A General Strategy Based on Hetero-Charge Coupling Effect for Constructing Single-Atom Sites.

Single-atom catalysts have emerged as cutting-edge hotspots in the field of material science owing to their excellent catalytic performance brought about by well-defined metal single-atom sites (M SASs). Herein, we report a novel synthesis strategy based on the hetero-charge coupling effect (HCCE) to prepare M SASs loaded on N and S co-doped porous carbon (M1/NSC). The proposed strategy was widely applied to prepare 17 types of M1/NSC composed of single or multi-metal with the integrated regulation of the coordination environment and electronic structure, exhibiting good universality and flexible adjustability. Furthermore, this strategy provided a low-cost method of efficiently synthesizing M1/NSC with high yields, that can produce more than 50 g catalyst at one time, which is key to large-scale production. Among various as-prepared unary M1/NSC catalysts, Fe1/NSC delivered excellent performance for electrocatalytic nitrate reduction to NH3 with high NH3 Faradaic efficiency of 86.6% and high NH3 yield rate of 1.50 mg h-1 mgcat.-1 at -0.6 V vs. RHE. Even using Fe1/NSC as a cathode in a Zn-nitrate battery, it exhibited a high open circuit voltage of 1.756 V and high energy density of 4.42 mW cm-2 with good cycling stability.

Promoting effect of TiVC MXene on cathodic electrogenerated chemiluminescence of Ru(bpy)32+ and its application in the sensitive detection of sulfite.

The enhanced cathodic ECL of Ru(bpy)32+ at a bimetallic element MXenes (TiVC MXene) modified electrode in neutral aqueous condition is reported. TiVC MXene significantly catalyzed the oxygen reduction reaction (ORR) as well as the electrochemical reduction of Ru(bpy)32+ to produce reactive oxygen species and Ru(bpy)3+. The obtained hydroxyl radical (OH∙) not only oxidized Ru(bpy)3+ to generate Ru(bpy)32+* and emit light through coreactant pathway, but also oxidized Ru(bpy)32+ to Ru(bpy)33+, which caused an annihilation ECL reaction. As a result, two pathways occurred simultaneously to generate strong cathodic ECL signal. Sulfite removes the dissolved oxygen in water and reduces the occurrence of ORR, which prohibits the generation of OH∙ to decrease the ECL signal. The decrement of ECL intensity varied linearly with the concentration of sulfite in the range 2 nM to 50 µM with a detection limit of 0.14 nM (3σ). The proposed sensor exhibited good analytical performance, and could be used in the detection of sulfite in real samples. The results revealed that the electrocatalytic behavior of TiVC MXene is the key factor for strong cathodic Ru(bpy)32+ ECL, which provides new application in ECL sensing field.

Association between carbohydrate-to-fiber ratio and the risk of periodontitis.

Background/purpose: Periodontitis is a chronic multifactorial inflammatory disease with dental plaque accumulation. This study aimed to analyze the association between carbohydrate-to-fiber ratio and periodontitis risk. Materials and methods: In this cross-sectional study, the data of 6470 participants aged ≥30 years with available oral health exam data of periodontal status were collected from NHANES 2009-2014. Participants were divided into no & mild periodontitis group (n = 3309) and moderate & severe periodontitis group (n = 3161). The possible correlation between the carbohydrate-to-fiber ratio and the risk of periodontitis was explored via univariate and multivariable logistic regression analyses. Odds ratio (OR) and 95% confidence interval (CI) were applied as the effect size. Results: After adjusting for all the confounding factors, carbohydrate-to-fiber ratio <10.89 (OR = 0.82, 95% CI: 0.69-0.97), carbohydrate-to-fiber ratio of 10.89-14.02 (OR = 0.74, 95% CI: 0.63-0.87), carbohydrate-to-fiber ratio of 14.03-18.47 (OR = 0.83, 95% CI: 0.71-0.97) were correlated with reduced risk of periodontitis. In people aged ≥65 years, carbohydrate-to-fiber ratio of 10.89-14.02 (OR = 0.54, 95% CI: 0.30-0.95) and carbohydrate-to-fiber ratio of 14.03-18.47 (OR = 0.56, 95% CI: 0.37-0.86) were correlated with reduced risk of periodontitis in comparison with carbohydrate-to-fiber ratio ≥18.48 group. The decreased risk of periodontitis was also found in males with carbohydrate-to-fiber ratio of 10.89-14.02 (OR = 0.69, 95% CI: 0.49-0.97) and carbohydrate-to-fiber ratio of 14.03-18.47 (OR = 0.73, 95% CI: 0.56-0.95). In people without diabetes, we found that those with carbohydrate-to-fiber ratio <10.89 (OR = 0.75, 95% CI: 0.61-0.93), carbohydrate-to-fiber ratio of 10.89-14.02 (OR = 0.68, 95% CI: 0.53-0.88) and carbohydrate-to-fiber ratio of 14.03-18.47 (OR = 0.84, 95% CI: 0.70-0.99) were linked with lower risk of periodontitis. Conclusion: Low carbohydrate-to-fiber ratio was associated with decreased risk of periodontitis.

