Miguel Penarrocha | University of Valencia (original) (raw)

Papers by Miguel Penarrocha

Research paper thumbnail of Med Oral Patol Oral Cir Bucal. 2009 Mar 1;14 (3):E133-6. Perforation of the sinus membrane in sinus lift Journal section: Oral Surgery Publication Types: Review

Influence of perforation of the sinus membrane on the survival rate of implants placed after dire... more Influence of perforation of the sinus membrane on the survival rate of implants placed after direct sinus lift. Literature update

Research paper thumbnail of Radiological Outcomes of Bone-Level and Tissue-Level Dental Implants: Systematic Review

International Journal of Environmental Research and Public Health, 2020

Background: to assess the radiological marginal bone loss between bone-level or tissue-level dent... more Background: to assess the radiological marginal bone loss between bone-level or tissue-level dental implants through a systematic review of literature until September 2019. Methods: MEDLINE, Embase and other database were searched by two independent authors including only English articles. Results: The search provided 1028 records and, after removing the duplicates through titles and abstracts screening, 45 full-text articles were assessed for eligibility. For qualitative analysis 20 articles were included, 17 articles of them for quantitative analysis counting a total of 1161 patients (mean age 54.4 years) and 2933 implants, 1427 inserted at Tissue-level (TL) and 1506 inserted at Bone-level (BL). The survival rate and the success rate were more than 90%, except for 2 studies with a success rate of 88% and 86.2%. No studies reported any differences between groups in term of success and survival rates. Three studies showed that BL-implants had statistically less marginal bone loss (p...

Research paper thumbnail of Immediate prosthesis over implants retained using abutments with flexible screws: A preliminary study

Journal of Clinical and Experimental Dentistry, 2017

Background: Immediate loading protocols for the rehabilitation of edentulous or partially edentul... more Background: Immediate loading protocols for the rehabilitation of edentulous or partially edentulous patients have become very popular, due to the conveniences they afford in comparison with conventional loading techniques. Material and Methods: A preliminary study was carried out with 8 patients subjected to dental implant treatment with an immediate loading protocol involving a novel system of abutments with flexible screws. Implant survival was analyzed, together with marginal bone loss and patient and dentist satisfaction. Results: A total of 35 implants were subjected to immediate loading using the abutments with flexible screws. The mean patient and dentist satisfaction score was 9.1 and 8.5, respectively. After 12 months the dental implant survival rate was 95.8%, with a mean marginal bone loss of 0.51 ± 0.12 mm. Conclusions: The novel system of abutments with flexible screws offers a good alternative to conventional immediate loading, since it allows rapid and simple manufacture of a reliable passive fit, fixed interim prosthesis after surgery.

Research paper thumbnail of Injertos óseos en bloque intraorales tipo onlay: estudio de los tejidos duros y blandos periimplantarios

Los injertos oseos en bloque intraorales tipo onlay son una opcion terapeutica para incrementar t... more Los injertos oseos en bloque intraorales tipo onlay son una opcion terapeutica para incrementar tanto la anchura como la altura del proceso alveolar para la posterior colocacion de los implantes dentales. La colocacion simultanea del implante con el injerto oseo permitiria acortar el tiempo de tratamiento y evitar un segunda cirugia, sin embargo aunque se ha descrito ampliamente en el aumento vertical, son escasos los estudios en el tratamiento del aumento horizontal. Por otro lado, diversos procedimientos se han utilizado para la atrofia vertical de los sectores posteriores de la mandibula atrofica, sin embargo las complicaciones relacionadas con los procedimientos de aumento ha hecho que revisiones sistematicas recientes valoren positivamente la alternativa de los implantes dentales cortos. Ademas la valoracion de los tejidos blandos asi como de la satisfaccion del paciente es fundamental para considerar el exito del tratamiento y son escasos los estudios que aportan datos al resp...

Research paper thumbnail of Estudio comparativo entre la anestesia intraósea y las técnicas de anestesia oral convencionales

Hemos practicado un total de 100 anestesias loco-regionales bucales, en 50 pacientes, a cada uno ... more Hemos practicado un total de 100 anestesias loco-regionales bucales, en 50 pacientes, a cada uno de ellos se le realizaron dos tratamientos conservadores o endodoncias de dientes vitales; en cuadrantes homónimos contralaterales y con una semana de separación entre las dos intervenciones. Todos los pacientes eran menores de 45 años y sin antecedentes personales patológicos. Se les pasó un protocolo previamente establecido y los datos fueron codificados para el posterior tratamiento estadístico. Se realizaron 92 tratamientos dentales conservadores y 8 endodoncias. Con la anestesia infiltrativa/troncular se utilizó una media de 1,36 carpules de lidocaina al 2%, con 1: 100.000 de epinefrina por paciente, y con la intraósea 0,5 carpules de mepivacaina al 3%, sin vasoconstrictor. Durante la práctica de la anestesia no notaron nada o muy di scretas molestias el 86% de los casos con técnicas habituales, frente al 70% con intraósea. Durante la intervención no tuvieron molestias el 88% de los casos con técnicas habituales y el 74% con la intraósea. Tras concluir los tratamientos dentales, nada o muy ligera sensación de adormecimiento refirieron el 20% con técnicas convencionales, frente a la totalidad con intraósea. El 58% de los pac ientes prefirieron la intraósea, frente al 14% que se definieron por la troncularlinfiltrativa, el 24% no encontraron diferencias significativas. Palabras Clave: Anestesia oral, anestesia intraósea. anestesia intraseptal, anestesia intraalveolar. SU M MAR Y 100 dental local anesthetics procedures were studied, practiced in 50 patients, cach one of them were subjected to two conservative dental treatments or endodontics of vital teeth, in the adjacent quadrant, with an interval of a week. All patients were younger than 45 and without pathologie antecedents. A previously established protocol was completed and data were codified for posterior statistical treatment. 92 dental reconstructions and 8 endodontics were performed. With infiltration or nerve block we used a mean of 1,36 cartridge of 2 percent lidocaine with 1:100.000 epinefhrine, and with intraouseus anaesthesia 0,5 cartridges of 3 percent mepivacaine. During anestethia practice no discomfort was refered to by 86% with convencional techniques and 70% with intraosseus anesthesia. During procedures 88% of patients treated with convencional techniques and 74% with intraosseous did not refer to pain or discomfort. After concluded dental treatments, little or no numbness was felt by 20% of infiltrative or block anesthesia, and by al¡ patients treated with intraoseus techniques. 58% of all patients preferred intraosseus anesthesia, 14% the blocks/infiltrati ve anesthesia, and 24% did not find significativa differences between either.

