2,407 research outputs found
Authors’ response
No full textWe thank Katja Kritzler for the commentary on our article. We expressed our concern regarding undeniable potentially looming long-term problems with implant-borne crowns in the esthetic zone in both the introduction and the discussion sections of our article. We have acknowledged that the main advantages of orthodontic space closure are that the hard and soft tissue architectures “remain in a natural state that can better respond to the change over time” and that “it is not possible to exclude a potentially developing infraocclusion, especially in patients with poor interincisor stability.”1
However, long-term stability of single-tooth implants in the anterior maxilla was not the subject of our study. The aim was to repeat the study of Armbruster et al2 from 2005, in which “all 12 cases were photographed after the completion of orthodontic treatment and any restorative dental work,” and not after years in retention, to evaluate whether the introduction of new techniques in implantology and periodontics over the last 10 years has improved the esthetic appeal of implant-borne crowns for congenitally missing maxillary lateral incisors, as suggested by various research groups.3, 4, 5 Our study clearly shows that the esthetic outcomes in the short term are rated significantly better than 10 years ago—nothing more and nothing less. It was not our intention to interpolate long-term esthetics or functional stability of single-tooth implants in the anterior maxilla from the study, for which sound scientific evidence is currently not available.
We refer to the latest Foundation for Oral Rehabilitation Consensus Conference on the rehabilitation of missing single teeth in October 2015 in Mainz, Germany, during which 11 top experts in the field, selected on objective criteria, such as publications, major contributions to the subject of missing single teeth, and citation indices, presented systematic reviews that were consecutively published in the European Journal of Oral Implantology in summer 2016. A systematic review by Kiliaridis et al,6 evaluating all relevant articles reporting on treatment options for congenitally missing lateral incisors between 1975 and 2015 evidenced that “definitive conclusions [about the superiority of orthodontic space closure by canine mesial repositioning and reshaping or by a prosthodontic intervention], cannot be drawn, since randomised controlled trials and more prospective and retrospective studies directly comparing the two therapeutic options” are required.
We agree with Dr Kritzler that orthodontic space closure is more advantageous in terms of an earlier overall end of treatment and for avoidance of infraocclusion, especially in young female patients with a vertical skeletal growth pattern, and that implant insertion should be delayed as long as possible. Moreover, if both treatment options for a specific patient are appropriate, orthodontic space closure should be the preferred choice.
Nevertheless, we do not agree that peri-implantitis, soft-tissue discoloration, and loss of the facial bone wall over the implant must be regarded as inevitable sequelae. Sufficient orthodontic space opening, correct 3-dimensional implant placement, additive hard-tissue or soft-tissue grafts in case of thin periodontal biotypes, coupled with a meticulously executed prosthodontic protocol of a well-coordinated interdisciplinary team, can create a stable hard and soft peri-implant framework in most patients.7, 8, 9
Because our group is interested in shedding more light on the topic of long-term outcomes of treatment for agenesis of the maxillary lateral incisors with orthodontic space closure vs space opening, we are currently collecting data from our treated patients 5 to 10 years posttreatment, with the goal to publish a study with comparative long-term results, of which only 5 exist in the current literature
Esthetic evaluation of implants vs canine substitution in patients with congenitally missing maxillary lateral incisors: Are there any new insights?
No full textIntroduction: The aims of the study were to determine how a panel of orthodontists, dentists, and laypersons rated the esthetic appeal of dentitions after orthodontic space closure by canine substitution compared with space opening and replacement of missing maxillary lateral incisors by implant-borne crowns and to compare the outcome with the results of a study in the United States in 2005. Methods: A series of 9 posttreatment intraoral frontal photographs was presented to 87 orthodontists, 100 general dentists, and 100 laypersons. The photographs represented dentitions with either single-tooth implants or canine substitutions for missing maxillary lateral incisors and dentitions with no missing teeth. Each photograph was rated independently by assigning a number between 1 (best) and 5 (worst) for a series of 7 bipolar adjectives. Two-way analysis of variance and Tukey post hoc tests were performed to assess differences in intragroup and intergroup preferences for the various treatment options. Subsequently, the mean scores were compared with the mean scores in the study from 2005. Results: Highly significant improvements (P < 0.0001) in the esthetic outcome for implants were found in all respondent groups when compared with the study from 2005. To date, orthodontists and dentists rank implants and canine substitution as equally pleasing, but laypersons prefer space closure. Conclusions: Perceptions of dental esthetics can vary between dental professionals and laypersons. Investigating each patient's esthetic expectations is thus important, but in the patient's best interest, esthetic and functional aspects should be carefully weighed during comprehensive treatment planning
Michele Taruffo: el magisterio y la obra ejemplares del genial procesalista «todoterreno»
No full textThe author reflects on Michele Taruffo’s extraordinarily important contribution to the renewal of both conventional procedural law scholarship and the theoretical background of law-court professionals. Taruffo’s contribution was achieved by means of introducing to mainstream culture in those circles the necessary knowledge of the underlying epistemic dimension, which was traditionally suppressed by the strictly legal one.El autor discurre acerca de la importantísima contribución de Michele Taruffo a la renovación del procesalismo convencional y del bagaje teórico de los profesionales de la jurisdicción, mediante la incorporación a la cultura dominante en tales medios del imprescindible conocimiento de la dimensión epistémica subyacente y tradicionalmente sofocada por la propiamente jurídica
Looking for Japan in contemporary Italy
No full textPh. D.Includes bibliographical referencesIncludes vitaby Michele Monserrat
The Author Reply. Letter to the Editor
No full textThe Author reply to the Letter sent to the Editor about a previus article on low anterior resection
Il trionfo della morte di Palermo. Un'allegoria della modernità
No full textOriginariamente collocato nel cortile dell’Ospedale Grande e Nuovo in Palazzo Sclafani, il Trionfo della morte – ora custodito nella Galleria di Palazzo Abatellis, a Palermo – è una straordinaria enciclopedia iconografica medievale e moderna, di cui non conosciamo l’autore.
