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Staderini E, Chiusolo G, Guglielmi F, Papi M, Perini G, Tepedino M, Gallenzi P. Effects of Thermoforming on the Mechanical, Optical, Chemical, and Morphological Properties of PET-G: In Vitro Study. Polymers (Basel) 2024; 16:203. [PMID: 38257002 PMCID: PMC10820839 DOI: 10.3390/polym16020203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2023] [Revised: 12/30/2023] [Accepted: 12/30/2023] [Indexed: 01/24/2024] Open
Abstract
The effectiveness of clear aligners in correcting malocclusions is closely linked to the properties of the materials used to make them. The polymers used in the manufacture of clear aligners have well-established properties. However, the process of manufacturing clear aligners, known as thermoforming, involves thermal and mechanical shocks that may alter these properties. The objective of this study was to evaluate the effects of thermoforming on the mechanical, optical, chemical, and morphological properties of sixty PET-G specimens. The study compared the thickness, weight, absorbance, chemical structure, surface roughness, elastic modulus, yield strength, and breaking load of thirty thermoformed specimens with thirty non-thermoformed specimens. The study introduces a new approach by using standardized samples to analyze both chemical and physical properties. The results showed statistically significant differences in thickness (-15%), weight (-11%), and surface roughness (+1233% in roughness average; +1129% in RMS roughness) of the material. Additionally, a correlation was found between reduction in thickness and increase in opalescence. There was no significant change in the functionality of the aligners after thermoforming, as no significant mechanical changes were found. However, the increase in surface roughness may lead to plaque and fluid accumulation and worsen the fit of the aligners.
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Affiliation(s)
- Edoardo Staderini
- School of Dentistry, Dean: Prof. Massimo Cordaro, Catholic University of the Sacred Heart, IRCCS “A. Gemelli” University Polyclinic Foundation, Largo Agostino Gemelli 8, 00168 Rome, Italy; (E.S.); (G.C.); (P.G.)
- Postgraduate School of Orthodontics–Director: Prof. Massimo Cordaro, Catholic University of the Sacred Heart, Largo Agostino Gemelli 8, 00168 Rome, Italy
| | - Giuseppe Chiusolo
- School of Dentistry, Dean: Prof. Massimo Cordaro, Catholic University of the Sacred Heart, IRCCS “A. Gemelli” University Polyclinic Foundation, Largo Agostino Gemelli 8, 00168 Rome, Italy; (E.S.); (G.C.); (P.G.)
| | - Federica Guglielmi
- School of Dentistry, Dean: Prof. Massimo Cordaro, Catholic University of the Sacred Heart, IRCCS “A. Gemelli” University Polyclinic Foundation, Largo Agostino Gemelli 8, 00168 Rome, Italy; (E.S.); (G.C.); (P.G.)
- Postgraduate School of Orthodontics–Director: Prof. Massimo Cordaro, Catholic University of the Sacred Heart, Largo Agostino Gemelli 8, 00168 Rome, Italy
| | - Massimiliano Papi
- Department of Neurosciences, Catholic University of the Sacred Heart, Largo Francesco Vito 1, 00168 Rome, Italy; (M.P.); (G.P.)
- IRCCS “A. Gemelli” University Polyclinic Foundation, Largo Agostino Gemelli 8, 00168 Rome, Italy
| | - Giordano Perini
- Department of Neurosciences, Catholic University of the Sacred Heart, Largo Francesco Vito 1, 00168 Rome, Italy; (M.P.); (G.P.)
- IRCCS “A. Gemelli” University Polyclinic Foundation, Largo Agostino Gemelli 8, 00168 Rome, Italy
| | - Michele Tepedino
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Piazza Santa Margherita 2, 67100 L’Aquila, Italy
| | - Patrizia Gallenzi
- School of Dentistry, Dean: Prof. Massimo Cordaro, Catholic University of the Sacred Heart, IRCCS “A. Gemelli” University Polyclinic Foundation, Largo Agostino Gemelli 8, 00168 Rome, Italy; (E.S.); (G.C.); (P.G.)
- Postgraduate School of Orthodontics–Director: Prof. Massimo Cordaro, Catholic University of the Sacred Heart, Largo Agostino Gemelli 8, 00168 Rome, Italy
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Guglielmi F, Kirschner F, Staderini E, Iavarone F, Fiorino A, Gallenzi P. Proteomic analysis of salivary inflammatory biomarkers of developmental gingival enlargements in patients with West and Noonan syndromes: a preliminary pilot single-center retrospective study. Eur Rev Med Pharmacol Sci 2023; 27:11093-11102. [PMID: 38039040 DOI: 10.26355/eurrev_202311_34478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/02/2023]
Abstract
OBJECTIVE The aim of the preliminary pilot single-center retrospective cross-sectional study was to analyze and compare the presence of non-secretory salivary inflammatory biomarkers in pediatric patients with West syndrome, Noonan syndrome, and a healthy control group. PATIENTS AND METHODS A total of 60 saliva samples were collected during dental check-ups. The saliva samples collected were analyzed by liquid chromatography. The results were analyzed with a t-test, and the statistical significance was given by a p-value lower than 0.05. RESULTS We found statistical significance for defensin α1 (p=0.006) and thymosin β4 (p=0.025) in the Noonan syndrome. In the West syndrome, only the defensin α1 had a statistically significant difference with the other groups (p=0.022). Proteomic analysis revealed an overexpression of peptides related to the innate (thymosin β4) and acquired (defensin α1, α3) immunity. CONCLUSIONS West and Noonan's syndromes showed the overexpression of molecular biomarkers involved in the pathogenesis of chronic periodontitis. The inflammatory status is triggered and amplified by the abnormal overgrowth of gingival tissues, the amplified release of proinflammatory cytokines from the immune cells, and the poor cooperation in maintaining adequate oral hygiene.
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Affiliation(s)
- F Guglielmi
- Postgraduate School of Orthodontics, Director: Prof. Massimo Cordaro, Università Cattolica del Sacro Cuore, Rome, Italy.
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Tepedino M, Colasante P, Staderini E, Masedu F, Ciavarella D. Short-term effect of orthodontic clear aligners on muscular activity and occlusal contacts: A cohort study. Am J Orthod Dentofacial Orthop 2023:S0889-5406(23)00033-1. [PMID: 36870918 DOI: 10.1016/j.ajodo.2022.10.025] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2022] [Revised: 10/01/2022] [Accepted: 10/01/2022] [Indexed: 03/06/2023]
Abstract
INTRODUCTION The simultaneous presence of maxillary and mandibular clear aligners alters the vertical dimension and the quantity and quality of occlusal contacts. Few data in the literature explain how this occurs and the effects on neuromuscular coordination. This study aimed to evaluate occlusal contacts and muscular balance during treatment with clear aligners over a short follow-up time. METHODS Twenty-six female adult patients were enrolled in this study. The center of occlusal force (COF) was evaluated using a T-Scan II device, whereas muscular symmetry and balance were determined through surface electromyography using a standardized protocol that reduces anthropometric and electrode variations. Both evaluations were performed in centric occlusion and with aligners worn before treatment, after 3 months, and after 6 months. RESULTS A statistically significant variation in COF position was reported in the sagittal plane but not in the transverse plane. The shift in the COF position was followed by a change in muscular balance evaluated through surface electromyography. CONCLUSIONS Treatment with clear aligners resulted in an anterior shift of the COF when biting in centric occlusion and a posterior shift when the aligners were worn in healthy female patients after 6 months of observation. This change in occlusal contact was followed by an improvement in muscular function symmetry in the short term when aligners were worn, compared with the centric occlusion during treatment.
