114 research outputs found
Management of the Sequelae of a Sport-Related Traumatic Dental Injury Using Ultrasound Examination in the Diagnosis and Follow-Up
No full textAbout a quarter of all oral pathologies involving the oral cavity and dental apparatus are traumatic injuries, and a substantial number of these cases are the result of sports injuries affecting adolescents and young adults. Here, we report the case of a 25-year-old healthy female referred to the department of Endodontics for the evaluation and management of teeth 1.2 and 1.1 because of a chronic apical abscess in an area involved in a sport-related dental trauma in the past. A multi-modular diagnostic assessment, comprising conventional periapical radiographs, CBCT imaging, ultrasound, and histopathologic examination, led to a final diagnosis of an apical granulomatous lesion connected to both teeth, and an associated sinus tract. During the follow-up period of three years, the patient was reviewed twice a year and showed progressive healing of the bone and absence of the sinus tract. The present report shows the challenges of diagnosing complications arising from past dental trauma. Furthermore, it is the first documented traumatic case where ultrasound examination was fruitfully used. Emphasis should be put on introducing diagnostic ultrasound for the management of both apical periodontitis and the related sinus tract
Prevalence of Apical Periodontitis in Patients with Autoimmune Diseases under Immunomodulators:A Retrospective Cohort Study
No full textIntroductionThe aim of this retrospective cohort study was to investigate the prevalence of apical periodontitis (AP) in patients affected by autoimmune diseases (ADs) taking biologic medications (BMs).MethodsNinety-nine patients (2440 teeth) with ADs referred to the university clinic for dental evaluation were investigated. The controls included 99 patients (2655 teeth) with no systemic diseases and taking no medications. The patients underwent a complete oral, dental, and radiographic examination for the presence of AP. The periapical index and the status of endodontic and restorative treatments were obtained. Statistics were based on descriptive analysis and continuous variables for the total sample and by subgroups. Adjusted odds ratios and 95% confidence intervals were calculated.ResultsThe prevalence of AP was 65.7% in the autoimmune diseases group (AI) and 46.5% in the controls (P ≤ .05). The association between smoking and AP was significant (P ≤ .05). Among the AI subgroups, rheumatoid arthritis patients at the tooth level had a lower probability of developing AP than patients with inflammatory bowel disease (P ≤ .05). Furthermore, each additional year of age implied a +1% risk of AP; women had a lower periapical index than men in both groups (P ≤ .05), and tocilizumab was associated with a reduced risk of AP compared with infliximab (P ≤ .05).ConclusionsPatients with ADs taking BMs had a higher prevalence of AP. These results indicate that the status of the patients' immune system may have an effect on the development and prevalence of AP
Complex Implant-Prosthetic Rehabilitation Following Sports Trauma with 14 Years of Follow-Up: Case Report
No full textTooth loss after traumatic dental injuries (TDI) often requires rehabilitation with a multidisciplinary treatment plan. In growing patients, the therapeutic approach may be different than in adults; the scientific literature offers alternative solutions even if they involve long, complex and uncomfortable treatments. Among the possible therapeutic options, implant-prosthetic treatment through the use of mini-implants is presented in this complex case report with a 14-year follow-up
Healing of Apical Periodontitis in Patients with Inflammatory Bowel Diseases and under Anti–tumor Necrosis Factor Alpha Therapy
No full textIntroduction: We evaluated healing after nonsurgical primary/secondary endodontic treatment of apical periodontitis (AP) in patients with inflammatory bowel diseases (IBDs) treated with anti–tumor necrosis factor alpha biologic medications (BMs). Methods: Nineteen patients with 22 teeth affected by AP from the gastroenterology unit of the hospital with IBDs under treatment with BMs formed the study group (the IBD group). Fourteen patients with 22 teeth with AP, matched by age and sex, without systemic diseases and not taking medications formed the control group. Teeth underwent primary or secondary root canal treatments and clinical and radiographic follow-up every 3 months for 24 months. The periapical index score was recorded, and 2 trained and calibrated endodontists evaluated and compared radiographs (weighted kappa values, κ = 0.8). The Mann-Whitney, t, chi-square, Fisher, and Bruner-Langer tests and analysis of variance–type statistics were used as appropriate. Results: The recall rate was 100%. All teeth in the IBD patients and 81% in the control patients healed (P =.108). Initial healing was appreciable at 3 months in the IBD group and 6 months in the control group (P =.174). Overall healing was reached at 6 and 10.5 months in the IBD and control groups, respectively (P =.106). At any time of the experiment, teeth in the IBD patients showed a higher probability of healing (P <.05). Both groups exhibited a similar decrement of the periapical index (P =.291), more significant for the IBD at the 3-month follow-up (P <.05). The 2 BMs used showed a similar trend of healing (P =.628). Conclusions: The treatment of AP in patients taking BMs had no complications; furthermore, it was associated with faster healing than the controls. These results support the possible therapeutic aid of BMs in treating AP
Uccellacci e uccellini : what makes an ideo-comic fable?
