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Sabatino L, Lopez MA, Di Giovanni S, Pierri M, Iafrati F, De Benedetto L, Moffa A, Casale M. Odontogenic Sinusitis with Oroantral Communication and Fistula Management: Role of Regenerative Surgery. Medicina (Kaunas) 2023; 59:medicina59050937. [PMID: 37241169 DOI: 10.3390/medicina59050937] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 04/11/2023] [Accepted: 04/26/2023] [Indexed: 05/28/2023]
Abstract
Objective: The aim of this study is to show our experience with the correct management of patients suffering from odontogenic sinusitis with oroantral communication and fistula. Methods: According to the inclusion criteria, 41 patients were enrolled in this retrospective study with a diagnosis of odontogenic sinusitis with oroantral communication and fistula; 1 patient with pre-implantological complication, 14 with implantological complications, and 26 with classical complications. Results: Two patients were treated with a fractioned combined approach, 13 patients were treated with an oral approach only, and 26 patients were treated with a combination. There was a complete resolution of the symptoms and closure of the fistula in all the patients enrolled. Conclusions: In our study, in all 41 patients, there was a surgical success. The best option is to use a multidisciplinary approach for patients suffering from odontogenic sinusitis.
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Affiliation(s)
- Lorenzo Sabatino
- Unit of Integrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 00128 Rome, Italy
| | - Michele Antonio Lopez
- Unit of Integrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 00128 Rome, Italy
- Specialised Odontostomatology Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology, Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Simone Di Giovanni
- Unit of Integrated Therapies in Otolaryngology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128 Rome, Italy
| | - Michelangelo Pierri
- Unit of Integrated Therapies in Otolaryngology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128 Rome, Italy
| | - Francesco Iafrati
- Unit of Integrated Therapies in Otolaryngology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128 Rome, Italy
| | - Luigi De Benedetto
- Unit of Integrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 00128 Rome, Italy
| | - Antonio Moffa
- Unit of Integrated Therapies in Otolaryngology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128 Rome, Italy
| | - Manuele Casale
- Unit of Integrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 00128 Rome, Italy
- Unit of Integrated Therapies in Otolaryngology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128 Rome, Italy
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Rossi R, Rispoli L, Lopez MA, Netti A, Petrini M, Piattelli A. Photodynamic Therapy by Mean of 5-Aminolevulinic Acid for the Management of Periodontitis and Peri-Implantitis: A Retrospective Analysis of 20 Patients. Antibiotics (Basel) 2022; 11:antibiotics11091267. [PMID: 36140046 PMCID: PMC9495362 DOI: 10.3390/antibiotics11091267] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 08/23/2022] [Revised: 09/11/2022] [Accepted: 09/13/2022] [Indexed: 11/16/2022] Open
Abstract
Periodontitis and peri-implantitis are common in the population worldwide. Periodontal diseases affect approximately 50% of adults, while mucositis affects 80% of patients with implants, turning into peri-implantitis at a rate varying from 28 to 58%. If standardized treatments for all degrees and variety of periodontal diseases are known and codified, a consensus on the treatment of peri-implantitis still has to be found. Photodynamic therapy (PDT) has been used successfully in the medical field and was recently introduced as supportive therapy in dentistry. This paper reviews the results on 20 patients, 10 affected by periodontal disease (grades II to III) and 10 by peri-implantitis. Application of 5% 5-aminolevulinic acid gel (ALAD), as a support of causal therapy, in periodontal pockets and areas of peri-implantitis favored the maintenance of severely compromised teeth and significantly improved compromised implant conditions. Between baseline and 6 months, all teeth and implants remained functional. All patients confirmed that the scaling and root planning (SRP)+ALAD-PDT was not painful, and all perceived a benefit after the treatment at all timing points. For periodontal patients, a significant decrease in PPD after 3 (p < 0.001) and 6 months after SRP+ALAD-PDT respect baseline values were observed. For the implant patients, the SRP+ALAD-PDT was correlated to a decrease in PPD and BOP, and a slight increase in the number of exposed threads. However, the results were statistically significant only for PPD (p < 0.001).