Research paper thumbnail of Relación entre el perfil psicológico del paciente y la calidad de vida tras la extracción quirúrgica del tercer molar inferior

La evolucion postoperatoria tras la extraccion de los terceros molares depende de una serie de fa... more La evolucion postoperatoria tras la extraccion de los terceros molares depende de una serie de factores propios de cada paciente y de factores propios de la intervencion quirurgica. Pero algunos factores, principalmente psicologicos y psicosociales, pueden ser importantes cuando analizamos la sintomatologia del paciente, el riesgo de complicaciones cronicas y la resolucion de los sintomas. Se conoce muy poco sobre que potencial predictivo tienen las alteraciones psicologicas preoperatorias sobre la severidad de las complicaciones tras la exodoncia del tercer molar. Aunque se ha estudiado mucho sobre las condiciones clinicas asociadas a los terceros molares incluidos, se sabe poco acerca del impacto que estas condiciones tienen sobre la calidad de vida de los pacientes. La alteracion del sueno es un elemento esencial del modelo conceptual para los problemas relacionados con el sueno en pacientes con dolor. El dolor y el insomnio estan relacionados de forma independiente a la reduccio...

Research paper thumbnail of Parámetros clínicos y características microbiológicas en pacientes con tejidos periimplantarios sanos, mucositis y peri-implantitis

La restauracion de los dientes ausentes mediante implantes dentales constituye hoy en dia un trat... more La restauracion de los dientes ausentes mediante implantes dentales constituye hoy en dia un tratamiento rutinario y muy extendido. Varios estudios longitudinales han demostrado altas tasas de supervivencia de los implantes en funcion, que van desde el 90?% al 95?% en un periodo de hasta 20 anos de seguimiento. Las complicaciones biologicas alrededor de los implantes dentales se clasifican en tempranas y tardias. Los fracasos tempranos son los que tienen lugar en el tiempo hasta la conexion del pilar al implante y son mas faciles de diagnosticar debido a la falta de osteointegracion. Los fracasos tardios son el resultado de la incapacidad de mantener la oseointegracion, siendo la complicacion mas importante la peri-implantitis. Objetivos: En 54 pacientes portadores de 344 implantes dentales con al menos una arcada dentaria desdentada total, rehabilitada totalmente con implantes dentales, se tomaron en 146 cuadrantes dentales los parametros clinicos y microbiologicos con los siguient...

Research paper thumbnail of Elevación sinusal indirecta con o sin injerto óseo en maxilares superiores atróficos

En la zona posterior del maxilar suele presentarse una escasa disponibilidad osea vertical, debid... more En la zona posterior del maxilar suele presentarse una escasa disponibilidad osea vertical, debido a senos maxilares muy neumatizados o grandes atrofias de la cresta alveolar, impidiendo la colocacion de los implantes de forma convencional. Uno de los posibles tratamientos de esta limitacion anatomica seria la elevacion sinusal, mediante la tecnica directa o la indirecta, consideradas actualmente una practica quirurgica habitual en la implantologia oral. La elevacion sinusal indirecta, con introduccion de material de injerto y colocacion inmediata del implante, fue descrita por Summers en 1994. Se trataba de una nueva forma de elevacion sinusal usando una serie de osteotomos de diametros diferentes, que permitia la preparacion del lecho del implante, accediendo a traves de la cresta alveolar. Actualmente existe controversia en la necesidad de colocar un injerto oseo para mantener el espacio en el seno maxilar y conseguir la neoformacion osea; se ha descrito en una serie de estudios ...

Research paper thumbnail of Peri-implant Tissues and Patient Satisfaction After Treatment of Vertically Augmented Atrophic Posterior Mandibles with Intraoral Onlay Block Bone Grafts: A Retrospective 3-Year Case Series Follow-up Study

The International Journal of Oral & Maxillofacial Implants, 2018

To evaluate the peri-implant soft and hard tissues of dental implants placed in vertically regene... more To evaluate the peri-implant soft and hard tissues of dental implants placed in vertically regenerated posterior mandibles with intraoral onlay block bone grafts and patient satisfaction at 3-year follow-up. Materials and Methods: A retrospective study of patients with dental implants placed in posterior mandibular sites vertically augmented with intraoral onlay block bone grafts was carried out between 2005 and 2009 at the University of Valencia. The outcomes assessed at the 3-year follow-up visit were the peri-implant soft tissues (Plaque Index and Bleeding Index, probing depth, keratinized mucosa width, and recession), implant survival and success rates, marginal bone loss, and patient satisfaction. Results: Sixteen patients with 36 implants were included. The mean Plaque Index and Bleeding Index scores were ≤ 0.4. The mean band of facial keratinized mucosa was ≥ 3 mm in 52.7% of implants; 38.8% of the implants showed facial recession. The mean midfacial recession was-0.31 ± 0.75 mm. Implant survival reached 100%, while the success rate was 85%, and the mean marginal bone loss was 1 ± 1.03 mm (range: 0.1 to 5.3). Good quality of life (9.19 ± 0.40) was reported for all patients, and the overall general satisfaction score was 8.

Research paper thumbnail of In Vitro Study on Bone Heating during Drilling of the Implant Site: Material, Design and Wear of the Surgical Drill

Materials, 2020

Objective: An in vitro study was made to compare mean thermal variation according to the material... more Objective: An in vitro study was made to compare mean thermal variation according to the material, design and wear of the surgical drills used during dental implant site preparation. Material and methods: Three study groups (stainless steel drills with straight blades; diamond-like carbon-coated drills with straight blades; and diamond-like carbon-coated drills with twisted blades) were tested to compare material, design and wear of the surgical drill in terms of overall mean values (complete sequence of drills) and specific mean values (each drill separately). The groups comprised four drills: initial, pilot, progressive and final drill. Implant site configuration was performed through an intermittent and gradual drilling technique without irrigation at 800 rpm in standardized synthetic blocks. Maximum axial loading of two kilograms was controlled by an automatic press. Each surgical drill was submitted to 50 drillings and was sterilized every five uses. A thermographic camera anal...

Research paper thumbnail of Comparison of peri-implant bone loss between conventional drilling with irrigation versus low-speed drilling without irrigation

Medicina Oral Patología Oral y Cirugia Bucal, 2017

Irrigation versus no irrigation drilling e730

Research paper thumbnail of Bone-Healing Pattern on the Surface of Titanium Implants at Cortical and Marrow Compartments in Two Topographic Sites: an Experimental Study in Rabbits

Materials, 2018

This study evaluates the bone-healing patterns on the surface of titanium implants at the cortica... more This study evaluates the bone-healing patterns on the surface of titanium implants at the cortical and marrow compartments of bicortically-installed implants in the diaphysis and metaphysis of rabbit tibiae. In 27 New Zealand rabbits, two implants, one for each macro-design and with equal resorbable blasted media (RBM) implant surfaces, were randomly implanted in the diaphysis or metaphysis of each tibia. The flaps were sutured to allow submerged healing. The animals were sacrificed after two, four, or eight weeks, with nine weeks used for the period of healing. Ground sections were prepared and analyzed. No statistically significant differences were found between the two groups for newly formed bone in contact with the implant surface after two, four, and eight weeks of healing. Bone apposition in the marrow compartment was slightly higher in the diaphysis compared to metaphysis regions across healing stages. Despite the limitations of the present study, it can be concluded that ne...

