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La exposición gingival excesiva es una condición conocida como sonrisa gingival. Esta alteración genera en muchos casos insatisfacción y solicitud de tratamiento por parte de los pacientes. Este exceso de exposición gingival podría obedecer a diferentes etiologías como un exceso maxilar en sentido vertical, un labio superior corto e hipermóvil, la erupción pasiva alterada, la extrusión dentoalveolar en el sector anterior o la combinación de estas causas. El enfoque de tratamiento va a depender del diagnóstico, de la complejidad del caso y de las expectativas de cada paciente. Por lo tanto, las rutas terapéuticas principales son el alargamiento de corona clínica, el reposicionamiento labial, la cirugía ortognática o la aplicación de toxina botulínica. Para ello, se debe considerar las ventajas y limitaciones de cada tratamiento estétic...

Prosthetic intermediaries in oral implantology are attachments that allow connection between the implant and the prosthesis itself. Although this rehabilitation has a high success rate; the selection of the prosthetic abutment represents is important in implant treatment. Currently, there is a great variety of intermediate abutments, corresponding to various techniques and materials. Prosthetic intermediaries can be classified according to the type of connection, their retention to the prosthesis, their axial relationship with the implant body, the manufacturing material and type of manufacture, or whether rehabilitation is single or multiple. This scenario can lead to doubts as to the selection of the ideal implant attachment in each case in order to achieve satisfactory rehabilitation, as well as functional and aesthetic requirements and the preservation of biological principles. Indee...

Dentistry has experienced a profound digital transformation in recent years. Each year brings new technological advances, and keeping pace with them can be a demanding task. Three-dimensional workflows, digital scanners, and CAD/CAM (Computer-Aided design and manufacturing) systems are now part of daily clinical reality. However, the true challenge is not only to adopt new tools but to educate professionals capable of critical thinking and sound decision-making. Diagnosis, planning, and daily practice have also evolved. Today, digital systems play a central role in education because they allow students to practice procedures before treating real patients (1). Reports from the FDI World Dental Federation and the World Health Organization highlight that digital transformation is more than a technical change; it represents a new way of understanding access and equity in modern dentistry (2,...

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 Oral implantology is the discipline that has revolutionized dentistry, and it is of crucial importance to carry out a practice applying clinical procedures based on scientific evidence. Likewise, multiple protocols and consensuses have been developed. That is why success lies in performing an adequate preoperative analysis (clinical and tomographic), applying solid theoretical bases and evaluating risks in each case to carry out predictable and successful treatments. This review synthesizes the indications, surgical aspects and recommendations for installation and loading times; as well as the considerations for the management of provisional restorations in oral implantology. Four times have been established for the placement of dental implants: Immediate (implant type 1), early (implants type 2 and 3) and late (implant type 4) and three times for the loading of dental implants: Immedi...

El presente trabajo de investigación tiene como objetivo comparar la posición planificada con la posición final del implante dental instalado entre la cirugía totalmente guiada versus semiguiada respecto a la desviación angular, coronal y apical. La metodología de la Investigación consta de un estudio experimental in vitro aplicado a una muestra de 8 implantes dentales cilíndricocónicos, tipo hexágono interno, de 4.5 mm de diámetro y 12 mm longitud (Tapered Internal Biohorizons®). La muestra se distribuyó aleatoriamente en dos grupos, técnica semiguiada y técnica guiada. Entre los resultados se destaca la desviación angular en sus dos vistas no presentó diferencias estadísticamente significativas entre las técnicas de cirugía (p>0.05). La desviación coronal en su vista coronal y vertical coronal fue estadísticamente superior en la técnica guiada (Me coronal= 1.92 [...

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La investigación científica en Odontología es la herramienta clave para generar conocimiento y resolver problemas que conduzcan al desarrollo exponencial y progreso tecnológico de la profesión. A su vez, e indispensable el estudio epidemiológico y etiopatogénico de las enfermedades estomatológicas, factores de riesgo y manifestaciones orales relacionadas a la salud sistémica, para implementar estrategias sanitarias y establecer un adecuado manejo multidisciplinario. La odontología basada en evidencia (OBE) exige al profesional realizar una práctica informada, responsable, actualizada y soportada en una sólida base científica para la toma de decisiones y garantizar resultados altamente predecibles. La mayoría de los estudios clínicos en Odontología se realizan bajo el enfoque cuantitativo utilizando los diseños epidemiológicos; por lo q...

Objective: To determine the mucogingival parameters of the maxillary anterior teeth in Peruvian dental students, including the width of keratinized gingiva, gingival phenotype, interdental papilla height, and gingival zenith position. Materials and Methods: A cross-sectional study was conducted among 128 randomly selected dental students from a private university in Lima, Peru. Prior to data collection, a pilot study and examiner calibration were performed. Mucogingival parameters were clinically assessed using a North Carolina periodontal probe. Measurements were analyzed by tooth type, sex, and age using the Chi-square test, Mann–Whitney U test, Friedman test, and Dunn’s post hoc test (α = 0.05). Results: The mean width of keratinized gingiva ranged from 4.99 mm to 5.29 mm, and the height of the interdental papilla ranged from 3.99 mm to 4.41 mm. A thick gingival phenotype was obs...