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Affiliation(s)
| | - Lorena Rispoli
- Department of Periodontology, Humanitas Dental Center, Humanitas Research Hospital, Rozzano, 20089 Milano, Italy
| | - Michele Antonio Lopez
- Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology, Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica Sacro Cuore, 00168 Rome, Italy
- Correspondence: ; Tel./Fax: +39-06-3015-4079
| | - Andrea Netti
- Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology, Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica Sacro Cuore, 00168 Rome, Italy
| | - Morena Petrini
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, 66013 Chieti, Italy
| | - Adriano Piattelli
- School of Dentistry, Saint Camillus International University of Health and Medical Sciences, 00131 Rome, Italy
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Passarelli PC, Netti A, Lopez MA, Giaquinto EF, De Rosa G, Aureli G, Bodnarenko A, Papi P, Starzyńska A, Pompa G, D’Addona A. Local/Topical Antibiotics for Peri-Implantitis Treatment: A Systematic Review. Antibiotics (Basel) 2021; 10:antibiotics10111298. [PMID: 34827236 PMCID: PMC8615130 DOI: 10.3390/antibiotics10111298] [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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Revised: 10/13/2021] [Accepted: 10/22/2021] [Indexed: 11/16/2022] Open
Abstract
Most studies indicate that the mechanical removal of the bacterial biofilm from the implant surface is the central goal of peri-implantitis therapy. However, controversial results in the treatment of peri-implantitis have led to the consideration of additional strategies that include surgical approaches and chemical adjuvants. Local/topical antibiotics, such as minocycline, azithromycin, tetracycline, amoxicillin, doxycycline, and metronidazole, may improve the efficacy of the definitive treatment of the disease, but the lack of conclusive findings prevents their use in clinical practice. This systematic review aimed to evaluate the effect of local/topical antibiotics for peri-implantitis treatment. Randomised controlled studies (RCT) on patients with peri-implantitis and comparing the efficacy of local/topical antibiotics vs. placebo or mechanical debridement were included. A systematic search strategy was carried out using three registered databases (PubMed, Web of Science, and Scopus). RoB2 was used to assess risk of bias. Five RCTs were identified (n = 250 patients and 333 implants). Contrast results emerged among the included studies, and a high heterogeneity level was observed. Risk of bias revealed some concerns for three studies out of five, while one study was judged at high risk. Only one study analysed the limitations of its findings. Overall, local antibiotic use can be considered a valid approach in the treatment of peri-implantitis. Therefore, future long-term clinical trials with standardised protocols and antibiotics with similar biological activity profiles should be tested to achieve a valid and definitive conclusion.
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Affiliation(s)
- Pier Carmine Passarelli
- Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Gemelli Foundation for the University Policlinic, Catholic University of the “Sacred Heart”, 00168 Rome, Italy; (P.C.P.); (E.F.G.); (G.D.R.); (G.A.); (A.D.)
| | - Andrea Netti
- Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Gemelli Foundation for the University Policlinic, Catholic University of the “Sacred Heart”, 00168 Rome, Italy; (P.C.P.); (E.F.G.); (G.D.R.); (G.A.); (A.D.)
- Correspondence: ; Tel./Fax: +39-06-3015-4079
| | | | - Eleonora Favetti Giaquinto
- Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Gemelli Foundation for the University Policlinic, Catholic University of the “Sacred Heart”, 00168 Rome, Italy; (P.C.P.); (E.F.G.); (G.D.R.); (G.A.); (A.D.)
| | - Giuseppe De Rosa
- Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Gemelli Foundation for the University Policlinic, Catholic University of the “Sacred Heart”, 00168 Rome, Italy; (P.C.P.); (E.F.G.); (G.D.R.); (G.A.); (A.D.)
| | - Gianmarco Aureli
- Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Gemelli Foundation for the University Policlinic, Catholic University of the “Sacred Heart”, 00168 Rome, Italy; (P.C.P.); (E.F.G.); (G.D.R.); (G.A.); (A.D.)
| | - Alina Bodnarenko
- Department of Oral Surgery, Medical University of Gdańsk, 7 Dębinki Street, 80-211 Gdańsk, Poland; (A.B.); (A.S.)
