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1.
Nature ; 625(7994): 270-275, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38200301

RESUMO

Supersolid, an exotic quantum state of matter that consists of particles forming an incompressible solid structure while simultaneously showing superfluidity of zero viscosity1, is one of the long-standing pursuits in fundamental research2,3. Although the initial report of 4He supersolid turned out to be an artefact4, this intriguing quantum matter has inspired enthusiastic investigations into ultracold quantum gases5-8. Nevertheless, the realization of supersolidity in condensed matter remains elusive. Here we find evidence for a quantum magnetic analogue of supersolid-the spin supersolid-in the recently synthesized triangular-lattice antiferromagnet Na2BaCo(PO4)2 (ref. 9). Notably, a giant magnetocaloric effect related to the spin supersolidity is observed in the demagnetization cooling process, manifesting itself as two prominent valley-like regimes, with the lowest temperature attaining below 100 mK. Not only is there an experimentally determined series of critical fields but the demagnetization cooling profile also shows excellent agreement with the theoretical simulations with an easy-axis Heisenberg model. Neutron diffractions also successfully locate the proposed spin supersolid phases by revealing the coexistence of three-sublattice spin solid order and interlayer incommensurability indicative of the spin superfluidity. Thus, our results reveal a strong entropic effect of the spin supersolid phase in a frustrated quantum magnet and open up a viable and promising avenue for applications in sub-kelvin refrigeration, especially in the context of persistent concerns about helium shortages10,11.

2.
J Am Chem Soc ; 145(31): 17096-17102, 2023 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-37490643

RESUMO

A cubic metal exhibiting zero thermal expansion (ZTE) over a wide temperature window demonstrates significant applications in a broad range of advanced technologies but is extremely rare in nature. Here, enabled by high-temperature synthesis, we realize tunable thermal expansion via magnetic doping in the class of kagome cubic (Fd-3m) intermetallic (Zr,Nb)Fe2. A remarkably isotropic ZTE is achieved with a negligible coefficient of thermal expansion (+0.47 × 10-6 K-1) from 4 to 425 K, almost wider than most ZTE in metals available. A combined in situ magnetization, neutron powder diffraction, and hyperfine Mössbauer spectrum analysis reveals that interplanar ferromagnetic ordering contributes to a large magnetic compensation for normal lattice contraction upon cooling. Trace Fe-doping introduces extra magnetic exchange interactions that distinctly enhance the ferromagnetism and magnetic ordering temperature, thus engendering such an ultrawide ZTE. This work presents a promising ZTE in kagome metallic materials.

3.
Clin Oral Implants Res ; 34(4): 393-403, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36856540

RESUMO

OBJECTIVES: This randomized clinical trial assessed changes in protein biomarker levels and bacterial profiles after surgical reconstructive therapy of peri-implantitis and investigated whether the adjunctive use of Er:YAG laser impacts protein biomarker and microbial outcomes. MATERIALS AND METHODS: Twenty-four patients received surgical reconstructive therapy for peri-implantitis with guided bone regeneration following mechanical debridement with (test) or without (control) the adjunctive irradiation of Er:YAG laser. Bacterial and peri-implant crevicular fluid (PICF) samples were collected over 6 months and analyzed with bacterial qPCR and luminex multiplex assays. RESULTS: Surgical reconstructive treatment significantly affected the concentration of PICF protein biomarkers, including a 50% reduction in IL-1ß between 2 and 4 weeks (p < .0001). Both MMP-9 (p < .001) and VEGF (p < .05) levels steadily decreased after treatment. In the laser group, the peak increase in IL-1ß was attenuated at 2 weeks, followed by significant reduction in MMP-9 (p < .01) and VEGF (p < .05) across all follow-up appointments compared with the control nonlaser group. The total bacterial load was reduced 2 weeks after treatment, especially in the laser group, but recolonized to presurgical levels after 4 weeks in both groups (p < .01). The composition of selective pathogens varied significantly over the follow-up, but recolonization patterns did not differ between groups. CONCLUSIONS: Reconstructive therapy of peri-implantitis significantly altered PICF protein biomarker and microbial levels during the healing process. The adjunctive use of Er:YAG laser significantly modulated the inflammatory response through reduced levels of MMP-9 and VEGF during the postsurgical period. The bacterial load was reduced immediately after therapy, but recolonization was observed by 4 weeks in both groups.


