1,721,008 research outputs found
The importance of splinting of teeth in the therapy of periodontitis.
No full textAIM: The deep periodontal disease often leads to dental mobility with further aggravation of the symptomatology. The aim of the paper is to verify the importance of splinting of teeth in the therapy of periodontitis on the basis of parameters commonly studied [probing depth (PD), bleeding on probing (BOP), plaque index], and the role of the occlusal trauma as primary factor or second leading factor in periodontal diseases.METHODS: Thirty patients suffering from periodontitis have been treated with the splinting of teeth, neither preceded nor followed from topical and systemic pharmacological therapy, nor from surgical or non surgical treatment of the periodontal tissues involved. During the 4 visits provided by the study, T0 (0 days), T1 (30 days), T2 (90 days) and T3 (180 days), PD, BOP and plaque index have been estimated.RESULTS: From the comparison of the T0 PD and BOP with the T3 PD and BOP, a significant improvement of these parameters is observed (P<0.05).CONCLUSION: On the basis of the clinical data obtained in this research, the authors suggest that the therapy by means of splinting improves the prognosis of teeth affected by periodontal disease; occlusal trauma and dental mobility cause the aggravation of periodontal lesions
Implant site preparation using a single bur versus multiple drilling steps: 4-month post-loading results of a multicenter randomised controlled trial
No full textPurpose: To compare the clinical outcome of implants inserted in sites prepared with a simplified protocol consisting of one single drill versus multiple conventional drilling steps. Materials and methods: In two private clinics, 40 patients, requiring one single implant and having a residual bone height of at least 10 mm and a thickness of at least 5 mm measured on computerised tomography (CT) scans, were randomised after flap elevation to have the implant site prepared using a single drilling step with a newly designed tapered-cylinder drill (1-drill group) or a conventional procedure with multiple drills (multiple-drill group). Implants were left to heal non-submerged for 3 months and then they were loaded with a final metal-ceramic crown. Outcome measures were: implant failure; any complications; peri-implant marginal bone level changes assessed by a blinded outcome assessor operation time; operator preference and post-surgical pain, swelling and analgesic consumption. All patients were followed up to 4 months after implant loading. Results: Twenty patients were randomised to the 1-drill group and 20 patients to the multiple-drill group. No implant failed and no complications occurred. Four months after loading, implants in the 1-drill group lost 0.54 mm of peri-implant bone versus 0.41 mm for the implants in the multiple-drill group. There were no statistically significant differences for marginal bone level changes between the two groups (difference 0.13 mm, 95% CI -0.21; 0.47, P = 0.108). Less time which was statistically significant (3.66 mins, 95% CI 2.69; 4.63, P < 0.0001) was required to place the implant with the single bur. Both operators always preferred the single bur technique. Postoperatively, patients in the 1-drill group vs patients in the multiple-drill group reported statistically significant differences for pain level (difference 27.5, 95% CI 3.3; 51.7, P < 0.0001), number of days in which the swelling persisted (difference 3.4, 95% CI 2.4; 4.4, P < 0.0001) and the number of analgesic drugs taken (difference 2.8, 95% CI 1.4; 4.2, P < 0.0001) Conclusions: Within the limits of this trial, both drilling techniques produced successful results over a 4-month post-loading follow-up period, but the single bur procedure required less surgical time and lead to less postoperative morbidity. Conflict-of-interest statement: Dr Paolo Guazzi and Dr Tommaso Grandi served as consultants for JDentalCare. This study was completely self-financed and no funding was sought or obtained, not even in the form of free materials
La gestione dello staff assistenziale e di segreteria
No full textIl lavoro analizza le funzioni positive e negative rivestite dallo staff assistenziale e amministrativo nella pratica odontoiatrica. Da un lato lo staff risulta essere una risorsa importante per l'alleggerimento dell'impegno dell'odontoiatra e per l'aumento della produttività, dall'altro può risultare spesso un ulteriore fattore di stress. Una questione che appare rilevante è l'alternativa collaborazione/complicazione legata alla presenza dello staff. Vengono esaminati i fattori che possono influenzare questa alternativa e gli aspetti che vanno considerati per il perseguimento delle condizioni più favorevoli. In questo senso vengono in particolare discusse le componenti di addestramento, di organizzazione e dei rapporti interpersonali.The staff management in the dental office
The positive and negative roles played by the auxiliary staff in dental practice are analysed. On one hand, auxiliary utilization appears be an important resource to alleviate fatigue and stress, and to increase productivity in the dental office. On the other hand, if often results to be an additional source of stress. The collaboration/complication alternative is examined as a relevant issue. Factors influencing a differential outcome and the aspects to be considered to chieve the most favourable conditions are discussed, particulary as regards training, organization, and interpersonal relationships
NARROW-DIAMETER IMPLANTS SUPPORTING FIXED PROSTHESES IN THE POSTERIOR MANDIBLE: 5-YEAR REPORT ON A PROSPECTIVE SINGLE-COHORT STUDY
Full text linkTraumatologia dentale e dento-alveolare:diagnosi, tratatmento e prognosi.Dossier
No full textIn questo breve dossier viene presentata la diagnosi il trattamento e la prognosi in traumatologia dentale e dento-alveolar
Aspetti psicologici della sindrome CCM - Relazioone odontoiatra - paziente
No full textLa sindrome disfunzionale cranio-cervico-mandibolare viene indagata in rapporto alle dimensioni somatiche e psicologiche coinvolte. Viene sottolineata l'importanza di un adeguato approccio psicosomatico nei differenziati contributi che le prospettive lineari, circolari e olistiche possono portare. Vengono anche esaminate le difficoltà che tanto il paziente come l'operatore debbono affrontare per poter stabilire una relazione terapeutica funzionale. La dimensione psicologica viene analizzata soprattutto in rapporto alle implicazioni simboliche di personalità. Vengono anche proposte alcune indicazioni per un trattamento della sindrome CCM che prenda in considerazione l'intera complessità degli aspetti coinvolti
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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