Research paper thumbnail of Periapical implant lesion: A systematic review

Medicina Oral Patología Oral y Cirugia Bucal, 2017

Purpose: The aim of this study was to systematically review the evidence for periapical implant l... more Purpose: The aim of this study was to systematically review the evidence for periapical implant lesion, which makes a patient more susceptible to the periapical lesion, frequency, symptoms, signs (including radiological findings) and possible treatment options. Material and Methods: A systematic literature review and analysis of publications included in PubMed, Embase and Cochrane; articles published until March 2016; with a populations, exposures and outcomes (PEO) search strategy was performed, focused on the issue: "In patients with periapical lesion to the implant during the osseointegration, what symptoms, signs, and changes in complementary examination manifested, for according to that stage, be intervened with the appropriate approach?". The set criteria for inclusion were peer-reviewed articles. Results: From a total of 212 papers identified, 36 studies were included in this systematic review, with 15461 implants evaluated and 183 periapical implant lesions. Which 8 papers included more than 5 cases and 28 included equal or less than 5 cases. Analysis of the papers revealed that periapical implant lesion is classified according to evolution stages into acute (non-suppurated and suppurated) and subacute (or suppurated-fistulized). In the acute stage and in the subacute if there is no loss of implant stability, the correct treatment approach is implant periapical surgery. In the subacute stage associated with implant mobility the implant must be removed. Conclusions: Evidence on the subject is very limited, there are few studies with small sample, without homogeneity of criteria for diagnosing the disease and without design of scientific evidence. Currently etiology lacks consensus. The early diagnosis of periapical implant periapical lesions during the osseointegration phase and early treatment, will lead to a higher survival rate of implants treated, hence preventing the need for implant extraction.

Research paper thumbnail of State of the art and clinical recommendations in periapical implant lesions. 9th Mozo-Grau Ticare Conference in Quintanilla, Spain

Journal of Clinical and Experimental Dentistry, 2017

This manuscript summarizes the statements and clinical recommendations in periapical implant lesi... more This manuscript summarizes the statements and clinical recommendations in periapical implant lesions, as per the state of the art and expert opinion agreement among the participants in the 9th Mozo-Grau Conference 2016 held in Quintanilla (Valladolid, Spain). The current status of the concept, frequency, etiology, diagnosis, clinical classification, surgical procedure and prognosis are described. If following implant placement localized pain develops in the periapical area, with or without radiographic changes, the diagnosis of periapical implant lesion should be suspected. It is important to monitor the condition in order to identify any change in its evolution. Radiological changes in the periapical radiographs are not always manifest in the early stages, and in this regard small-volume cone beam computed tomography can help us visualize such peri-implant changes. The early diagnosis of periapical implant lesions during the osseointegration phase and the provision of early treatment result in increased implant survival rates, thereby avoiding the need for implant extraction.

Research paper thumbnail of Soft Tissue Response in Posterior Teeth Adjacent to Interdental Single Implants: A Controlled Randomized Clinical Trial Comparing Intrasulcular vs Trapezoidal Incision

The International Journal of Oral & Maxillofacial Implants, 2016

To evaluate the soft tissue response in posterior teeth adjacent to interdental single implants c... more To evaluate the soft tissue response in posterior teeth adjacent to interdental single implants comparing intrasulcular and trapezoidal incision, and to study their evolution over time. Materials and Methods: A controlled randomized clinical trial was carried out in the Oral Surgery and Implantology Unit of a University Clinic. All the included patients received an interdental single implant (Frontier 2.45, Ilerimplant; Global Medical Implants). The incision type was randomized by sealed envelopes into two groups using the SPSS statistical package (SPSS): (1) intrasulcular or (2) trapezoidal incision. Probing depth and gingival recession at the mesial and distal teeth adjacent to the implant were measured before implant placement, 1 month after surgery, the day of the abutment connection, and at 6 months and 1 year postloading. Scar formation and papilla index were measured 1 month after surgery, and at 6 months and 1 year postloading. Results: Forty patients with one implant per patient were included: 20 in the intrasulcular and 20 in the trapezoidal group. No statistical differences were found between incision types in the measured parameters (probing depth, recession, and interproximal papilla). When analyzing periodontal changes of the total sample, significant differences were found between implant placement and the 1-year follow-up in recession, scar formation, and papilla index. Conclusion: The incision type used to place a single interdental implant did not significantly influence the periodontal parameters of the adjacent teeth. Considering the whole sample, the values between implant placement and 1 year postloading showed significant differences in recession, scar formation, and papilla index over time.

Research paper thumbnail of Terceros molares mandibulares, indicaciones de extracción y relación con el apiñamiento antero-inferior

Archivos De Odontoestomatologia, 2003

La erupcion de los terceros molares suele acontecer entre los 20 y los 24 anos, y van a situarse ... more La erupcion de los terceros molares suele acontecer entre los 20 y los 24 anos, y van a situarse en un especio limitado, por corresponderle el ultimo lugar, tanto en la erupcion como en la posicion en la arcada. La falta de espacio para la erupcion normal del cordal inferior produce la inclusion del mismo y se ha relacionado con el apinamiento antero-inferior, siendo un punto discutido. Su extraccion, es uno de los procedimientos mas frecuentes en el campo de la cirugia. Las causas de su inclusion son de tipo embriologico y anatomico. Sus manifestaciones pueden ser caracter infeccioso, mecanico, nervioso, quistico, tumoral y periodontal. Antes de la cirugia es obligado el examen radiologico. Hay autores que avalan la exodoncia profilactica para prevenir cualquier patologia futura, incluso en estadio de germen (germenectomia). La indicacion de la extraccion se establece cuando existe patologia asociada al cordal, sin embargo las dudas surgen a la hora de tratar los dientes asintomaticos. Se ha postulado la exodoncia de otros dientes, para facilitar el mecanismo de erupcion, pero no siempre sucede asi. Se ha implicado la presencia del cordal inferior como causa del apinamiento antero-inferior. En general, se acepta su origen multifactorial, y que el tercer molar inferior, actuando conjuntamente con otros factores contribuye a su aparicion.

Research paper thumbnail of Influence of different types of pulp treatment during isolation in the obtention of human dental pulp stem cells

Medicina Oral Patología Oral y Cirugia Bucal, 2016

Dental pulp stem cell isolation method e374

Research paper thumbnail of Coronectomy of impacted mandibular third molars: A meta-analysis and systematic review of the literature

Medicina Oral Patología Oral y Cirugia Bucal, 2016

Background: Coronectomy is an alternative to complete removal of an impacted mandibular third mol... more Background: Coronectomy is an alternative to complete removal of an impacted mandibular third molar. Most authors have recommended coronectomy to prevent damage to the inferior alveolar nerve during surgical extraction of lower third molars. The present study offers a systematic review and metaanalysis of the coronectomy technique. Material and Methods: A systematic review and meta-analysis was performed based on a PubMed and Cochrane databases search for articles published from 2014 and involving coronectomy of mandibular third molars located near the inferior alveolar nerve canal, with a minimum of 10 cases and a minimum follow-up period of 6 months. After application of the inclusion and exclusion criteria, a total of 12 articles were included in the study. Results and Discussion: Coronectomy results in significantly lesser loss of sensitivity of the inferior alveolar nerve and prevents the occurrence of dry socket. No statistically significant differences were observed in the incidence of pain and infection between coronectomy and complete surgical extraction. After coronectomy, the remaining tooth fragment migrates an average of 2 mm within two years. Conclusions: Coronectomy is indicated when the mandibular third molar is in contact with the inferior alveolar nerve and complete removal of the tooth may cause nerve damage.