Il libro di Michele Cometa è una guida all’interpretazione del tessuto narrativo di questo formidabile affresco. Le molteplici fonti pittoriche e letterarie che ne costituiscono la trama convergono nel tratteggiare – evocando la peste nera che imperversava in Europa da più di un secolo – una sorta di confutazione iconologica del retribuzionismo medievale. Le pene mondane, infatti, non sono qui più riconducibili al peccato, ma si stemperano in una melanconia tutta modernaOriginally located in the courtyard of the Great and New Hospital in Palazzo Sclafani, the Triumph of Death - now housed in the Gallery of Palazzo Abatellis, in Palermo - is an extraordinary medieval and modern iconographic encyclopedia, of which we do not know the author.
Michele Cometa's book is a guide to interpreting the narrative fabric of this formidable fresco. The multiple pictorial and literary sources that make up the plot converge in outlining - evoking the black plague that raged in Europe for more than a century - a sort of iconological refutation of medieval retribution. In fact, worldly pains are no longer attributable to sin, but are dissolved in a wholly modern melancholy
La messa di San Michele ovvero la corona e l'aureola
No full textÉcole thématiqueAnalisi iconografica di un affresco del XIV secolo già sulle pareti della chiesa di San Michele a Monza ed ora al Museo del Duomo. Il nucleo centrale del dipinto riguarda la santità auspicata di Teodolinda, la regina monzese che si fece docile strumento nelle mani di papa Gregorio Magno nell'opera di conversione al Cristianesimo del popolo Longobardo; santità promossa dal clero locale a capo del quale era, al tempo dell'affresco, Lombardo della Torre
La messa di San Michele ovvero la corona e l'aureola
No full textÉcole thématiqueAnalisi iconografica di un affresco del XIV secolo già sulle pareti della chiesa di San Michele a Monza ed ora al Museo del Duomo. Il nucleo centrale del dipinto riguarda la santità auspicata di Teodolinda, la regina monzese che si fece docile strumento nelle mani di papa Gregorio Magno nell'opera di conversione al Cristianesimo del popolo Longobardo; santità promossa dal clero locale a capo del quale era, al tempo dell'affresco, Lombardo della Torre
La Fenice 1792-1996. Theatre, Music and History
No full textSi tratta dell'edizione in lingua in inglese di Il teatro La Fenice 1792-1996. Il teatro, la musica, il pubblico, l’impresa, lo studio più recente sul sistema produttivo teatrale veneziano, e della Fenice in particolare. L'analisi del repertorio teatrale della Fenice è divisa in due parti; Michele Girardi è autore della seconda, La Fenice in the world: Repertory, Avant-Garde, Rearguards, Flames, pp. 117-203, 217-228 (notes).This is the English language edition of Il teatro La Fenice 1792-1996. Theater, music, the public, the company, the most recent study of the Venetian theater production system, and of the Fenice in particular. The analysis of the theatrical repertoire of La Fenice is divided into two parts; Michele Girardi is the author of the second, La Fenice in the world: Repertory, Avant-Garde, Rearguards, Flames, pp. 117-203, 217-22
It's the Way You Treat Me That Makes Me Angry, It's Not a Question of Madness: Good and Bad Practice In Dealing With Violence in the Mental Health Services
No full textAccessible Summary
What is known on the subject:
• The first access to a mental health service is sometimes marked by aggressive be-
haviours and anger. Forced hospitalization is frequently an occasion for resistance
and hostility to the service, which should not be mistaken for psychotic symptoms.
• If this situation is not dealt with effectively, it can jeopardize the quality of the
relationship with staff and compliance with the treatment programme.
What the paper adds to existing knowledge:
• The narrator presents his experience in undergoing voluntary psychiatric treat- ment, casting light on nurses’ good and bad practices: those that increased resist- ance, and those that helped de-escalate the uncontrolled reaction at the time of access, as well as during the recovery period.
What are the implications for mental health nursing:
• Practitioners should be able to put in place listening techniques and ways of per- sonalizing the relationship with the patient.
• When such measures become part of the patient's meaning system, the vicious circle of misunderstood anger that creates more anger may be interrupted and the patient can invest in relationships of trust
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