1,721,008 research outputs found
A computer guided protocol for post-extraction full-arch rehabilitations
No full textIn this case report the author illustrates a protocol for post-extraction fullarch
rehabilitation produced with the use of computerized virtual treatment
planning and guided surgery.
In a 74-year old man presenting a failed maxillary attachment-retained
removable partial denture, a treatment plan focused on the immediate
loading of a post-extraction full-arch prosthesis was developed. Starting
from prosthetic analysis a modular scan template for CBCT examination
was designed, with a 3D simulation software a protocol for guided implants
placement and prosthetic rehabilitation was setup. With the support of this
procedure, the author performed the extraction of eight teeth, the placement
of eight implants (including extraction sites) with flapless approach, and
the immediate load of a provisional screw retained prosthesis. At one year
follow-up clinical and radiographic results were stable.
In selected cases, this protocol may offer significant advantages, including
one-day treatment, reduced post-surgical discomfort and immediate
improvement in function and aesthetics
Revisione narrativa e Consensus clinico: chirurgia guidata - materiali utilizzati per full-arch- tessuti molli peri-implantari
No full textLa chirurgia implantare computer-guidata, sfruttando le tecnologie più avanzate, incrementa la precisione e l’efficacia delle procedure di riabilitazione implanto-protesiche. Questo approccio full digital impiega scanner intraorali, file DICOM da CBCT e software di pianificazione per creare un “paziente virtuale”, sintetizzando tutte le informazioni necessarie per diagnosi e piani di trattamento accurati. Le consensus conference esplorano i vantaggi clinici di queste tecnologie, nonché l’importanza del tessuto cheratinizzato per la salute peri-implantare. L’uso di immagini 3D e dime chirurgiche CAD/CAM migliora la precisione del posizionamento degli impianti, riducendo
complicanze e tempo operatorio.Computer-guided implant surgery, leveraging advanced technologies, enhances the precision
and effectiveness of implant-prosthetic rehabilitation procedures. This fully digital approach uses
intraoral scanners, DICOM files from CBCT, and planning software to create a “virtual patient,”
integrating all necessary information for accurate diagnosis and treatment planning. Consensus
conferences explore the clinical benefits of these technologies and the importance of keratinized
tissue for peri-implant health. The use of 3D imaging and CAD/CAM surgical guides improves implant placement accuracy, reducing complications and operating tim
Indice di carie, somministrazione di fluoro per via sistemica e igiene orale. Analisi statistica in un campione di soggetti pediatrici.
No full textEating habits and lifestyle in the incidence of dental caries in obese paediatric patients.
No full textTerapia combinata: Laser Er-Cr, MTA e riattacco del frammento in un caso di trauma dentale.
No full textCaries index, systemic fluoride supplementation and oral hygiene: Statistical analysis in a sample of pediatric subjects.
No full textAim This study is a statistical retrospective analysis on the correlation between intake
of systemic fluoride, oral hygiene conditions and frequency of dental caries in primary and permanent dentitions in a sample of pediatric subjects. The aim of our study was
to evaluate in a sample of patients how the caries index (dmft and DMFT) could vary according to the assumption of systemic fluoride supplements, the oral hygiene condition (measured with the Oral Hygiene Index - OHI-S) and the age of the first pediatric dentistry visit.
Materials and methods The study is based on the analysis of a sample of 1000 subjects (500 males and 500 females), aged between 3 and 14 years old (mean 9.3) conducted in the division of Pediatric Dentistry at the University of Rome Tor Vergata.
Results Caries frequency in primary teeth is not significantly influenced by patient gender, fluoride intake and duration of fluoride intake; it is significantly influenced by the age of the first pediatric dentistry visit (p<0.001) and Oral Hygiene Index (p<0.001). Caries frequency in permanent teeth is not significantly influenced by patient gender (p>0.1), duration of fluoride intake (p>0.1), it is significantly influenced by age of the first pediatric dentistry visit (p<0.001) and Oral Hygiene Index (p<0.001). We found a positive correlation between number of deciduous teeth decayed and permanent teeth decayed (p<0.0001). Conclusion This study does not support the hypothesis that systemic fluoride intake may reduce the prevalence of caries in deciduous and permanent teeth. A high Oral Hygiene Index and early age of the first pediatric dental examination seem to have a positive effect on reducing the prevalence of tooth decay
Decision making in periodontal plastic surgery
Full text linkPreserving periodontal soft tissues (ST) is crucial to ensure long-term stability
of dental health. Gingival recession (GR) can lead to both functional and
aesthetic challenges, often necessitating surgical solutions. Techniques such
as the coronally advanced flap (CAF), either alone or combined with grafts, have
been documented as practical approaches. However, a significant drawback of
autogenous grafts is the harvesting process, which extends the healing time at
the donor site and increases patient discomfort. This study aims to evaluate the
most reliable methods for addressing graft rejection (GR) using cellular allografts
(CAF) along with a novel xenogeneic acellular dermal matrix (xeno-ADM),
providing insight and guidance for clinicians in their decision-making process.