Anti-inflammatory activities of several diterpenoids isolated from Hemionitis albofusca.

Hemionitis albofusca (Baker) Christenh is a plant that grows in various regions of China. Although it is not recognized as a traditional medicine, it is often mistakenly labelled and used as Aleuritopteris argentea (S. G. Gmél.) Fée to alleviate menstruation-related issues. Recently, several diterpenoids such as ent-16-oxo-17-norkauran-19-oic acid (Compound A), 14-oxy-7ß,20-dihydroxycyath-12,18-diene (Compound B), ent-8(14),15-pimaradiene-2ß,19-diol (Compound C), ent-kaurane-16-ene-2ß,18α-diol (Compound D), ent-kaurane-2ß,16α,18α-triol (Compound E), and onychiol B have been extracted from H. albofusca. In this study, we investigated the anti-inflammatory activity of these diterpenes. We confirmed that compounds A ~ D suppressed the amount of cellular NO production by inhibiting the expression and transcription of iNOS protein. They also significantly inhibited the expression and transcription of inflammatory factors TNF-α and IL-6. Additionally, Compounds A and C suppressed the activation of the NF-κB signaling pathway and inhibited the phosphorylation level of p38, ultimately down-regulating inflammation. Compound B suppressed the activation of the NF-κB signaling pathway, while Compound D inhibited the phosphorylation level of p38 and down-regulated the activation of the p38 MAPK signaling pathway. In a word, our investigation supports the potential application of natural diterpenes as lead compounds for developing anti-inflammatory agents.

Regulating charge distribution of Cu3PdN nanocrystals for nitrate electroreduction to ammonia.

As-synthesized Cu3PdN nanocrystals displayed high faradaic efficiency and selectivity for nitrate-to-ammonia conversion. The excellent performances can be attributed to the charge redistribution in Cu3PdN as a result of modulations of the electronic structures of Pd and Cu atoms, which altered the adsorption activation energy of the intermediates during the nitrate reduction reaction process.

Flexible Synergistic MoS2 Quantum Dots/PEDOT: PSS Film Sensor for Acetaldehyde Sensing at Room Temperature.

Acetaldehyde (CH3CHO) is known as a primary carcinogen, and the development of wearable gas sensors for its detection at room temperature has rarely been rarely reported. Herein, MoS2 quantum dots (MoS2 QDs) have been employed to dope with poly(3,4-ethylenedioxythiophene): polystyrenesulfonate (PEDOT: PSS) via a simple in situ polymerization technique, and the CH3CHO gas-sensing properties of the resultant flexible and transparent film were investigated. MoS2 QDs had been evenly dispersed into the polymer, and it was shown that PEDOT: PSS doped with the 20 wt % MoS2 QDs sensor exhibited the highest response value of 78.8% against 100 ppm CH3CHO and its detection limit reached 1 ppm. Moreover, the sensor response remained stable for more than 3 months. In particular, the different bending angles (from 60 to 240°) had little effect on the sensor response to CH3CHO. The possible reason for the enhanced sensing properties was attributed to the large number of reaction sites on the MoS2 QDs and the direct charge transfer between the MoS2 QDs and PEDOT: PSS. This work suggested a platform to inspire MoS2 QDs-doping PEDOT: PSS materials as wearable gas sensors for highly sensitive chemoresistive sensors to detect CH3CHO at room temperature.

Efficacy of Adjunctive Chlorhexidine in non-surgical treatment of Peri-Implantitis/Peri-Implant Mucositis: An updated systematic review and meta-analysis.