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Affiliation(s)
- Michele Tepedino
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - Pietro Colasante
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - Edoardo Staderini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma-Università Cattolica del Sacro Cuore. Istituto di Clinica Odontoiatrica e Chirurgia Maxillo-facciale, Rome, Italy.
| | - Francesco Masedu
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy; Academy of Sciences of Abruzzo Region, L'Aquila, Italy; Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - Domenico Ciavarella
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
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Fiorino A, Staderini E, Diana R, Rengo C, Gallenzi P. New Conservative Approach for the Management of Recurrent Sublingual Ranula-A Case Report. Int J Environ Res Public Health 2023; 20:2398. [PMID: 36767764 PMCID: PMC9915898 DOI: 10.3390/ijerph20032398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Revised: 01/14/2023] [Accepted: 01/20/2023] [Indexed: 06/18/2023]
Abstract
Ranula is a rare and benign extravasation mucocele that is clinically characterized by asymptomatic sublingual or submandibular masses. Surgical excision is considered the most effective treatment approach, but it has been associated with high invasiveness and several complications (hemorrhage, damage to Wharton's duct, and lingual nerve injury). Over the past decade, more conservative therapies have been rapidly disseminated into clinical practice to seek a more effective and less traumatic approach for young patients. In this report, an 8-year-old female with an asymptomatic, recurrent sublingual ranula was treated using a conservative approach with marsupialization and an intracystic injection of a plaque remover (Hybenx® gel). After incision of the cystic dome, Hybenx® gel was applied into the cystic lumen for 20 seconds and then aspirated; next, the area was rinsed thoroughly with sterile saline solution before suturing. Ultrasound re-evaluation at 10 months and intraoral clinical examination at 24 months confirmed the absence of relapse. Our results support the hypothesis that marsupialization combined with intracystic injection of Hybenx® gel could be an encouraging conservative treatment alternative for recurrent sublingual ranula in children. Further randomized controlled trials are needed to test this hypothesis.
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Affiliation(s)
- Antonino Fiorino
- Department of Neuroscience and Reproductive and Odontostomatological Sciences, “Federico II” University of Naples, 80131 Naples, Italy
| | - Edoardo Staderini
- Postgraduate School of Orthodontics, Università Cattolica del Sacro Cuore, Largo Agostino Gemelli 8, 00168 Rome, Italy
| | - Rosalba Diana
- Postgraduate School of Orthodontics, Università Cattolica del Sacro Cuore, Largo Agostino Gemelli 8, 00168 Rome, Italy
| | - Carlo Rengo
- Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Salerno, Italy
| | - Patrizia Gallenzi
- Department of Neuroscience and Reproductive and Odontostomatological Sciences, “Federico II” University of Naples, 80131 Naples, Italy
- UOC Odontoiatria Generale e Ortodonzia, Dipartimento di Testa-Collo e Organi di Senso, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Largo Agostino Gemelli 8, 00168 Rome, Italy
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Staderini E, Ventura V, Meuli S, Maltagliati LÁ, Gallenzi P. Analysis of the Changes in Occlusal Plane Inclination in a Class II Deep Bite "Teen" Patient Treated with Clear Aligners: A Case Report. Int J Environ Res Public Health 2022; 19:ijerph19020651. [PMID: 35055472 PMCID: PMC8775430 DOI: 10.3390/ijerph19020651] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Revised: 12/13/2021] [Accepted: 12/29/2021] [Indexed: 11/16/2022]
Abstract
Background: Optimal management of hypodivergent growing patients demands a strict control of vertical dimension and to exploit the growth potential. If a deep bite malocclusion causes a traumatic contact between the upper and lower incisors and affects the facial appearance, an early interceptive treatment is recommended. The aim of this case report is to outline the clinical management of the occlusal plane of a growing Class II division 1 deep bite patient treated with aligners and Class II elastics. Methods: The treatment lasted 11 months and was divided into two phases. Treatment goals included improvement of the soft tissue profile and basal bone relationships through an increase in the mandibular third of the face and a sagittal advancement of the mandible. The correction of the curve of Spee involved intrusion of the mandibular incisors and extrusion of the mandibular premolars. Results: The cephalometric analysis at the end of the treatment displayed significant differences in the skeletal and occlusal pattern along with aesthetic improvements. Conclusion: The final cephalogram showed a consistency between the planned tooth movement and the clinical results. Although definitive recommendations must be withheld until longer follow-up is available, the patient presented here shows that the treatment protocol yielded positive mandibular growth.
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Affiliation(s)
- Edoardo Staderini
- Postgraduate School of Orthodontics, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (V.V.); (S.M.); (P.G.)
- Postgraduate School of Orthodontics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
- Correspondence: ; Tel.: +39-063015-4286
| | - Valentina Ventura
- Postgraduate School of Orthodontics, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (V.V.); (S.M.); (P.G.)
- Postgraduate School of Orthodontics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Simonetta Meuli
- Postgraduate School of Orthodontics, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (V.V.); (S.M.); (P.G.)
- Postgraduate School of Orthodontics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | | | - Patrizia Gallenzi
- Postgraduate School of Orthodontics, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (V.V.); (S.M.); (P.G.)
- Postgraduate School of Orthodontics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
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Cordaro M, Staderini E, Torsello F, Grande NM, Turchi M, Cordaro M. Orthodontic Extrusion vs. Surgical Extrusion to Rehabilitate Severely Damaged Teeth: A Literature Review. Int J Environ Res Public Health 2021; 18:9530. [PMID: 34574454 PMCID: PMC8469087 DOI: 10.3390/ijerph18189530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Revised: 08/29/2021] [Accepted: 09/01/2021] [Indexed: 11/16/2022]
Abstract
The need to rehabilitate severely compromised teeth is frequent in daily clinical practice. Tooth extraction and replacement with dental implant represents a common treatment choice. However, the survival rate for implants is inferior to teeth, even if severely damaged but properly treated. In order to reestablish a physiological supracrestal tissue attachment of damaged teeth and to arrange an efficient ferrule effect, three options can be considered: crown lengthening, orthodontic extrusion and surgical extrusion. Crown lengthening is considered an invasive technique that causes the removal of part of the bony support, while both orthodontic and surgical extrusion can avoid this inconvenience and can be used successfully in the treatment of severely damaged teeth. The aim of the present narrative review is to compare advantages, disadvantages, time of therapy required, contraindications and complications of both techniques.
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Affiliation(s)
- Martina Cordaro
- IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy; (M.C.); (F.T.); (N.M.G.); (M.T.); (M.C.)
- Department of Orthodontics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
- Department of Endodontics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Edoardo Staderini
- IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy; (M.C.); (F.T.); (N.M.G.); (M.T.); (M.C.)
- Department of Orthodontics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Ferruccio Torsello
- IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy; (M.C.); (F.T.); (N.M.G.); (M.T.); (M.C.)
- Department of Orthodontics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Nicola Maria Grande
- IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy; (M.C.); (F.T.); (N.M.G.); (M.T.); (M.C.)
- Department of Endodontics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Matteo Turchi
- IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy; (M.C.); (F.T.); (N.M.G.); (M.T.); (M.C.)
- Department of Orthodontics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Massimo Cordaro
- IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy; (M.C.); (F.T.); (N.M.G.); (M.T.); (M.C.)