| | - Piero Papi
- Department of Oral and Maxillofacial Sciences, Policlinico Umberto I, “Sapienza” University of Rome, 00161 Rome, Italy; (P.P.); (G.P.)
| | - Anna Starzyńska
- Department of Oral Surgery, Medical University of Gdańsk, 7 Dębinki Street, 80-211 Gdańsk, Poland; (A.B.); (A.S.)
| | - Giorgio Pompa
- Department of Oral and Maxillofacial Sciences, Policlinico Umberto I, “Sapienza” University of Rome, 00161 Rome, Italy; (P.P.); (G.P.)
| | - Antonio D’Addona
- Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Gemelli Foundation for the University Policlinic, Catholic University of the “Sacred Heart”, 00168 Rome, Italy; (P.C.P.); (E.F.G.); (G.D.R.); (G.A.); (A.D.)
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Harrison RM, Ainsbury E, Alves J, Bottollier-Depois JF, Breustedt B, Caresana M, Clairand I, Fantuzzi E, Fattibene P, Gilvin P, Hupe O, Knežević Ž, Lopez MA, Olko P, Olšovcová V, Rabus H, Rühm W, Silari M, Stolarczyk L, Tanner R, Vanhavere F, Vargas A, Woda C. EURADOS STRATEGIC RESEARCH AGENDA 2020: VISION FOR THE DOSIMETRY OF IONISING RADIATION. Radiat Prot Dosimetry 2021; 194:42-56. [PMID: 33989429 PMCID: PMC8165425 DOI: 10.1093/rpd/ncab063] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 02/28/2021] [Accepted: 04/06/2021] [Indexed: 05/02/2023]
Abstract
Since 2012, the European Radiation Dosimetry Group (EURADOS) has developed its Strategic Research Agenda (SRA), which contributes to the identification of future research needs in radiation dosimetry in Europe. Continued scientific developments in this field necessitate regular updates and, consequently, this paper summarises the latest revision of the SRA, with input regarding the state of the art and vision for the future contributed by EURADOS Working Groups and through a stakeholder workshop. Five visions define key issues in dosimetry research that are considered important over at least the next decade. They include scientific objectives and developments in (i) updated fundamental dose concepts and quantities, (ii) improved radiation risk estimates deduced from epidemiological cohorts, (iii) efficient dose assessment for radiological emergencies, (iv) integrated personalised dosimetry in medical applications and (v) improved radiation protection of workers and the public. This SRA will be used as a guideline for future activities of EURADOS Working Groups but can also be used as guidance for research in radiation dosimetry by the wider community. It will also be used as input for a general European research roadmap for radiation protection, following similar previous contributions to the European Joint Programme for the Integration of Radiation Protection Research, under the Horizon 2020 programme (CONCERT). The full version of the SRA is available as a EURADOS report (www.eurados.org).
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Affiliation(s)
| | - E Ainsbury
- Public Health England, Chilton, Didcot, UK
| | - J Alves
- Instituto Superior Técnico (IST), CTN, Lisboa, Portugal
| | - J-F Bottollier-Depois
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Fontenay-aux-Roses Cedex, France
| | - B Breustedt
- Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany
| | | | - I Clairand
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Fontenay-aux-Roses Cedex, France
| | - E Fantuzzi
- ENEA - Radiation Protection Institute, Bologna, Italy
| | - P Fattibene
- Istituto Superiore di Sanità (ISS), Rome, Italy
| | - P Gilvin
- Public Health England, Chilton, Didcot, UK
| | - O Hupe
- Physikalisch Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Ž Knežević
- Ruđer Bošković Institute (RBI), Zagreb, Croatia
| | - M A Lopez
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), Madrid, Spain
| | - P Olko
- Instytut Fizyki Jądrowej Polskiej Akademii Nauk (IFJ PAN), Kraków, Poland
| | - V Olšovcová
- ELI Beamlines, Institute of Physics, Czech Academy of Sciences, Dolní Břežany, Czech Republic
| | - H Rabus
- Physikalisch Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - W Rühm
- Helmholtz Zentrum München, Institute of Radiation Medicine, Neuherberg, Germany
| | - M Silari
- CERN, 1211 Geneva 23, Switzerland
| | - L Stolarczyk
- Danish Centre for Particle Therapy, Aarhus, Denmark
- Instytut Fizyki Jądrowej Polskiej Akademii Nauk (IFJ PAN), Kraków, Poland