Assuntos
Implantes Dentários , Peri-Implantite , Humanos , Peri-Implantite/microbiologia , Metaloproteinase 9 da Matriz , Carga Bacteriana , Fator A de Crescimento do Endotélio Vascular , Biomarcadores/análise , Bactérias , Lasers
4.
Clin Oral Investig ; 28(1): 30, 2023 Dec 26.
Artigo em Inglês | MEDLINE | ID: mdl-38147180

RESUMO

OBJECTIVES: This follow-up study aimed to report the 24- and 30-month outcomes of a cohort previously enrolled in a randomized clinical trial on surgical reconstructive treatment of peri-implantitis. METHODS: Twenty-four patients were diagnosed with peri-implantitis and treated with surgical reconstructive therapy with or without the adjunctive use of Er:YAG laser. Within-group and between-group comparisons were tested with mixed model with repeated measures. RESULTS: Regarding peri-implant pocket depth (PPD) reduction (control vs. laser test group) between 6 months (- 1.85 vs. - 2.65 mm) and 30 months (- 1.84 vs. - 3.04 mm), the laser group showed statistically significant changes but not the control group. In terms of radiographic marginal bone loss (RMBL) at 6 months (- 1.1 vs. - 1.46 mm) to 24 months (- 1.96 vs. - 2.82 mm), both groups showed statistical difference compared to baseline. The six explanted implants all were featured by severe peri-implantitis and mostly with no or limited keratinized tissue (< 2 mm) at baseline and membrane exposure after surgery. Among the 15 retained cases, eight cases achieved more than 50% peri-implant bone level gain. CONCLUSIONS: Within the limitation and follow-up time frame of this trial, the outcome of the surgical reconstructive therapy sustained or improved in most of the cases. However, 25% of the implants with severe peri-implantitis failed 2 years after the surgical reconstructive therapy. The use of Er:YAG laser favors PPD reduction in the longer term up to 30 months. CLINICAL RELEVANCE: Longer-term follow-up on reconstructive therapy of peri-implantitis revealed sustained or improved stability in certain cases, but the survival of implants with severe peri-implantitis has its limitation, especially when there is limited keratinized tissue (< 2 mm or no KT). TRIAL REGISTRATION: Clinical Trials Registration Number: NCT03127228 and HUM00160290.


Assuntos
Peri-Implantite , Procedimentos de Cirurgia Plástica , Humanos , Seguimentos , Peri-Implantite/cirurgia , Assistência Odontológica , Processamento de Imagem Assistida por Computador
5.
Int J Mol Sci ; 24(13)2023 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-37446190

RESUMO

Maresins are lipid mediators derived from omega-3 fatty acids with anti-inflammatory and pro-resolving properties, capable of promoting tissue regeneration and potentially serving as a therapeutic agent for chronic inflammatory diseases. The aim of this review was to systematically investigate preclinical and clinical studies on maresin to inform translational research. Two independent reviewers performed comprehensive searches with the term "Maresin (NOT) Review" on PubMed. A total of 137 studies were included and categorized into 11 human organ systems. Data pertinent to clinical translation were specifically extracted, including delivery methods, optimal dose response, and specific functional efficacy. Maresins generally exhibit efficacy in treating inflammatory diseases, attenuating inflammation, protecting organs, and promoting tissue regeneration, mostly in rodent preclinical models. The nervous system has the highest number of original studies (n = 25), followed by the cardiovascular system, digestive system, and respiratory system, each having the second highest number of studies (n = 18) in the field. Most studies considered systemic delivery with an optimal dose response for mouse animal models ranging from 4 to 25 µg/kg or 2 to 200 ng via intraperitoneal or intravenous injection respectively, whereas human in vitro studies ranged between 1 and 10 nM. Although there has been no human interventional clinical trial yet, the levels of MaR1 in human tissue fluid can potentially serve as biomarkers, including salivary samples for predicting the occurrence of cardiovascular diseases and periodontal diseases; plasma and synovial fluid levels of MaR1 can be associated with treatment response and defining pathotypes of rheumatoid arthritis. Maresins exhibit great potency in resolving disease inflammation and bridging tissue regeneration in preclinical models, and future translational development is warranted.


