Archive

31 July 2025, Volume 28 Issue 4 Previous Issue    Next Issue

---

For Selected:

Download Citations EndNote Ris BibTeX

Toggle Thumbnails

Select

Current Status and Future Strategies of Periodontal Health Management in China Dong Shi, Chenhao Yu, Yan Si, Zhongchen Song, Xiangying Ouyang, Yi Liu, Wenjie Hu, Yaping Pan 2025, 28(4):  189-193.  DOI: 10.12337/zgkqjxjyzz.2025.04.001 Abstract ( 19 )   PDF (1563KB) ( 8 )   Periodontal disease, as a highly prevalent chronic disease in China, has become a significant public health challenge due to its high prevalence rate, significant age and regional differences, and close association with overall health. Based on the outcomes of the Expert Seminar on Periodontal Health held in June 2025, this article systematically summarizes the prevalence characteristics of periodontal diseases in the Chinese population, the current status of diagnosis, treatment and management, periodontal systematic diagnosis and treatment as well as full-course management strategies, and introduces the clinical applications of classic drugs and new active ingredients, aiming to provide references for the optimization of periodontal health management in China. References | Related Articles | Metrics

Select

Learn Gingivectomy Step by Step Jiachen Dong, Huxiao Li, Zhongchen Song 2025, 28(4):  194-198.  DOI: 10.12337/zgkqjxjyzz.2025.04.002 Abstract ( 20 )   PDF (3349KB) ( 23 )   Gingivectomy is frequently performed on patients with gingival hyperplasia and hypertrophy. This operation is a fundamental periodontal surgery and is relatively simple to perform. Precautions include the cutting angle of the external oblique incision and the trimming of the gingival shape after resection, among other important factors. As surgical concepts evolve, numerous new technologies are being applied in gingivectomy. This paper discusses the concept, indications, procedures, and recent research developments related to gingivectomy. Its aim is to provide surgical references and educational insights for stomatologists, while also establishing a theoretical foundation for the practice of gingivectomy. References | Related Articles | Metrics

Select

Esthetic Crown Lengthening Surgery: Step by Step Chunxu Lyu, Jinlong Shao, Yeling Chen, Simeng Wang, Shaohua Ge 2025, 28(4):  199-206.  DOI: 10.12337/zgkqjxjyzz.2025.04.003 Abstract ( 17 )   PDF (6103KB) ( 8 )   Esthetic crown lengthening surgery is a periodontal surgical technique that involves the precise removal of gingival and alveolar bone tissues to increase clinical crown length, thereby meeting esthetic and restorative demands. This article systematically outlines the clinical workflow of this procedure, including medical history collection, comprehensive clinical and radiographic evaluation, digital design, surgical guide fabrication, and intraoperative protocols. The aim is to provide a standardized reference pathway to facilitate the effective and predictable implementation of esthetic crown lengthening surgery. References | Related Articles | Metrics

Select

Learn Guided Tissue Regeneration Surgery Step By Step Xueqin Jing, Shihao Hou, Jiujiu Zhang, Xiyu Zhang, Ruixin Wu, Beimin Tian, Faming Chen, Jie Xu 2025, 28(4):  207-212.  DOI: 10.12337/zgkqjxjyzz.2025.04.004 Abstract ( 24 )   PDF (5841KB) ( 13 )   Guided tissue regeneration is an important technique for achieving periodontal tissue regeneration, which utilizes barrier membranes to isolate gingival epithelium and connective tissues while stabling the microenvironment for periodontal ligament cells. This approach enables the functional regeneration of the integrated cementum-periodontal ligament-alveolar bone complex. Predictable regeneration results require strict case selection criteria, defect-specific incision design, precise debridement of graft sites, and optimal membrane positioning. This article mainly introduces the steps and key points of guided tissue regeneration, and briefly reviews the progress of the surgery, aiming to provide a reference for medical students, general dentists, and periodontal specialists. References | Related Articles | Metrics