| | - R Tanner
- Public Health England, Chilton, Didcot, UK
| | - F Vanhavere
- Belgian Nuclear Research Centre (SCK-CEN), Mol, Belgium
| | - A Vargas
- Institute of Energy Technologies, Universitat Politecnica de Catalunya, Barcelona, Spain
| | - C Woda
- Helmholtz Zentrum München, Institute of Radiation Medicine, Neuherberg, Germany
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Lopez MA, Passarelli PC, Godino E, Lombardo N, Altamura FR, Speranza A, Lopez A, Papi P, Pompa G, D’Addona A. The Treatment of Peri-Implant Diseases: A New Approach Using HYBENX ® as a Decontaminant for Implant Surface and Oral Tissues. Antibiotics (Basel) 2021; 10:antibiotics10050512. [PMID: 33946370 PMCID: PMC8147150 DOI: 10.3390/antibiotics10050512] [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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2021] [Revised: 04/19/2021] [Accepted: 04/26/2021] [Indexed: 01/03/2023] Open
Abstract
Background: Peri-implantitis is a pathological condition characterized by an inflammatory process involving soft and hard tissues surrounding dental implants. The management of peri-implant disease has several protocols, among which is the chemical method HYBENX®. The aim of this study is to demonstrate the efficacy of HYBENX® in the treatment of peri-implantitis and to compare HYBENX® with other chemical agents used in the surgical treatment of peri-implantitis. Methods: The present study included a population of ten subjects with severe peri-implantitis. The procedure used in the study involves the application of HYBENX® after open-flap debridement. Each patient has been followed for 12 months after a single application of the decontaminant agent. Clinical and radiographical parameters were recorded at baseline, 3 months, and 12 months after treatment completion. Results: At baseline, a mean pocket probing depth (PPD) of 7.3 ± 0.5 mm and a mean clinical attachment level (CAL) of 8.8 ± 0.8 mm was recorded. An average residual PPD of 4.2 ± 0.5 mm and a mean CAL of 5.2 ± 0.8 mm were observed after 1 year. Additionally, the average of bone gain was about 3.4 mm, with a mean marginal bone level (MBL) change from 5.8 mm (baseline) to 2.4 mm (12 months). In total, 90% of the treated implants reached the success rate after the 1-year follow-up. Only in one case out of ten treated implants was resolution of the disease not achieved. Conclusion: Clinical improvements highlight that the procedure of open-flap debridement (OFD) + HYBENX® may be considered an effective technique in the treatment of peri-implantitis. From the results obtained, it can be concluded that the use of HYBENX® in the surgical treatment of peri-implantitis is promising. Overall, this protocol demands further studies to better understand the role and potential benefits of HYBENX® in the treatment of peri-implantitis.
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Affiliation(s)
| | - Pier Carmine Passarelli
- Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Department of Head and Neck, Catholic University of the Sacred Heart, Gemelli University Polyclinic Foundation, 00168 Rome, Italy; (P.C.P.); (E.G.); (N.L.); (A.S.); (A.D.)
| | - Emmanuele Godino
- Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Department of Head and Neck, Catholic University of the Sacred Heart, Gemelli University Polyclinic Foundation, 00168 Rome, Italy; (P.C.P.); (E.G.); (N.L.); (A.S.); (A.D.)
| | - Nicolò Lombardo
- Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Department of Head and Neck, Catholic University of the Sacred Heart, Gemelli University Polyclinic Foundation, 00168 Rome, Italy; (P.C.P.); (E.G.); (N.L.); (A.S.); (A.D.)
| | - Francesca Romana Altamura
- Department of Oral and Maxillo Facial Sciences, Policlinico Umberto I, “Sapienza” University of Rome, 00161 Rome, Italy; (F.R.A.); (G.P.)
| | - Alessandro Speranza
- Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Department of Head and Neck, Catholic University of the Sacred Heart, Gemelli University Polyclinic Foundation, 00168 Rome, Italy; (P.C.P.); (E.G.); (N.L.); (A.S.); (A.D.)
| | - Andrea Lopez
- Universidad Europea de Madrid, 28670 Madrid, Spain;
| | - Piero Papi
- Department of Oral and Maxillo Facial Sciences, Policlinico Umberto I, “Sapienza” University of Rome, 00161 Rome, Italy; (F.R.A.); (G.P.)