Research paper thumbnail of Influence of the prosthetic arm length (palatal position) of zygomatic implants upon patient satisfaction

Medicina Oral Patología Oral y Cirugia Bucal, 2016

Background: To assess the influence of the prosthetic arm length (palatal position) of zygomatic ... more Background: To assess the influence of the prosthetic arm length (palatal position) of zygomatic implants upon patient comfort and stability, speech, functionality and overall satisfaction. Material and Methods: A retrospective clinical study was made of patients subjected to rehabilitation of atrophic maxilla with complete maxillary implant-supported fixed prostheses involving a minimum of two zygomatic implants (one on each side) in conjunction with premaxillary implants, and with 12 months of follow-up after implant loading. Subjects used a VAS to score general satisfaction, comfort and stability, speech and functionality, and the results were analyzed in relation to the prosthetic arm length of the zygomatic implants 12 months after prosthetic delivery. Results: Twenty-two patients participated in the study, receiving 22 prostheses anchored on 148 implants (44 were zygomatic and 94 were conventional implants). The mean right and left prosthetic arm length was 5.9±2.4 mm and 6.1±2.7 mm, respectively, with no statistically significant differences between them (p=0.576). The mean scores referred to comfort/retention, speech, functionality and overall satisfaction were high-no correlation being found between prosthetic arm length and patient satisfaction (p=0.815). Conclusions: No relationship could be identified between prosthetic arm length (palatal position) and patient satisfaction.

Research paper thumbnail of Non surgical predicting factors for patient satisfaction after third molar surgery

Medicina Oral Patología Oral y Cirugia Bucal, 2016

Background: In the third molar surgery, it is important to focus not only on surgical skills, but... more Background: In the third molar surgery, it is important to focus not only on surgical skills, but also on patient satisfaction. Classically studies have been focused on surgery and surgeon's empathy, but there are non-surgical factors that may influence patient satisfaction. Material and Methods: A cross-sectional study was performed on 100 patients undergoing surgical extractions of impacted mandibular third molars treated from October 2013 to July 2014 in the Oral Surgery Unit of the University of Valencia. A questionnaire (20 questions) with a 10-point Likert scale was provided. The questionnaire assessed the ease to find the center, the ease to get oriented within the center, the burocratic procedures, the time from the first visit to the date of surgical intervention, waiting time in the waiting room, the comfort at the waiting room, the administrative staff (kindness and efficiency to solve formalities), medical staff (kindness, efficiency, reliability, dedication), personal data care, clarity in the information received (about the surgery, postoperative care and resolution of the doubts), available means and state of facilities. Outcome variables were overall satisfaction, and recommendation of the center. Statistical analysis was made using the multiple linear regression analysis. Results: Significant correlations were found between all variables and overall satisfaction. The multiple regression model showed that the efficiency of the surgeon and the clarity of the information were statistically significant to overall satisfaction and recommendation of the center. The kindness of the administrative staff, available means, the state of facilities and the comfort at the waiting room were statistically significant to the recommendation of the center. Conclusions: Patient satisfaction directly depends on the efficiency of the surgeon and clarity of the clinical infor-Balaguer-Martí JC, Aloy-Prósper A, Peñarrocha-Oltra D, Peñarrocha-Diago M. Non surgical predicting factors for patient satisfaction after third molar surgery.

Research paper thumbnail of Med Oral Patol Oral Cir Bucal. 2009 Mar 1;14 (3):E133-6. Perforation of the sinus membrane in sinus lift Journal section: Oral Surgery Publication Types: Review

Influence of perforation of the sinus membrane on the survival rate of implants placed after dire... more Influence of perforation of the sinus membrane on the survival rate of implants placed after direct sinus lift. Literature update

Research paper thumbnail of Radiological Outcomes of Bone-Level and Tissue-Level Dental Implants: Systematic Review

International Journal of Environmental Research and Public Health, 2020

Background: to assess the radiological marginal bone loss between bone-level or tissue-level dent... more Background: to assess the radiological marginal bone loss between bone-level or tissue-level dental implants through a systematic review of literature until September 2019. Methods: MEDLINE, Embase and other database were searched by two independent authors including only English articles. Results: The search provided 1028 records and, after removing the duplicates through titles and abstracts screening, 45 full-text articles were assessed for eligibility. For qualitative analysis 20 articles were included, 17 articles of them for quantitative analysis counting a total of 1161 patients (mean age 54.4 years) and 2933 implants, 1427 inserted at Tissue-level (TL) and 1506 inserted at Bone-level (BL). The survival rate and the success rate were more than 90%, except for 2 studies with a success rate of 88% and 86.2%. No studies reported any differences between groups in term of success and survival rates. Three studies showed that BL-implants had statistically less marginal bone loss (p...

Research paper thumbnail of Immediate prosthesis over implants retained using abutments with flexible screws: A preliminary study

Journal of Clinical and Experimental Dentistry, 2017

Background: Immediate loading protocols for the rehabilitation of edentulous or partially edentul... more Background: Immediate loading protocols for the rehabilitation of edentulous or partially edentulous patients have become very popular, due to the conveniences they afford in comparison with conventional loading techniques. Material and Methods: A preliminary study was carried out with 8 patients subjected to dental implant treatment with an immediate loading protocol involving a novel system of abutments with flexible screws. Implant survival was analyzed, together with marginal bone loss and patient and dentist satisfaction. Results: A total of 35 implants were subjected to immediate loading using the abutments with flexible screws. The mean patient and dentist satisfaction score was 9.1 and 8.5, respectively. After 12 months the dental implant survival rate was 95.8%, with a mean marginal bone loss of 0.51 ± 0.12 mm. Conclusions: The novel system of abutments with flexible screws offers a good alternative to conventional immediate loading, since it allows rapid and simple manufacture of a reliable passive fit, fixed interim prosthesis after surgery.

