- Periodontal Regeneration and Treatments
- Cardiac Valve Diseases and Treatments
- Dental Implant Techniques and Outcomes
- Oral microbiology and periodontitis research
- Cardiac, Anesthesia and Surgical Outcomes
- Total Knee Arthroplasty Outcomes
- Orthopaedic implants and arthroplasty
- Venous Thromboembolism Diagnosis and Management
- Infective Endocarditis Diagnosis and Management
- Aortic Disease and Treatment Approaches
- Oral and gingival health research
- Oral and Maxillofacial Pathology
- Acute Myocardial Infarction Research
- Antiplatelet Therapy and Cardiovascular Diseases
- Pulmonary Hypertension Research and Treatments
- Hip and Femur Fractures
- Diagnosis and Treatment of Venous Diseases
- Cardiac Arrest and Resuscitation
- Blood properties and coagulation
- Blood transfusion and management
- Neuroendocrine Tumor Research Advances
- Lower Extremity Biomechanics and Pathologies
- Orthopedic Surgery and Rehabilitation
- Cardiac and Coronary Surgery Techniques
- Orthopedic Infections and Treatments
IVI Murcia Clinic
2016-2022
Hospital Clínico Universitario Lozano Blesa
1999-2021
Hospital Universitario Virgen de la Arrixaca
1992-2021
Universidad de Murcia
2021
Hospital Universitario Doctor Peset
2019
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
2019
City Of Hope National Medical Center
2019
City of Hope
2019
Hospital Universitari Germans Trias i Pujol
1992-2015
Hospital Xeral Calde
1993
To compare the effectiveness, characteristics, duration of action, hemodynamic and biochemical effects, side effects propofol midazolam used for continuous intravenous sedation ventilated critically ill patients.Multicenter, prospective, randomized, nonblinded study.Nine Spanish general intensive care units (ICUs).Ninety-eight patients admitted to ICU who were mechanically required a minimum 48 hrs.Propofol or was induction maintenance maximum 5 days. The effectiveness those two regimens...
The authors conducted a study to determine the value of transcranial Doppler (TCD) ultrasonography in evaluating outcome severely head injured patients and correlate TCD values with those obtained from intracranial pressure (ICP) cerebral perfusion (CPP) monitoring. prospective 125 severe injury (Glascow Coma Scale scores less than 9) who underwent according standard technique insonating middle artery (MCA) measuring mean blood flow velocity pulsatility index within first 24 hours admission....
Formulations of a polymeric delivery system containing 75/25 poly(DL-lactide-co-caprolactone dissolved in either N-methyl-2-pyrrolidone or dimethyl sulfoxide were injected both subcutaneously (SC) and intramuscularly (IM) into rhesus monkeys. Each monkey received an SC IM injection each the two formulations, for total volume 4 mL. The monkeys observed daily overt signs toxicity, after weeks biopsies implant site fixed, stained, evaluated histologically tissue reaction to polymer system....
A new surgical approach has been developed to optimize the preservation of gingival margin and papillae when treating periodontal defects. The flap is raised by one mucosal incision far away from marginal tissues. This case series reports on effectiveness a nonincised (NIPSA) in conjunction with hydroxyapatite-based graft biomaterial enamel matrix derivative intrabony Ten defects 10 patients were treated. follow-up period ranged 6 18 months (mean: 10.8 ± 4.7 months). Probing pocket depth was...
The objective of this study was to compare a minimally-invasive surgical technique (MIST) and non-incised papilla approach (NIPSA) in periodontal reconstructive surgery deep intraosseous defects.Data on 30 patients with defect treated MIST (n = 15) or NIPSA were analyzed retrospectively. All met the same inclusion criteria following protocol, except for management soft tissue (MIST versus NIPSA). Clinical parameters at baseline 1-year post-surgery, early healing 1 week, postoperative pain...
Abstract Aim To assess the effectiveness of non‐incised papillae surgical approach (NIPSA) in periodontal reconstructive surgery combined intra‐suprabony defects. Materials and Methods Patients with deep defects treated NIPSA ( n = 20) were analysed. Defects enamel matrix derivative plus xenograft. Clinical outcomes assessed before at 12 months. Wound closure was one week post‐surgery. Supra‐alveolar attachment gain (SUPRA‐AG) recorded months Results Non‐incised showed significant...
