Maria Penarrocha-Diago

University of Valencia | UV · Department of Stomatology

Objective: To compare patient satisfaction during surgery, postoperative pain and inflammation and quality of life between high-speed drilling with irrigation and low-speed drilling without irrigation for implant bed preparation. Materials and methods: Sixty-six posterior single edentulous patients were included in a randomized controlled clinic...

Background: Placement of dental implants into fresh extraction sockets offers some advantages, such as reduced treatment times and enhanced patient comfort. The Er,Cr:YSGG (Erbium, Chromium-doped: Yttrium, Scandium, Gallium, and Garnet) laser can significantly reduce bacterial concentration after the extraction of a compromised tooth. The aim of t...

Purpose: To assess the accuracy of totally guided implant placement with static surgical splints in relation to the different types of supporting tissues (tooth, mucosa, or bone). Materials and Methods: This review was carried out following the PRISMA guidelines. An electronic search was done of the MEDLINE (PubMed), Embase, and Cochrane Library da...

Dental implants placed in fresh extraction alveoli provide several advantages, including shorter treatment periods and improved patient comfort. After a compromised tooth extraction, the Er,Cr:YSGG laser can considerably reduce bacterial concentration. The objective of this controlled study conducted after at least 1 year of follow-up was to compar...

Background: The main aims of this study were to evaluate mean volume reduction, radiographic healing rate and healing outcome two years after endodontic microsurgery. The effects of certain preoperative clinical factors upon preoperative volume, volumetric changes and healing outcome were also studied. Material and methods: A clinical database w...

Background: To review systematically the bone gain and superficial resorption rate of the onlay block bone grafts versus the cortical tenting technique, as well as secondarily study the postoperative complications, implant survival and success rates, and peri-implant marginal bone loss. Material and methods: Following the recommended methods for...

Introduction To compare the healing of teeth subjected to endodontic microsurgery over long-term (5-9 years) versus middle-term (1-4 years) follow-up, and assess the influence of different healing predictors over time. Methods A retrospective study was made, comparing the endodontic microsurgery healing rates after 1-4 versus 5-9 years of follow-u...

Introduction An analysis was made of the association between the endoscopic findings of the sectioned root end surface and healing of the lesion one year after periapical surgery, though no studies appear to have analyzed them in relation to healing after periapical surgery. Material and methods A retrospective cohort study was made of patients su...

Background: The present study in patients with direct sinus lift and simultaneous or delayed implant placement was carried out to relate the dimensions of the lateral window to sinus augmentation, marginal bone loss, and implant success and survival after a minimum follow-up period of 5 years. Methods: A retrospective cohort study was carried out i...

Background: Two-dimensional (2D) radiographic techniques are commonly used for assessing lesion prognosis after endodontic surgery. The present retrospective cohort study analyzes the sensitivity and ability of different radiographic techniques in obtaining area and volume measurements of periapical lesions. Material and methods: Preoperative an...

PurposeTo study the influence of the access window dimensions on the healing at the antrostomy and within the augmented maxillary sinus.Material and methodsA maxillary sinus augmentation was performed in twenty-four albino New Zealand rabbits. Antrostomies of 3 × 6 mm (small) or 5 × 6 mm (large) in dimensions were randomly prepared in each animal....

Introduction A study was made of the healing rate of teeth subjected to endodontic microsurgery after a minimum follow-up of 5 years, with an analysis of the influence of different pre- and postoperative factors upon the outcome. Methods A retrospective study was made of patients subjected to endodontic microsurgery with the use of mineral trioxid...

An apicomarginal defect can be explained as a total loss of buccal alveolus extending from the original crestal bone to the apex of the tooth. This study presents a case of an apicomarginal defect in a first left molar subjected to periapical surgery with vestibular cortex block replacement and A-PRF + membrane coating approximately one year ago. O...

Background: Subcrestal implant placement has been suggested as a method that could contribute to maintain the periimplant soft and hard tissues in comparison with crestal placement. The objective of this study was to investigate the relationship between implant placement at different depths in the alveolar bone and (a) the thickness of the buccal...