Research paper thumbnail of Injertos óseos en bloque intraorales tipo onlay: estudio de los tejidos duros y blandos periimplantarios

Los injertos oseos en bloque intraorales tipo onlay son una opcion terapeutica para incrementar t... more Los injertos oseos en bloque intraorales tipo onlay son una opcion terapeutica para incrementar tanto la anchura como la altura del proceso alveolar para la posterior colocacion de los implantes dentales. La colocacion simultanea del implante con el injerto oseo permitiria acortar el tiempo de tratamiento y evitar un segunda cirugia, sin embargo aunque se ha descrito ampliamente en el aumento vertical, son escasos los estudios en el tratamiento del aumento horizontal. Por otro lado, diversos procedimientos se han utilizado para la atrofia vertical de los sectores posteriores de la mandibula atrofica, sin embargo las complicaciones relacionadas con los procedimientos de aumento ha hecho que revisiones sistematicas recientes valoren positivamente la alternativa de los implantes dentales cortos. Ademas la valoracion de los tejidos blandos asi como de la satisfaccion del paciente es fundamental para considerar el exito del tratamiento y son escasos los estudios que aportan datos al resp...

Research paper thumbnail of Estudio comparativo entre la anestesia intraósea y las técnicas de anestesia oral convencionales

Hemos practicado un total de 100 anestesias loco-regionales bucales, en 50 pacientes, a cada uno ... more Hemos practicado un total de 100 anestesias loco-regionales bucales, en 50 pacientes, a cada uno de ellos se le realizaron dos tratamientos conservadores o endodoncias de dientes vitales; en cuadrantes homónimos contralaterales y con una semana de separación entre las dos intervenciones. Todos los pacientes eran menores de 45 años y sin antecedentes personales patológicos. Se les pasó un protocolo previamente establecido y los datos fueron codificados para el posterior tratamiento estadístico. Se realizaron 92 tratamientos dentales conservadores y 8 endodoncias. Con la anestesia infiltrativa/troncular se utilizó una media de 1,36 carpules de lidocaina al 2%, con 1: 100.000 de epinefrina por paciente, y con la intraósea 0,5 carpules de mepivacaina al 3%, sin vasoconstrictor. Durante la práctica de la anestesia no notaron nada o muy di scretas molestias el 86% de los casos con técnicas habituales, frente al 70% con intraósea. Durante la intervención no tuvieron molestias el 88% de los casos con técnicas habituales y el 74% con la intraósea. Tras concluir los tratamientos dentales, nada o muy ligera sensación de adormecimiento refirieron el 20% con técnicas convencionales, frente a la totalidad con intraósea. El 58% de los pac ientes prefirieron la intraósea, frente al 14% que se definieron por la troncularlinfiltrativa, el 24% no encontraron diferencias significativas. Palabras Clave: Anestesia oral, anestesia intraósea. anestesia intraseptal, anestesia intraalveolar. SU M MAR Y 100 dental local anesthetics procedures were studied, practiced in 50 patients, cach one of them were subjected to two conservative dental treatments or endodontics of vital teeth, in the adjacent quadrant, with an interval of a week. All patients were younger than 45 and without pathologie antecedents. A previously established protocol was completed and data were codified for posterior statistical treatment. 92 dental reconstructions and 8 endodontics were performed. With infiltration or nerve block we used a mean of 1,36 cartridge of 2 percent lidocaine with 1:100.000 epinefhrine, and with intraouseus anaesthesia 0,5 cartridges of 3 percent mepivacaine. During anestethia practice no discomfort was refered to by 86% with convencional techniques and 70% with intraosseus anesthesia. During procedures 88% of patients treated with convencional techniques and 74% with intraosseous did not refer to pain or discomfort. After concluded dental treatments, little or no numbness was felt by 20% of infiltrative or block anesthesia, and by al¡ patients treated with intraoseus techniques. 58% of all patients preferred intraosseus anesthesia, 14% the blocks/infiltrati ve anesthesia, and 24% did not find significativa differences between either.

Research paper thumbnail of Relación entre el perfil psicológico del paciente y la calidad de vida tras la extracción quirúrgica del tercer molar inferior

La evolucion postoperatoria tras la extraccion de los terceros molares depende de una serie de fa... more La evolucion postoperatoria tras la extraccion de los terceros molares depende de una serie de factores propios de cada paciente y de factores propios de la intervencion quirurgica. Pero algunos factores, principalmente psicologicos y psicosociales, pueden ser importantes cuando analizamos la sintomatologia del paciente, el riesgo de complicaciones cronicas y la resolucion de los sintomas. Se conoce muy poco sobre que potencial predictivo tienen las alteraciones psicologicas preoperatorias sobre la severidad de las complicaciones tras la exodoncia del tercer molar. Aunque se ha estudiado mucho sobre las condiciones clinicas asociadas a los terceros molares incluidos, se sabe poco acerca del impacto que estas condiciones tienen sobre la calidad de vida de los pacientes. La alteracion del sueno es un elemento esencial del modelo conceptual para los problemas relacionados con el sueno en pacientes con dolor. El dolor y el insomnio estan relacionados de forma independiente a la reduccio...

Research paper thumbnail of Parámetros clínicos y características microbiológicas en pacientes con tejidos periimplantarios sanos, mucositis y peri-implantitis

La restauracion de los dientes ausentes mediante implantes dentales constituye hoy en dia un trat... more La restauracion de los dientes ausentes mediante implantes dentales constituye hoy en dia un tratamiento rutinario y muy extendido. Varios estudios longitudinales han demostrado altas tasas de supervivencia de los implantes en funcion, que van desde el 90?% al 95?% en un periodo de hasta 20 anos de seguimiento. Las complicaciones biologicas alrededor de los implantes dentales se clasifican en tempranas y tardias. Los fracasos tempranos son los que tienen lugar en el tiempo hasta la conexion del pilar al implante y son mas faciles de diagnosticar debido a la falta de osteointegracion. Los fracasos tardios son el resultado de la incapacidad de mantener la oseointegracion, siendo la complicacion mas importante la peri-implantitis. Objetivos: En 54 pacientes portadores de 344 implantes dentales con al menos una arcada dentaria desdentada total, rehabilitada totalmente con implantes dentales, se tomaron en 146 cuadrantes dentales los parametros clinicos y microbiologicos con los siguient...

Research paper thumbnail of Elevación sinusal indirecta con o sin injerto óseo en maxilares superiores atróficos

En la zona posterior del maxilar suele presentarse una escasa disponibilidad osea vertical, debid... more En la zona posterior del maxilar suele presentarse una escasa disponibilidad osea vertical, debido a senos maxilares muy neumatizados o grandes atrofias de la cresta alveolar, impidiendo la colocacion de los implantes de forma convencional. Uno de los posibles tratamientos de esta limitacion anatomica seria la elevacion sinusal, mediante la tecnica directa o la indirecta, consideradas actualmente una practica quirurgica habitual en la implantologia oral. La elevacion sinusal indirecta, con introduccion de material de injerto y colocacion inmediata del implante, fue descrita por Summers en 1994. Se trataba de una nueva forma de elevacion sinusal usando una serie de osteotomos de diametros diferentes, que permitia la preparacion del lecho del implante, accediendo a traves de la cresta alveolar. Actualmente existe controversia en la necesidad de colocar un injerto oseo para mantener el espacio en el seno maxilar y conseguir la neoformacion osea; se ha descrito en una serie de estudios ...