Select

Applications of Artificial Intelligence in Periodontal Disease: Current Status, Challenges, and Future Prospects Zhe Li, Chen Li, Yaping Pan 2025, 28(4):  213-219.  DOI: 10.12337/zgkqjxjyzz.2025.04.005 Abstract ( 14 )   PDF (1877KB) ( 6 )   Periodontal disease, a common chronic inflammatory condition of the oral cavity, not only causes localized damage such as tooth mobility, tooth loss, impairing chewing function and facial aesthetics, but is also associated with a variety of systemic diseases. Its onset and progression are influenced by a complex interplay of both local and systemic factors, making its risk assessment and prognosis particularly challenging. Artificial intelligence (AI), with its powerful data processing capabilities, can uncover complex patterns from multidimensional data, offering new approaches for early detection, risk prediction, and personalized treatment of periodontal disease. This paper provides a comprehensive review of the current applications of AI models in the diagnosis and prognosis of periodontitis, as well as in public education and academic training. It also offers an in-depth analysis of the strengths and limitations of different AI models, aiming to support model optimization and promote more effective integration of AI into periodontal clinical practice and education. References | Related Articles | Metrics

Select

Combined Periodontal-orthodontic Treatment in Generalized Stage III Grade C Periodontitis: A Case Report Ganggang Qi, Yixiang Wang, Qian Liu, Xiaoyan Chen, Xiaojun Li 2025, 28(4):  220-236.  DOI: 10.12337/zgkqjxjyzz.2025.04.006 Abstract ( 13 )   PDF (52963KB) ( 4 )   Objective: Report the efficacy of systematic treatment combined with orthodontic treatment in a case of extensive Stage III Grade C periodontitis. Diagnosis and treatment: In this case, periodontal basic treatment was conducted to control periodontal inflammation, bone grafts were implemented to improve the supporting periodontal tissues, orthodontic treatment was used to manage the periodontal tissues and occlusal balance, ultimately achieving control of periodontal inflammation with long-term stability. Results: This case achieved good clinical results, the patient's periodontal inflammation was effectively controlled, and there was significant improvement in the structure, function, and aesthetics of the periodontal tissues. Conclusions: The diagnosis and treatment process and results of this case can provide one of the personalized treatment plans for periodontal orthodontic combined treatment. References | Related Articles | Metrics

Select

Reconstruction of Gingival Papilla via Connective Tissue Graft-Based Technique for Treating RT3 Gingival Recession: A Case Report Jingxin Weng, Yi Guo, Chengjie Xie 2025, 28(4):  237-245.  DOI: 10.12337/zgkqjxjyzz.2025.04.007 Abstract ( 10 )   PDF (4352KB) ( 2 )   Objective: This article aims to explore the diagnostic rationale and clinical management strategies for RT3 gingival recession (GR) with concomitant gingival papilla deficiency. Diagnosis and treatment: The case invovled a young female patient presenting with RT3 recession and papilla deficiency in the right maxillary anterior region. Considering the challenge of achieving optimal aesthetic outcomes through conventional root coverage procedures, a connective tissue graft-based soft tissue surgery was designed and performed, simultaneously addressing both papilla reconstruction and root coverage. Results: Through a single surgical intervention, partial root coverage was achieved with significant improvement in black triangle morphology. The patient expressed satisfaction with both functional and esthetic outcomes. Conclusions: This case validates the potential for improving RT3 GR through gingival papilla reconstruction, demonstrating that coordinated soft tissue augmentation can partially overcome the limitations of conventional root coverage techniques in complex GR scenarios. References | Related Articles | Metrics

Select

Periodontal-orthodontic-implant Multidisciplinary Collaboration for Stage IV Grade C Periodontitis: A Case Report Fanghui Chen, Qiao Peng, Huaxiang Zhao, Zhaoli Meng, Xixuan Zhang, Zifei Liu, Chunhui Zhu 2025, 28(4):  246-258.  DOI: 10.12337/zgkqjxjyzz.2025.04.008 Abstract ( 9 )   PDF (9205KB) ( 2 )   Objective: This article presented the multidisciplinary management of a young patient with generalized Stage IV Grade C periodontitis, offering a novel approach to the treatment of severe and complex periodontitis patients. Diagnosis and treatment: A 20-year-old male patient diagnosed with generalized StageⅣ Grade C periodontitis, of which included the loss of multiple functional teeth, pathological tooth migration, and secondary occlusal trauma. A systematic therapeutic protocol termed inflammation control-occlusal unloading-functional reconstruction was implemented, integrating periodontal treatment with early occlusal intervention using interim removable dentures, followed by orthodontic alignment and subsequent implant restoration. Results: The multidisciplinary treatment strategy successfully restored periodontal health, resolved occlusal trauma, and reestablished a functional dentition, leading to a favorable clinical outcome. Conclusions: The staged treatment system of inflammation control-bite unloading-functional reconstruction can achieve improved bite function, periodontal stability, and aesthetic restoration effects. References | Related Articles | Metrics