Background: The aims of this study were: 1) compare the amount of anesthesia used with the anesthetic technique; 2) relate the quantity of anesthesia needed with the level of anxiety of the patient; 3) study the relationship between the anesthetic technique and the level of hemostasis; 4) correlate the amount of anesthesia with patient and tooth d...

Background Clinical evidence of the autologous platelet concentrates effects on the patient-reported outcome measures (PROMs) after endodontic surgery is still limited. Objectives To investigate the effect of the advanced platelet-rich fibrin (A-PRF+) membrane application upon patient postoperative pain, and quality of life in endodontic surgery....

Placement of postextraction dental implants has become a common practice. Here, we reviewed current literature, along with clinical procedures, outcomes, and incidence of complications, associated with immediate implants in infected postextraction sites. The YSGG (yttrium, scandium, gallium, and garnet) laser can significantly reduce the bacterial...

Purpose: To explore risk indicators potentially associated with early apical peri-implantitis (EAP). Materials and methods: A retrospective survey was performed in 2017 with recorded information from patients receiving dental implants between 1996 and 2016. Reporting follows the STROBE (strengthening the reporting of observational studies in epi...

Background: A study is made of the findings of high-magnification rigid endoscopy at the root end surface following apicoectomy of teeth subjected to periapical surgery. Material and methods: A cross-sectional study was made of patients subjected to periapical surgery at the Unit of Oral Surgery and Implantology (University of Valencia, Valencia...

Background: An analysis was made of the correlation between root width, the thickness of the remaining dentinal wall as determined by endoscopy, and the outcome of periapical surgery. Material and methods: A retrospective cohort study was carried out involving patients subjected to periapical surgery between 2017 and 2019 at the University of Va...

Background: Apicomarginal lesions affect the root apex and root surface concurrently and reduce the success rate in periapical surgery. The purpose of this systematic review was to analyze the published literature on the surgical treatment of apicomarginal lesions in periapical surgery. Material and methods: A systematic review was conducted on...

Complications in dental implant surgery are possible. Bleeding complications have been described that may be serious, particularly in the floor of the mouth. We present two cases of sublingual hematomas during dental implant osteotomies that impeded but did not close the airway. The clinical courses of these patient’s complications are reviewed. On...

The present systematic review and meta‐analysis was carried out to determine the extent to which supracrestal tissue attachment (STA) thickness affects marginal bone loss (MBL) around dental implants. An electronic search was conducted in PubMed (MEDLINE), EMBASE, and complementary sources covering the period up to June 2018. The studies were meta‐...

Introduction Bleeding control is an important aspect in endodontic surgery. Two hemostatic techniques were compared with regard to their efficacy to bleeding control in endodontic surgery. Methods A randomized, 2-arm, parallel pilot study involving 30 patients with periradicular lesions was performed including the following hemostatic agents: po...

Objective The aim of this investigation was to review the surgical factors related to ostectomy in periapical surgery and their relationship to prognosis. Method An update was made of different techniques to achieve adequate access to the periapical lesion. Visual control of the affected roots is important for a successful result in periapical surg...

Introduction The aim of this study was to evaluate the efficacy of 2 hemostatic agents in periapical surgery and its relationship with patient- and tooth-dependent variables. Methods A prospective study was designed with 2 randomized parallel groups established according to the hemostatic agent used: aluminum chloride or electrocauterization. The...

Purpose: Preserving peri-implant bone and reducing exposure of the rough implant surface might influence long-term outcomes of implant therapy. The aim of this study was to compare peri-implant clinical and radiologic parameters after crestal and subcrestal dental implant placement at 36 months' follow-up. Materials and methods: We carried out a...

Background: Periapical implant lesions may be a cause of early failure of implants. The purpose of this article is to describe the surgical treatment of the periapical implant lesion and its intraoperative approach. Case presentations: Three patients with periapical implant lesions (2 in the maxilla and 1 in the mandible) after implant placement ar...

O b j e c t i v e The aim of the current investigation was to review techniques and materials available to achieve bleeding control during periapical surgery. An adequate bleeding control is crucial, since it improves vision in the surgical site, minimizes surgical time, enhances the root-end resection and filling, and reduces surgical blood loss,...