Assuntos
Ácidos Docosa-Hexaenoicos , Inflamação , Animais , Humanos , Camundongos , Anti-Inflamatórios , Doença Crônica , Ácidos Docosa-Hexaenoicos/farmacologia , Ácidos Docosa-Hexaenoicos/uso terapêutico , Inflamação/tratamento farmacológico , Macrófagos
6.
J Evid Based Dent Pract ; 23(4): 101916, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38035893

RESUMO

ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Hu D, Zhong T, Dai Q. Clinical efficacy of probiotics as an adjunctive therapy to scaling and root planning in the management of periodontitis: a systematic review and meta-analysis of randomized controlled trails. J Evid Based Dent Pract. 2021;21(2):101547. doi:10.1016/j.jebdp.2021.101547. SOURCE OF FUNDING: Self-funded. TYPE OF STUDY/DESIGN: Systematic review with meta-analysis of data.

7.
J Evid Based Dent Pract ; 23(4): 101917, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38035894

RESUMO

ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Sanz-Martín I, Cha J-K, Sanz-Sánchez I, Figuero E, Herrera D, Sanz M. Changes in peri­implant soft tissue levels following surgical treatment of peri­implantitis: a systematic review and meta-analysis. Clin Oral Implants Res. 2021;32(suppl 21):230-244. https://doi.org/10.1111/clr.13840. SOURCE OF FUNDING: No financial support. TYPE OF STUDY/DESIGN: Systematic review with meta-analysis.

8.
Inorg Chem ; 61(48): 19058-19066, 2022 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-36414026

RESUMO

We report the successful growth of high-quality single crystals of Sr0.94Mn0.86Te1.14O6 (SMTO) using a self-flux method. The structural, electronic, and magnetic properties of SMTO are investigated by neutron powder diffraction (NPD), single-crystal X-ray diffraction (SCXRD), thermodynamic, and nuclear magnetic resonance techniques in conjunction with density functional theory calculations. NPD unambiguously determined octahedral (trigonal antiprismatic) coordination for all cations with the chiral space group P312 (no. 149), which is further confirmed by SCXRD data. The Mn and Te elements occupy distinct Wyckoff sites, and minor anti-site defects were observed in both sites. X-ray photoelectron spectroscopy reveals the existence of mixed valence states of Mn in SMTO. The magnetic susceptibility and specific heat data evidence a weak antiferromagnetic order at TN = 6.6 K. The estimated Curie-Weiss temperature θCW = -21 K indicates antiferromagnetic interaction between Mn ions. Furthermore, both the magnetic entropy and the 125Te nuclear spin-lattice relaxation rate showcase that short-range spin correlations persist well above the Néel temperature. Our work demonstrates that Sr0.94(2)Mn0.86(3)Te1.14(3)O6 single crystals realize a noncentrosymmetric triangular antiferromagnet.

9.
J Oral Implantol ; 48(4): 295-300, 2022 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-34505156

RESUMO

Despite the crucial role of examiner reliability on quality research and practice, there is still limited literature analyzing factors affecting examiner variability of peri-implant clinical measurements. The present study investigated clinical peri-implant parameters to quantify their repeatability and investigate factors that may affect their accuracy. Thirty-three implants were examined by 4 operators. Peri-implant probing depth (PD), recession (REC), and gingival index (GI) were measured for agreement and included in the analysis. Agreement was quantified using intraclass correlation coefficients (ICCs; 95% confidence interval); mixed linear and logistic regressions were used to assess additional variables. The overall interexaminer agreement was comparable between PD (0.80) and REC (0.78) but significantly worse for GI (0.45; P < .001). Similarly, the intraexaminer agreement was similar for PD (0.81) and REC (0.80) but significantly worse for GI (0.57; P < .05). The magnitude of PD did not influence the agreement. In contrast, increasing disagreement was noted for positive REC (odds ratio [OR]: 3.0), negative REC (OR: 4.8), and lower GI (OR: 4.4). The incidence of bleeding on probing and severity of GI increased for deeper PD (0.113-unit increase per millimeter). Negative and positive values of recession and lower GI were associated with increasing disagreement. Radiographic bone loss, restoration contour, and implant diameter did not affect PD accuracy in this study. In conclusion, within the limitations of the study, GI measurements presented higher variability than PD and REC did. The PD and GI were associated with one another and increased after multiple measurements.