Research paper thumbnail of Peri-implant Tissues and Patient Satisfaction After Treatment of Vertically Augmented Atrophic Posterior Mandibles with Intraoral Onlay Block Bone Grafts: A Retrospective 3-Year Case Series Follow-up Study

The International Journal of Oral & Maxillofacial Implants, 2018

To evaluate the peri-implant soft and hard tissues of dental implants placed in vertically regene... more To evaluate the peri-implant soft and hard tissues of dental implants placed in vertically regenerated posterior mandibles with intraoral onlay block bone grafts and patient satisfaction at 3-year follow-up. Materials and Methods: A retrospective study of patients with dental implants placed in posterior mandibular sites vertically augmented with intraoral onlay block bone grafts was carried out between 2005 and 2009 at the University of Valencia. The outcomes assessed at the 3-year follow-up visit were the peri-implant soft tissues (Plaque Index and Bleeding Index, probing depth, keratinized mucosa width, and recession), implant survival and success rates, marginal bone loss, and patient satisfaction. Results: Sixteen patients with 36 implants were included. The mean Plaque Index and Bleeding Index scores were ≤ 0.4. The mean band of facial keratinized mucosa was ≥ 3 mm in 52.7% of implants; 38.8% of the implants showed facial recession. The mean midfacial recession was-0.31 ± 0.75 mm. Implant survival reached 100%, while the success rate was 85%, and the mean marginal bone loss was 1 ± 1.03 mm (range: 0.1 to 5.3). Good quality of life (9.19 ± 0.40) was reported for all patients, and the overall general satisfaction score was 8.

Research paper thumbnail of In Vitro Study on Bone Heating during Drilling of the Implant Site: Material, Design and Wear of the Surgical Drill

Materials, 2020

Objective: An in vitro study was made to compare mean thermal variation according to the material... more Objective: An in vitro study was made to compare mean thermal variation according to the material, design and wear of the surgical drills used during dental implant site preparation. Material and methods: Three study groups (stainless steel drills with straight blades; diamond-like carbon-coated drills with straight blades; and diamond-like carbon-coated drills with twisted blades) were tested to compare material, design and wear of the surgical drill in terms of overall mean values (complete sequence of drills) and specific mean values (each drill separately). The groups comprised four drills: initial, pilot, progressive and final drill. Implant site configuration was performed through an intermittent and gradual drilling technique without irrigation at 800 rpm in standardized synthetic blocks. Maximum axial loading of two kilograms was controlled by an automatic press. Each surgical drill was submitted to 50 drillings and was sterilized every five uses. A thermographic camera anal...

Research paper thumbnail of Comparison of peri-implant bone loss between conventional drilling with irrigation versus low-speed drilling without irrigation

Medicina Oral Patología Oral y Cirugia Bucal, 2017

Irrigation versus no irrigation drilling e730

Research paper thumbnail of Bone-Healing Pattern on the Surface of Titanium Implants at Cortical and Marrow Compartments in Two Topographic Sites: an Experimental Study in Rabbits

Materials, 2018

This study evaluates the bone-healing patterns on the surface of titanium implants at the cortica... more This study evaluates the bone-healing patterns on the surface of titanium implants at the cortical and marrow compartments of bicortically-installed implants in the diaphysis and metaphysis of rabbit tibiae. In 27 New Zealand rabbits, two implants, one for each macro-design and with equal resorbable blasted media (RBM) implant surfaces, were randomly implanted in the diaphysis or metaphysis of each tibia. The flaps were sutured to allow submerged healing. The animals were sacrificed after two, four, or eight weeks, with nine weeks used for the period of healing. Ground sections were prepared and analyzed. No statistically significant differences were found between the two groups for newly formed bone in contact with the implant surface after two, four, and eight weeks of healing. Bone apposition in the marrow compartment was slightly higher in the diaphysis compared to metaphysis regions across healing stages. Despite the limitations of the present study, it can be concluded that ne...

Research paper thumbnail of Periapical implant lesion: A systematic review

Medicina Oral Patología Oral y Cirugia Bucal, 2017

Purpose: The aim of this study was to systematically review the evidence for periapical implant l... more Purpose: The aim of this study was to systematically review the evidence for periapical implant lesion, which makes a patient more susceptible to the periapical lesion, frequency, symptoms, signs (including radiological findings) and possible treatment options. Material and Methods: A systematic literature review and analysis of publications included in PubMed, Embase and Cochrane; articles published until March 2016; with a populations, exposures and outcomes (PEO) search strategy was performed, focused on the issue: "In patients with periapical lesion to the implant during the osseointegration, what symptoms, signs, and changes in complementary examination manifested, for according to that stage, be intervened with the appropriate approach?". The set criteria for inclusion were peer-reviewed articles. Results: From a total of 212 papers identified, 36 studies were included in this systematic review, with 15461 implants evaluated and 183 periapical implant lesions. Which 8 papers included more than 5 cases and 28 included equal or less than 5 cases. Analysis of the papers revealed that periapical implant lesion is classified according to evolution stages into acute (non-suppurated and suppurated) and subacute (or suppurated-fistulized). In the acute stage and in the subacute if there is no loss of implant stability, the correct treatment approach is implant periapical surgery. In the subacute stage associated with implant mobility the implant must be removed. Conclusions: Evidence on the subject is very limited, there are few studies with small sample, without homogeneity of criteria for diagnosing the disease and without design of scientific evidence. Currently etiology lacks consensus. The early diagnosis of periapical implant periapical lesions during the osseointegration phase and early treatment, will lead to a higher survival rate of implants treated, hence preventing the need for implant extraction.

Research paper thumbnail of State of the art and clinical recommendations in periapical implant lesions. 9th Mozo-Grau Ticare Conference in Quintanilla, Spain

Journal of Clinical and Experimental Dentistry, 2017

This manuscript summarizes the statements and clinical recommendations in periapical implant lesi... more This manuscript summarizes the statements and clinical recommendations in periapical implant lesions, as per the state of the art and expert opinion agreement among the participants in the 9th Mozo-Grau Conference 2016 held in Quintanilla (Valladolid, Spain). The current status of the concept, frequency, etiology, diagnosis, clinical classification, surgical procedure and prognosis are described. If following implant placement localized pain develops in the periapical area, with or without radiographic changes, the diagnosis of periapical implant lesion should be suspected. It is important to monitor the condition in order to identify any change in its evolution. Radiological changes in the periapical radiographs are not always manifest in the early stages, and in this regard small-volume cone beam computed tomography can help us visualize such peri-implant changes. The early diagnosis of periapical implant lesions during the osseointegration phase and the provision of early treatment result in increased implant survival rates, thereby avoiding the need for implant extraction.

