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Clinical Updates on Prosthodontics

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: 31 May 2026 | Viewed by 5838

Special Issue Editors


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Guest Editor
Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, 46010 Valencia, Spain
Interests: fixed prosthesis; BOPT; dental implants; dental ceramics; white spots
Special Issues, Collections and Topics in MDPI journals

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Guest Editor Assistant
Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, 46010 Valencia, Spain
Interests: surface property; dental material; zirconia; oral implants; dental prosthesis; prosthetics; peri-implantitis; oral implants; scanning electron microscopy

Special Issue Information

Dear Colleagues,

Restorative dental treatments must find a balance between health and aesthetics, since both are closely related. To achieve good aesthetics, the surrounding tissues must maintain their health and have a harmonious architecture.

The objectives of this Special Issue is the presentation of new protocols that relate new advances in prosthodontics with the health of teeth and implants and the stability of soft tissues, in such a way that we fix the focus of our prosthetic restorations on maintaining health in the long term. In this Special Issue, articles concerning perio-prothetic treatments with health results and gingival harmony, aesthetic results for both teeth and implants, aesthetics results in the treatment of peri-implantitis, basic and surgical periodontal treatment to achieve gingival aesthetics, and the behaviour analysis of soft tissues with new prosthodontic materials will be considered.

The scope of this Special Issue is to provide an overview of recent advances in the field of prosthodontics. Researchers in this field are therefore encouraged to submit an original article or review to this Special Issue (case reports and short reviews will not be accepted).

Prof. Dr. Rubén Agustín Panadero
Guest Editor

Dr. Carla Fons-Badal
Guest Editor Assistant

Manuscript Submission Information

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Keywords

  • dental prosthesis
  • dental implants
  • gingival aesthetics
  • gingival treatment
  • dental aesthetics
  • dental ceramics
  • BOPT
  • surgical periodontal treatment

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Published Papers (5 papers)