Objective: The current review aimed to assess the efficacy of adjunctive chlorhexidine (CHX) in the non-surgical treatment of peri-implantitis/peri-implant mucositis. Methods: PubMed, Embase, Science Direct, CENTRAL, and Google Scholar databases were searched up to 10th March 2022 for relevant randomized controlled trials or controlled clinical trials. Results: Fourteen studies were included. Meta-analysis revealed significantly lower probing depths in peri-implant mucositis patients using CHX adjuncts as compared to controls (SMD: -1.49 95% CI: -2.56, -0.42 I2=95% p=0.006). However, the same effect was not noted in peri-implantitis (SMD: -1.18 95% CI: -0.04, 2.40 I2=96% p=0.06). CHX was not found to improve bleeding of probing in peri-implant mucositis while sufficient data was unavailable for peri-implantitis. Results on other outcome variables were conflicting. Conclusion: Evidence on the efficacy of adjunctive CHX for peri-implant mucositis is conflicting. Similarly, strong conclusions on the effect of CHX for peri-implantitis cannot be drawn due to limited number of studies. Overall, there seems to be a trend of non-significant impact of CHX on outcomes of peri-implant mucositis as well as peri-implantitis.

Supramolecular Host-Guest Hydrogel Based on γ-Cyclodextrin and Carboxybenzyl Viologen Showing Reversible Photochromism and Photomodulable Fluorescence.

Much effort has been devoted to the development of supramolecular hydrogels due to their broad applications and conveniently controllable properties. Here, we demonstrate a novel supramolecular host-guest hydrogel, which is constructed by the host γ-CD complexed with the guest 1-(4-carboxybenzyl)-4,4'-bipyridinium chloride (1+·Cl-) through the π···π interaction, hydrogen bonding, and host-guest interactions. The supramolecular hydrogel [1+@γ-CD]n exhibits reversible electron transfer photochromic behavior and photomodulable fluorescence. The excellent photochromic and fluorescence properties support the practical utility of the supramolecular hydrogel as a visual display and anti-counterfeiting material.

Spectrally tunable humic acid-based carbon dots: a simple platform for metronidazole and ornidazole sensing in multiple real samples.

Humic acid-based carbon dots (HACDs) have excellent properties and are widely used in environmental detection, bioimaging, and optoelectronic materials. Herein, we investigated the structure-activity relationship between the morphology and optical properties of HACDs, and reported on a novel strategy for metronidazole (MNZ) and ornidazole (ONZ) sensing in multiple real samples. It was found that the average particle size decreased from 3.28 to 2.44 nm, optimal emission wavelength was blue-shifted from 500 to 440 nm, and the quantum yield (QY) improved from 5 to 23% with the temperature increasing from 110 to 400 °C. Under the oxidation of hydrogen peroxide (H2O2) and potassium permanganate (KMnO4), the UV-vis spectra of HACD aqueous solution showed time-dependent behavior, and the fluorescence emission of HACDs achieved spectrally tunable multi-color luminescence in the temporal dimension. The surface of HACDs contained a large number of hydroxyl (-OH) and carboxyl (-COOH) fluorophores, resulting in excellent pH sensing. Meanwhile, the synthesized HACDs revealed sensitive response to MNZ and ONZ with the limit of detection (LOD) of 60 nM and 50 nM in aqueous solutions, which had also been successfully applied in various actual samples such as lake water, honey, eggs, and milk with satisfactory results because of the inner filter effect (IFE). Our research is advantageous to enhance the potential applications of HACDs in advanced analytical systems.

Colorimetry Combined with Inner Filter Effect-Based Fluorometry: A Versatile and Robust Strategy for Multimode Visualization of Food Dyes.

Herein, a strategy combining colorimetry and inner filter effect (IFE)-based fluorometry was developed for multimode visualization of food dyes (FDs) using CdTe quantum-dots-doped fluorescent indicator papers as a sample-to-answer device. Colorimetry was straightforwardly achieved by FDs extraction through electrostatic interaction and hydrophobic effect while fluorometry was implemented by IFE-induced fluorescence quenching. RGB/gray-scale values of colorimetry and fluorometry were furtherly picked by a smartphone application and applied to reconstruct color information-based digital image analysis for both direct alignments and linear regression analysis. The apparent color and fluorescence of FDs-bound indicator papers, together with their digitized color information, showed a good mapping to FDs concentrations in the range of 0-0.5 mg/mL for Sunset Yellow, 0-0.2 mg/mL for Allura Red, and 0-0.08 mg/mL for Brilliant Blue. As a proof of concept, the dosages of these FDs in real beverages and simulated dye effluents were deduced and cross-validated by different visualization modes, and finally double-checked by instrumental techniques such as spectrometric methods, high-performance liquid chromatography (HPLC), and mass spectroscopy (MS). The above findings concluded that (i) IFE mechanism is generally applicable to build fluorometric systems and (ii) cross validation of different visualization modes can markedly improve detection accuracy, which may provide references for design and fabrication of novel "lab-on-paper" devices for visualization applications with high reliability.