- Department of Orthodontics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
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Santori F, Masedu F, Ciavarella D, Staderini E, Chimenti C, Tepedino M. Effect of Class II functional treatment on facial attractiveness, as perceived by professionals and laypeople. Sci Rep 2021; 11:13989. [PMID: 34234201 PMCID: PMC8263773 DOI: 10.1038/s41598-021-93343-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 06/14/2021] [Indexed: 11/23/2022] Open
Abstract
The literature offers different perspectives for and against two-phase treatment of skeletal Class II malocclusion. Facial attractiveness is an important aspect to take into account, given that children with skeletal Class II are often bullied by their peers and have low self-esteem and a lower social perception. The aim of the present study was to evaluate the aesthetic perception of facial profiles by a large number of observers, before and after treatment with a functional appliance, compared to untreated controls. The pre- and post-treatment cephalograms of 20 Class II subjects treated with Sander’s bite-jumping appliance and 20 untreated historical controls were collected and transformed into black and white silhouettes depicting only the lower third of the face. An online questionnaire comprising the silhouettes of the two groups, three “calibration” profiles and an “ideal” profile was submitted to dentists, orthodontists, undergraduates and laypeople, asking them to rate the profile’s attractiveness using a Visual Analogue Scale (VAS). The effect of treatment, and observers’ age, expertise and gender were analysed. The calibration images and the ideal profiles were used to evaluate the coherence of each observer’s judgement. The protocol was approved by the local Ethics Committee. Nine-hundred and ten questionnaires were collected. Treated subjects showed a larger improvement of facial attractiveness compared to controls. A significant effect of gender on the observer’s ratings was observed. Some observers showed incoherent judgement, which had a significant effect on the regression model. In conclusion, early treatment with functional appliances seems to improve patients’ facial aesthetics. This improvement is perceived equally by dental professionals and laypeople.
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Affiliation(s)
- Federica Santori
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, V.Le San Salvatore, Edificio Delta 6, 67100, L'Aquila, Italy
| | - Francesco Masedu
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, V.Le San Salvatore, Edificio Delta 6, 67100, L'Aquila, Italy
| | - Domenico Ciavarella
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
| | - Edoardo Staderini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma-Università Cattolica del Sacro Cuore, Istituto di Clinica Odontoiatrica e Chirurgia Maxillo-Facciale, Rome, Italy
| | - Claudio Chimenti
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, V.Le San Salvatore, Edificio Delta 6, 67100, L'Aquila, Italy
| | - Michele Tepedino
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, V.Le San Salvatore, Edificio Delta 6, 67100, L'Aquila, Italy
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Staderini E, Patini R, Tepedino M, Gasparini G, Zimbalatti MA, Marradi F, Gallenzi P. Radiographic Assessment of Pediatric Condylar Fractures after Conservative Treatment with Functional Appliances-A Systematic Review. Int J Environ Res Public Health 2020; 17:ijerph17249204. [PMID: 33317118 PMCID: PMC7763300 DOI: 10.3390/ijerph17249204] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Revised: 11/29/2020] [Accepted: 12/06/2020] [Indexed: 12/28/2022]
Abstract
Background: To evaluate the effectiveness of conservative treatment with functional appliances for condylar fractures in pediatric age. Methods: Four electronic databases (PubMed, EBSCO, Scopus, and Web of Science) were consulted with no restriction of publication status or year, up to 31 August 2020. Selection criteria: based on the PICOS criteria, the selection criteria were set for observational human studies, with at least 10 patients and six months of follow-up. The study population included pediatric patients (aged 5–16 years), with unilateral or bilateral condylar fracture, treated with functional appliances. Condylar remodeling and mandibular growth were analyzed through sequential radiographic examinations. Data collection and analysis: Two independent reviewers carried out title-abstract screening, and a senior investigator was involved to solve any disagreement. The quality of the evidence was assessed through the Canada Institute of Health Economics (IHE) quality appraisal checklist, and the National Institutes of Health (NIH) quality assessment tool. Results: A total of 971 articles were retrieved from the electronic search; among them, three studies met the eligibility criteria. A moderate risk of bias was detected in all the studies, due to common limitations (absence of multicenter studies, prospective design, blindness of the investigators, patients’ drop-out). At follow-up examinations (between 6 months and 4.9 years), the difference of condylar neck length between the “injured” and “healthy” side was approximately 2 mm, while the anteroposterior condylar width discrepancy was recorded up to 1 mm. Conclusions: Short- and long-term data revealed that conservative treatment with functional appliances led to partial or full radiological recovery of the joint morphology, along with good to excellent functional results. Patients’ age has a crucial role on the treatment choice, and the type of fracture (presence of condylar displacement, or dislocation) is also a major prognostic indicator of the radiologic outcome. Limitation: To confirm the effectiveness of functional appliances, more prospective clinical long-term follow-up studies with homogeneous samples of condylar fractures are deemed necessary. Registration: The study protocol was registered on PROSPERO (CRD42020205650).
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Affiliation(s)
- Edoardo Staderini
- Postgraduate School of Orthodontics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy; (E.S.); (M.A.Z.); (F.M.); (P.G.)
| | - Romeo Patini
- Postgraduate School of Orthodontics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy; (E.S.); (M.A.Z.); (F.M.); (P.G.)
- Correspondence: (R.P.); (M.T.); Tel.: +39-06-3015-4286 (R.P.)
| | - Michele Tepedino
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Viale S.Salvatore, Edificio Delta 6, 67100 L’Aquila, Italy
- Correspondence: (R.P.); (M.T.); Tel.: +39-06-3015-4286 (R.P.)
| | - Giulio Gasparini
- Maxillofacial Surgery Unit, Fondazione Policlinico Universitario A. Gemelli IRCSS, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy;
| | - Maria Antonietta Zimbalatti
- Postgraduate School of Orthodontics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy; (E.S.); (M.A.Z.); (F.M.); (P.G.)
| | - Francesca Marradi
- Postgraduate School of Orthodontics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy; (E.S.); (M.A.Z.); (F.M.); (P.G.)
| | - Patrizia Gallenzi
- Postgraduate School of Orthodontics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy; (E.S.); (M.A.Z.); (F.M.); (P.G.)
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Staderini E, Patini R, Meuli S, Camodeca A, Guglielmi F, Gallenzi P. Indication of clear aligners in the early treatment of anterior crossbite: a case series. Dental Press J Orthod 2020; 25:33-43. [PMID: 32965385 PMCID: PMC7510494 DOI: 10.1590/2177-6709.25.4.033-043.oar] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2018] [Accepted: 08/11/2019] [Indexed: 12/16/2022] Open
Abstract
Introduction: Anterior crossbite (AC) is defined as a reverse sagittal relationship
between maxillary and mandibular incisors. According to an evidence-based
orthodontic triage, the treatment need of AC is indicated if any occlusal
interference is forcing the mandible towards a Class III growth pattern.
Removable and fixed appliances have been suggested to correct AC. Objective: The present report aims at presenting the benefits of an alternative therapy
for the early treatment of anterior crossbite using clear aligners. Methods: Two cases of anterior crossbite corrected using clear aligners in 8-years-old
children are presented. Results: In both cases, AC was successfully corrected within 5 months. At the end of
the treatment, overjet and overbite were corrected. No major discomfort or
speech impairment was noticed by the parents. Conclusions: Due to the perceived shortcomings of alternative approaches, the use of clear
aligners for correcting AC in mixed dentition should be considered as a
comfortable and well tolerated appliance for young patients.
