Publications by authors named "Rui Figueiredo"

Background/objectives: Peri-implantitis often necessitates surgical intervention, with implantoplasty being proposed as a decontamination method in resective surgeries. This mechanical cleaning technique aims to halt disease progression by removing bacterial colonies. However, implantoplasty may compromise mechanical properties, reduce corrosion resistance, and lead to cytotoxic effects due to titanium particle release.

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Objective: To compare the accuracy of zygomatic implant placement using a dynamic computer-assisted implant surgery system (D-CAIS) versus the traditional freehand approach.

Methods: An experimental in vitro study was conducted using 10 stereolithographic models randomized to two groups: D-CAIS (test group) and freehand placement (control group). A single zygomatic implant was placed on each side of the models.

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Introduction: Third molar removal is one of the most common surgical procedures in dentistry. Therefore, it is important to evaluate the learning curve of dentists undergoing surgical training. Thus, the aims of this study were to assess the performance of oral surgery residents in third molar extractions based on operative time and the occurrence of incidents/complications, and to determine which variables are associated with surgical difficulty.

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Purpose: The available scientific evidence on the effectiveness of the surgical treatment of peri-implantitis is limited. The aim of this study was to assess the risk of recurrence or disease progression in patients with peri-implantitis that underwent surgical treatment.

Materials And Methods: A retrospective cohort study was carried out in patients subjected to peri-implant surgery between 2015 and 2021, and with a minimum follow-up of 12 months.

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Objective: This study aimed to evaluate the efficacy and safety of a digitally guided dual technique during esthetic crown lengthening surgery. In addition, patient satisfaction and patient-reported outcomes were assessed.

Materials And Methods: A prospective case series study was conducted.

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Real-time surgical navigation systems (dynamic computer-aided surgery, d-CAIS) and static guided surgery (static computer-aided surgery, s-CAIS) have been shown to enhance the accuracy of zygomatic implant (ZI) placement. The objective of this systematic review was to evaluate and compare the accuracy and risk of complications associated with d-CAIS and s-CAIS in ZI placement. A systematic review of published studies involving more than 4 patients was conducted to assess and compare the accuracy of d-CAIS and s-CAIS in zygomatic implant placement.

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Article Synopsis
  • The study analyzed the safety and accuracy of static computer-assisted corticotomy surgery (sCACS) versus freehand piezocision through a randomized in vitro approach with 260 corticotomies on 20 models.
  • sCACS showed significantly less risk of damaging root surfaces (2.21 times less likely) and performed better in accuracy across multiple measurements compared to freehand techniques, indicating less deviation from digital planning.
  • The findings suggest that sCACS is a safer and more precise option for performing corticotomies, emphasizing the importance of using surgical guides in tight spaces to minimize root damage in clinical scenarios.
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Objective: To evaluate the accuracy of immediate implant placement in fresh extraction sockets in the maxillary aesthetic zone using a dynamic computer-assisted implant surgery system (dCAIS), with the evaluation of possible deviations versus freehand placement.

Methods: A total of 18 implants were placed by an experienced surgeon in fresh extraction sockets of anterior teeth in 6 maxillary models. Nine implants were placed using the dCAIS system and 9 implants were placed using the conventional freehand technique.

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Article Synopsis
  • A study at the University of Barcelona examined dental students' knowledge and attitudes about medications that affect bone and blood vessel formation, particularly regarding their impact on dental treatments.
  • The research involved a survey of 105 students, revealing that while they were aware of antiresorptive medications, many struggled to identify those associated with jaw complications.
  • The findings indicate a need for enhanced educational programs to improve understanding of these medications in relation to dental care.
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Objectives: To compare miniscrew versus bone tracing registration methods on dental implant placement accuracy and time efficiency in edentulous jaws using a dynamic computer-assisted implant surgery (d-CAIS) system.

Methods: Twelve fully edentulous maxillary models were allocated into two groups: miniscrew tracing (MST) group, where registration was performed by tracing four miniscrews; and bone tracing (BT) group, where registration was conducted by tracing maxillary bone fiducial landmarks. Six implants were placed on each model using the X-Guide® d-CAIS system.

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Objectives: To compare the accuracy and operative time of implant placement using a dynamic computer assisted implant surgery (dCAIS) system based on a cone beam computer tomography (CBCT) image, with and without superimposing a standard tessellation language (STL) file of an intraoral scan of the patient.

Methods: Ten identical resin models simulating an upper maxilla with posterior edentulism were assigned to two groups. In the CBCT+STL group, a CBCT file and an intraoral STL file were superimposed and used for registration; in the CBCT group, registration was performed using CBCT images.

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Objectives: This study aims to compare the histological outcomes of three distinct de-epithelialization methods used in (connective tissue grafts) CTG harvested from the palate.

Materials And Methods: An experimental study using nine cadaver head specimens was carried out to compare 3 different de-epithelialization techniques for CTG. Eighteen samples were randomly allocated to three study groups: bone scraper, diamond bur and extraoral removal with a scalpel.

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Objectives: This study aimed to compare the effect the radiographic marker registration (RMR) and markerless tracing registration (MTR) on implant placement accuracy using a dynamic computer-assisted implant surgery system (dCAIS). Additionally, this study aimed to assess the surgical time and whether the implant location influences the accuracy of the two registration methods.

Methods: 136 dental implants were randomly allocated to the RMR or MTR group and were placed with a dCAIS in resin models.