An inclusion complex of cucurbit[7]uril with benzimidazolyl benzyl viologen exhibits fluorescence and photochromic properties.

In order to investigate the photochromic mechanism of photochromic materials based on supramolecular host-guest systems, we designed and synthesized a unique viologen derivative (benzimidazolyl benzyl viologen, guest 1·Cl3), which does not contain oxygen atoms. The binding interaction of guest 13+ with host cucurbit[7]uril (Q[7]) was investigated by various techniques. The obtained supramolecular host-guest complex 13+@Q[7] exhibits interesting fluorescence emission and reversible photochromism. The ESR and XPS experimental data suggest that the photochromic process of the complex 13+@Q[7] comes from the electron transfer from the carbonyl O atoms of the host Q[7] to the bipyridinium N atoms of the guest 13+.

Effect of Different Repair and Reconstruction Methods Combined with Psychological Intervention on Quality of Life and Negative Emotion in Patients with Oral Cancer.

Objective: To explore the effects of different repair and reconstruction methods combined with psychological intervention on the quality of life and negative emotion of patients with oral cancer. Methods: 180 patients with oral cancer treated in our hospital from January 2018 to January 2020 were randomly divided into group A, group B, and group C, with 60 cases in each group. Group A and group B were repaired with submental island flap and free flap, respectively. Group C was divided into two groups, and group C was treated with routine nursing intervention. Group A and group B received psychological intervention. Clinical symptom scores, complication rate (CR), quality of life (according to the University of Washington quality of life questionnaire, UW-QOL), and negative emotion scores were compared. Results: After intervention, the clinical symptom scores and negative emotion scores of groups A and B were lower than those of group C (P < 0.001), as well as the CR (P < 0.05), and the UW-QOL scores of groups A and B were higher than those of group C (P < 0.05), but no significant differences in these aspects were presented between group A and group B (P > 0.05). The main factors affecting quality of life were swallowing/chewing, language, and saliva in group A; swallowing/chewing, language, and taste in group B; and appearance, swallowing/chewing, emotion, and language in group C. Conclusion: Psychological intervention can improve the mental state of patients with oral cancer after operation, optimize the effect of operation, and improve the quality of life. As the effect of psychological intervention on patients undergoing different repair and reconstruction methods is similar, it should be given according to patients' actual condition in the clinic.

Semiquantitative naked-eye detection of synthetic food colorants using highly-branched pipette tip as an all-in-one device.

The existing strategies for the determination of synthetic food colorants (FCs) in manufactured foods are highly relied on specialized instruments and skilled personnel which are limited by the high technical threshold and instrumentation cost. Herein, highly branched pipette tips (PTs) were fabricated as a robust all-in-one device for high-performance extraction and visual detection of FCs via handy aspiration and dispensing procedures of pipette controller. The density of extraction groups and inner specific surface area of PTs greatly increased after facile physical coating and subsequent layer-by-layer branching reactions, and the maximum increment in binding capacity of PTs was exceeded 300 times at 8-10 iterations of branching layers, enabling the PTs to be colored just by short-time extraction of FCs and to achieve the instrument-independent visual detection of FCs by virtue of their outstanding PT-SPE performance. As a proof-of-concept, the in-situ PT-based solid phase extraction (PT-SPE) with high recoveries (from 91.73 ± 4.76% to 99.90 ± 4.14%) and semiquantitative naked-eye detection of FCs (Allura red and brilliant blue) in real beverages were experimentally demonstrated to be highly feasible by comparison with classical techniques like spectrophotometry, HPLC, and mass spectrometry.

A light-responsive molecular switch based on cucurbit[7]uril and 1,1'-bis(benzyl)-4-[2-(4-pyridyl)-vinyl]-pyridinium dibromide displaying white light emission.

