1,721,066 research outputs found
Il paziente con cardiopatia congenita
No full textIl capitolo rivolge l'attenzione alle patologie del distretto oro-cefalico del paziente pediatrico affetto da cardiopatia congenita, offrendo indicazioni di diagnosi e terapia sulla base dell'esperienza clinica e delle evidenze presenti in letteratura
Evaluation of Floss Remnants After Implant Flossing in Three Different Implant Conditions: A Preclinical Study
No full textPurpose: The aim of this preclinical study was to evaluate whether implant flossing could leave floss residues in three different implant-prosthetic conditions. Materials and Methods: Using an anatomical model, three different conditions were studied: correct connection between the implant and abutment and complete insertion of the implant threads into the plaster (control group); misfit of approximately 220 to 230 μm between the implant platform and abutment in the absence of any thread exposure (misfit group); partial exposure of implant threads but absence of misfit (thread group). Twenty-one microstructured tapered threaded implants were divided among the three groups. Each sample was subjected to a flossing procedure using spongy floss, standardized in terms of movement, frequency, time, and pressure. Subsequently, a stereomicroscope examination with a standardized magnification of 10× was performed in order to highlight the possible presence of floss residues on the implant surface. Results: No floss residue was ever detected for the control group. Both misfit and thread groups showed floss residues that were discernible in two different types: microfilaments and amorphous particles. Statistical analysis showed a significant difference for the presence of floss remnants between the control group and the other two experimental groups (P = .005). No difference was observed between the misfit and thread groups. Conclusion: This study shows that exposed threads and misfit can induce the release of floss residues during maintenance procedures
Eruption delay in a 47 XXY male: a case report.
No full textThe 47,XXY syndrome, or Klinefelter syndrome, though it is a rare occurrence, it is the most common sex choromosome disorder affecting male subjects. This syndrome is underdiagnosed and seldomly before puberty. In this case, diagnosis was made before birth, through chorion villus sampling.
CASE REPORT:
A 16 month-old Italian male with 47 XXY syndrome showed the absence of primary teeth, with a delay of about 8-10 months, whereas during the first 15 months of life the auxological development has been normal both in weight and height (about 50th percentile). We assumed that this delay may be linked with Klinefelter syndrome, as sexual chromosomes play an important role in the dental development
Capitolo 4. Sindrome di Klinefelter
No full textLa salute orale rappresenta un elemento di fondamentale importanza nello stato di salute generale e contribuisce a garantire una buona qualità di vita della persona. In particolare nei bambini affetti da sindromi cromosomiche e genetiche, l’acquisizione di stili di salute orale adeguati fin dalle primissime età della loro vita rappresenta una chiave di successo nel prevenire l’insorgenza delle patologie orali più diffuse. È bene ricordare che spesso nei pazienti con patologie responsabili di disabilità in età evolutiva, a causa della ridotta collaborazione, le terapie odontoiatriche sono di più difficile esecuzione e la necessità di eseguire le terapie in narcosi con ospedalizzazione può comportare stress psicologici per le famiglie e costi economici elevati per la società. Inoltre, nel bambino con patologia congenita rara, l’insorgenza di patologie odontoiatriche può comportare rischi per la salute generale. Particolari manifestazioni cliniche odontoiatriche sono caratteristicamente associate a singole sindromi, è quindi importante conoscerle per saperle riconoscere e attuare programmi di prevenzione e terapia adeguati.
È quindi fondamentale che questi bambini siano presi in carico sin dalla primissima infanzia presso strutture odontoiatriche a loro dedicate e che l’odontoiatra infantile e l’ortodontista possiedano tutte le conoscenze di base relative al vasto e complesso capitolo delle sindromi genetiche o cromosomiche. Il testo Sindromi genetiche e cromosomiche e patologie del cavo orale costituisce un valido strumento di aggiornamento e un concreto aiuto per tutti gli operatori sanitari che nella loro pratica clinica quotidiana hanno l’obiettivo di promuovere la salute di questi bambini
Effect on plaque control in children patients with Down syndrome using Digital Brush with or without chlorhexidine: A randomized clinical trial
No full textObjectives The aim of this study was to evaluate efficacy in children affected by Down syndrome of "Digital Brush" in terms of Plaque Index reduction added to the daily oral hygiene procedures. Methods A total of 56 patients with Down syndrome were recruited and randomly assigned in two groups: both control and test groups underwent standard hygiene procedures of tooth brushing twice a day followed by the intervention of Digital Brush, TNT gauze impregnated with chlorhexidine 0.12%, for the test group and by sterile gauze soaked in water for the control group. Initial plaque index was measured for all patients (T0), subsequently were instructed to use either Digital Brush or gauze soaked with water for 2 weeks. At last, patients were reevaluated (T1) and the plaque index measured. Results Plaque index improvement from T0 to T1 in control group was 11.7%, while in test group was 24.1%. The mean differences between test and control group was statistically significant (p < 0.001). Conclusions This study demonstrates how the Digital Brush, added to the daily oral hygiene procedures, obtains significant improvements in supragingival plaque control in children with Down syndrome
Oral rehabilitation of children with ectodermal dysplasia.
