1,721,108 research outputs found
Oral Pathology and Oral Medicine
No full textThis is a multidisciplinary publication for all fields of oral medicine. This book builds a bridge between basic and clinical sciences, promoting the exchange of information and the advancement of oral medicine for the benefit of patients and clinicians. It offers comprehensive coverage of new techniques, important developments, and innovative ideas in all fields of clinical dentistry
Diabetic Microagiopathy of Oral Mucosa Depends on Disease Duration and Therapy
Full text linkBackground: Diabetes mellitus is a chronic degenerative systemic disease whose prevalence is increasing. This paper aims
to evaluate the effects of diabetic microangiopathy, depending on its duration and the type of treatment administered,
by using polarized light videocapillaroscopy of the oral mucosa.
Material/Methods: We enrolled 120 subjects: 60 healthy subjects and 60 patients with diabetes mellitus. In turn, patients were
divided into 3 subgroups according to the type of diabetes, the duration of the disease, and the type of treatment
administered. A videocapillaroscopic examination of the oral mucosa was carried out on the diabetic and
healthy subjects.
Results: Changes in microcirculation were detected in diabetic patients: at the level of the labial, buccal, and lingual
mucosa, the density of the loops is on average reduced; there is an increase in the length and the total diameter
of the loops, while the average density of the periodontal capillaries is much higher. The most significant
changes were noted in patients who had had type 1 diabetes for more than 10 years and had received insulin
therapy.
Conclusions: This study, performed using polarized light videocapillaroscopy, which for the first time was used to analyze
the capillaries of the oral mucosa in patients with diabetes, confirms the presence of changes that are instrumentally
“objectifiable” and “quantifiable” through the videocapillaroscopic technique. Videocapillaroscopy
can be a reliable method in the study and monitoring of complications in patients with type 1 and 2 diabetes
mellitus
Color and photography in the restorative dentistry. A brief communication about color temperature, dental color and the use of light and photography in dental practice
No full textRelevance. Optical properties of dental tissues can be captured by photography, considering the characteristics of the light sources. Therefore photography might become a way to communicate the color and the characterizing aspects of the teeth, reducing the misunderstandings between the dental practice and the laboratory in the project of dental restoration. Purpose. To illustrate some ways of using the current photographic technology to document teeth color correctly, and to be able to communicate it without misunderstandings and to replicate it in a simple way. Materials and methods. The photographs were taken using Nikon D500 digital camera, Nikkor 60 mm 2.8 macro lens, Nikon SB-700 Speedlight flash, natural light diffuser and a reflector panel. Results. Correct precautions in execution of the photographs make it possible to obtain more realistic images and to limit defects in the perception of color, due to the incorrect use of the light sources. Conclusions. Well executed photograph makes it possible to obtain high quality images that can be evaluated in the project of a restoration and in the communication of teeth color and shade, and repeatable color evaluations, although the exact rendering of the color in digital images still has a slight discrepancy between images and natural objects. The visual method is more subject to variables instead. Keywords: Tooth color, tooth shade, photography, photographs, spectrophotometer
SCLERODERMA-ASSOCIATED SYNDROME: ORAL MANIFESTATIONS
No full textIntroduction: The authors propose to evaluate the existence of a correlation between Sjogren’s syndrome and progressive systemic sclerosis, and to describe oral manifest- ations of scleroderma- associated syndrome.
Material and methods: 24 patients with progressive systemic sclerosis were examined: 22 women and 2 men. All the patients examined met the diagnostic criteria for progressive systemic sclerosis. A diagnosis of Sjogren’s syndrome was made based on a positive histological examination of biopsy specimens of the accessory salivary glands of the lower lip, associated with dry keratoconjunctivitis and/or xerostomia, and the detection of serum autoantibody. Each patient underwent a careful clinical testing based on: observation of oral soft tissue alteration; evaluation of possible xerostomia and correlation with Sjogren’s syndrome; evaluation of possible microstomia; evaluation of possible Candida infections; evaluation of possible oral mucous sores in patients wearing prostheses; DMFS evaluation; evaluation of periodontal health by means of uletic bleeding index; evaluation of bone absorption state; laboratory tests.