By using 1H NMR, ESI-MS and UV spectra, a novel light-responsive molecular switch constructed using 1,1'-bis(benzyl)-4-[2-(4-pyridyl)-vinyl]-pyridinium (12+) and cucurbit[7]uril (Q[7]) is demonstrated. The E- to Z-isomerization of the double bond in 12+ results in the transition of the switching states from the 1 : 2 complex E-12+@Q[7]2 to the stable 1 : 1 complex Z-12+@Q[7]. In particular, both the 1 : 2 complex and the 1 : 1 complex can emit cold white fluorescence under UV light.

[Effect of dragon's blood extract on periodontal tissue repair and TLR4/NF-κB signal pathway].

PURPOSE: To discuss the effects of dragon's blood extract, a Chinese herb, on periodontal tissue repair and toll like receptor 4/nuclear transcription factor kappa B(TLR4/NF-κB) in gingivitis rats. METHODS: Sixty rats were randomly divided into control group, gingivitis group and low, medium and high dose groups of dragon's blood extract, with 10 rats in each group. Except the control group, the gingivitis rat model was established by silk thread ligation in other groups. The model was established successfully. The low, medium and high dose groups rats were given 150, 300 and 600 mg·kg-1·d-1 dragon's blood extract successively by gavage (once a day for 4 weeks). Rats in the model group and the control group were given the same amount of normal saline by gavage at the same time. After the rats were sacrificed under anesthesia, the jaw tissue of the left maxillary second molar was stained with methylene blue to observe and measure the loss of alveolar bone (ABL), H-E staining was used to observe the pathological changes of periodontal tissue (jaw tissue). The levels of IL-17 and IL-4 in periodontal tissue (jaw tissue) of rats in each group were detected by enzyme-linked immunosorbent assay (ELISA). Bone morphogenetic protein-2(BMP-2), TLR4 and NF-κB p65 protein level in rat periodontal tissue were detected by Western blot. SPSS 19.0 software package was used to analyze the data. RESULTS: Compared with the control group, IL-17, IL-4, TLR4 and NF-κB p65 protein and ABL in jaw tissue of model group were significantly increased (P＜0.05), and the level of BMP-2 protein in jaw tissue significantly decreased (P＜0.05). Compared with the model group, IL-17, IL-4, TLR4 and NF-κB p65 protein and ABL in jaw tissue of rats in low, medium and high dose groups of dragon's blood extract were significantly increased, and the level of BMP-2 protein significantly decreased(P＜0.05). CONCLUSIONS: Dragon's blood extract can inhibit TLR4/NF- κB. Activation of B pathway inhibits inflammatory response and promotes periodontal tissue repair in gingivitis rats.

Immediate vs Conventional Loading of Mandibular Overdentures: A Comprehensive Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Clinicians treating overdenture patients need to know if immediate loading and conventional loading results in similar outcomes. This study aimed to perform a systematic literature search of studies comparing immediate and conventional loading of mandibular overdentures irrespective of the number of implants and conduct a meta-analysis of implant failure and marginal bone loss (MBL). A literature search of PubMed, ScienceDirect, Ovoid, Springer, and Google Scholar databases was performed for randomized controlled trials (RCTs) comparing immediate vs conventional loading of mandibular overdentures. The primary outcome was implant failure and the secondary outcome was marginal bine loss (MBL). A descriptive analysis was performed for other outcomes. Thirteen trials were included. Only one trial compared the immediate and delayed loading of single implant-supported overdenture. Seven trials used 2 implants, 1 trial used 3 implants while 4 trials used 4 implants. Meta-analysis indicated no statistically significant difference in implant failure and MBL between immediate and conventional loading of 2- and 4-implant supported overdentures. Descriptive analysis indicated no difference in peri-implant tissue indices, implant stability, and quality of life outcomes between the 2 loading protocols. There may be no difference in implant failure and MBL with immediate loading or conventional loading of 2- and 4-implant supported mandibular overdentures. Literature review indicates that there may be no difference in peri-implant tissue indices, implant stability, and quality of life outcomes between the 2 loading protocols. The overall quality of evidence is moderate. Further, adequately powered RCTs are required to strengthen the evidence.

Metabolomic profiling of ZrO2 nanoparticles in MC3T3-E1 cells.