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Objectives: To determine the prevalence of peri-implant diseases in patients treated in a university setting without a regular peri-implant supportive therapy schedule, and to identify the risk indicators associated with peri-implantitis.

Material And Methods: A retrospective cohort study was made of patients with dental implants with at least 12 months of functional loading who did not receive regular peri-implant supportive therapy. Patient- and implant-related variables were retrieved, and clinical and radiological examinations were performed.

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(1) Background: The aim was to perform a literature review on customized subperiosteal implants (CSIs) and provide clinical guidelines based on the results of an expert consensus meeting held in 2023. (2) Methods: A literature search was performed in Pubmed (MEDLINE) in July 2023, including case series and cohort studies with a minimum follow-up of 6 months that analyzed totally or partially edentulous patients treated with CSIs. Previously, an expert consensus meeting had been held in May 2023 to establish the most relevant clinical guidelines.

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The purpose of this paper was to determine the effect of anodization on the in vitro proliferation and adhesion of immortalized human keratinocytes (HaCats) and mouse bone marrow-derived mesenchymal stem cells (BM-MSCs) in Titanium Grade 23 (Ti6Al4V ELI) discs and to describe the surface topography, roughness, and composition of dental implants (body and collar) and abutments submitted to an area-specific anodization process. HaCat cells and BM-MSCs were seeded onto discs with three different surface treatments: machined, area-specific anodization for abutments, and area-specific anodization for implant collars. Cell proliferation was assessed using a resazurin-based fluorescent dye on days 1, 3, and 7, while cell adhesion was examined using scanning electron microscopy (SEM).

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To determine which clinical factors might affect the postimplantoplasty presence of residual threads, platform alterations, and level of surface roughness. A total of 60 implants were placed in 20 resin models (10 edentulous maxillary models and 10 partially dentate mandibular models), and 5-mm peri-implant bone defects were created. These models were then placed in simulation mannequins.

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Article Synopsis
  • The study evaluated a Spanish version of the Consultation and Relational Empathy Measure (CARE) to measure relational empathy in dental students and examined various factors affecting perceived empathy and patient satisfaction.
  • A cross-sectional design involved translating the CARE questionnaire, validating it through factor analysis, and ensuring high internal consistency with Cronbach's α.
  • Results showed the Spanish CARE measure is highly reliable and effective, with no significant influence from patient demographics or visit frequency on perceived empathy, while higher perceived empathy is linked to greater patient satisfaction.
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Over the past decade, molecular imprinting (MI) technology has made tremendous progress, and the advancements in nanotechnology have been the major driving force behind the improvement of MI technology. The preparation of nanoscale imprinted materials, i.e.

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Pterygoid hamular bursitis is an infrequent cause of orofacial pain due to a hypertrophic pterygoid hamulus. The pain is often referred to the pharynx, temporomandibular region and facial zone, and requires a differential diagnosis with other craniofacial entities. This paper describes a patient with pterygoid hamular bursitis that presented pain of neuropathic characteristics in the left retromolar region, associated with odynophagia and temporomandibular joint disorders.

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There is scarce knowledge regarding the antimicrobial resistance profile of Therefore, the objective of this research was to assess antimicrobial resistance in recently obtained clinical isolates and to identify the presence of antimicrobial resistance genes. Isolates were obtained from patients with periodontal or peri-implant diseases and confirmed by sequencing their 16S rRNA gene. Confirmed isolates had their genome sequenced by whole genome sequencing and their phenotypical resistance to nine antibiotics (amoxicillin clavulanate, amoxicillin, azithromycin, clindamycin, ciprofloxacin, doxycycline, minocycline, metronidazole, and tetracycline) tested by E-test strips.

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Article Synopsis
  • Implantoplasty (IP) is a dental procedure aimed at treating implants with peri-implantitis by removing threads and smoothing surfaces to reduce bacterial colonization, though it may compromise implant strength.
  • In an experiment with 20 dental implants subjected to cyclic loading, IP implants showed lower fatigue limits (529 N) compared to controls (551 N) but still remained within safe limits for normal chewing forces.
  • While IP significantly improved surface smoothness, it also decreased corrosion resistance, indicating potential long-term effects on implant durability.
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Objectives: To assess dental implant placement accuracy with a dynamic computer-assisted implant surgery (dCAIS) system and a freehand approach. Secondarily, to compare the patients' perception and quality of life (QoL) with the two approaches.

Methods: A double-arm randomized clinical trial was conducted.

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Objective: To determine the usefulness of Serum C-terminal telopeptide cross-link of type 1 collagen (sCTX) as a preoperative marker for predicting the risk of developing medication-related osteonecrosis of the jaws (MRONJ) after invasive oral surgery in patients on antiresorptive medication.

Materials And Methods: Two authors independently searched four electronic databases up to March 25, 2021, for case-control studies and prospective and retrospective cohort studies that assessed preoperative sCTX levels in patients taking antiresorptive medication who underwent oral surgery procedures. The main outcome was the number of MRONJ cases in patients with an sCTX value lower and higher than 150 pg/mL.

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Purpose: The main objective of this study was to assess the influence of bone remodeling on late marginal bone loss in immediately loaded, implant-supported, complete-arch restorations and, secondarily, to determine its relationship to peri-implant disease occurrence using a multilevel analysis.

Materials And Methods: A retrospective cohort study of patients treated consecutively in a private clinic with immediately loaded full-arch restorations with at least 12 months of follow-up was conducted. Bone remodeling and marginal bone loss were determined through measurements made on panoramic radiographs by two calibrated examiners.

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