1,093 research outputs found

    Endodontic treatment of the deciduous tooth [Il trattamento endodontico del dente deciduo]

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    OBJECTIVES Carious pathology has a progres-sively degenerative trend which in the absence of adequate treatment can lead to injure the pulp organ, imposing an endodontic approach to the dental element. The aim of this work is to provide the clinical indications, the methods to be undertaken in the end-odontic treatment of the primary teeth, as well as the choice of the most suitable materials, in order to obtain predictable therapeutic results and safeguard the integrity of the elements involved. MATERIALS AND METHODS Endodontic treatment of the primary teeth basically provides two types of procedures: pulpotomy and pulpectomy. Pulpotomy is the endodontic treatment indicated for dental elements where there is exposure of the pulp organ following the re-moval of infected tissue, or con-sequently to a trauma. To carry out the aforementioned treatment it is necessary that the dental elements involved do not show signs of pulp suffering, neither clinical nor radiographic. The pulpotomy procedure involves the removal of the dental tissue affected by carious lesion, the opening of the pulp chamber and the removal of the chamber pulp tissue. Subse-quently, the most suitable material is applied in contact with the root pulp, and finally coronal reconstruction is performed. The purpose of this treatment is to preserve the vitality of the root pulp by promoting a physiological rizalysis process in order to ensure the maintenance of the dental arch space. Pulpectomy is a treatment that involves the removal of the entire pulp organ, both coronal and ra-dicular, and is indicated in cases where the pulp is irreversibly in-flamed or non-vital due to ad-vanced carious lesions or trauma. Following the cavity cleaning and the chamber opening, we pro-ceed, after detecting the working length with the electronic apex lo-cator, with the instrumentation and disinfection of the endodontic space. Subsequently, the root canal obturation is performed, with a material that does not hinder physiological rizalysis, and coronal reconstruction. The purpose of pulpectomy is to control the infec-tion, eliminate the pathogenic bacteria from the root canal sys-tem and maintain the space in the dental arch to ensure the correct eruption of the corresponding permanent dental element. RESULTS The pulpotomy treatment allows a conservative approach to the primary teeth, ensuring a high thera-peutic success thanks also to the current materials available on the market. Pulpectomy allows the elimination of the bacterial load and the consequent regression of ongoing diseases, ensuring the permanence of the primary teeth up to the physiological exchange. CONCLUSIONS Currently, the pediatric dentist can perform predictable therapies and maintain the primary teeth up to physiological exfoliation thanks to the innovative materials and techniques available. All this guaran-tees the improvement of the oral health of the child and a harmoni-ous growth of the stomatognathic system

    Diminution de la mortalité et stabilité du taux de guérison dans le suivi de l’anorexie mentale

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    Liste complète des auteurs : J. Viricel, C. Bossu, B. Galusca, M. Kadem, N. Germain, A. Nicolau, L. Millot, N. Vergely, S. Lassandre, G. Carrot, F. Lang, B. Estour1International audienc

    Deciduous dentition: anatomical study by m-CT

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    Endodontics is the branch of deciduous teeth pediatric dentistry that deals with the treatment of the root canal system. The goal of therapy is to maintain as long as possible the element in the dental arch to prevent alterations of orthognathodontic, infectious, and functional history and eruptive sequence. Although manual instrumentation has been widely used and still preferred by some practitioners, has limitations that affect the actual ability to clean the channel, the ability to create steps, perforations, dentinal plugs and fractures of the instrument. On the other hand, the disadvantages are the high cost of the instruments in nickel-titanium, which must be frequently replaced, and the risk of compromising the stability of the tooth due to an excessive consumption of dentinal tissue. The use of computed microtomography (μCT) of extracted elements has a considerable advantage in the study of dental hard tissues. The purpose of this study was to analyze the anatomy of the endodontic system of the elements deciduous

    [Deciduous dentition: anatomical study by μ-CT].

    No full text
    Endodontics is the branch of deciduous teeth pediatric dentistry that deals with the treatment of the root canal system. The goal of therapy is to maintain as long as possible the element in the dental arch to prevent alterations of orthognathodontic, infectious, and functional history and eruptive sequence. Although manual instrumentation has been widely used and still preferred by some practitioners, has limitations that affect the actual ability to clean the channel, the ability to create steps, perforations, dentinal plugs and fractures of the instrument. On the other hand, the disadvantages are the high cost of the instruments in nickel-titanium, which must be frequently replaced, and the risk of compromising the stability of the tooth due to an excessive consumption of dentinal tissue. The use of computed microtomography (μCT) of extracted elements has a considerable advantage in the study of dental hard tissues. The purpose of this study was to analyze the anatomy of the endodontic system of the elements deciduous

    Neurovascular Dysfunction in Alzheimer Disease. Assessment of Cerebral Vasoreactivity by Ultrasound Techniques and Evaluation of Circulating Progenitor Cells and Inflammatory Markers

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    Aims:The aims of this study were to assess vascular dysfunction in patients with Alzheimer disease (AD) by investigating cerebral vasomotor reactivity using transcranial Doppler ultrasound (TCD) and to evaluate any correlations between cerebral vasoreactivity and endothelium dysfunction. Moreover, the frequency of circulating progenitor cells (CPCs) and the blood concentration of vascular/inflammatory markers were evaluated.Materials and Methods:We recruited 35 AD subjects and 17 age-matched, sex-matched, and education-matched healthy control subjects. Cerebral vasomotor reactivity was assessed by means of the TCD-based breath-holding index test (BHI). The level of CPCs was evaluated by means of flow cytometry from venous blood samples, while blood vascular/inflammatory markers were measured by means of enzyme-linked immunosorbent assay.Results:Both cerebral assay blood flow velocity in the middle cerebral artery (MCAFV) and BHI values were significantly lower in AD subjects than in healthy controls (P<0.05). A positive trend was found between MCAFV and BHI values and Mini-Mental State Evaluation (MMSE) scores. Moreover, the hematopoietic progenitor cells' count was found to be lower in patients with AD than in controls (P<0.05). Finally, a significantly higher expression of the plasma chemokine CCL-2 was observed in AD patients than in healthy controls.Conclusions:Our results confirm that cerebral hemodynamic deterioration may be a critical marker of cognitive decline. Further studies are needed to investigate the role of circulating CPCs and chemokines as potential contributors to neurovascular dysfunction

    Myeloid dendritic cells are decreased in peripheral blood of Alzheimer's disease patients in association with disease progression and severity of depressive symptoms

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    Dendritic cells (DCs) are major orchestrators of immune responses and inflammation. They are migratory cells, which may play a role in Alzheimer's disease (AD), as suggested by prior in vitro studies. With the intent to investigate the clinical relevance of DC modifications in vivo, the present study was aimed to evaluate the levels of blood DCs in AD patients, in relation to the progression of the disease, the severity of its symptoms, and the treatment with acetylcholinesterase inhibitors (AChEIs), a class of drugs used to improve cognitive functioning in people with dementia
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