The authors' previous study showed that zirconium oxide nanoparticles (ZrO2 NPs) induce toxic effects in MC3T3-E1 cells; however, its toxicological mechanism is still unclear. Liquid chromatography-mass spectrometry/time-of-flight mass spectrometry was used to reveal the metabolite profile and toxicological mechanism of MC3T3-E1 cells in response to ZrO2 NPs. The results demonstrated that MC3T3-E1 cells treated with ZrO2 NPs for 24 and 48 h presented different metabolic characteristics. Following ZrO2 NP treatment for 24 h, 96 upregulated and 129 downregulated metabolites in the positive ion mode, as well as 91 upregulated and 326 downregulated metabolites in the negative ion mode were identified. Following ZrO2 NP treatment for 48 h, 33 upregulated and 174 downregulated metabolites were identified in the positive ion mode, whereas 37 upregulated and 302 downregulated metabolites were confirmed in the negative ion mode. Among them, 42 differential metabolites were recognised as potential metabolites contributing to the induced toxic effects of ZrO2 NPs in MC3T3-E1 cells. Most of the differential metabolites were lysophosphatidylcholine and lysophosphatidylethanolamide, indicating that exposure to ZrO2 NPs may have a profound impact on human cellular function by impairing the membrane system. The results also provide new clues for the toxicological mechanism of ZrO2 NP dental materials.

Outcomes of implants placed after osteotome sinus floor elevation without bone grafts: a systematic review and meta-analysis of single-arm studies.

BACKGROUND: The aim of this study is to evaluate the implant survival/success rate, gain in alveolar bone height, crestal bone loss, and complications associated with implants placed in the posterior maxilla after osteotome sinus floor elevation without bone substitutes. METHODS: The electronic databases, such as MEDLINE, EMBASE, CENTRAL, and SCOPUS were systematically and manually searched for publications in peer-reviewed journals. The included articles were subjected to qualitative and quantitative analyses, and the meta-analysis was carried out for single-arm studies. Methodological quality assessment was made for all the included studies. RESULTS: The included studies were of moderate quality, with the overall implant success and survival rates of 98.3% and 97.9% respectively. The most frequent intra-surgical complication was sinus membrane perforation, accounting for 3.08% of the total implants with reported perforations. The overall crestal bone loss in patients with immediate implants placed with OSFE after a 5-year follow-up was 0.957 mm 95%CI (0.538, 1.377). CONCLUSION: Within the limitations of this review, it can be concluded that the survival and success rates of implants placed immediately along with OSFE without any bone substitutes are acceptable and show adequate implant stability with less crestal bone loss over 5 years.

3D­printed Ti6Al4V scaffolds combined with pulse electromagnetic fields enhance osseointegration in osteoporosis.

The loosening and displacement of prostheses after dental implantation and arthroplasty is a substantial medical burden due to the complex correction surgery. Three­dimensional (3D)­printed porous titanium (pTi) alloy scaffolds are characterized by low stiffness, are beneficial to bone ingrowth, and may be used in orthopedic applications. However, for the bio­inert nature between host bone and implants, titanium alloy remains poorly compatible with osseointegration, especially in disease conditions, such as osteoporosis. In the present study, 3D­printed pTi scaffolds with ideal pore size and porosity matching the bone tissue, were combined with pulse electromagnetic fields (PEMF), an exogenous osteogenic induction stimulation, to evaluate osseointegration in osteoporosis. In vitro, external PEMF significantly improved osteoporosis­derived bone marrow mesenchymal stem cell proliferation and osteogenic differentiation on the surface of pTi scaffolds by enhancing the expression of alkaline phosphatase, runt­related transcription factor­2, osteocalcin, and bone morphogenetic protein­2. In vivo, Microcomputed tomography analysis and histological evaluation indicated the external PEMF markedly enhanced bone regeneration and osseointegration. This novel therapeutic strategy has potential to promote osseointegration of dental implants or artificial prostheses for patients with osteoporosis.

Passive medialization of the inferior alveolar nerve to facilitate implant placements in a patient with severe atrophic posterior mandible.

Placing implants in the edentulous jaw of an individual with severe posterior mandibular atrophy is challenging due to the insufficient bone height above the inferior alveolar nerve canal. The different reconstruction techniques available cause extensive morbidity, are costly, and require prolonged treatments. In here we report a case series of patients treated with a new minimally invasive technique to facilitate implant placement in patients with severely atrophied posterior mandible.