Select

A Three-year Observation Case of Periodontal Regeneration on the Proximal Surface of Mandibular Premolars Haijuan Hou, Meilin Zhao, Shiqi Huang, Jingjing Wei, Junji Xu 2025, 28(4):  259-268.  DOI: 10.12337/zgkqjxjyzz.2025.04.009 Abstract ( 13 )   PDF (5861KB) ( 2 )   Objective: This case report presented a three-year follow-up observation of a 49-year-old male patient with StageⅢ Grade C periodontitis who underwent periodontal regenerative surgery on mandibular premolars. Additionally, a literature review was conducted on factors influencing periodontal regeneration. Diagnosis and treatment: Through standardized periodontal maintenance therapy and regeneration on the proximal surface of mandibular premolars, the patient's heavily involved periodontitis teeth were salvaged in a timely manner. Results: The overall periodontal health status was significantly improved, with sustained and stable periodontal control. Conliusions: The loss of interproximal attachment in periodontally involved teeth is closely associated with tooth prognosis, and the regeneration of interproximal attachment levels in periodontitis can significantly improve the prognosis of affected teeth. References | Related Articles | Metrics

Select

Periodontal-orthodontic-prosthodontics Combined Treatment of Class I Malocclusion with Gingival Recession of Lower Anterior Teeth: a Case Report Jiajia Cheng, Guangsheng Chen, Runan Wang, Xin He, Yujie Jiang, Song Ge, Li Gao 2025, 28(4):  269-283.  DOI: 10.12337/zgkqjxjyzz.2025.04.010 Abstract ( 22 )   PDF (8326KB) ( 13 )   Objective: This paper reports the multidisciplinary treatment process of periodontal-orthodontic-restoration in a patient with Class I malocclusion with gingival recession of lower anterior teeth and explores its clinical effect. Diagnosis and treatment: The patient was affected by the gingival recession of the lower anterior teeth, the scattered space, and the malocclusion, which affected the aesthetic treatment. After the diagnosis and the patient's informed consent, the basic periodontal treatment was used to control the periodontal inflammation. Free gingival graft (FGG) was used to treat gingival recession, and periodontal accelerated orthodontic osteogenesis (PAOO) was used to improve the bone mass of hard tissue. Finally, orthodontic treatment was used to close the gap and adjust the occlusion and was combined with restorative treatment to restore the missing teeth. Results: After treatment, the gingival recession was significantly improved, the width of keratinized gingiva was increased, the orthodontic tooth movement was completed safely, the malocclusion was corrected, and the missing tooth function and aesthetic reconstruction were completed. The periodontal condition was good throughout the treatment, and the gingival margin of the lower anterior teeth was stable. After 2 years of follow-up, the occlusal relationship and soft tissue morphology were maintained well, and the patient satisfaction was high. Conclusions: The support of periodontal soft and hard tissue reconstruction through regenerative techniques such as FGG and PAOO, and the progressive movement strategy can control the risk of increased gingival recession. References | Related Articles | Metrics

Select

Periodontal-orthodontic Treatment for Patients with Generelized Stage IV Grade C Periodontitis: A Case Report Qianqian Xie, Xiuqiu Gao 2025, 28(4):  284-295.  DOI: 10.12337/zgkqjxjyzz.2025.04.011 Abstract ( 12 )   PDF (15481KB) ( 4 )   Objective: Report on the process and efficacy of periodontal system treatment for a patient diagnosed with StageⅣGrade C periodontitis. Diagnosis and treatment: A thorough initial periodontal therapy, periodontal regenerative surgery, orthodontic therapy and periodontal maintenance were conducted in this case. Results: The patient obtained health, function and aesthetics and the patient was satisfied with the treatment effect. Conclusions: Complex StageⅣ Grade C periodontitis requires systematic diagnosis and treatment design and standardized periodontal treatment methods, combined with interdisciplinary approaches to complete the treatment. References | Related Articles | Metrics