No full textThe present article analyses Pasolini’s definition of Uccellacci e uccellini as 'ideo-comic fable'. The film has always been considered as an eccentric parenthesis in Pasolini’s work, and the ‘ideo-comic fable’ as a bizarre, short lived, experiment. In fact Uccellacci e uccellini is the only film of its kind, but a detailed analysis of each element of Pasolini’s neologism will show how rooted into Pasolini’s artistic practice they all are: if political ideology has always been at the heart of Pasolini’s work, the film shows a new direction, in which the director’s Marxism crosses Christianity; it will be shown how Pasolini has always been surprisingly familiar with the comic genre, and finally a record will be traced of Pasolini’s competence and use of fables. Such a comprehensive examination will unearth many of Pasolini’s sources and its dialogue with other artists and intellectuals; finally, it aims at contributing a new approach to the critical analysis of the film, and at opening original insights into some other famous or less known works by the author
Prevalence of apical periodontitis in patients with inflammatory bowel diseases: a retrospective clinical study
No full textAim We evaluated the prevalence of apical periodontitis (AP) and the oral health status in patients with inflammatory bowel diseases (IBDs) treated with immunomodulators, with particular attention to biologic medications (BMs). Methods One hundred ten patients, 49 men and 61 women (average age, 46 ± 13.8 years), from the Gastroenterology Unit of the University Hospital with IBDs who were treated with BMs or corticosteroids were included in the study. One hundred ten patients who registered for a dental check-up at the Dental Clinic were matched for age, sex, and physical characteristics with the study group without systemic diseases and not taking medications who were the control. Patients underwent a complete oral, dental, and radiographic examination. Decayed, missing, and filled teeth and periapical index score indexes were recorded. Student t test, χ2, and Mann-Whitney U test were used as appropriate. Results The prevalence of AP was 64% in IBD patients and 59% in the control; according to the gender-stratified analysis, the difference was not significant among the male groups, whereas the number of teeth with AP was significantly higher in female patients with IBDs than in the controls (P ≤ .05). The prevalence of AP in patients treated with BMs was 65%; women showed 69% higher risk for AP and presented a significantly higher number of teeth with AP (P ≤ .05). Decayed, missing, and filled teeth index was similar in both groups, whereas patients with IBDs had a higher periapical index score than the controls. Conclusions Women with IBDs and taking immunomodulators had a higher prevalence of AP. All patients with IBDs had larger lesions than healthy subjects. These data emphasize the influence of the status of the immune system in the onset of AP and the need for further studies to confirm these findings
Apical periodontitis and immune system: Influence of patient’s immunomodulation on endodontic disease
No full textPeriapical status in patients affected by osteoporosis: A retrospective clinical study
No full textOBJECTIVES: To assess the periapical status in patients with osteoporosis (OP) treated with denosumab (D), bisphosphonates (BPs), or not on medication, and to understand if these conditions influence the prevalence and the progression of apical periodontitis (AP). MATERIAL AND METHODS: Seventy‐six patients with OP alone or treated with D, or BPs, formed the study group (O), and those from 76 patients matched for age and sex, without diseases, and not taking medications, constituted the control (C) in this retrospective case−control study. The data from the complete clinical and radiographic examination, medical history, decayed, missing, and filled teeth (DMFT), and periapical index score (PAI) were recorded for each patient. Wilcoxon rank test, χ (2), and Student's t test were used as appropriate. RESULTS: The prevalence of AP was similar in O and C. Furthermore, AP was significantly more frequent in root canal‐treated teeth in O patients (p = .03). CONCLUSIONS: OP does not appear to be associated with the development of AP. Moreover, the increased prevalence of AP in root canal‐treated teeth in O patients highlights a possible relationship between the healing dynamics of the disease post‐therapy and the patients' medication. A larger sample is needed to confirm these findings
Living climate change: Design thinking and learning in complexity
No full textAs the world moves into an era of significant changes predicated by the challenge of sustainability, the future holds many questions, with serious consequences depending on the answers. Given the implications of these changes, the world’s design community needs to be constantly challenged to respond. To support conversations on what life will be like in 20 or 30 years and thus make the climate change debate more tangible, IDEO, a global design and innovation company, is hosting the Living Climate Change project and website. Moving the debate away from what we have to give up toward what we can create, the project is born from the conviction that design has a role to play in addressing the global issue of climate change. The scenarios IDEO developed (in movie clips) show how we may choose (or be forced) to abandon the old ways and change our behaviour. In partnership with IDEO, the Faculty of Industrial Design Engineering of the Delft University of Technology applied the Living Climate Change method in their education on sustainable design. Over a ten-week period, nine student teams were asked to develop non-linear future scenarios and present these in short movie clips. This paper presents the results of this activity, reflects on the methods used (expert involvement, storytelling, scenario building, movie making) and the learning that took place. The main conclusion is that the Living Climate Change activity turned out to be a valuable tool for the students, helping them come to terms with complex and interlinked topics and how these might change the world and the way we live.Industrial Design Engineerin
Chapter 7: The Metonymy of author for text
No full textharum omnium denominationum magis in praecipiendo diuisio quam in quaerendo difficilis inuentio est, ideo quod plena consuetudo est non modo poetarum et oratorum, sed etiam cottidiani sermonis huiusmodi denominationum. “It is more difficult to distinguish all these metonymies in teaching them than to find them when you are looking for them, since the use of metonymies of this nature is abundant not only among poets and orators but also in daily speech” (Rhetorica ad Herennium 4.43). In Chapte..
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