Results: The research showed that Sjogren’s syndrome was present in 20.8% of patients afflicted by progressive systemic sclerosis (SSc). The patients who suffered from SSc-associated Sjogren Syndrome had a higher rate of oral manifestations. In particular, there was a higher rate of caries and paradental disease in patients who suffered from associated syndromes compared to patients who suffered exclusively from progressive systemic sclerosis.
Conclusion: The observed results confirm the existence of a correlation between the two pathologies and that scleroderma-associated syndrome is a peculiar disease that can afflict oral health. Our findings underline that oral manifestations are significantly manifest in SSc-associated Sjogren Syndrome
Odontoiatria digitale: aspetti clinici, etici e medico-legali nell’utilizzo delle nuove tecnologie
No full textOBJECTIVES
The digital approach has revolution
ized the dental sector, offering new
diagnostic and therapeutic possibili
ties, but it has also raised new deon
tological, bioethical, and medico-le
gal issues. The aim of this article is
to examine the relationship between
digital technology and clinical dental
practice, highlighting the new impli
cations that have emerged with dig
ital approaches, particularly in rela
tion to the use of intraoral scanners
and artificial intelligence. The dis
cussion includes the new responsi
bilities of professionals in managing
patients’ sensitive data, obtaining
adequate informed consent for digi
tal procedures, and ensuring and
improving the quality of care. Chal
lenges related to transparency and
interpretability of data are examined
to ensure safe and ethically respon
sible dental practice, emphasizing
the concept that modifying proaches to the medical profession
does not mean altering its funda
mental values.
MATERIALS AND METHODS
A literature review was conducted
using textbooks and articles from
four digital databases: Research
Gate, PubMed, Scopus and Google
Scholar. Additionally, for the purpose
of drafting this article, the recent
Legislative Resolution of the Europe
an Parliament on Artificial Intelli
gence dated March 13, 2024, was
reviewed. Only articles published
from 2014 onwards were consid
ered relevant. Three operators ana
lyzed and selected the extracted ar
ticles. Short communications, letters
to the editors, and articles published
before 2014 were excluded.
DISCUSSION
The adoption of digital technolo
gies in dentistry has led to numerous advantages, including in
creased accuracy and precision
in clinical procedures, improved
workflow efficiency, and more ef
fective communication between
dentists and patients. However, the
implementation of these technolo
gies also entails ethical and medi
co-legal challenges, such as the
need to ensure patient data securi
ty and compliance with current
regulations. Furthermore, it is cru
cial to consider the economic im
pact of new technologies and the
need for continuous training for
professionals in the field.
CONCLUSIONS
Digital dentistry represents a sig
nificant advancement in dentistry,
improving the quality of care and
patient experience. Despite the
challenges associated with inte
grating new technologies, the
benefits in terms of precision, effi ciency, and communication are
evident. It is essential to address
ethical and medico-legal issues to
ensure the responsible and safe
use of these innovations, while
promoting ongoing professional
development to maximize the ad
vantages offered by technological
innovations in dentistry.
CLINICAL SIGNIFICANCE
In digital dentistry, it is essential to
adopt rigorous clinical, ethical,
and medico-legal protocols, in or
der to ensure the security of sen
sitive data, the correct use of digi
tal technologies and transparency
towards patients
Perspectives on Clinical Dentistry
No full textThis book presents comprehensive coverage of new techniques, important developments, and innovative ideas in all fields of clinical dentistry. Topics discussed herein include ceramics in dentistry; pit and fissure sealants; multiple mucocele of the lower lip; residual periodontal pockets; phenobarbitone induced gingival overgrowth; oral cancer awareness amount patients; and the effects of home bleaching agents. (Imprint: Nova Biomedical Press
Clinical Dentistry
No full textThis book presents comprehensive coverage of new techniques, important developments, and innovative ideas in all fields of clinical dentistry. Topics discussed herein include indirect composite restoration in the posterior region; fissure sealings with resin modified glass-ionomer cement; craniofacial anthropometry; oral cavity overinfection during non-surgical cancer therapies; numb chin syndrome; and the growing need for collaboration between dentistry and medicine
- …