Introduction: Several variables have been associated with a better prognosis of periapical surgery. The aim of this study was to evaluate the influence of 2 hemostatic agents on the prognosis of periapical surgery at 12 months. Methods: A prospective study was designed with 2 randomized parallel groups established depending on the hemostatic age...

Purpose: 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 augm...

Statement of problem: Traditional impressions for complete-arch restorations are complex and time-consuming, and they can be uncomfortable for the patient. New digital techniques such as stereophotogrammetry may mitigate this. Purpose: The purpose of this randomized controlled pilot clinical trial was to compare the patient and dentist satisfact...

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...

Adult dentoalveolar trauma most often occurs in the context of sports activities and traffic accidents. Coronal fractures are the most common type of lesion, followed by tooth luxation. We present the case of a 25-year-old woman who suffered alveolar bone damage and coronal fractures of the upper incisors, with extrusive luxation of the right centr...

O b j e c t i v e Different surgical treatment strategies for periimplantitis using graft material and membranes have been suggested. However, in these, the mi-crobiological aspects of the periimplant environment were underestimated. The present preliminary study was aimed at analyzing a new clinical approach based on disinfection of the implant co...

B o n e b l o c k g r a f t t o t r e a t a p i c o m a r g i n a l d e f e c t Bone block graft to treat an apicomarginal defect simultaneously with apical surgery of the maxillary incisors: A case report with three-year follow-up Abstract O b j e c t i v e The objective of this article is to describe the successful management of an apicomarginal...

Purpose: To compare the 3-year outcome of dental implants placed simultaneously or delayed with intraoral onlay block bone grafts. Materials and methods: A retrospective study was conducted of patients subjected to localized lateral alveolar ridge augmentation with intraoral onlay autogenous block bone grafts before or at implant placement betwe...

R e v i e w o f t h e a r t e r i a l a n a t o m y i n t h e a n t e r i o r m a n d i b l e Review of the arterial vascular anatomy for implant placement in the anterior mandible Abstract O b j e c t i v e The placement of implants in the anterior region of the mandible is not free of risk and can even sometimes be life-threatening. The aim of th...

The aim of this study was to compare, from the patients' perspective, immediate and conventional loading of fixed complete-arch prostheses to rehabilitate mandibles with failing dentition. This controlled, prospective, nonrandomized study included 36 consecutive patients: 18 treated with conventional loading (control) and 18 with immediate loading...

The guided bone regeneration (GBR) technique is highly successful for the treatment of peri-implant bone defects. The aim was to determine whether or not implants associated with GBR due to peri-implant defects show the same survival and success rates as implants placed in native bone without defects. Patients with a minimum of two submerged dental...

Cement remnants were frequently associated with peri-implantitis. Recently, a shoulderless abutment was proposed, raising some concern about cement excess removal. To compare different cementation techniques for implant-supported restorations assessing the amount of cement remnants in the peri-implant sulcus. Additional aim was to compare the effec...

To compare immediate and conventional loading protocols for fixed full-arch mandibular prostheses supported by immediate and nonimmediate implants. A prospective controlled nonrandomized study with 12 months of follow-up included patients requiring fixed full-arch rehabilitations supported by immediate and nonimmediate implants. Eighteen patients w...

To report the closure of oroantral communications with the pedicled buccal fat pad in a series of patients, and to determine the level of patient satisfaction after the surgery. A prospective study of patients diagnosed of unilateral or bilateral oroantral communication (OAC) closed using the buccal fat pad between May 2012 and January 2013 was per...

Descripción: En estos últimos años, la Ortodoncia y la Cirugía Bucal han tenido un desarrollo muy rápido, con nuevos avances como consecuencia de la investigación; este desarrollo ha cambiado en parte la orientación práctica. Este libro presenta además de la información básica, producto de la avanzada investigación, la información de la actual rea...

Purpose: To retrospectively compare the outcomes of implants placed in posterior mandibles vertically regenerated with onlay autogenous block bone grafts and short dental implants. Materials and methods: Consecutive patients with vertical bone atrophy in edentulous mandibular posterior regions (7 to 8 mm of bone above the inferior alveolar nerve...