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Affiliation(s)
- Edoardo Staderini
- Università Cattolica del Sacro Cuore, Facoltà di Medicina e Chirurgia, Istituto di Odontoiatria e Chirurgia Maxillo-Facciale (Roma, Italy)
| | - Romeo Patini
- Università Cattolica del Sacro Cuore, Facoltà di Medicina e Chirurgia, Istituto di Odontoiatria e Chirurgia Maxillo-Facciale (Roma, Italy)
| | - Simonetta Meuli
- Università Cattolica del Sacro Cuore, Facoltà di Medicina e Chirurgia, Istituto di Odontoiatria e Chirurgia Maxillo-Facciale (Roma, Italy)
| | - Andrea Camodeca
- Università Cattolica del Sacro Cuore, Facoltà di Medicina e Chirurgia, Istituto di Odontoiatria e Chirurgia Maxillo-Facciale (Roma, Italy)
| | - Federica Guglielmi
- Università Cattolica del Sacro Cuore, Facoltà di Medicina e Chirurgia, Istituto di Odontoiatria e Chirurgia Maxillo-Facciale (Roma, Italy)
| | - Patrizia Gallenzi
- Università Cattolica del Sacro Cuore, Facoltà di Medicina e Chirurgia, Istituto di Odontoiatria e Chirurgia Maxillo-Facciale (Roma, Italy)
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Saponaro G, Doneddu P, Gasparini G, Staderini E, Boniello R, Todaro M, D'Amato G, Pelo S, Moro A. Custom made onlay implants in peek in maxillofacial surgery: a volumetric study. Childs Nerv Syst 2020; 36:385-391. [PMID: 31367783 DOI: 10.1007/s00381-019-04307-9] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Accepted: 07/10/2019] [Indexed: 11/26/2022]
Abstract
PURPOSE Facially malformed patients often present a variable degree of facial imbalance even after basal bone correction, and resolution of the residual hard- and soft-tissue deficiencies and asymmetries of the face are of great importance for achieving a satisfactory post-implant procedure result. The use of polyether ether ketone (PEEK) implants for maxillofacial reconstruction has been documented in the literature, but the number of patients who have received them is limited. The aim of this study was to evaluate the overall volumetric results in patients with facial imbalance after onlay custom implant positioning for mandible and fronto-orbital reconstructions. Analysis was performed by confronting volumes with the use of three-dimensional (3D) photogrammetry. METHODS Fifteen patients were eligible for PEEK implant placements, eight for mandibular angle reconstruction, and seven for fronto-orbital reconstruction. Pre- and post-surgical 3D images of each patient's face were acquired. Facial asymmetry was analyzed by comparing each face with its mirrored copy. RESULTS Three-dimensional analyses have shown that some degree of volume imbalance was still present in the patients with only 1.32 ± 1.02 mm residual discrepancy after treatment. CONCLUSION Results of the study were found to fall within clinically acceptable limits since an asymmetry rate of < 3 mm is considered to fall into the norm.
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Affiliation(s)
- G Saponaro
- Maxillo-Facial Surgery Unit, IRCCS Fondazione Policlinico "A. Gemelli", Università Cattolica del Sacro Cuore, Rome, Italy
| | - P Doneddu
- Maxillo-Facial Surgery Unit, IRCCS Fondazione Policlinico "A. Gemelli", Università Cattolica del Sacro Cuore, Rome, Italy
| | - G Gasparini
- Maxillo-Facial Surgery Unit, IRCCS Fondazione Policlinico "A. Gemelli", Università Cattolica del Sacro Cuore, Rome, Italy
| | - Edoardo Staderini
- Institute of Dentistry and Maxillo-Facial Surgery, IRCCS Fondazione Policlinico "A. Gemelli", Università Cattolica del Sacro Cuore, Rome, Italy.
| | - R Boniello
- Maxillo-Facial Surgery Unit, IRCCS Fondazione Policlinico "A. Gemelli", Università Cattolica del Sacro Cuore, Rome, Italy
| | - M Todaro
- Maxillo-Facial Surgery Unit, IRCCS Fondazione Policlinico "A. Gemelli", Università Cattolica del Sacro Cuore, Rome, Italy
| | - G D'Amato
- Maxillo-Facial Surgery Unit, IRCCS Fondazione Policlinico "A. Gemelli", Università Cattolica del Sacro Cuore, Rome, Italy
| | - S Pelo
- Maxillo-Facial Surgery Unit, IRCCS Fondazione Policlinico "A. Gemelli", Università Cattolica del Sacro Cuore, Rome, Italy
| | - A Moro
- Maxillo-Facial Surgery Unit, IRCCS Fondazione Policlinico "A. Gemelli", Università Cattolica del Sacro Cuore, Rome, Italy
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11
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Patini R, Staderini E, Lajolo C, Lopetuso L, Mohammed H, Rimondini L, Rocchetti V, Franceschi F, Cordaro M, Gallenzi P. Relationship between oral microbiota and periodontal disease: a systematic review. Eur Rev Med Pharmacol Sci 2019; 22:5775-5788. [PMID: 30280756 DOI: 10.26355/eurrev_201809_15903] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE In recent years metagenomic analysis has become more accessible for the characterization of biological specimens. There has been an important increase of studies using this technique for subgingival human samples. To date, there are no updated systematic reviews on the relationship between oral microbiota and periodontal disease. The aim of the present systematic review was to update data about studies concerning the influences of changes in oral microbiota composition on the periodontal status in human subjects. MATERIALS AND METHODS An electronic search was conducted in four databases (MEDLINE, Scopus, CENTRAL and Web of Science) for articles published in English from January 2014 to April 2018. In vitro or animal studies, case reports, case series, retrospective studies, review articles, abstracts and discussions were excluded. Also, studies that evaluated less than 5 microbial species, only viruses or already known periodontal pathogens were excluded. Two independent researches selected the studies and extracted the data. The quality of evidence was assessed as high, moderate or low for each microorganism. RESULTS Eight studies and three additional publications recovered from the bibliography search of the selected articles were included in the review. The Bacteria domain was the main detected among the others and it included 53 species. The review confirmed the presence of recognized periodontal pathogens such as the members of the red complex but also identified, with high weight of evidence, the presence of new pathogens. CONCLUSIONS The results of this systematic review support high evidence for the association of 3 new species/genera with the etiology of periodontitis. Future investigations on the actual role of these new pathogens in the onset and progression of the disease are needed.
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Affiliation(s)
- R Patini
- Institute of Dentistry and Maxillofacial Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore.
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12
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Staderini E, Meuli S, Gallenzi P. Orthodontic treatment of class three malocclusion using clear aligners: A case report. J Oral Biol Craniofac Res 2019; 9:360-362. [PMID: 31667066 DOI: 10.1016/j.jobcr.2019.09.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2019] [Revised: 08/26/2019] [Accepted: 09/30/2019] [Indexed: 11/26/2022] Open
Abstract
Class III malocclusion is a growth-related challenging condition for orthodontists. We present a case of a 11-year-old girl with a skeletal class III malocclusion with bilateral cross bite, and a functional shift of the lower dental midline. A multiphase clear aligners' treatment was scheduled with the aim of removing all dental interferences which involved an anterior displacement of the mandible. At one-year follow-up, clear aligners' therapy resulted in skeletal and dental improvements. Clear aligners therapy represents a valid alternative to fixed appliance therapy in the early interception of class III malocclusion. The present manuscript was prepared following the CARE guidelines.