Assuntos
Perda do Osso Alveolar , Implantes Dentários , Humanos , Índice Periodontal , Projetos Piloto , Reprodutibilidade dos Testes
10.
J Am Chem Soc ; 143(47): 19938-19944, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34786934

RESUMO

Quasicrystals (QCs), first discovered in 1984, generally do not exhibit long-range magnetic order. Here, we report on long-range magnetic order in the real icosahedral quasicrystals (i QCs) Au-Ga-Gd and Au-Ga-Tb. The Au65Ga20Gd15 i QC exhibits a ferromagnetic transition at TC = 23 K, manifested as a sharp anomaly in both magnetic susceptibility and specific heat measurements, along with an appearance of magnetic Bragg peak below TC. This is the first observation of long-range magnetic order in a real quasicrystal, in contrast to the spin-glass-like behaviors observed for the other magnetic quasicrystals found to date. Moreover, when Gd is replaced by Tb, i.e., for the Au65Ga20Tb15 i QC, a ferromagnetic behavior is still retained with TC = 16 K. Although the sharp anomaly in the specific heat observed for the Au65Ga20Gd15 i QC becomes broadened upon Tb substitution, neutron diffraction experiments clearly show marked development of magnetic Bragg peaks just below TC, indicating long-range magnetic order for the Au65Ga20Tb15 i QC also. Our findings can contribute to the further investigation of exotic magnetic orders formed on real quasiperiodic lattices with unprecedented highest global symmetry, i.e., icosahedral symmetry.

11.
Phys Rev Lett ; 127(5): 055501, 2021 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-34397222

RESUMO

Super Invar (SIV), i.e., zero thermal expansion of metallic materials underpinned by magnetic ordering, is of great practical merit for a wide range of high precision engineering. However, the relatively narrow temperature window of SIV in most materials restricts its potential applications in many critical fields. Here, we demonstrate the controlled design of thermal expansion in a family of R_{2}(Fe,Co)_{17} materials (R=rare Earth). We find that adjusting the Fe-Co content tunes the thermal expansion behavior and its optimization leads to a record-wide SIV with good cyclic stability from 3-461 K, almost twice the range of currently known SIV. In situ neutron diffraction, Mössbauer spectra and first-principles calculations reveal the 3d bonding state transition of the Fe-sublattice favors extra lattice stress upon magnetic ordering. On the other hand, Co content induces a dramatic enhancement of the internal molecular field, which can be manipulated to achieve "ultrawide" SIV over broad temperature, composition and magnetic field windows. These findings pave the way for exploiting thermal-expansion-control engineering and related functional materials.

12.
Inorg Chem ; 60(14): 10095-10099, 2021 Jul 19.
Artigo em Inglês | MEDLINE | ID: mdl-34236180

RESUMO

Zero thermal expansion (ZTE) is an intriguing phenomenon by virtue of its peculiar lack of expansion and contraction with temperature. The achievement of ZTE in a metallic material is a desired but challenging task. Here we report the ZTE behavior of a single-phase metallic VB2 compound, stacking with the V and B atomic layers along the c direction (αV = 2.18 × 10-6 K-1, 5-150 K). Neutron powder diffraction demonstrates that the ZTE behavior is entangled in the direct blocking of the lattice expansion along all crystallographic directions with temperature. X-ray photoelectron spectroscopy and density functional theory calculations indicate that strong covalent binding adheres the nearest-neighbor B-B and V-B pairs, which is proposed to control the ZTE within both the basal plane and the c direction. An intimate correlation is revealed between the covalent binding and the lattice parameters. Our work indicates the opportunity to design metallic ZTE with strong chemical binding in the future.

13.
J Chin Chem Soc ; 68(3)2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37583752

RESUMO

Magnetic structure of the Co ions in monoclinic Co3TeO6 in the antiferroelectric state at 16 K has been determined by neutron powder together with single-crystal diffractions. The indices of the magnetic reflections that appear at the incommensurate positions were determined by diffractions from a single crystal, which allow to uniquely identify the magnetic modulation vector. There are two crystallographically distinct Co layers. Magnetic incommensurability appears in the Co spins in the layers comprising zig-zag chains, with a magnetic modulation vector of (0.357, 0.103, 0.121) at 3 K but changes to (0.4439, 0, 0.137) at 16 K, while the Co ions in the honeycomb webs form a collinear antiferromagnetic structure. Thermal reduction rate of the Co moments in the honeycomb webs was found to be much smaller than those in the zigzag chains. Shifting of large amounts of electronic charge into the Co─O bonds in the honeycomb webs on warming is used to understand the behavior.