Purpose: To compare patient satisfaction and postoperative pain and swelling for immediate versus conventional loading in partially edentulous patients requiring extraction of the remaining maxillary dentition and rehabilitation with fixed full-arch prostheses. Materials and methods: This prospective, controlled, nonrandomized study with 12-mont...

To evaluate the bacterial microflora present inside the implant connection and in the peri-implant sulcus fluid of healthy implants, and to analyze the relationships between these harboring sites for four different implant systems after at least 5 years of functional loading. A cross-sectional study was performed involving 40 patients treated with...

The aim of this work was to review de literature about the role of mesenchymal stem cells in bone regenerative procedures in oral implantology, specifically, in the time require to promote bone regeneration. A bibliographic search was carried out in PUBMED with a combination of different key words. Animal and human studies that assessed histomorpho...

Abstract Objective: To describe the Horizontal Denture®, a new implant-supported prosthetic alternative for edentulous patients with atrophied edentulous maxillae, designed to combine the advantages of conventional removable overdentures and hybrid fixed prostheses. Two cases treated following this prosthetic approach are presented. Materials and M...

To compare implant stability throughout osseointegration, peri-implant marginal bone loss, and success rates of implants placed with conventional and mixed drilling/piezoelectric osteotomy. A pilot randomized-controlled trial was performed on 15 patients. Each patient received two implants in the mandibular molar region. All sites were prepared wit...

Purpose: To evaluate the 5-year outcome of a previously reported case series of patients with severely atrophic maxillae treated with palatally positioned implants and fixed full-arch rehabilitations. Materials and methods: A retrospective cross-sectional clinical study of patients treated between January 2000 and January 2004 with palatally pos...

Purpose: To compare immediate and conventional loading of fixed full-arch maxillary prostheses supported by implants placed in healed and fresh postextraction sites. Materials and methods: This prospective, controlled, nonrandomized 12-month study included 30 consecutive patients requiring fixed full-arch maxillary prostheses supported by implan...

Abstract Aims: To evaluate survival rates of dental implants in patients wearing maxillary and mandibular overdentures in relation to age, sex, smoking, implant splinting or non-splinting, the maxilla rehabilitated and number of implants per dental arch. Methods: This was a prospective study of patients who were completely edentulous in either mand...

Purpose: To analyze the clinical, microbiologic, and host response characteristics (interleukins 1β and 6) in the peri-implant sulcus fluid (PISF) of patients with healthy dental implants and with peri-implant mucositis. Materials and methods: Clinical parameters (modified Gingival Index [mGI], modified Plaque Index [mPI], probing pocket depth [...

Purpose: To retrospectively evaluate the 1-year outcome of implant therapy involving localized lateral alveolar ridge augmentation with block bone grafts, and to compare outcomes of implants inserted simultaneously with grafting or after a healing period. Materials and methods: Consecutively treated patients undergoing alveolar ridge augmentatio...

PURPOSE: Horizontal atrophy in the posterior mandible presents serious limitations on conventional implant placement. The purpose of this study was to evaluate the use of tilted implants angled in a buccolingual direction for restoring atrophic posterior mandibular sectors. MATERIALS AND METHODS: A cohort study was performed of 25 patients who had...

Abstract Objectives: To assess the survival rate of implants placed in the nasopalatine canal for the rehabilitation of patients with atrophic maxillae and the level of satisfaction of these patients.Materials and Methods: A retrospective study was performed between 2000 and 2009 of patients with severe atrophy of edentulous maxillae (Cawood and Ho...

Purpose: To report 20 cases with implant periapical pathology diagnosed during the osseointegration phase, evaluating retrospectively the efficacy of the treatment with implant periapical surgery. Materials and methods: A retrospective chart review was conducted of all patients in whom implant periapical surgery was performed between 1996 and 20...

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 pode...

Capítulo I. Anatomía del maxilar superior y su evolución a la atrofia. Juan Guarinos Carbó, Francisco Martínez Soriano, Miguel Puche Torres, Pedro Serrano Sánchez. Capítulo II. Materiales de injerto. Amparo Aloy Prósper, David Peñarrocha Oltra, María Peñarrocha Diago. Capítulo III. Implantes en el conducto nasopalatino. Miguel Peñarrocha Diago, Eug...