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Affiliation(s)
- Edoardo Staderini
- Institute of Dentistry and Maxillofacial Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Largo A, Gemelli N°1, Rome, RM, 00168, Italy
| | - Simonetta Meuli
- Institute of Dentistry and Maxillofacial Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Largo A, Gemelli N°1, Rome, RM, 00168, Italy
| | - Patrizia Gallenzi
- Institute of Dentistry and Maxillofacial Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Largo A, Gemelli N°1, Rome, RM, 00168, Italy
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13
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Staderini E, Guglielmi F, Cordaro M, Gallenzi P. Ossifying epulis in pseudohypo-parathyroidism: a case-based therapeutic approach. Eur J Paediatr Dent 2019; 19:218-220. [PMID: 30063154 DOI: 10.23804/ejpd.2018.19.03.9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND The term Pseudohypoparathiroidism indicates a group of rare conditions characterised by end-organ resistance to the action of parathyroid hormone (PTH). Ossifying epulis (OE) is a exophytic gingival lesion characterised by spontaneous bone formation beneath the mucosa, which may affect children and adults: the exophytic, calcified outgrowths can occur in any bone and generally have favorable prognosis. Drug therapy may normalise calcium serum levels, but not completely avoid the occurrence of peripheral ossifying epulis. CASE REPORT We report a representative case of a peripheral ossifying epulis in the mouth of a patient following a drug treatment protocol for her pseudohypoparathyroidism and to optimise serum markers. An 11-year-old girl was referred to our department, showing a bulky neoformation on the gingival margin of 0.6 mm diameter with sharp margins. The mass was completely excised. Histological analysis revealed distinctive features of a chronic and acute inflammatory microenvironment with plasma cells (positivity for CD38, MUM1, Lambda and Kappa chains) and bone tissue fragments with remodeling aspects referable to flogistic osteolysis. The biopsy result leads to hypothese a change in the patient's drug therapy. Multidisciplinary screening and individualised pharmacological treatment are strongly recommended in the clinical practice in order to improve the therapeutic results.
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Affiliation(s)
- E Staderini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore, Institute of Dentistry and Maxillofacial Surgery, Head: Prof. Massimo Cordaro
| | - F Guglielmi
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore, Institute of Dentistry and Maxillofacial Surgery, Head: Prof. Massimo Cordaro
| | - M Cordaro
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore, Institute of Dentistry and Maxillofacial Surgery, Head: Prof. Massimo Cordaro
| | - P Gallenzi
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore, Institute of Dentistry and Maxillofacial Surgery, Head: Prof. Massimo Cordaro
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Guglielmi F, Staderini E, Iavarone F, Di Tonno L, Gallenzi P. Zimmermann-Laband-1 Syndrome: Clinical, Histological, and Proteomic Findings of a 3-Year-Old Patient with Hereditary Gingival Fibromatosis. Biomedicines 2019; 7:biomedicines7030048. [PMID: 31261938 PMCID: PMC6783959 DOI: 10.3390/biomedicines7030048] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2019] [Revised: 06/27/2019] [Accepted: 06/27/2019] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Zimmermann-Laband-1 syndrome (ZLS-1; OMIM# 135500) is a rare genetic disorder whose oral pathognomonic sign is the development of progressive, diffuse, and severe gingival hypertrophy. Most children with abnormally gingival hyperplasia may also present multiple unerupted teeth and skeletal deformities of maxillary arches (i.e., skeletal anterior open bite). Despite phenotypic variability of the clinical spectrum, gingival fibromatosis is the hallmark of ZLS-1. METHOD In this study, we report a 3-year-old male patient with a ZLS-1-related gingival overgrowth and failure of eruption of the deciduous teeth in the molar area. Surgical excision was performed under general anesthesia. RESULTS At three weeks follow-up, esthetics was significantly improved in terms of gingival appearance, and teeth eruption allowed an adequate masticatory function. CONCLUSION In severe cases, surgical removal of the hyperplasic fibrous tissue may be required to expose unerupted teeth and establish a proper gingival contour. Surgical excision under general anesthesia is an elective procedure for patients with special needs, mental disability, as well as young and adult patients with dental anxiety type II and IV associated with poor oral health.
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Affiliation(s)
- Federica Guglielmi
- Istituto di Odontoiatria, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Edoardo Staderini
- Istituto di Odontoiatria, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
| | - Federica Iavarone
- Istituto di Biochimica e Biochimica Clinica, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Rome, Italy
| | - Laura Di Tonno
- Istituto di Odontoiatria, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Patrizia Gallenzi
- Istituto di Odontoiatria, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
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15
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Staderini E, Patini R, De Luca M, Gallenzi P. Three-dimensional stereophotogrammetric analysis of nasolabial soft tissue effects of rapid maxillary expansion: a systematic review of clinical trials. Acta Otorhinolaryngol Ital 2019; 38:399-408. [PMID: 30498268 PMCID: PMC6265666 DOI: 10.14639/0392-100x-2059] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/11/2018] [Accepted: 04/28/2018] [Indexed: 11/28/2022]
Abstract
The aim of this systematic review is to analyse the quality and clinical evidence in the literature analysing, through 3D stereophotogrammetry, the nasolabial soft tissue modifications that may occur after rapid maxillary expansion (RME). This systematic literature review was based on the PRISMA-P statement and was registered in the PROSPERO database with the following protocol ID: CRD42017079875. Pubmed, Cochrane, EBSCO, Scopus, Web of Science databases were searched with no restriction of year or publication status. Selection criteria were: randomised clinical trials, controlled clinical trials, cohort studies, cross-sectional studies, case-control studies on patients with unilateral/bilateral crossbite, transverse maxillary deficiency and crowding, treated with RME and monitored by 3D stereophotogrammetry. 652 articles were retrieved in the initial search. After the review process, 11 full-text articles met inclusion criteria. After the evaluation process, 4 publications were included for the present literature review. Due to the heterogeneous methodology meta-analysis was not possible; consequently, a systematic assessment of the studies and summary of the findings from the available evidence were used to answer the research question. The maximum widening of the alar cartilage is 1.41 ± 0.95 mm, whose clinical significance is open to question. The effect of RME on the mouth width remains controversial. In Altindis et al., the difference between pre-treatment and post-treatment mouth width (1.80 mm increment in the banded RME group) was statistically significant, while in Baysal 1.86 mm was considered a non-significant value. Inconsistencies and limitations in the study population and measurement protocols were detected between studies. These data underline the necessity for updated guidelines that allow to standardise, for this type of study, sample selection, measurement methods and collection of results.
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Affiliation(s)
- E Staderini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore, Institute of Dentistry and Maxillofacial Surgery, Rome, Italy
| | - R Patini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore, Institute of Dentistry and Maxillofacial Surgery, Rome, Italy
| | - M De Luca
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore, Institute of Dentistry and Maxillofacial Surgery, Rome, Italy
| | - P Gallenzi
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore, Institute of Dentistry and Maxillofacial Surgery, Rome, Italy
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16
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Staderini E, Patini R, Guglielmi F, Camodeca A, Gallenzi P. How to Manage Impacted Third Molars: Germectomy or Delayed Removal? A Systematic Literature Review. ACTA ACUST UNITED AC 2019; 55:medicina55030079. [PMID: 30917605 PMCID: PMC6473914 DOI: 10.3390/medicina55030079] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Revised: 03/05/2019] [Accepted: 03/22/2019] [Indexed: 11/16/2022]
Abstract
Objectives: The aim of this systematic review is to evaluate and compare the risks and benefits of germectomy and delayed removal of third molars and develop a patient management algorithm for second molar eruption in syndrome/incompliant patients. Materials and Methods: A literature search was performed in the following databases; the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Scopus, and Web of Science. Last search was done on July 2nd, 2018 including articles published from the last 18 years. The search aimed to identify all relevant studies written in English language. Gray literature was excluded. Risk of bias was evaluated with specific predetermined criteria. This systematic literature review was reported according to the PRISMA-P statement and was registered in the PROSPERO database with the following protocol ID: 104261. Results: Literature search war performed on July 2018 and updated on February 2019. A total of 1610 articles were screened. After abstract screening and discarding duplicates, 86 full-text articles were obtained and subjected to additional evaluation. Four articles were included in the review. Three studies were considered as having a medium risk of bias and one was assessed as at high risk. Due to the heterogeneity of presenting results and a very low number of included studies a quantitative analysis was not possible. Only qualitative analysis was made. Considering the limited number of studies included and the level of risk of bias there is no sufficient evidence to state the benefits of preventive removal of impacted third molars, especially in patients with poor oral hygiene due to intellectual disability. Early germectomy represents an elective approach of pathologic alteration of tooth germ; orthodontic issues meet appropriate indication for a delayed removal. Conclusions: Given the best evidence-based information regarding patients’ medical condition, we highlight the need to provide an ethical-based comprehensive approach in the diagnostic workflow and the assessment of treatment outcome.
