1,721,094 research outputs found

    Adjuvant Treatment Options in the Management of Medication-Related Osteonecrosis of the Jaw

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    Osteonecrosis of the jaws is a well-known side-effect of antiresorptive therapy that predominantly occurs in patients suffering from malignant diseases and receiving intravenous administrations of nitrogen-containing bisphosphonates or subcutaneous administrations of denosumab, a monoclonal antibody. Less frequently it may also be observed in patients with osteoporosis who are being treated with these antiresorptive drugs. This textbook provides detailed, up-to-date information on all aspects of medication- related osteonecrosis of the jaws, including clinical features, pathogenesis, treatment options, and preventive measures. It also explains safe prevention and treatment strategies for patients receiving antiresorptive drugs who require extractions, implant insertions, and other dento-alveolar surgeries. This book will be of major interest for medical and dental students, dentists, and oral and maxillofacial surgeons as well as osteologists and oncologists

    The bleaching efficiency of KTP and diode 810 nm lasers on teeth stained with different substances: An in vitro study

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    Background and aims: The purpose of this study was to evaluate the bleaching efficiency of two different lasers (KTP and diode 810 nm) on teeth, randomly divided by means an Excel function (Microsoft Excel 2010 "Fx causale") and stored in physiological solution, that were previously stained with different substances commonly considered as a cause of tooth discoloration, such as coffee, tea and red fruits and to investigate the role of laser irradiation in an experimental model, during the dental bleaching process. Methods: Three groups of 45 bovine teeth were created and immersed for one week in a solution of tea, coffee or red fruits respectively. Each group was divided into three sub-groups of fifteen teeth. One was bleached with a 30% hydrogen peroxide gel for 30 min only as control, another 15 teeth group was bleached with the gel plus 810 nm diode laser irradiation and the last group was bleached with the gel plus KTP irradiation. The lasers were applied in three cycles of 30 sec each with a power of 1.5 W localized on a 10 mm spot on the teeth. The temperature of the gel was checked during the bleaching procedure using a thermometer and the colour of each tooth was measured by a spectrophotometer. Results: Statistical analysis of the collected data was performed using Graph Pad Prism, version 6.01 software, Kruskal-Wallis test and Dunn's multiple comparison test and Mann-Whitney test. P value 0.05 not significant (ns). By these tests diode laser was effective only at bleaching teeth stained with coffee meanwhile the KTP laser was efficient at bleaching teeth with coffee, tea and red fruits stains. Conclusion: This study suggests that a relation between the laser wavelength and the type of staining on the dental enamel and the efficacy of the whitening treatment exists. © 2014 JMLL, Tokyo, Japan

    Low-Level Laser Therapy in odontostomatologia: istruzioni per l'uso

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    Objectives. The purpose of this paper is to demonstrate the advantages of using Low-Level Laser Therapy (LLLT) in dentistry. Materials and methods. This work describes mechanisms of action, optimal parameters, possible contraindications to this type of treatment and its main indications. Results. In vitro and in vivo studies on animals and humans have shown the efficacy of LLLT mainly in stimulating healing processes, fostering anti-inflammatory mechanisms and controlling pain: these three effects have validated the application of LLLT in different fields of dentistry. Conclusions. LLLT is an undoubtedly great opportunity for applications in dentistry, as, due to its limited contraindications, it may be considered free of side effects: in fact, thanks to the low parameters used, there are neither tissue destruction, nor other possible dangers linked to higher powers
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