The objective was to review publications on indirect osteotome maxillary sinus floor elevation (OMSFE) procedures. Studies published between 1999 and 2010 on patients with a minimum of 1 year of follow-up were analyzed. Fourteen studies were included. Indirect OMSFE is indicated for a bone height of 6-8 mm. More bone height was gained when graft ma...

PURPOSE: To present a case series of 5 patients with oral teratomas, discussing the treatment and follow-up. REPORT OF CASES: Five patients (4 girls and 1 boy) with oral teratomas presented at the Maxillofacial Surgery Department of a University Hospital with a reference population of 1,000,000 between 1980 and 2002. The associated lesions, clinica...

Abstract AbstractPeripheral giant cell granuloma associated to dental implants is a very infrequent peri-implant soft tissue complication, with only 11 cases recorded in the literature to date. The present study describes a 54-year-old woman presenting a swelling of the alveolar margin in the fourth quadrant, in relation to a fixed prosthesis cemen...

An evaluation is made of pain, swelling and peri-implant attached mucosal width after implant-based rehabilitation involving guided surgery and a modification of the technique with the raising of a semicircular miniflap, in single and partial replacements. A case-control study was carried out. The study group consisted of 12 patients with the place...

The purpose of this study was to compare marginal bone loss and success rates 1 year after implants had been placed in maxillary molar sites, either immediately postextraction or after the extraction sites had healed (delayed). A retrospective case study was made of subjects treated with immediate or delayed dental implants in the maxillary molar r...

The aim of this study was to perform an ultrastructural study of the bone-to-biomaterial interface and biomaterial mineral degradation in retrieved bone biopsies following maxillary sinus augmentation using bovine xenografts (Endobon®) in 15 clinical cases. Nine months after sinus lifting, bone cores were harvested from the maxillary sinus. The spe...

The aim of this study was to compare the survival of implants placed in mature bone with the survival of implants placed in fresh extraction sockets in the same patients. A retrospective study of patients treated simultaneously with at least one immediate and one nonimmediate implant was carried out for the period 2005 to 2008. Data were recorded f...

To assess pain and swelling in the first 7 days after periapical surgery and their relationship with the agent used for bleeding control. A prospective study was conducted between October 2006 and March 2009. Patients subjected to root surgery, who completed the questionnaire and who consented to the postoperative instructions were included in the...

To describe the rehabilitation with implants placed simultaneously with particulated bone graft in 4 patients diagnosed with recessive dystrophic epidermolysis bullosa. A retrospective study was conducted of 4 patients diagnosed with recessive dystrophic epidermolysis bullosa and treated with dental implants and simultaneous particulate bone graft...

To analyze the side effects and complications following intraosseous anesthesia (IA), comparing them with those of the conventional oral anesthesia techniques. A simple-blind, prospective clinical study was carried out. Each patient underwent two anesthetic techniques: conventional (local infiltration and locoregional anesthetic block) and intraoss...

To compare a computerized intraosseous anesthesia system with the conventional oral anesthesia techniques, and analyze the latency and duration of the anesthetic effect and patient preference. A simple-blind prospective study was made between March 2007 and May 2008. Each patient was subjected to two anesthetic techniques: conventional and intraoss...

A study is made of the clinical course of patients with episodic cluster headache following the injection of corticosteroids in the proximity of the sphenopalatine ganglion of the affected side. A retrospective observation study was made corresponding to the period between 2006 and 2010. Patients with episodic cluster headache received corticostero...

The present study investigates sinus membrane rupture in direct maxillary sinus lift with the rotary technique and with ultrasound, examining the survival of implants placed after sinus augmentation, and analyzing the bone gain obtained after the operation and 12 months after placement of the prosthetic restoration. A retrospective study was made o...

A description is made of transcrestal sinus lift using the sinus balloon technique, evaluating the bone height achieved and implant success one year after prosthetic loading. Between January and July 2007, transcrestal sinus lift using the sinus balloon technique for dental implant placement was carried out in 6 patients. A panoramic X-ray study an...