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Affiliation(s)
- Edoardo Staderini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Institute of Dentistry and Maxillofacial Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
| | - Romeo Patini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Institute of Dentistry and Maxillofacial Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
| | - Federica Guglielmi
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Institute of Dentistry and Maxillofacial Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
| | - Andrea Camodeca
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Institute of Dentistry and Maxillofacial Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
| | - Patrizia Gallenzi
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Institute of Dentistry and Maxillofacial Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
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17
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Rizzo MI, Zadeh R, Bucci D, Palmieri A, Monarca C, Staderini E, Oliva G, Candida E, Gallenzi P, Cordaro M, Zama M. Volumetric analysis of cleft lip deformity using 3D stereophotogrammetry. Ann Ital Chir 2019; 90:281-286. [PMID: 31657355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
PURPOSE To quantify and compare pre-operative and post-operative volumetric adjustments of the upper lip tissues in patients with cleft lip. METHODS The authors performed an anthropometric study and a quantitative analysis of the differences based on three-dimensional morphology of the nasolabial area. Twenty facial images using the three-dimensional stereophotogrammetry were taken from ten selected subjects on two separate occasions, sitting in natural head position. Facial landmarks were marked and measurements recorded, in order to calculate the volumetric adjustments in the soft tissues of the upper lip, comparing the preoperative and postoperative results. Student test and p-Value were performed for statistical analysis. RESULTS The analysis of the 3D images showed variability with the pre- and postoperative volumes of the nasolabial area with: an increase of upper lip volume all patients; a complete view of the severity in the preoperative; and an improvement of the appearance in the postoperative. The amount of increase of the upper lip volume was established about 29,7%. For all measurements, the variability between pre- and post-operative was significant (p < 0.01). CONCLUSION The 3D stereophotogrammetry technique allows a detailed preoperative evaluation and an accurate assessment of the surgical outcomes. The study provides a value of volumetric variation of the upper lip in individuals with cleft lip. KEY WORDS Cleft lip, Nasolabial area, 3D Morphological Analysis, 3D Stereophotogrammetry, Upper lip volume.
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18
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Staderini E, Guglielmi F, Cornelis MA, Cattaneo PM. Three-dimensional prediction of roots position through cone-beam computed tomography scans-digital model superimposition: A novel method. Orthod Craniofac Res 2018; 22:16-23. [PMID: 30449070 DOI: 10.1111/ocr.12252] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2018] [Revised: 11/12/2018] [Accepted: 11/13/2018] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To introduce a new, fast, reliable, and free from software-related bias method to predict three-dimensionally the root position and angulation during and after orthodontic treatment. The final goal is to keep to a minimum the use of ionizing radiation by eliminating the necessity of multiple radiation exposure for checking root alignment. SETTING AND SAMPLE POPULATION Pre- and post-treatment digital models and cone-beam computed tomographic (CBCT) scans from a patient were retrieved. MATERIAL AND METHODS The post-treatment digital model (post-model) was set as the reference; pre- and post-treatment CBCT scans were pre-aligned to the post-model with a point set registration; iterative closest point algorithm was then employed for final adjustments. The accuracy of the proposed method was assessed by comparing the average distance between the expected root position setup with the true position of the roots, as from the post-treatment CBCT. RESULTS After crown superimposition, 3D colour maps showed that the accuracy of the root prediction was below 0.1 mm. CONCLUSION The proposed digital workflow allows to predict in an accurate and truly three-dimensional way the final position of roots, when an initial CBCT is available, without the need of an extra X-ray examination for the patient at the end of treatment. The limitation of the exposure to mid- and post-treatment X-rays is in accordance with the ALARA (As Low As Reasonably Achievable) principle and it is even more relevant in growing patients.
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Affiliation(s)
- Edoardo Staderini
- Institute of Dentistry, Head: Prof. M. Cordaro. Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Roma, Italy.,Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
| | - Federica Guglielmi
- Institute of Dentistry, Head: Prof. M. Cordaro. Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Roma, Italy
| | - Marie A Cornelis
- Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
| | - Paolo M Cattaneo
- Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
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19
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Mohammed H, Varoni EM, Cochis A, Cordaro M, Gallenzi P, Patini R, Staderini E, Lajolo C, Rimondini L, Rocchetti V. Oral Dysbiosis in Pancreatic Cancer and Liver Cirrhosis: A Review of the Literature. Biomedicines 2018; 6:biomedicines6040115. [PMID: 30544974 PMCID: PMC6316311 DOI: 10.3390/biomedicines6040115] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Revised: 12/03/2018] [Accepted: 12/07/2018] [Indexed: 02/07/2023] Open
Abstract
The human body is naturally colonized by a huge number of different commensal microbial species, in a relatively stable equilibrium. When this microbial community undergoes dysbiosis at any part of the body, it interacts with the innate immune system and results in a poor health status, locally or systemically. Research studies show that bacteria are capable of significantly influencing specific cells of the immune system, resulting in many diseases, including a neoplastic response. Amongst the multiple different types of diseases, pancreatic cancer and liver cirrhosis were significantly considered in this paper, as they are major fatal diseases. Recently, these two diseases were shown to be associated with increased or decreased numbers of certain oral bacterial species. These findings open the way for a broader perception and more specific investigative studies, to better understand the possible future treatment and prevention. This review aims to describe the correlation between oral dysbiosis and both pancreatic cancer and liver cirrhotic diseases, as well as demonstrating the possible diagnostic and treatment modalities, relying on the oral microbiota, itself, as prospective, simple, applicable non-invasive approaches to patients, by focusing on the state of the art. PubMed was electronically searched, using the following key words: "oral microbiota" and "pancreatic cancer" (PC), "liver cirrhosis", "systemic involvement", and "inflammatory mediators". Oral dysbiosis is a common problem related to poor oral or systemic health conditions. Oral pathogens can disseminate to distant body organs via the local, oral blood circulation, or pass through the gastrointestinal tract and enter into the systemic circulation. Once oral pathogens reach an organ, they modify the immune response and stimulate the release of the inflammatory mediators, this results in a disease. Recent studies have reported a correlation between oral dysbiosis and the increased risk of pancreatic and liver diseases and provided evidence of the presence of oral pathogens in diseased organs. The profound impact that microbial communities have on human health, provides a wide domain towards precisely investigating and clearly understanding the mechanism of many diseases, including cancer. Oral microbiota is an essential contributor to health status and imbalance in this community was correlated to oral and systemic diseases. The presence of elevated numbers of certain oral bacteria, particularly P. gingivalis, as well as elevated levels of blood serum antibodies, against this bacterial species, was associated with a higher risk of pancreatic cancer and liver cirrhosis incidence. Attempts are increasingly directed towards investigating the composition of oral microbiome as a simple diagnostic approach in multiple diseases, including pancreatic and liver pathosis. Moreover, treatment efforts are concerned in the recruitment of microbiota, for remedial purposes of the aforementioned and other different diseases. Further investigation is required to confirm and clarify the role of oral microbiota in enhancing pancreatic and liver diseases. Improving the treatment modalities requires an exertion of more effort, especially, concerning the microbiome engineering and oral microbiota transplantation.
