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Graduated in 2005 from the University of Bologna, Italy with a degree in dentistry. She was awarded PhD in Medical Sciences in 2016 from the University of Bologna, Italy. Since 2018 researcher at the Departement of Biomedical and Neuromotor Sciences, Bologna University. Member of the editorial committee of the Italian Society of Periodontology in 2018-2019. Member of the scientific committee of the Italian Society of Periodontology in 2016/2017. Visiting Professor at San Raffaele University, Milan 2015-2016. Teacher at the postgraduate program Dental School San Raffaele University, Milan 2017. Teacher at the II level international master at Bologna University 2017/2018. Member of the NOGI (National Osteology Group Italy). Since 2018 ITI Fellow, Study Club Director and Member of the ITI leadership development committee. Since 2012 active member of the Italian Society of Periodontology (SIDP) since 2005 to 2013 awarded research grant working with Prof Giovanni Zucchelli. Since 2005 to date dental surgeon in private practice as expert in periodontology. Author of several publications in Pubmed. Co-Author of a chapter within the book “Implant Therapy” edited by M. Nevins and H. L. Wang. Speaker at national and international conferences on periodontology.
1st Edition 2022 Book Hardcover; Two-volume book with slipcase; 21 x 28 cm, 1100 pages, 6557 illus Language: English Categories: Oral Surgery, Implantology Stock No.: 24311 ISBN 978-88-7492-091-4 QP Italy
Issue cycle: quarterly Language: German Category: Esthetic Dentistry Editor-in-chief: Dr. Martina Stefanini PhD, ZTM Vincent Fehmer BDT, MDT, Dr. Alfonso Gil DDS, PhD QP Deutschland
Issue cycle: quarterly Language: English Category: Esthetic Dentistry Editor-in-chief: Dr. Martina Stefanini PhD, ZTM Vincent Fehmer BDT, MDT, Dr. Alfonso Gil DDS, PhD QP Deutschland
Regeneration and Esthetics in Periodontology and Implant Dentistry02.12.2022 — 03.12.2022Congress Center, Kursaal Bern, Bern, Switzerland
Speakers: Sofia Aroca, Daniel Buser, Stephen Chen, Massimo De Sanctis, Nikolaos Donos, Markus B. Hürzeler, Sascha Jovanovic, Ronald E. Jung, Giulio Rasperini, Isabella Rocchietta, Frank Schwarz, Anton Sculean, Shakeel Shahdad, Andreas Stavropoulos, Martina Stefanini, Leonardo Trombelli, Istvan Urban, Giovanni Zucchelli
Buser & Sculean Academy
This author's journal articles
International Journal of Esthetic Dentistry (EN), 1/2023
Pages 9-10, Language: EnglishFehmer, Vincent / Gil, Alfonso / Stefanini, Martina
Autogenous soft tissue grafting is a commonly performed procedure in periodontal and implant surgery. Reharvesting a connective tissue graft (CTG) from the same palatal donor site is often required, but little is known about the volumetric changes that occur after harvesting a free gingival graft and how long the palatal mucosa takes to regain its original form and thickness. This study evaluated the volumetric changes that occur at the palatal donor site after harvesting a soft tissue graft with a noninvasive digital technology. Nineteen patients needing a CTG for a single site were enrolled. Intraoral digital scans of the palatal donor sites were obtained at baseline and at 1, 3, 6, and 12 months. The digital scans were imported and analyzed with an imaging software to evaluate volumetric changes. Average volume losses of 5.82 ± 2.63 mm3 and 11.03 ± 5.47 mm3 were observed after 1 and 3 months, respectively. Only minor changes were observed at 6 and 12 months. Linear dimensional changes at 5 and 7 mm from the gingival margin were substantially higher than the changes at 3 mm for the 1- and 3-month interval comparisons compared to baseline. Graft dimension was associated with volume loss at 1 and 3 months (P < .01). After palatal harvesting, the donor site undergoes volumetric changes, mostly during the first 3 months, and is attenuated thereafter.