No full textThe aim of this study was to describe the clinical treatment of young patients, affected by ectodermal dysplasia (ED), and to possibly establish clinical guidelines. The study design was case series. ED syndromes (EDs) are a heterogeneous group of inherited diseases characterised by abnormal development of tissues of ectodermal origin. The most common form of EDs is X linked hypohidrotic ED (HED). Characteristic triad of HED is oligo-anodontia, hypotricosis, hypo-anhydrosis. Oligo-anodontia is one of the most severe impairment, since it affects chewing, swallowing, speech, esthetics and social relation. Early prosthetic rehabilitation (at 2-3 years of age), with partial or complete dentures, is essential to improve oral function and reduce the social impairment
il paziente con deficit di ormone della crescita
No full textIl capitolo rivolge l'attenzione alle patologie del distretto oro-cefalico del paziente pediatrico affetto da deficit di GH, offrendo indicazioni di diagnosi e terapia sulla base dell'esperienza clinica e delle evidenze presenti in letteratura
Periodontal pathogens early colonization in Down Syndrome pediatric subject without periodontal breakdown.
No full textBackground and aim: Down Syndrome (DS) is the most common form of aneuploidia compatible with a long survival. The affected subjects are more susceptible to severe early-onset periodontal disease and show a lower risk to develop dental caries than non affected population. This study investigated the prevalence of five periodontal pathogens in subgingival plaque in DS pediatric caucasian subjects. Methods: A sample of 19 consecutive DS children (9 boys, 10 girls; mean age = 6,42±3,52 years) suffering of mild to moderate gingivitis were identified from the patients attending the Dental Division for Subjects with Special Needs of the University of Bologna. As a control, an age and sex matched population of healthy caucasian children was examined. Using paper points, a cluster of four plaque samples for each patient were collected from four different sites at the gingival sulcus and examined by quantitative DNA Real Time Polymerase Chain Reaction test. For each tested site probing pocket depth and bleeding on probing were recorded. Results: There were no significant differences of the clinical parameters between the DS group and control group. Tannerella forsythia showed a rate significantly higher in the study group than in the control group (49% vs 9%; p<0.001). Actinomyces actinomycentemcomitans was identified with a higher frequency in the study group respect to the control group (65% vs 8%; p<0.001). Conclusion: The present study demonstrates that some of the main periodontal pathogens are normally present in DS children without sings of periodontitis. Preventive efforts should therefore focus on oral hygiene, diet and host-related factors
Fear of dental pain in Italian children: child personality traits and parental dental fear
No full textOBJECTIVES:
Dental anxiety could impede dental treatment in children. Evidence shows that parents' fear of dentists contributes to children's anxiety towards dentists. The aim of the present study was to determine whether and to what extent: a) parents' anxiety and depression personality traits, b) parent's dental fear, and c) child personality traits can predict children's dental anxiety in an Italian population.
METHODS:
One hundred and four children (5-14 years old) and one of their parents participated in the study. Well-known and validated questionnaires were administered to children (MCDASf, CFSS-DS, TAD) and parents (FDPQ, STAI Y1, Y2, and BDI-II).
RESULT:
Dental anxiety is significantly associated with the anxiety personality trait and depression of the child and with parental fear of dental pain. A hierarchical regression analysis showed that, regardless of age and gender, the best predictor of child dental anxiety is parent's fear of dental pain, rather than relatively stable temperaments of the child.
CONCLUSIONS:
In line with the literature concerning adults, these findings highlight the children dental anxiety as a complex phenomena consisting of different components, including the child's personality traits (anxiety trait and depression) and parents' dental fear. Clinical implications of this evidence are discussed
il paziente con disturbi del comportamento alimentare
No full textIl capitolo rivolge l'attenzione alle patologie del distretto oro-cefalico del paziente co DCA, offrendo indicazioni di diagnosi e terapia sulla base dell'esperienza clinica e delle evidenze presenti in letteratura
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