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Affiliation(s)
- Hiba Mohammed
- Department of Health Sciences, Università del Piemonte Orientale UPO, 28100 Novara, Italy.
- Fondazione Novara Sviluppo, 28100 Novara, Italy.
| | - Elena Maria Varoni
- Department of Biomedical Sciences, Surgery and Dentistry, Università degli Studi di Milano, 20142 Milano, Italy.
| | - Andrea Cochis
- Department of Health Sciences, Università del Piemonte Orientale UPO, 28100 Novara, Italy.
- Interdisciplinary Research Center of Autoimmune Diseases (IRCAD), 28100 Novara, Italy.
| | - Massimo Cordaro
- Institute of Dentistry and Maxillofacial Surgery, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
| | - Patrizia Gallenzi
- Institute of Dentistry and Maxillofacial Surgery, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
| | - Romeo Patini
- Institute of Dentistry and Maxillofacial Surgery, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
| | - Edoardo Staderini
- Institute of Dentistry and Maxillofacial Surgery, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
| | - Carlo Lajolo
- Institute of Dentistry and Maxillofacial Surgery, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
| | - Lia Rimondini
- Department of Health Sciences, Università del Piemonte Orientale UPO, 28100 Novara, Italy.
- Interdisciplinary Research Center of Autoimmune Diseases (IRCAD), 28100 Novara, Italy.
| | - Vincenzo Rocchetti
- Fondazione Novara Sviluppo, 28100 Novara, Italy.
- Department of Clinical and Experimental Medicine, Università del Piemonte Orientale UPO, 28100 Novara, Italy.
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Patini R, Staderini E, Cantiani M, Camodeca A, Guglielmi F, Gallenzi P. Dental anaesthesia for children – effects of a computer-controlled delivery system on pain and heart rate: a randomised clinical trial. Br J Oral Maxillofac Surg 2018; 56:744-749. [DOI: 10.1016/j.bjoms.2018.08.006] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Accepted: 08/08/2018] [Indexed: 10/28/2022]
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21
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Patini R, Bonetti AA, Camodeca A, Staderini E, Gallenzi P. Letter to the Editor. J Orthod 2018; 45:223. [DOI: 10.1080/14653125.2018.1503144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Romeo Patini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore. Institute of Dentistry and Maxillofacial Surgery, Head: Prof. Massimo Cordaro
| | - Anna Alessandri Bonetti
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore. Institute of Dentistry and Maxillofacial Surgery, Head: Prof. Massimo Cordaro
| | - Andrea Camodeca
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore. Institute of Dentistry and Maxillofacial Surgery, Head: Prof. Massimo Cordaro
| | - Edoardo Staderini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore. Institute of Dentistry and Maxillofacial Surgery, Head: Prof. Massimo Cordaro
| | - Patrizia Gallenzi
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Università Cattolica del Sacro Cuore. Institute of Dentistry and Maxillofacial Surgery, Head: Prof. Massimo Cordaro
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Abstract
Haematemesis is a worrying sign, generally related to acute upper gastrointestinal bleeding and potentially life-threatening condition. We present a case of a 15-year-old Caucasian girl who was belatedly diagnosed with oral bleeding because it was not related to the most common aetiologic factors. In fact, she was undergoing orthodontic treatment with a Nance palatal arch, an appliance used to reinforce anchorage during teeth movements. In her case haematemesis was a sign of inflammation and necrosis occurring in the palatal mucosa, under the acrylic button of palatal arch. The appliance was removed; antibiotic and Chlorhexidine 0.12% were recommended. After a 6-week follow-up, no pathological signs were present and the orthodontic treatment was resumed. Both physicians and dentists should be aware of the possible side effect of the Nance palatal arch use; this could help in achieving a diagnosis and providing a correct treatment. Orthodontists should avoid excessive compression over the palatal mucosa and check the appliance condition during every follow-up in order to avoid necrosis of the palatal mucosa.
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Affiliation(s)
- Romeo Patini
- a Fondazione Policlinico Universitario 'Agostino Gemelli' , Institute of Dentistry, Università Cattolica del Sacro Cuore , Rome , Italy
| | - Anna Alessandri Bonetti
- a Fondazione Policlinico Universitario 'Agostino Gemelli' , Institute of Dentistry, Università Cattolica del Sacro Cuore , Rome , Italy
| | - Andrea Camodeca
- a Fondazione Policlinico Universitario 'Agostino Gemelli' , Institute of Dentistry, Università Cattolica del Sacro Cuore , Rome , Italy
| | - Edoardo Staderini
- a Fondazione Policlinico Universitario 'Agostino Gemelli' , Institute of Dentistry, Università Cattolica del Sacro Cuore , Rome , Italy
| | - Patrizia Gallenzi
- a Fondazione Policlinico Universitario 'Agostino Gemelli' , Institute of Dentistry, Università Cattolica del Sacro Cuore , Rome , Italy
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Pelo S, Gasparini G, Garagiola U, Cordaro M, Di Nardo F, Staderini E, Patini R, de Angelis P, D'Amato G, Saponaro G, Moro A. Surgery-first orthognathic approach vs traditional orthognathic approach: Oral health-related quality of life assessed with 2 questionnaires. Am J Orthod Dentofacial Orthop 2017; 152:250-254. [PMID: 28760287 DOI: 10.1016/j.ajodo.2016.12.022] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Revised: 12/01/2016] [Accepted: 12/01/2016] [Indexed: 10/19/2022]
Abstract
INTRODUCTION The purposes of the study were to investigate and evaluate the differences detected by the patients between the traditional orthognathic approach and the surgery-first one in terms of level of satisfaction and quality of life. METHODS A total of 30 patients who underwent orthognathic surgery for correction of malocclusions were selected and included in this study. Fifteen patients were treated with the conventional orthognathic surgery approach, and 15 patients with the surgery-first approach. Variables were assessed through the Orthognathic Quality of Life Questionnaire and the Oral Health Impact Profile questionnaire and analyzed with 2-way repeated-measures analysis of variance. RESULTS The results showed significant differences in terms of the Orthognathic Quality of Life Questionnaire (P <0.001) and the Oral Health Impact Profile (P <0.001) scores within groups between the first and last administrations of both questionnaires. Differences in the control group between first and second administrations were also significant. Questionnaire scores showed an immediate increase of quality of life after surgery in the surgery-first group and an initial worsening during orthodontic treatment in the traditional approach group followed by postoperative improvement. CONCLUSIONS This study showed that the worsening of the facial profile during the traditional orthognathic surgery approach decompensation phase has a negative impact on the perception of patients' quality of life. Surgeons should consider the possibility of a surgery-first approach to prevent this occurrence.