A literature review was conducted from March to June 2020, using PubMed, the
Cochrane Library, and manual searches of key journals, including the Journal of
Periodontology, International Journal of Periodontics and Restorative Dentistry,
Journal of Clinical Periodontology, and Journal of Periodontal Research. The
investigation explored GR classification systems, surgical flap designs for root
coverage procedures (RCP), and the graft types used in these interventions. All
reviewed RCP techniques demonstrated reductions in recession depth (RD) and
gains in clinical attachment level (CAL), making them viable for clinical use. Both
CAF and tunnelling techniques are skill-intensive and require practice to achieve
full root coverage. Xeno-ADM (NovoMatrix) emerges as a promising substitute
for subepithelial connective tissue grafts (SCTG), offering ease of use, unlimited
availability, reduced postoperative morbidity, rapid vascularization, and excellent
tissue integration. However, additional research is warranted to assess its longterm
stability at least one year after surgery
Beta-thalassemia patients undergoing bone marrow transplants: oral health protocol in pediatric patients.
No full textManagement of riga-fede disease associated to natal and neonatal teeth|Management del morbo di riga-fede associato a denti natali e neonatali
No full textObiettivi Il morbo di Riga-Fede (MRF) è una condizione patologica benigna del bambino caratterizzata da lesioni ulcerose a carico di lingua, mucosa geniena, gengive o pavimento della lingua, causate più frequentemente dall’azione traumatica di denti natali/neonatali. La sintomatologia dolorosa può essere assente o acuta, fino a impedire al bambino di alimentarsi.
Scopo del lavoro è una revisione della letteratura sulle possibilità di cura proposte per MRF e la descrizione di due casi clinici con diverso approccio terapeutico.
Materiali e metodi È stata condotta una revisione sistematica della letteratura riguardo il trattamento del morbo di Riga-Fede associato a denti natali e neonatali.
È stata eseguita una ricerca sui database PubMed, Scopus e Google Scholar aggiornata al 1° aprile 2020. Per compilare la revisione sistematica è stato eseguito il protocollo PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis).
Tutti i casi clinici descritti in letteratura identificati sono stati catalogati per età, sesso, presenza di elementi natali o neonatali, sede della lesione, complicanze cliniche, trattamento e tempi di guarigione.
Risultati Negli studi revisionati, sono stati oggetto di osservazione e di piano terapeutico 44 casi clinici. I trattamenti descritti sono stati: estrazione dentale (41,3%), ameloplastica (14,3%), restauro additivo dei margini incisali (7,5%), biopsia escissionale (7,5%), utilizzo di placche occlusali (2,9%), applicazione topica di corticosteroidi (9,7%), lidocaina gel 2% (5,2%), piante acantacee (2,9%), fluoro (2,9%), acqua ossigenata (2,9%) e low level laser therapy (2,9%).
Discussione e conclusioni L’avulsione dentaria e l’ameloplastica sono i due trattamenti elettivi per il morbo di Riga-Fede.
L’estrazione è indicata nel caso in cui il bambino non è in grado di alimentarsi a causa della sintomatologia dolorosa o quando vi è un alto di rischio di ingestione/inalazione degli elementi presenti a causa dell’elevata mobilità.
L’ameloplastica è indicata invece nei casi in cui la mobilità degli elementi presenti non è tale da presentare il rischio di ingestione/inalazione.
Il restauro additivo dei margini incisali e l’applicazione di una placca occlusale sono due trattamenti proposti in letteratura ma difficilmente attuabili data l’età neonatale.
In associazione a tali trattamenti sono state proposte applicazioni topiche a base di corticosteroidi e l’utilizzo di laser a diodi al fine di ridurre la componente algica e infiammatoria.
Implicazioni cliniche Il presente studio indirizza il clinico verso la scelta terapeutica più indicata, alla luce dell’ottimizzazione del risultato finale.OBJECTIVES Riga-Fede disease (MRF) is a be-nign pathological condition of the child characterized by ulcerative lesions of the tongue, buccal mucosa, gum or floor of the tongue, most frequently caused by the traumatic action of natal/neonatal teeth. Painful symptoms can be absent or acute, until the child is prevented from feeding. The purpose of the work is a literature review of the proposed treatment possibilities for MRF and the description of two clinical cases with a different therapeutic approach. MATERIALS AND METHODS A systematic review of the litera-ture was conducted regarding the treatment of Riga-Fede disease associated with natal and neonatal teeth. A search was performed on the PubMed, Scopus, and Google Scholar databases as of April 1, 2020. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis) protocol was used to compile the systematic review. All clinical cases described in the identified literature, have been catalogued by age, gender, presence of natal or neonatal elements, location of the injury, clinical complications, treatment and healing times. RESULTS In the revised studies, 44 clinical cases were observed and treated. The treatments described were: dental extraction (41.3%), ameloplasty (14.3%), additive restoration (7.5%), excisional biopsy (7.5%), use of bite (2.9%), topical application of cortico-steroids (9.7%), lidocaine gel 2% (5.2%), acantaceous plants (2.9%), fluorine (2.9%), oxygenated water (2.9%) low level laser therapy (2.9%). DISCUSSION AND CONCLUSIONS Dental avulsion and ameloplasty are the two elective treatments for Riga-Fede disease. Extraction is indicated in the case where the child is unable to feed due to painful symptoms or when there is a high risk of ingestion/inhalation of the elements present due to high mobility. Ameloplasty is indicated in cases where the mobility of the teeth does not cause risk of inges-tion or inhalation. The additive restoration of the in-cisive margins and the application of a bite are two treatments pro-posed in the literature but difficult to implement because of the neonatal age. In combination with these treatments, topical applications of corticosteroids-based solutions and the use of diode lasers have been proposed in order to reduce the algic and inflammatory component. CLINICAL SIGNIFICANCE This study directs the clinician towards the most suitable therapeutic choice, in light of the optimization of the final result
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