Evidence map›Paper›PMID 40955272›Full record

ArticleCureus2025

Supracrestal Complex Prosthetic Modification and Topical Oxygen Therapy for Peri-implant Mucositis Resolution in an Infrapositioned Implant: A Case Report With Three-Year Follow-Up.

Minas Leventis, Ioanna Mitsika, Ioannis Vergoullis, Konstantinos Valavanis

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Minas LeventisOral Surgery, Dental School, National and Kapodistrian University of Athens, Athens, GRC.
Ioanna MitsikaDentistry, National and Kapodistrian University of Athens, Athens, GRC.
Ioannis VergoullisPeriodontics, Louisiana State University School of Dentistry, New Orleans, USA.
Konstantinos ValavanisOral Surgery, Dental School, University of Naples Federico II, Naples, ITA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Long-term implant success depends on stable integration with peri-implant tissues and adequate bacteria control. However, implants placed in adolescents may later exhibit prosthesis infrapositioning and soft tissue complications due to continuous craniofacial growth. A 30-year-old healthy woman presented with long-standing inflammation around an implant-supported crown at site #23, placed at age 18. Clinical evaluation revealed deep probing depth (7 mm), bleeding on probing, and signs of cement-induced inflammation. The crown was infrapositioned and exhibited poor marginal adaptation, subgingival porcelain exposure, and residual cement. Despite these complications, crestal bone levels were preserved. The prosthesis was removed and replaced by a chairside-fabricated provisional crown composed of a highly polished composite. The subgingival portion of the provisional crown was thoroughly designed to allow for peri-implant soft tissue re-adherence and preservation and support of the peri-implant soft tissue topography, while the topical use of oxygen- and lactoferrin-releasing oral gel aimed at enhancing the soft tissue healing, reducing inflammation, and controlling the pathogenic bacteria. After healing, a final screw-retained implant crown was delivered, fulfilling biological, functional and aesthetic requirements. At the three-year follow-up, the peri-implant tissues were clinically healthy, with probing depths less than 3 mm and no bleeding. Inflammation was resolved, soft tissue architecture remained stable, and radiographic bone levels were unchanged. This case report illustrates the successful management of peri-implant complications linked to prosthesis infrapositioning and poor prosthetic design, following a biologically oriented approach that combined supracrestal complex management and topical oxygen therapy.

Indexed as

abutment modificationcraniofacial growthdental implantsimplant complicationsimplant supracrestal complexinfrapositionoxygen therapyperi-implant mucositissoft tissue seal

Identifiers

PMID40955272
PMCPMC12433715

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.