Tooth malposition negatively affects the outcome of root coverage procedures, limiting chances for complete root coverage (CRC). This case series introduces a combined orthodontic-mucogingival approach for the treatment of deep (> 4 mm) isolated gingival recession defects affecting mandibular incisors with a buccally displaced root. Twenty patients were treated with a novel orthodontic device (FZ Root Torque Controller) for selective correction of tooth malposition at the affected site, turning all isolated recessions into Miller Classes I and II. Subsequent surgical treatment of the gingival recession with a vertically-coronally advanced flap plus a connective tissue graft achieved 90% CRC at the 1-year follow-up, with a recession reduction of 5.6 ± 1.5 mm, a 1.24 ± 0.24 mm increase in gingival thickness, and improved esthetic outcomes.
The gingival thickness (GT) and keratinized tissue width (KTW) constitute the gingival phenotype, a concept that has received a great deal of appreciation in recent years. Gingival phenotype modification has been achieved via different surgical techniques and grafting materials. Despite the superiority of autogenous grafts, their increased patient morbidity and limited recourse has led to the development of graft substitutes. The human dermal matrix is a notable example that, depending on its processing method, can become freeze-dried or solvent-dehydrated acellular dermal matrix (FDADM and SDADM, respectively). This article reports the 9-year outcomes of a randomized clinical trial regarding gingival phenotype modification following root coverage with FDADM and SDADM. Twelve of the original 20 patients were available at the 9-year follow-up. Overall, the outcomes of gingival phenotype modification were maintained in both groups and at all sites after 9 years. For KTW, an incremental increase was observed over time in both groups, and minimal or no changes were noted in GT from the 1-year recall to the 9-year recall. However, the gingival margin level showed an apical shift for both groups.
International Journal of Oral Implantology, 4/2021
PubMed ID (PMID): 34726846Pages 351-365, Language: EnglishZucchelli, Giovanni / Tavelli, Lorenzo / Stefanini, Martina / Barootchi, Shayan / Wang, Hom-Lay
The coronally advanced flap technique is one of the most commonly used approaches for treating gingival recession. Several modifications of the technique have been proposed over the years, making it a highly predictable treatment option for gingival recession; however, as dental implants are structurally and biologically different from natural teeth, a further modification of the conventional coronally advanced flap technique has been suggested to overcome the challenges posed by the treatment of peri-implant soft tissue dehiscences. The present article aims to describe the state of the art of the technique at implant sites presenting with peri-implant soft tissue dehiscences, and highlight the main differences between this and the coronally advanced flap approach in natural teeth. The timing of crown removal and abutment modification/replacement are discussed, along with the different methods for management of the flap and connective tissue graft that are recommended at implant sites. The outcomes of this approach compared to the conventional coronally advanced flap technique, and other approaches are also presented.
Keywords: connective tissue graft, dental implants, gingival recession, soft tissue augmentation, surgical flap
Conflict-of-interest statement: The authors do not have any financial interests, either directly or indirectly, in the products or information listed in the paper.
Treatment of gingival recessions affecting mandibular incisors is scarcely documented. Despite a shallow vestibule depth being considered a poor anatomical condition, it has never been measured nor deemed a clinical parameter affecting the outcome of root coverage procedures. This study describes a vertically and coronally advanced flap (V-CAF) + connective tissue graft (CTG) technique to obtain root coverage and increased vestibule depth in the treatment of gingival recessions affecting mandibular incisors. Twenty patients with single gingival recessions were treated. The results showed that V-CAF+CTG is effective in increasing residual vestibule depth and in reducing recession depth. Immediately after surgery, a vestibule-depth increase of 5.9 ± 1.2 mm was reported, which was statistically significant compared to baseline, and it remained stable after 12 months (4.8 ± 1.1 mm). The mean percentage of root coverage was 98.3% ± 5.2% for all treated recessions, and complete root coverage (CRC) was achieved in 90% of cases (18 of 20). V-CAF+CTG could be considered a successful technique in terms of vestibule depth increase and CRC for the treatment of single gingival recessions in the mandibular incisors.