- Correspondence:
| | - Giorgio Pompa
- Department of Oral and Maxillo Facial Sciences, Policlinico Umberto I, “Sapienza” University of Rome, 00161 Rome, Italy; (F.R.A.); (G.P.)
| | - Antonio D’Addona
- Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Department of Head and Neck, Catholic University of the Sacred Heart, Gemelli University Polyclinic Foundation, 00168 Rome, Italy; (P.C.P.); (E.G.); (N.L.); (A.S.); (A.D.)
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6
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Brewer JD, Santos MP, Lopez MA, Paz-Soldan VA, Chaparro MP. Use of Formal and Informal Food Resources by Food Insecure Families in Lima, Peru: A Mixed-Methods Analysis. J Community Health 2021; 46:1069-1077. [PMID: 33907903 PMCID: PMC8078387 DOI: 10.1007/s10900-021-00989-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/10/2021] [Indexed: 11/25/2022]
Abstract
The goal of this study was to measure food insecurity among families with children in a low-income district of Lima, Peru and to identify the formal and informal food resources available to them that may affect their food security status. In June-July 2019, we collected data from 329 randomly selected households in Villa El Salvador (Lima, Peru). Following a mixed methods approach, we found that the percentage of households using food assistance programs (FAPs) increased with increasing levels of food insecurity, but two FAPs were heavily used by households regardless of food (in)security. The main reasons for using FAPs included financial need, already being signed up in the program, and believing that the food was of nutritional value; the main reasons for non-use were finding the program unnecessary, dislike or poor perceived quality of the food, and not being able to sign up for the program. Similarly, informal food resources, such as buying food on credit or receiving food from someone outside the household, were incrementally used with increased levels of food insecurity. Our study clarifies the relationship between level of household food insecurity and FAP use – FAPs more commonly used by food insecure households were used because of financial need, whereas the FAPs most commonly used by food secure households were those with automatic enrollment. At a programmatic level, our research highlights the need for making nutritious and preferred foods available in FAPs and standardizing the application of enrollment criteria.
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Affiliation(s)
- J D Brewer
- School of Public Health and Tropical Medicine, Department of Global Community Health and Behavioral Sciences, Tulane University, 1440 Canal Street, New Orleans, Louisiana, 70112, USA.
| | - M P Santos
- School of Public Health and Tropical Medicine, Department of Biostatistics and Data Science, Tulane University, 1440 Canal Street, New Orleans, Louisiana, 70112, USA
| | - M A Lopez
- School of Public Health and Tropical Medicine, Department of Global Community Health and Behavioral Sciences, Tulane University, 1440 Canal Street, New Orleans, Louisiana, 70112, USA
| | - V A Paz-Soldan
- School of Public Health and Tropical Medicine, Department of Global Community Health and Behavioral Sciences, Tulane University, 1440 Canal Street, New Orleans, Louisiana, 70112, USA
- Asociación Benéfica PRISMA, Avenida Santo Toribio 115, 5th floor, San Isidro, 15073, Lima, Peru
| | - M P Chaparro
- School of Public Health and Tropical Medicine, Department of Global Community Health and Behavioral Sciences, Tulane University, 1440 Canal Street, New Orleans, Louisiana, 70112, USA
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Nurchis MC, Pascucci D, Lopez MA, Moffa A, Passarelli PC, Bressi F, Casale M, Damiani G. Epidemiology of odontogenic sinusitis: an old, underestimated disease, even today. A narrative literature review. J BIOL REG HOMEOS AG 2020; 34:195-200. Technology in Medicine. [PMID: 33386049] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Odontogenic sinusitis is an inflammatory condition of the paranasal sinuses resulting from dental pathology. The aim of this study is to provide an overview of the current literature on the dimensions of the phenomenon, quality of life, economic considerations, and approaches to odontogenic sinusitis. A narrative review was conducted following the methodology proposed by Green et al. (2006). There appears to have been an increase in the incidence over the last decade. Nowadays, evidence in the literature reports that 10-12% up to 40% of all sinusitis cases are associated with odontogenic infections. The iatrogenia was by far the leading cause of odontogenic sinusitis (55.97%) while the first and second molars were the most affected teeth with an incidence of 35.6% and 22%. If not properly diagnosed and treated, these infections may lead to a rapid spread, giving rise to potentially life-threatening complications with a significant general health-related Quality of Life detriment. The proper management of patients in a pre-implant logical setting leads to substantial savings, ranging from €38 million to €152 million, for the Italian National Health Service. Odontogenic sinusitis management should involve shared decisionmaking between the otolaryngologist, dental provider, and patient, where the benefits and risks of dental treatment and endoscopic sinus surgery are discussed.
