the main databases was condu...
Article
Full-text available
Meshes, especially titanium ones, are being widely applied in oral surgery. In guided bone regeneration (GBR) procedures, their use is often paired with membranes, being resorbable or non-resorbable. However, they present some limitations, such as difficulty in the treatment of severe bone defects, alongside frequent mesh exposure. Customized meshe...
Article
Full-text available
Purpose: The aim of the present study was to evaluate the long-term effectiveness of a xenogeneic collagen matrix (CM) in pre-prosthetic augmentation of the keratinized mucosa width (KMW) at implant sites. Methods: All of the patients with localized implant-supported rehabilitation previously treated with vestibuloplasty and KMW augmentation wit...
Preprint
Full-text available
Objectives. To evaluate Oral Health-Related Quality of Life (OHRQoL) perceived by the patient before and after implant-prosthetic rehabilitation, to determine the physical and psychological impact that dental implants and related prosthetic rehabilitations could have in partial or edentulous patients. Finally, it was evaluated if demographic and cl...
Article
The aim of the present study was to analyze the survival and success rates of dental implants placed in atrophic alveolar ridges reconstructed with mandibular symphysis autogenous onlay bone grafts, with a 20-year follow-up. A sample of five patients referred to the authors’ department between 2000 and 2001 seeking for an implant-supported fixed re...
Article
Full-text available
Surgical trauma in those under a prolonged use of bisphosphonates, can lead to mediation-related osteonecrosis of the jaw (MRONJ). This study aimed to evaluate the preventive therapies for MRONJ. Following four cycles of zoledronic acid administration, Wistar rats had their molar extracted, and were organized into nine treatment groups: negative co...
Article
Full-text available
(1) Background: This study evaluates the effects of photobiomodulation (PBM) therapy on the peri-implant bone healing of implants with a machined surface (MS) and treated surface (TS). (2) Methods: Topographic characterization of the surfaces (scanning electron microscopy [SEM]-energy dispersive X-ray spectroscopy [EDX]) was performed before and af...
Article
Full-text available
Odontoma is the most common benign odontogenic tumor of epithelial and mesenchymal origin. The standard treatment involves a conservative approach. While this procedure is generally well accepted and tolerated, some difficulties may arise in case of odontomas associated with cystic lesions. In general, the expansive nature of cystic lesions require...
Preprint
Full-text available
Purpose The present pilot study was designed to fill this gap in the literature, hypothesizing a possible correlation between lack of accuracy in implant placement and deterioration of peri-implant hard and soft tissue health. Methods a total of 5 male and female patients were enrolled. Patients underwent computer-guided implant surgery and full ar...
Preprint
Full-text available
Background there is very little scientific evidence in the literature regarding the correlation between accuracy and peri-implant health. Consequently, the present pilot study was designed to fill this gap in the literature, hypothesizing a possible correlation between lack of accuracy in implant placement and deterioration of peri-implant hard and...
Article
Full-text available
Implant rehabilitation is a daily practice in dentistry, and patients often have heightened expectations regarding both the functional and the aesthetic outcome. Implant–abutment connection (IAC) is involved in the long-term aesthetic quality of the rehabilitation. The use of one-piece implants for fixing dentures may prevent the mechanical and bio...
Article
Purpose: The exposure of nonresorbable membranes following alveolar bone augmentation is one of the most frequently occurring complications. This review aimed to investigate the treatments that can be adopted to manage the exposure of polytetrafluoroethylene-based membranes (PTFE-ms) and titanium meshes (TMs) and their outcomes. Materials and met...
Article
Full-text available
The success of surgical procedures is strictly related to the biomechanical properties of the suture. Mechanical comparisons are scarcely reported in the literature, so the purpose of the present study was to evaluate and compare the mechanical behavior of different sutures commonly used in oral surgery in terms of traction resistance. Sutures made...
Article
Full-text available
Objectives: A wide variety of approaches have been proposed to manage anticoagulant drugs in patients undergoing dental surgery; vitamin K antagonists and novel direct oral anticoagulants have been used. The present study aims to explore the existing evidence concerning the management of patients in anticoagulant therapy undergoing oral surgery pr...