14.
J Am Chem Soc ; 142(16): 7480-7486, 2020 Apr 22.
Artigo em Inglês | MEDLINE | ID: mdl-32239925

RESUMO

To discover the nonlinear optical (NLO) materials with strong second harmonic generation (SHG), the design of NLO-active molecular units with large polarization is considered as a common strategy. Herein, we propose that the local structural distortion induced with vacancies, apart from the NLO-active units, can be employed to improve the NLO effect in solids as well. Accordingly, a new tungsten bronze (TB) oxide, Pb2(Pb0.15Li0.7□0.15)Nb5O15 (□ representing vacancies), is successfully designed and prepared, which exhibits a strong SHG response of 39 times that of KH2PO4. The detailed analysis reveals that the local structural distortions enhanced by the vacancies in PLN strengthen the local dipole moments of neighboring NbO6 octahedra, and thus significantly prompt the SHG effect. Moreover, a series of new TB compounds with large NLO effects are discovered by this molecular design strategy, which are perspectives for new NLO materials synthesis.

15.
Inorg Chem ; 59(16): 11228-11232, 2020 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-32799469

RESUMO

Knowledge of negative thermal expansion (NTE) is an interesting issue in the field of materials science and engineering. It has been proposed that the unique dumbbell pairs of Fe (dumbbells) are highly entangled in the NTE behaviors of R2Fe17 (R = rare earth) compounds but still remain controversial. Here, a facile method is employed to explore the role of dumbbells in spin alignments and NTE by the nonstoichiometric design of Lu2-xFe17 compounds. The powder synchrotron X-ray diffraction, magnetometry, and neutron powder diffraction investigations indicate that a decrease of the Lu content can enhance the dumbbell concentration and motivate an incommensurate magnetic structure simultaneously. However, increasing the dumbbell concentration makes little difference in the amplitude of the ordered magnetic moments of Fe sublattices, which reveals an equivalent NTE behavior for Lu2-xFe17 compounds. This work gives insight into the role that dumbbells played in spin alignments and NTE for Lu2Fe17-based compounds, correcting the previously proposed conjecture and probably conducive to adjusting the related magnetic performances of R2Fe17 compounds in the future.

16.
Inorg Chem ; 59(8): 5247-5251, 2020 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-32216284

RESUMO

External pressure has been successfully employed to achieve desirable spin alignments in the field of materials science but is seriously restricted by the difficulty of reaching high pressure with conventional methods. The search for simple and effective ways to apply pressure on the lattice is challenging but intriguing. Here we report a new strategy to manipulate the spin alignments of (Y,Lu)1.7Fe17 intermetallic compounds through unusual thermal pressure. The spin alignments of Fe initially lie parallel inside the basal plane and then turn spirally between adjacent layers with a zone axis along the c direction under higher Lu concentration. The synchrotron and neutron powder diffraction investigations clearly reveal that the direction of spin alignments is highly correlated to large lattice contraction induced by negative thermal expansion (NTE), an unusual thermal pressure, along the c direction. The critical lattice parameter c to form spiral spin alignments is determined unambiguously. This work presents a feasible way to adjust spin alignments through NTE, which might be conducive to the future design of particular spin alignments instead of physical pressure for functional magnetic materials.

17.
Inorg Chem ; 58(24): 16823-16830, 2019 Dec 16.
Artigo em Inglês | MEDLINE | ID: mdl-31799837

RESUMO

Polymorphism and temperature-induced phase transitions of Na2CoP2O7 were studied by in situ neutron powder diffraction and complemented by ab initio calculations to reconcile previous reports of its three polymorphs. We show that the "blue" form prepared at 873 K exists at room temperature in the orthorhombic Pna21 (= P21cn) phase, which transforms via a first-order transition to the tetragonal form at the temperature close to room temperature (∼335 K). Just above the transition, the tetragonal form is likely incommensurately modulated with the modulation vanishing at ∼423 K. Above that temperature the phase remains in the unmodulated tetragonal state (P42/mnm) until melting at ∼900 K. Upon cooling after melting, Na2CoP2O7 crystallizes into the "rose" triclinic P1 form which persists while it cools to room temperature, apparently stabilized by the barrier of the reconstructive "rose"-"blue" transition. We also discuss the relationship between the tetragonal and orthorhombic structures, the driving forces of the orthorhombic distortion, and similarity to Na2ZnP2O7 and the melilite-type structural family.