Medication-induced jaw osteonecrosis (MRONJ) is a rare and serious disease with negative impact on patients’ quality of life, whose exact cause remains unclear which may have multifactorial origin. Although there are different therapeutic protocols, still no consensus. This case series evaluated three patients diagnosed staged 2 MRONJ treated at the University Murcia dental clinic according to protocols described by Spanish Society Oral Maxillofacial Surgery American Association Surgeons....
Abstract Objectives This parallel, randomized controlled clinical trial evaluated the influence of bone substitutes (BS) on efficacy non-incised papillae surgical approach (NIPSA) with enamel matrix derivate (EMD) in resolving deep, isolated, combined non-contained intrabony and supra-alveolar periodontal defects, preserving soft tissue. Material methods Twenty-four patients were to treatment NIPSA EMD or plus BS. Bleeding probing (BoP), interproximal attachment level (CAL), depth (PD),...
This case report presents the preliminary results of combining a modification nonincised papillae surgical approach (NIPSA), attempting to improve outcomes in treatment teeth with advanced periodontal support loss. The added connective tissue graft (CTG) buccal aspect these unfavorable cases caused by deep bone dehiscence, soft deficiencies, or tooth malposition (especially when positioned outside bony contour). Deep, intrabony, noncontained defects affecting maxillary incisors were treated...
The aim of this study was to evaluate the clinical outcomes periodontal granulation tissue preservation (PGTP) in access flap surgery.Twenty patients (stage III-IV periodontitis) with 42 deep pockets that did not resolve after non-surgical treatment were consecutively recruited. Access surgery modified using PGTP. parameters evaluated at 9 months. differences amount width (GTw) preserved and influence smoking analyzed.GTw >1 mm observed 97.6% interproximal defects, extended above bone peak...
Introduction Periodontal regeneration of hopeless teeth represents a major concern for clinicians, especially when these are associated with the esthetic zone. Case Presentation The case presented describes non‐incised papillae surgical approach (NIPSA) to improve regenerative parameters in teeth. After treatment mandibular right canine severe periodontal bone loss, clinical attachment loss apex, minimal keratinized tissue, and Class III mobility, there were important improvements no...
Dehiscences on facial aspects of implants are an esthetic concern and, just as importantly, may make maintaining adequate home-care measures and implant health more difficult, especially when bordered by inadequate mobile soft tissue margins.This report describes a new approach, the laterally rotated flap, tunnel subepithelial connective graft, used to correct dehiscences gain keratinized mucosa endosseous implants. Soft tissues were maintained in stable condition 3 years after...
Suprabony defects are the most prevalent and there is very little evidence on their treatment. This study aims to assess effectiveness of papilla preservation periodontal surgery in reconstruction combined deep intra-suprabony defects.20 patients with intrabony supra-alveolar treated by were analyzed. Defects enamel matrix derivate plus xenograft. Clinical recordings made before at 12 months.Papilla showed significant PPD reduction (4.4 ± 1.46 mm; p<0.001), clinical attachment gain (3.35 1.6...
Introduction The peripheral giant cell granuloma (PGCG) is associated with periodontal bony lesions in several situations and excision results a soft papilla defect an intrabony without tissue protection. Case Presentation A PGCG loss of support described. Following the lesion excision, specific flap design outlining surgical adjacent area was proposed. aim this to obtain optimal condition for regeneration, treat defect, avoid second area. Complete resolution contraction or recurrence...
We present the preliminary results of treatment teeth with a deep, non-contained periodontal residual defect, vestibular bone dehiscence, and soft tissue recession, by combining an apical non-incised papilla surgical approach (NIPSA) to defect leukocyte platelet-rich fibrin (L-PRF) in aspect. Four patients (upper left first premolar, upper central incisor, right incisor lateral incisor) have been treated. At one year follow up, all cases showed considerable reduction pocket depth, gain...
Abstract A minimal width and thickness of keratinized attached soft tissue is desirable to prevent peri-implant diseases. This report describes the preliminary results a pilot study surgical approach for augmentation around loaded dental implants in partially or totally edentulous maxilla. Four patients presenting eight maxillary with buccal deficiency received laterally rotated flap. mesial apical recipient area was created each implant, pediculated graft 90° from distopalatal positioned...