Article
Background Antimicrobial photodynamic therapy (aPDT) is being used in endodontics to improve orthograde root canal disinfection as an adjunct to standard treatments. Conversely, evidence concerning the application of aPDT in retrograde endodontic surgery is limited. Thus, the aim of the present study was to provide additional data regarding the use...
Article
Full-text available
(1) Background: Hypersensitivity reactions to metals may arise in predisposed patients chronically exposed to metallic materials, including dental implants made of titanium alloys. The purpose of this article was to systematically review titanium allergy manifestations in patients treated with dental implants and report a clinical case; (2) Methods...
Article
Purpose Laser light has biological effects that can modulate inflammatory processes. Thus, this study aimed to evaluate the effects of photobiomodulation (PBM) therapy on pain, edema, and trismus after the extraction of retained third molars. Methods A split-mouth, double-blind, randomized clinical trial (RCT) was conducted in 13 patients with sim...
Article
Full-text available
The aspiration of objects and foreign bodies requires quick and systematic care. During emergent orotracheal intubation, accidental dental crown release can cause a threat to the patient's life. This paper aimed to report a case of foreign body (dental prosthetic crown) aspiration and its management and discuss alternative approaches. An 81-year-ol...
Article
Full-text available
(1) Background: The purpose of the present study was to retrospectively evaluate and compare the outcome of two sinus augmentation grafting protocols using a xenograft or blood clot alone over a 72-month follow-up. (2) Methods: Patients who received simultaneous lateral sinus floor augmentation and implant placement were included. Subjects were div...
Article
Aim and objective: The aim of the present split-mouth prospective study was to evaluate clinically and histologically the bone regeneration obtained following preprosthetic vertical bone augmentation performed with titanium-reinforced dense polytetrafluoroethylene membrane (d-PM) compared to titanium mesh (TM). Materials and methods: Healthy adu...
Article
Full-text available
A expansão rápida da maxila cirurgicamente assistida (ERMCA) é uma combinação de procedimentos cirúrgicos e ortodônticos, indicada para o tratamento de verdadeiras deficiências esqueléticas transversais em indivíduos esqueleticamente maduros. O presente relato apresenta um caso clínico de ERMCA, realizado sob anestesia local, por equipe multidiscip...
Article
Geographic tongue (GT), a form of inverse psoriasis, is frequently linked to plaque psoriasis. The objective of the study is to evaluate IL-17 blocker (secukinumab) effect on GT severity. This reallife, multicenter, retrospective observational pilot study evaluated patients with plaque psoriasis and concomitant GT that started in label treatment wi...
Article
Geographic tongue (GT) represents a localized type of psoriasis inversa and its burden of dermatological and oral comorbidities frequently conditions its severity and diagnosis. Currently, no epidemiological studies have evaluated GT muco-cutaneous comorbidities. We aimed to study oral and dermatological comorbidities in a large sample of GT patien...
Article
Full-text available
This study characterized the topography osseointegrated implants (cp-Ti) with machined surface (MS), laser beam surface (LS) and laser beam surface followed by deposition of sodium silicate (SS) by means SEM-EDX, roughness measurements, cross-sectional roughness, contact angle, X-ray diffraction (XRD) and laser confocal optical perfilometry. The SE...
Article
Full-text available
The quality and quantity of peri-implant soft tissues at the crestal portion of dental implants are important aspects to consider for a long-term successful implant-supported rehabilitation. Some relevant factors attributed to the implant health include mucosal thickness and keratinization. In this respect, many techniques and materials have been d...
Article
Full-text available
Aim to Evaluate the late bone regeneration around implants with machined (MS) and acid-modified surfaces followed by the deposition of fluoride ions (AFS) in the tibiae of rabbits. Materials and methods Ti-cp disks and implants underwent the topographic characterization before surgery through a scanning electron microscope, x-ray energy dispersive...