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Research

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14 pages, 5251 KB  
Article
Methodological Validation of the PIROP Ultrasound-Based System for Measuring Peri-Implant Soft Tissue Thickness in a Clinical Setting
by Jakub Hadzik, Paweł Kubasiewicz-Ross, Krzysztof Kujawa, Tomasz Gedrange and Marzena Dominiak
J. Clin. Med. 2026, 15(4), 1581; https://doi.org/10.3390/jcm15041581 - 17 Feb 2026
Cited by 1 | Viewed by 386
Abstract
Background/Objectives: Accurate and reproducible assessment of peri-implant soft tissue thickness is an important methodological aspect of contemporary implant dentistry, particularly in longitudinal studies evaluating soft tissue dimensions. While ultrasound-based techniques offer a non-invasive and quantitative approach, their validity in peri-implant settings remains insufficiently [...] Read more.
Background/Objectives: Accurate and reproducible assessment of peri-implant soft tissue thickness is an important methodological aspect of contemporary implant dentistry, particularly in longitudinal studies evaluating soft tissue dimensions. While ultrasound-based techniques offer a non-invasive and quantitative approach, their validity in peri-implant settings remains insufficiently documented. The objective of this study was to validate the PIROP ultrasound-based system for measuring peri-implant soft tissue thickness by comparing it with a direct clinical reference method. Methods: Peri-implant soft tissue thickness was assessed at 40 planned implant sites at two predefined time points: prior to surgical incision and three months after closed healing. Measurements obtained using the PIROP ultrasound-based system were directly compared with measurements performed following surgical incision using a calibrated periodontal probe. Results: Overall, the relative differences between ultrasound-based and direct clinical measurements were small, indicating comparable performance under standardized clinical conditions. The PIROP ultrasound-based system demonstrated good agreement with the reference method, with high intraclass correlation coefficients (ICC = 0.86–0.88). Conclusions: Within the limitations of this methodological validation study, ultrasound-based assessment demonstrated good agreement with direct clinical measurements, supporting its use as a reliable, non-invasive, and quantitative measurement approach in clinical studies and longitudinal designs requiring repeated evaluation of peri-implant soft tissue thickness. Full article
(This article belongs to the Special Issue Clinical Updates on Prosthodontics)
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13 pages, 431 KB  
Article
Immediate Loading of Implants Placed Immediately in Fresh Sockets: A 10-Year Single-Arm Prospective Case Series Follow-Up
by Eugenio Velasco-Ortega, Ivan Ortiz-Garcia, Loreto Monsalve-Guil, José López-López, Enrique Núñez-Márquez, Nuno Matos-Garrido, José Luis Rondón-Romero, Álvaro Jiménez-Guerra and Jesús Moreno-Muñoz
J. Clin. Med. 2025, 14(24), 8830; https://doi.org/10.3390/jcm14248830 - 13 Dec 2025
Cited by 1 | Viewed by 938
Abstract
Background. Implant dentistry is an important treatment option for patients requiring prosthetic rehabilitation after tooth loss. This study reports the evaluation of immediately loaded, immediately placed implants in fresh extraction sockets. Methods. Fifty-two partially edentulous patients (27 females and 25 males with [...] Read more.
Background. Implant dentistry is an important treatment option for patients requiring prosthetic rehabilitation after tooth loss. This study reports the evaluation of immediately loaded, immediately placed implants in fresh extraction sockets. Methods. Fifty-two partially edentulous patients (27 females and 25 males with mean age of 53.6 years), were treated with 112 Galimplant® implants placed immediately into fresh sockets for prosthodontic rehabilitation. All implants were loaded immediately. Clinical and radiographic parameters related to both the implants and the prosthodontic restorations were followed for 10 years. Results. Nine patients (17.3%) had a history of periodontitis, 26.9% were smokers, and 21.1% presented with chronic systemic conditions. The outcomes demonstrated an implant survival and success rate of 97.1%, indicating that immediately placed implants with immediate loading can achieve and maintain successful osseointegration. Three implants were lost during the healing period. The mean marginal bone loss was 1.09 ± 0.75 mm. Mucositis affected 21.4% of implants, and peri-implantitis was observed in 11.6% of implants. Fourteen implants (7.1%) were associated with technical complications, including screw loosening and ceramic chipping. Conclusions. The clinical findings of this study indicate favorable long-term outcomes for immediately loaded implants placed in fresh extraction sockets. Both implants and prosthetic restorations demonstrated a success rate of over 92.9% during the observation period. Full article
(This article belongs to the Special Issue Clinical Updates on Prosthodontics)
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14 pages, 6112 KB  
Article
Polytetrafluoroethylene Isolation of the Periodontal Sulcus for Cementation of Full Veneer Restorations Using a Biologically Oriented Preparation Technique (BOPT): An In Vitro Study
by José Félix Mañes, Federica Tripodi, Jorge Alonso Pérez-Barquero, Blanca Serra-Pastor, Ana Roig-Vanaclocha, Jesús Maneiro-Lojo, Ignazio Loi and Rubén Agustín-Panadero
J. Clin. Med. 2025, 14(15), 5305; https://doi.org/10.3390/jcm14155305 - 27 Jul 2025
Viewed by 1270
Abstract
Background: Prosthetic cementation using the biologically oriented preparation technique (BOPT) presents challenges in removing excess cement from the gingival sulcus, due to the absence of a finishing line and the impossibility of using absolute isolation with a rubber dam. This study aimed to [...] Read more.
Background: Prosthetic cementation using the biologically oriented preparation technique (BOPT) presents challenges in removing excess cement from the gingival sulcus, due to the absence of a finishing line and the impossibility of using absolute isolation with a rubber dam. This study aimed to evaluate the effectiveness of relative isolation using polytetrafluoroethylene (PTFE) tape in reducing cement retention during BOPT cementation. Methods: Fifteen 3D-printed resin models were created from an intraoral scan of a patient restored with BOPT in both upper central incisors. Each model included removable gingiva. Splinted polymethylmethacrylate (PMMA) provisional crowns were fabricated and cemented with temporary cement. One central incisor was isolated with PTFE (0.1 mm or 0.2 mm), while the contralateral tooth was left unisolated as a control. After debonding, digital scanning and volumetric analysis using root mean square (RMS) deviation were performed to quantify retained cement. Paired t-tests were applied to compare groups. Results: The mean RMS for the PTFE group was 0.1248 ± 0.0519 mm, compared to 0.1973 ± 0.0361 mm in the non-isolated group (p < 0.001). No significant difference was found between PTFE thicknesses of 0.1 mm and 0.2 mm (p = 0.388). Conclusions: PTFE tape is effective for relative isolation when rubber dam placement is not feasible in BOPT restorations. Further clinical studies are recommended to confirm these findings in vivo. Full article
(This article belongs to the Special Issue Clinical Updates on Prosthodontics)
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Review

