Faculty Publications (HBMCDM)

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Browsing Faculty Publications (HBMCDM) by Author "Aboushakra, Ibrahim"

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    Alveolar ridge preservation versus early implant placement in single non-molar sites: A systematic review and meta-analysis
    (2024) Atieh, Momen A.; Shah, Maanas; Hakam, Abeer; AlAli, Fawaghi; Aboushakra, Ibrahim
    Abstract Objectives: The aim of this systematic review and meta-analyses was to evaluate the outcomes of alveolar ridge preservation (ARP) following extraction of non-molar teeth in comparison to early implant placement (EIP) in terms of clinical and radiographic changes, need for additional augmentation at the time of implant placement, patient-reported outcomes, and implant failure rate. Methods: Electronic databases were searched to identify randomized and nonrandomized studies that compared ARP to EIP. The risk of bias was assessed using the Cochrane Collaboration's Risk of Bias tool. Data were analyzed using a statistical software program. Results: A total of 106 studies were identified, of which five studies with 198 non molar extraction sockets in 198 participants were included. Overall meta-analysis showed significant differences in changes in midfacial mucosal margin (mean difference (MD) −0.09; 95% confidence interval (CI) −0.17 to −0.01; p= .03) and ridge width (MD −1.70; 95% CI −3.19 to −0.20; p= .03) in favor of ARP. The use of ARP was also associated with less need for additional augmentation at implant placement, but the difference was not statistically significant. Conclusions: Within the limitation of this review, ARP following extraction of non molar teeth has short-term positive effects on soft tissue contour, mucosal margin and thickness, and alveolar ridge width and height. It can also simplify future implant treatment by minimizing the need for additional augmentation
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    Periodontitis: Grade Modifiers Revisited
    (Wiley, 2025-02-27) Saleh, Obada; Abdulmunim, Anas; Aboushakra, Ibrahim; Shah, Maanas; Hakam, Abeer; Atieh, Momen A
    Objective: This review aimed to propose new grade modifiers for the risk assessment of periodontitis. Materials and Methods: Literature on the known risk factors, current, and potential grade modifiers was reviewed. Results: The transition to a staging and grading system for periodontitis was driven by the need for consistent and comprehensive classification that facilitates diagnosis and personalized treatment planning. The new system assesses severity and complexity based on clinical attachment loss, radiographic bone loss, and patient history, and integrates risk factors into the grading scheme as grade modifiers. The two commonly used grade modifiers are smoking and diabetes mellitus. The changes to grade B or C are based on the number of cigarettes smoked per day and the level of glycemic levels, which are known thresholds used in association studies of risk factors for periodontitis. New grade modifiers such as systemic inflammatory response, rheumatoid arthritis, osteoporosis, obesity, and neurodegenerative disease were identified. Conclusion: While adding grade modifiers may increase complexity, they could improve the prognostic accuracy of the current classification, enabling more precise assessment, personalized treatment, and better management of periodontitis, especially in patients with systemic risk factors.