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Affiliation(s)
- Sandro Pelo
- Maxillo-Facial Unit, Complesso Integrato Columbus, Catholic University of Sacred Heart, Rome, Italy
| | - Giulio Gasparini
- Maxillo-Facial Unit, Complesso Integrato Columbus, Catholic University of Sacred Heart, Rome, Italy
| | - Umberto Garagiola
- Department of Biomedical, Surgical and Oral Sciences, School of Dentistry, University of Milan, Milan, Italy
| | - Massimo Cordaro
- Department of Surgical Sciences for Head and Neck Diseases, School of Dentistry, Catholic University of Sacred Heart, Rome, Italy
| | - Francesco Di Nardo
- Department of Public Health, Catholic University of Sacred Heart, Rome, Italy
| | - Edoardo Staderini
- Department of Surgical Sciences for Head and Neck Diseases, School of Dentistry, Catholic University of Sacred Heart, Rome, Italy
| | - Romeo Patini
- Department of Surgical Sciences for Head and Neck Diseases, School of Dentistry, Catholic University of Sacred Heart, Rome, Italy.
| | - Paolo de Angelis
- Department of Surgical Sciences for Head and Neck Diseases, School of Dentistry, Catholic University of Sacred Heart, Rome, Italy
| | - Giuseppe D'Amato
- Maxillo-Facial Unit, Complesso Integrato Columbus, Catholic University of Sacred Heart, Rome, Italy
| | - Gianmarco Saponaro
- Maxillo-Facial Unit, Complesso Integrato Columbus, Catholic University of Sacred Heart, Rome, Italy
| | - Alessandro Moro
- Maxillo-Facial Unit, Complesso Integrato Columbus, Catholic University of Sacred Heart, Rome, Italy
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24
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Romandini M, Gioco G, Perfetti G, Deli G, Staderini E, Laforì A. The association between periodontitis and sleep duration. J Clin Periodontol 2017; 44:490-501. [PMID: 28211083 DOI: 10.1111/jcpe.12713] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2017] [Indexed: 11/30/2022]
Abstract
AIM Due to its potential to influence systemic inflammation and oxidative stress, and to predispose to bacterial infections, sleep duration could potentially be a risk factor for periodontitis. The aim of this cross-sectional study was to evaluate if there was in 2012 an association between periodontitis and sleep duration in a representative sample of the South Korean population. MATERIALS AND METHODS A total of 5812 subjects representative of 39.4 million of adults were examined. Multivariate logistic regressions were applied controlling for age, gender, education, smoking status, alcoholism and consumption frequency of coffee, tea, chocolate and red wine. RESULTS Compared to the group sleeping ≤5 h/day, the adjusted odds ratios for periodontitis prevalence defined as Community Periodontal Index (CPI) = 4 were OR = 2.46 (95% CI: 1.20-5.06) in the 6 h/day sleepers group, OR = 2.66 (95% CI: 1.35-5.25) in the 7 h/day sleepers group, OR = 2.29 (95% CI: 1.13-4.63) in the 8 h/day sleepers group and OR = 4.27 (95% CI: 1.83-9.97) in the ≥9 h/day sleepers group. The association has shown to be highlighted in middle-aged people, females, non-smokers, lower educated, with lower lead and higher cadmium blood levels and with higher carotene dietary intake ones and to be partially mediated by lipid profile alterations, diabetes, serum Vitamin D levels and WBC count. CONCLUSIONS A novel, direct and independent association between sleep duration and the prevalence of periodontitis was found. However, it needs to be investigated how the factors influencing the sleep duration affect this association.
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Affiliation(s)
- Mario Romandini
- School of Dentistry, Catholic University of the Sacred Heart, Rome, Italy.,Department of Periodontology, Catholic University of the Sacred Heart, Rome, Italy.,Department of Periodontology and Prosthodontics, "G. Eastman" Dental Hospital, Rome, Italy.,Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
| | - Gioele Gioco
- School of Dentistry, Catholic University of the Sacred Heart, Rome, Italy
| | - Giorgio Perfetti
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
| | - Giorgio Deli
- School of Dentistry, Catholic University of the Sacred Heart, Rome, Italy.,Department of Periodontology, Catholic University of the Sacred Heart, Rome, Italy
| | - Edoardo Staderini
- School of Dentistry, Catholic University of the Sacred Heart, Rome, Italy
| | - Andreina Laforì
- School of Dentistry, Catholic University of the Sacred Heart, Rome, Italy.,Department of Periodontology, Catholic University of the Sacred Heart, Rome, Italy
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25
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Pelo S, Saponaro G, Patini R, Staderini E, Giordano A, Gasparini G, Garagiola U, Azzuni C, Cordaro M, Foresta E, Moro A. Risks in surgery-first orthognathic approach: complications of segmental osteotomies of the jaws. A systematic review. Eur Rev Med Pharmacol Sci 2017; 21:4-12. [PMID: 28121363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
OBJECTIVE To date, no systematic review has been undertaken to identify the complications of segmental osteotomies. The aim of the present systematic review was to analyze the type and incidence of complications of segmental osteotomies, as well as the time of subjective and/or clinical onset of the intra- and post-operative problems. MATERIALS AND METHODS A search was conducted in two electronic databases (MEDLINE - Pubmed database and Scopus) for articles published in English between 1 January 2000 and 30 August 2015; only human studies were selected. Case report studies were excluded. Two independent researchers selected the studies and extracted the data. Two studies were selected, four additional publications were recovered from the bibliography search of the selected articles, and one additional article was added through a manual search. RESULTS The results of this systematic review demonstrate a relatively low rate of complications in segmental osteotomies, suggesting this surgical approach is safe and reliable in routine orthognathic surgery. CONCLUSIONS Due to the small number of studies included in this systematic review, the rate of complication related to surgery first approach may be slightly higher than those associated with traditional orthognathic surgery, since the rate of complications of segmental osteotomies must be added to the complication rate of basal osteotomies. A surgery-first approach could be considered riskier than a traditional one, but further studies that include a greater number of subjects should be conducted to confirm these findings.
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Affiliation(s)
- S Pelo
- Maxillo-Facial Unit, Complesso Integrato Columbus, Catholic University of the Sacred Heart, School of Medicine, Rome, Italy.
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Patini R, Staderini E, Gallenzi P. Multidisciplinary surgical management of Cowden syndrome: Report of a case. J Clin Exp Dent 2016; 8:e472-e474. [PMID: 27703620 PMCID: PMC5045699 DOI: 10.4317/jced.52919] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2015] [Accepted: 02/10/2016] [Indexed: 11/05/2022] Open
Abstract
Cowden's Syndrome (CS) is a rare congenital autosomal dominant disorder that affects around 1/200000 patients with an incomplete penetrance and variable expressivity, characterized by alterations in a tumor suppressor gene. A 14-year-old Caucasian male patient came to the attention of the authors complaining of palm nodules, gingival bleeding and painful pedunculated lesions on the lips and on the labial side of anterior sextants. After genetic investigation the final diagnosis of a Cowden Syndrome was made. The lesions were surgically removed under general anesthesia and no clinical signs of recurrence were found three months after surgical excision. Considering the severe symptoms of the syndrome and the strong tendency to malignant development of the associated lesions all clinicians should focus their efforts to the early diagnosis and, when possible, multidisciplinary treatment. Key words:Early diagnosis, multiple hamartoma syndrome, oral papillomatosis, cancer predisposition, case report.
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Affiliation(s)
- Romeo Patini
- DDS, Department of Surgical sciences for head and neck diseases, School of dentistry, Catholic University of Sacred Heart, Dean: Prof. Massimo Cordaro, Largo A. Gemelli, 1 - 00168 Rome, Italy
| | - Edoardo Staderini
- Student, Department of Surgical sciences for head and neck diseases, School of dentistry, Catholic University of Sacred Heart, Dean: Prof. Massimo Cordaro, Largo A. Gemelli, 1 - 00168 Rome, Italy
| | - Patrizia Gallenzi
- DDS, Department of Surgical sciences for head and neck diseases, School of dentistry, Catholic University of Sacred Heart, Dean: Prof. Massimo Cordaro, Largo A. Gemelli, 1 - 00168 Rome, Italy
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Ramunni A, Staderini E, Picenna N, Giancaspro V, Schena FP. Integrated System Medical Chart. Treatment Strategies for Chronic Renal Failure 2015. [DOI: 10.1159/000423293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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