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25 pages, 1477 KB  
Review
From Biological Mechanisms to Clinical Outcomes: A Scoping Review Comparing Immediate and Delayed Dental Implant Placement Protocols
by Nuttaya Phrai-in, Pimduen Rungsiyakull, Aetas Amponnawarat and Apichai Yavirach
J. Clin. Med. 2026, 15(2), 682; https://doi.org/10.3390/jcm15020682 - 14 Jan 2026
Viewed by 819
Abstract
Background/Objectives: Dental implant placement protocols including immediate (IIP) and delayed implant placement (DIP) are likely to affect bone tissue repair and regeneration after the surgery. Despite many benefits of IIP, it has remained unclear whether IIP demonstrates comparable healing processes and outcomes to [...] Read more.
Background/Objectives: Dental implant placement protocols including immediate (IIP) and delayed implant placement (DIP) are likely to affect bone tissue repair and regeneration after the surgery. Despite many benefits of IIP, it has remained unclear whether IIP demonstrates comparable healing processes and outcomes to those observed in DIP. This review aims to summarize and compare biological and clinical outcomes of IIP and DIP, focusing on success and survival rates, periodontal status, esthetics and radiographic outcomes, and biochemical markers. Methods: A literature search of electronic databases was conducted using PubMed/MEDLINE, Embase, and the Scopus databases (January 1983–February 2025). 109 articles published in English, consisting of in vitro, in vivo, and clinical studies met the inclusion criteria. Results: This review shows that both IIP and DIP show similar implant survival rates, but IIP may lead to a higher risk of mid-facial recession in esthetic areas. DIP, on the other hand, can result in better soft tissue and bone healing. Histological and radiographic evidence shows comparable bone to implant contact (BIC) between the two methods, although peri-implant bone loss tends to be higher with IIP. Lastly, although specific molecular markers are well-established in all phases of osseointegration following DIP, there is no available literature comparing differences in biomarkers during healing periods between IIP and DIP. Conclusions: This review highlights the similarities and differences in the outcomes of IIP and DIP, as well as the knowledge gaps that require further investigation, providing valuable insights for predicting treatment outcomes and managing complications associated with dental implant placement. Full article
(This article belongs to the Special Issue Clinical Updates on Prosthodontics)
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Other

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23 pages, 604 KB  
Systematic Review
Influence of Different Implantoplasty Designs on the Fatigue Resistance of Dental Implants: A Systematic Review
by Manuel León Velastegui, Rubén Agustín-Panadero, Aitana Rico-Coderch, José Amengual-Lorenzo, Carlos Labaig-Rueda and María Fernanda Solá-Ruiz
J. Clin. Med. 2025, 14(17), 6103; https://doi.org/10.3390/jcm14176103 - 29 Aug 2025
Viewed by 1279
Abstract
Objectives: To analyze the impact of implantoplasty on the mechanical resistance of dental implants, considering different implantoplasty designs and implant types. Methods: A systematic review was conducted in accordance with PRISMA guidelines. A search was performed in four databases: PubMed, Scopus, [...] Read more.
Objectives: To analyze the impact of implantoplasty on the mechanical resistance of dental implants, considering different implantoplasty designs and implant types. Methods: A systematic review was conducted in accordance with PRISMA guidelines. A search was performed in four databases: PubMed, Scopus, Web of Science, and Embase, along with a manual search for additional relevant studies. In vitro studies assessing the mechanical resistance of dental implants subjected to implantoplasty were included. A total of 136 studies were identified; after duplicate removal using Rayyan, and screening by title and abstract, 17 studies were ultimately selected after full-text assessment. Results: In vitro studies on external hexagon implants showed that fracture resistance in control groups ranged from 773.1 N to 1660 N for implants with a 4 mm diameter, and from 478.1 N to 1650 N after implantoplasty. For 3.5 mm diameter implants, values ranged from 548.8 N to 1276.1 N in control groups, and from 465.9 N to 1211.7 N after implantoplasty. In internal hexagon connections, fracture resistance after implantoplasty ranged between 321.7 N and 739 N. Conical connections exhibited a broader range of resistance values after implantoplasty, from 315.9 N to 2395.3 N. Conclusions: Implantoplasty reduces the mechanical strength of dental implants. Increased implantoplasty length correlates with decreased resistance, particularly affecting narrow implants. The prosthetic connection most affected by this procedure is the external hexagon, followed by the internal hexagon, with the conical connection being the most resistant. Full article
(This article belongs to the Special Issue Clinical Updates on Prosthodontics)
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