Abstract Objective: To review the evidence-based literature on the use of tilted implants in the rehabilitation of patients with maxillary atrophy. Material and method: Studies from 1999 to 2010 on patients with atrophic maxilla rehabilitated with tilted implants were reviewed. Clinical series with at least 10 patients rehabilitated using tilted im...

The aim of the present study was to determine bone density in designated implant sites using cone beam computed tomography (CBCT) and to evaluate possible correlations between age, gender, insertion torque measurements, and resonance frequency analysis (RFA) values. Completely and partially edentulous patients were treated with implants between 200...

Peri-implantitis is a late complication of dental implant treatment, induced by microbiological changes. Since the disorder is frequent, a review is indicated of the microorganisms that influence it and of the existing treatment options. To conduct a literature review of the microbiota associated to peri-implantitis and the existing treatment optio...

The aim of this study was to describe the rehabilitation of patients diagnosed with recessive dystrophic epidermolysis bullosa (RDEB), with edentulous maxillas and/or mandibles, by using fixed full-arch short-expand prostheses supported by 4 anterior implants. A retrospective study was carried out to study edentulous patients with RDEB rehabilitate...

To compare the preoperative signs and symptoms with the histologic diagnosis and postoperative healing at 12 months for 178 periapical lesions. A total of 152 patients who had undergone periapical surgery from 2005 to 2008 were studied. The study included patients presenting with signs and symptoms before periapical surgery with a sufficient tissue...

Abstract Objective: To review the literature published, to assess the success of treatment of patients with atrophic posterior maxilla with pterygoid implants.Materials and methods: Studies from 1992 to 2009 on patients with atrophic posterior maxilla rehabilitated with pterygoid implants were reviewed. Those reporting clinical series of at least 5...

to evaluate patient satisfaction with implant-retained overdentures, and its relationship with age, sex, period of follow-up, the rehabilitated jaw (maxilla, mandible or both), number of implants, splinting, type of attachment and the antagonist. the study comprised patients with overdentures fitted between January 1996 and June 2007, and with a mi...

To determine the prevalence, location, and size of maxillary sinus septa, and to compare the results of panoramic radiographs and computed tomography (CT) scans. This study included 30 patients, 17 women and 13 men, with a mean age of 50.9 years (range, 28-73 years), undergoing treatment planning for implant-supported restorations in the maxilla. T...

Subcutaneous emphysema, is a rare occurrence in dental practice. It is usually benign and self-limiting; never-theless, severe consequences can result from surgical treatment. Emphysema occurs when air is injected into the subcutaneous layer of the tissue, this may come from either an air turbine handpiece or air syringe. Due to the danger of devel...

CAPITULO I Introducción Criterios Actuales Superficie del implante Tipo de hueso Localización Diámetro y longitud del implante Perdida ósea Regeneración gingival Indicaciones y contraindicaciones de la restauración inmediata Diagnostico y planificación Protocolo quirúrgico Secuencia quirúrgica estándar Secuencia quirúrgica sin colgajo Secuencia qui...

Descripción: La cirugía periapical es un procedimiento conservador, que permite eliminar una lesión periapical inflamatoria, y conserva el diente causal. En nuestros días la implantología ha revolucionado la Odontología y ha cambiado los procedimientos clínicos clásicos. La reparación de un electrodoméstico ha perdido valor y parece que de igual m...

Abstract The aim is to describe bilateral vertical ridge augmentation with intraoral block grafts and guided bone regeneration in the posterior mandible in preparation for implant placement.A 61-year-old woman, edentulous in the posterior mandible, presented for implant rehabilitation. The radiographic study showed 3 to 6 mm of bone height from the...

The present study was undertaken to evaluate mucoceles in the oral cavity of pediatric patients, including the clinical characteristics, treatment, and progress of the lesions. A retrospective study was performed from the medical records of patients (0-14 years old) treated for oral mucoceles between 1998 and 2008 in a reference children's hospital...

To evaluate an alternative treatment for rehabilitation of the atrophic maxilla with palatal and tilted implants and to assess patient satisfaction with the results. A retrospective case study was made of completely edentulous subjects with tilted, palatally positioned implants in the anterior maxillary buttress placed and loaded between January 20...