Article
Full-text available
1) Background: This study aimed to evaluate the incorporation of hydroxyapatite/β-tricalcium phosphate blocks grafted in rabbit mandibles. (2) Methods: Topographic characterization of biomaterial was performed through scanning electron microscopy coupled with energy-dispersive X-ray spectroscopy (SEM-EDX). Ten rabbits randomly received autogenous b...
Article
Full-text available
Unilateral dentigerous cyst is a common entity in the oral cavity. Conversely, bilateral dentigerous cysts are rare, especially in non-syndromic patients. The purpose of the present article was to report a case of a bilateral dentigerous cyst in a non-syndromic patient and discuss about the treatment strategy. A literature review was perfomed and o...
Article
Full-text available
The successful use of osseointegrated implants in the treatment of partial or complete edentulism requires a sufficient bone support. Whenever rehabilitation in atrophic edentulous areas is needed, bone augmentation procedures are recommended. The aim is to provide adequate amount of supporting bone to achieve a prosthetically guided implant placem...
Article
Full-text available
Background: bone augmentation by means of manually shaped titanium mesh is an established procedure to regenerate atrophic alveolar ridges and recreate a proper contour of the peri-implant bone anatomy. Conversely, current literature on the use of preformed titanium meshes instead of traditional grids remains lacking. Therefore, the aim of the pre...
Article
PurposeThe accuracy of fully digital model–free surgical and prosthetic procedures depends on the cumulative effect and interaction of all errors gathered along the entire workflow process. In the present case series, a technique is described that increases the accuracy in the transition from the surgical to the prosthetic phase to reduce the risk...
Article
Aim: The present study evaluated the clinical and radiological stability of hard and soft tissues following alveolar socket preservation (ASP) procedure with a follow-up of 5 year from implant insertion. Materials and methods: The initial sample consisted of seven patients who underwent single tooth extraction and ASP procedure by means of demin...
Article
Full-text available
Aim Evaluate the late bone regeneration around implants with machined (MS) and acid modified surfaces followed by the deposition of fluoride ions (AFS) in the tibiae of rabbits. Materials and methods Ti-cp disks and implants underwent the topographic characterization before surgery through scanning electron microscope, x-ray energy dispersive spec...
Article
Full-text available
Background/purpose The existing literature lacks information regarding the use of digital workflows during pre-surgical planning of implant rehabilitations in resorbed edentulous ridges. Thus, the aim was to evaluate the effectiveness of computer-guided implant placement and simultaneous computer-aided guided bone regeneration (GBR) in the treatmen...
Article
Full-text available
The decision-making process of complex clinical cases should involve multiple specialists to obtain a predictable result on a long-term basis. In view of the above, the present report is aimed at describing the multidisciplinary management of a partially edentulous female patient presenting with a severely compromised residual dentition. To improve...
Article
Digitalization of edentulous areas restored with dental implants is still considered a demanding procedure, mainly because of the lack of fixed reference landmarks, together with an increased interimplant distance. To overcome such limitations, an auxiliary device is introduced with the 3-fold purpose of stretching the soft tissues with a fixed obj...
Article
Full-text available
Statement of problem Correct implant placement by means of a pretreatment planning software program is still subject to deviations between the planned and achieved implant positions. Inaccuracy at this level may have drastic consequences, including neurovascular trauma. Further data are therefore needed to evaluate the accuracy of such computer-gui...
Article
Full-text available
Objectives The purpose of this study was to evaluate the biomechanical behavior of the interface formed between bone and implants with machined surfaces (MS) and those modified by Al2O3 sandblasting and acid etching (SBAS). Materials and methods Before surgery, topographic characterization was performed by SEM-EDX and by mean roughness measurement...
Article
Full-text available
Introduction: An optimal aesthetic implant restoration is a combination of a visually pleasing prosthesis and adequate surrounding peri-implant soft tissue architecture. This study describes a novel workflow for one-step formation of the supra-implant emergence profile. Materials and methods: Two randomized groups were selected. Ten control grou...