Research paper thumbnail of Soft Tissue Response in Posterior Teeth Adjacent to Interdental Single Implants: A Controlled Randomized Clinical Trial Comparing Intrasulcular vs Trapezoidal Incision

The International Journal of Oral & Maxillofacial Implants, 2016

To evaluate the soft tissue response in posterior teeth adjacent to interdental single implants c... more To evaluate the soft tissue response in posterior teeth adjacent to interdental single implants comparing intrasulcular and trapezoidal incision, and to study their evolution over time. Materials and Methods: A controlled randomized clinical trial was carried out in the Oral Surgery and Implantology Unit of a University Clinic. All the included patients received an interdental single implant (Frontier 2.45, Ilerimplant; Global Medical Implants). The incision type was randomized by sealed envelopes into two groups using the SPSS statistical package (SPSS): (1) intrasulcular or (2) trapezoidal incision. Probing depth and gingival recession at the mesial and distal teeth adjacent to the implant were measured before implant placement, 1 month after surgery, the day of the abutment connection, and at 6 months and 1 year postloading. Scar formation and papilla index were measured 1 month after surgery, and at 6 months and 1 year postloading. Results: Forty patients with one implant per patient were included: 20 in the intrasulcular and 20 in the trapezoidal group. No statistical differences were found between incision types in the measured parameters (probing depth, recession, and interproximal papilla). When analyzing periodontal changes of the total sample, significant differences were found between implant placement and the 1-year follow-up in recession, scar formation, and papilla index. Conclusion: The incision type used to place a single interdental implant did not significantly influence the periodontal parameters of the adjacent teeth. Considering the whole sample, the values between implant placement and 1 year postloading showed significant differences in recession, scar formation, and papilla index over time.

Research paper thumbnail of Terceros molares mandibulares, indicaciones de extracción y relación con el apiñamiento antero-inferior

Archivos De Odontoestomatologia, 2003

La erupcion de los terceros molares suele acontecer entre los 20 y los 24 anos, y van a situarse ... more La erupcion de los terceros molares suele acontecer entre los 20 y los 24 anos, y van a situarse en un especio limitado, por corresponderle el ultimo lugar, tanto en la erupcion como en la posicion en la arcada. La falta de espacio para la erupcion normal del cordal inferior produce la inclusion del mismo y se ha relacionado con el apinamiento antero-inferior, siendo un punto discutido. Su extraccion, es uno de los procedimientos mas frecuentes en el campo de la cirugia. Las causas de su inclusion son de tipo embriologico y anatomico. Sus manifestaciones pueden ser caracter infeccioso, mecanico, nervioso, quistico, tumoral y periodontal. Antes de la cirugia es obligado el examen radiologico. Hay autores que avalan la exodoncia profilactica para prevenir cualquier patologia futura, incluso en estadio de germen (germenectomia). La indicacion de la extraccion se establece cuando existe patologia asociada al cordal, sin embargo las dudas surgen a la hora de tratar los dientes asintomaticos. Se ha postulado la exodoncia de otros dientes, para facilitar el mecanismo de erupcion, pero no siempre sucede asi. Se ha implicado la presencia del cordal inferior como causa del apinamiento antero-inferior. En general, se acepta su origen multifactorial, y que el tercer molar inferior, actuando conjuntamente con otros factores contribuye a su aparicion.

Research paper thumbnail of Influence of different types of pulp treatment during isolation in the obtention of human dental pulp stem cells

Medicina Oral Patología Oral y Cirugia Bucal, 2016

Dental pulp stem cell isolation method e374

Research paper thumbnail of Coronectomy of impacted mandibular third molars: A meta-analysis and systematic review of the literature

Medicina Oral Patología Oral y Cirugia Bucal, 2016

Background: Coronectomy is an alternative to complete removal of an impacted mandibular third mol... more Background: Coronectomy is an alternative to complete removal of an impacted mandibular third molar. Most authors have recommended coronectomy to prevent damage to the inferior alveolar nerve during surgical extraction of lower third molars. The present study offers a systematic review and metaanalysis of the coronectomy technique. Material and Methods: A systematic review and meta-analysis was performed based on a PubMed and Cochrane databases search for articles published from 2014 and involving coronectomy of mandibular third molars located near the inferior alveolar nerve canal, with a minimum of 10 cases and a minimum follow-up period of 6 months. After application of the inclusion and exclusion criteria, a total of 12 articles were included in the study. Results and Discussion: Coronectomy results in significantly lesser loss of sensitivity of the inferior alveolar nerve and prevents the occurrence of dry socket. No statistically significant differences were observed in the incidence of pain and infection between coronectomy and complete surgical extraction. After coronectomy, the remaining tooth fragment migrates an average of 2 mm within two years. Conclusions: Coronectomy is indicated when the mandibular third molar is in contact with the inferior alveolar nerve and complete removal of the tooth may cause nerve damage.

Research paper thumbnail of Influence of the prosthetic arm length (palatal position) of zygomatic implants upon patient satisfaction

Medicina Oral Patología Oral y Cirugia Bucal, 2016

Background: To assess the influence of the prosthetic arm length (palatal position) of zygomatic ... more Background: To assess the influence of the prosthetic arm length (palatal position) of zygomatic implants upon patient comfort and stability, speech, functionality and overall satisfaction. Material and Methods: A retrospective clinical study was made of patients subjected to rehabilitation of atrophic maxilla with complete maxillary implant-supported fixed prostheses involving a minimum of two zygomatic implants (one on each side) in conjunction with premaxillary implants, and with 12 months of follow-up after implant loading. Subjects used a VAS to score general satisfaction, comfort and stability, speech and functionality, and the results were analyzed in relation to the prosthetic arm length of the zygomatic implants 12 months after prosthetic delivery. Results: Twenty-two patients participated in the study, receiving 22 prostheses anchored on 148 implants (44 were zygomatic and 94 were conventional implants). The mean right and left prosthetic arm length was 5.9±2.4 mm and 6.1±2.7 mm, respectively, with no statistically significant differences between them (p=0.576). The mean scores referred to comfort/retention, speech, functionality and overall satisfaction were high-no correlation being found between prosthetic arm length and patient satisfaction (p=0.815). Conclusions: No relationship could be identified between prosthetic arm length (palatal position) and patient satisfaction.

Research paper thumbnail of Non surgical predicting factors for patient satisfaction after third molar surgery

Medicina Oral Patología Oral y Cirugia Bucal, 2016

Background: In the third molar surgery, it is important to focus not only on surgical skills, but... more Background: In the third molar surgery, it is important to focus not only on surgical skills, but also on patient satisfaction. Classically studies have been focused on surgery and surgeon's empathy, but there are non-surgical factors that may influence patient satisfaction. Material and Methods: A cross-sectional study was performed on 100 patients undergoing surgical extractions of impacted mandibular third molars treated from October 2013 to July 2014 in the Oral Surgery Unit of the University of Valencia. A questionnaire (20 questions) with a 10-point Likert scale was provided. The questionnaire assessed the ease to find the center, the ease to get oriented within the center, the burocratic procedures, the time from the first visit to the date of surgical intervention, waiting time in the waiting room, the comfort at the waiting room, the administrative staff (kindness and efficiency to solve formalities), medical staff (kindness, efficiency, reliability, dedication), personal data care, clarity in the information received (about the surgery, postoperative care and resolution of the doubts), available means and state of facilities. Outcome variables were overall satisfaction, and recommendation of the center. Statistical analysis was made using the multiple linear regression analysis. Results: Significant correlations were found between all variables and overall satisfaction. The multiple regression model showed that the efficiency of the surgeon and the clarity of the information were statistically significant to overall satisfaction and recommendation of the center. The kindness of the administrative staff, available means, the state of facilities and the comfort at the waiting room were statistically significant to the recommendation of the center. Conclusions: Patient satisfaction directly depends on the efficiency of the surgeon and clarity of the clinical infor-Balaguer-Martí JC, Aloy-Prósper A, Peñarrocha-Oltra D, Peñarrocha-Diago M. Non surgical predicting factors for patient satisfaction after third molar surgery.