18.
Inorg Chem ; 58(20): 13742-13745, 2019 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-31566360

RESUMO

Knowledge of structure-property relationships is fundamental but significant in the exploitation of magnetic materials. Here we report that the high Al substitution for Fe transformed the crystal structure from a hexagonal Ho2Fe17 compound to a rhombohedral Ho2Fe11Al6 compound. Intriguingly, the latter shows unusual evolution of magnetization around 86 and 220 K compared with the former. Integrated investigations of the detailed structure analysis and magnetic performance on the Ho2Fe11Al6 compound demonstrate that the Ho2Fe11Al6 compound possesses a stable rhombohedral structure (R3̅m) from 5 to 430 K with preferred occupation of Al atoms and ferrimagnetic structure in which the magnetic moments of Ho and Fe lie antiparallel in the basal plane below the Curie temperature. The results of the temperature dependence of moments reveal that the disparate rates of change of the moments for Ho and Fe sublattices give rise to unusual evolution of magnetization around 86 and 220 K and then turn to paramagnetic above 280 K. This work provides clear structure and magnetization information on the Ho2Fe11Al6 compound, which may be beneficial to guiding the future development of magnetic materials.

19.
J Clin Periodontol ; 46(7): 751-757, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31050812

RESUMO

AIM: Since there is limited study to assist in an evidenced-based decision whether to extract or preserve a structurally compromised tooth, the aim of this retrospective study was to investigate the long-term survival rate of tooth preservation after crown lengthening procedure (CLP) and restorative treatments. METHODS: Electronic and paper chart of patients received CLP in our graduate clinic from 1990 to 2015 were reviewed. Statistical analysis was done using Cox regression analysis and Kaplan-Meier estimator. RESULTS: A total of 766 coded charts were initially collected. Four hundred and fourteen cases were included in the final analysis. The Kaplan-Meier estimate shows a cumulative survival rate of 88.3% in 5 years, 78.4% in 10 years and 68.1% in 15 years. In terms of reasons for failure, restorative problem such as recurrent decays was the main issue (35.2%), followed by fracture (29.6%), endodontic complications (23.9%) and periodontal breakdown (11.3%). CONCLUSIONS: Within the limitation of this study, structurally compromised teeth have a reasonable long-term survival rate close to 80% after 10 years in a teaching institute. Patients with high fracture or caries risk may pose a higher chance of failure. Objective information should be presented to the patient to arrive at an evidence-based decision.


Assuntos
Aumento da Coroa Clínica , Falha de Restauração Dentária , Coroas , Humanos , Estudos Retrospectivos , Coroa do Dente
20.
Implant Dent ; 28(2): 155-160, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30913111

RESUMO

PURPOSE: Periimplantitis has become an emerging challenge faced by practicing dentists worldwide. When treating periimplantitis, we should attempt to manage this problem via nonsurgical therapies that include addressing all modifiable systemic risk factors and local contributing factors. Hence, the aim of this narrative review was to examine published studies on nonsurgical treatment of periimplantitis and evaluate their effectiveness and limitations. MATERIALS AND METHODS: A literature search was performed in MEDLINE via PubMed database up to December 31, 2017. Current published clinical approaches focused on mechanical debridement, adjunctive antiseptic therapy, adjunctive antibiotic therapy, laser-assisted therapy, and combination approaches were included in this analysis. RESULTS: Nonsurgical therapy of periimplantitis may result in complete healing of the disease and the patient is then placed on a supportive maintenance program. If the disease is not resolved and surgical intervention is not an option, active nonsurgical retreatment may be considered. In many cases where disease is not resolved, surgical therapy or implant removal could be considered. CONCLUSIONS: Nonsurgical treatment of periimplantitis usually provides clinical improvements in reducing bleeding tendency and in some cases pocket reduction. Early diagnosis, detection, and intervention remain the key for managing periimplantitis.


Assuntos
Anti-Infecciosos , Terapia a Laser , Peri-Implantite , Antibacterianos , Terapia Combinada , Humanos
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