Research paper thumbnail of Perforador-inoculador para la anestesia intraósea.

Research paper thumbnail of Mesa para instrumental quirúrgico

Research paper thumbnail of Anestesia local en odontología

La anestesia es vital para la formación del odontólogo porque es la actividad que precede a la ma... more La anestesia es vital para la formación del odontólogo porque es la actividad que precede a la mayoría de las intervenciones odontológicas. Por ese motivo, este libro empieza recordando los orígenes de la anestesia para, posteriormente, analizar el dolor orofacial.

El libro está escrito desde el perfecto conocimiento de las vías nerviosas, que se traduce en una exposición lúcida, clara y didáctica de las diferentes técnicas anestésicas, de sus indicaciones e incluso los motivos que pueden llevar a errores en la anestesia debido a las variaciones anatómicas.

Por estos motivos, es un libro imprescindible en la estantería de cualquier estudiante de odontología que pretenda llevar a cabo intervenciones quirúrgicas, ya que aporta los conocimientos básicos necesarios para poder afrontar con solvencia cualquier problema que pueda surgir.

Research paper thumbnail of Atlas de Cirugía Periapical

Este Atlas ve la luz de la mano de un grupo de excelentes profesionales encabezados por uno de lo... more Este Atlas ve la luz de la mano de un grupo de excelentes profesionales encabezados por uno de los expertos españoles en el tema, Prof. Dr. Miguel Peñarrocha Diago, de la Facultad de Medicina y Odontología de la Universidad de Valencia.

Este libro será un buen complemento para los estudiantes del Grado de Odontología, pero será imprescindible para los odontólogos que quieran especializarse en Cirugía Bucal y pretendan conocer con todo tipo de detalles como se ejecuta correctamente esta técnica quirúrgica.

La cirugía periapical es un procedimiento conservador, que permite eliminar una lesión periapical inflamatoria, y conservar el diente causal. Los autores, hacen un recorrido por la cirugía periapical actual, y exponen el nuevo escenario tecnológico en que se desenvuelve.

El atlas está dotado de muy buena iconografía, mostrando el tratamiento quirúrgico detallado de muchos casos clínicos, y con una adecuada revisión de la literatura actual sobre el tema.

Research paper thumbnail of Estética y carga inmediata en implantología oral

Los implantes dentales es un tratamiento que cada vez está más aceptado y más demandado por los p... more Los implantes dentales es un tratamiento que cada vez está más aceptado y más demandado por los pacientes. Por este motivo, nuestro libro muestra una visión global y actualizada del reemplazamiento y la carga inmediata de dientes.

Durante los más de 10 apartados del libro, se recogen explicaciones actualizadas y detalladas que han sido escritas por autoridades en el campo como María Peñarrocha o Mateo Sartori. Además, se describen nuevas técnicas con las que conseguir mejorar la estética sin comprometer la funcionalidad, todas ellas ilustradas con una gran cantidad de imágenes que esclarecen a la perfección todos los aspectos de la intervención.

El manual está especialmente recomendado para profesionales que deseen actualizarse en estas áreas. También es adecuado para cualquier tipo de alumno que tenga la voluntad de adquirir conocimientos suficientes para mejorar sus habilidades y fortalecer el futuro de su carrera profesional.

Research paper thumbnail of Atlas de Cirugía Bucal y Ortodoncia

Los avances que se han dado en el campo de la investigación han supuesto un cambio muy rápido en ... more Los avances que se han dado en el campo de la investigación han supuesto un cambio muy rápido en el campo de la cirugía bucal y de la ortodoncia. Este libro ofrece tanto información básica como avanzada para actualizar completamente las nuevas técnicas posibles. Este Atlas de Cirugía Bucal y Ortodoncia es un punto de partida que asientan las bases del desarrollo en el campo.

Los contenidos de este libro son diversos, pero el tratamiento y el desarrollo de los temas se caracterizan por su profundidad. Algunos temas que se tratan son las distintas posibilidades terapéuticas para el tratamiento de los dientes incluidos, la relación entre inclusiones de cordales y los problemas ortodóncicos o el tratamiento de los dientes supernumerarios, entre muchos otros apartados.

Este atlas va dirigido a los profesionales, a los estudiantes de postgrado y de pregrado y a todos aquellos profesionales y estudiantes de campos relacionados que precisen tener conocimientos sobre el manejo adecuado de pacientes en tratamiento de ortodoncia.

Research paper thumbnail of Atlas quirúrgico en implantología oral

El Atlas Quirúrgico de Implantes Dentales es un manual en el que damos una visión actualizada, am... more El Atlas Quirúrgico de Implantes Dentales es un manual en el que damos una visión actualizada, amplia y detallada de todos los tratamientos prácticos que se llevan a cabo en implantología oral. Este libro está destinado tanto a alumnos como a profresionales de la Odontología.

Para los alumnos supondrá una referencia práctica a partir de la que poder empezar a construir sus habilidades profesionales. Las explicaciones son claras, detalladas y con todo el material gráfico necesario para que los alumnos resuelvan la mayor parte de sus dudas.

Por su parte, los profesionales podrán actualizar su conocimiento sobre la Implantología y estar al tanto de lastécnicas más modernas. Cualquier profesional de la odontología debe tener consigo un manual como este que suponga una referencia de consulta que pueda ayudar a superar cualquier duda o cualquier complicación. Nuestros pacientes son la prioridad y este libro está concebido para que ellos tengan el mejor servicio posible.

Research paper thumbnail of A patient's guide to dental implants

Nowadays, dental implants have become one of the most demanded treatments to sort out problems re... more Nowadays, dental implants have become one of the most demanded treatments to sort out problems regarding functionality and aesthetic. For this reason, it’s our duty as specialists to explain clearly how they works, because our patients havegot the right to be aware of their options.

In those pages, whoever has curiosity to learn about dental implants or have anxiety because they are about to face an operation will find answer to several questions. The style, the layout and all the material are prepared to be easy to understand by all kinds of people.

Our professionals are widely experimented and they have put their maximum effort to produce a clarifying guide. Furthermore, they know their responsibility and have straightforwardly written this must have book which can be managed easily. Read it, it will avoid you plenty of problems.