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Affiliation(s)
- M C Nurchis
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - D Pascucci
- Università Cattolica del Sacro Cuore, Rome, Italy
| | - M A Lopez
- Unit of Otolaryngology - Integrated Therapies in Otolaryngology, Campus Bio-Medico University, Rome, Italy
| | - A Moffa
- Unit of Otolaryngology - Integrated Therapies in Otolaryngology, Campus Bio-Medico University, Rome, Italy
| | - P C Passarelli
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Catholic University of the Sacred Heart, Gemelli University Polyclinic Foundation, Rome, Italy
| | - F Bressi
- Department of Physical and Rehabilitation Medicine, Campus Bio-Medico University, Rome, Italy
| | - M Casale
- Unit of Otolaryngology - Integrated Therapies in Otolaryngology, Campus Bio-Medico University, Rome, Italy
| | - G Damiani
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
- Università Cattolica del Sacro Cuore, Rome, Italy
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Lopez MA, Passarelli PC, Marra M, Lopez A, D'Angelo A, Moffa A, Martinez S, Casale M, D'Addona A. Photodynamic therapy (PDT) in non-surgical treatment of periodontitis. J BIOL REG HOMEOS AG 2020; 34:67-78. Technology in Medicine. [PMID: 33386036] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Periodontitis represents a major problem for patients, since it is not possible to eliminate the bacteria that are responsible for this pathology with a pharmacological treatment. The present study included forty-four patients with periodontitis, who had undergone disinfection via photodynamic therapy (PDT) using a laser source having a 635 nm wavelength associated with a photoactivable substance (methylene blue). Clinical assessment of plaque index (PI), bleeding on probing (BOP), probing depth (PD), calculus index (CI), gingival recession (REC) and clinical attachment level (CAL) were recorded at base line, 1 month (4 weeks) after treatment and again 3 months (12 weeks) after treatment, while site radiography (RX) and microbiological test (MT) were recorded at base line and 3 months (12 weeks) after treatment. The outcomes show a good efficacy of the PDT in the elimination of the periodontal pathogenic microflora and in the improvement of the clinical parameters considered: from the base line to the final check after 12 weeks it has been observed a reduction in REC of about 16.9%, a reduction of CAL of about 17.85%, a reduction of the BoP of about 93.3%, a reduction of the PD of about 17%, a reduction of the CI of about 66.3%, a reduction of PI of about 44%, and microbiologically a reduction of the total amount of bacteria with proven parodontopathic properties (red complex bacteria) of about 58.74%. Within the limits of the present study, PDT can be reasonably considered as a good carrier that leads to significant improvements in the parameters (clinical and microbiological) considered.
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Affiliation(s)
- M A Lopez
- Unit of Otolaryngology, UOS ORL TI, Campus-Biomedico University, Rome, Italy
| | - P C Passarelli
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
| | - M Marra
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
| | - A Lopez
- Dental Unit UEM, Madrid, Spain
| | - A D'Angelo
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
| | - A Moffa
- Unit of Otolaryngology, UOS ORL TI, Campus-Biomedico University, Rome, Italy
| | - S Martinez
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
| | - M Casale
- Unit of Otolaryngology, UOS ORL TI, Campus-Biomedico University, Rome, Italy
| | - A D'Addona
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
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9
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Passarelli PC, Romeo A, Lopez MA, De Angelis P, Desantis V, Piccirillo GB, Papa R, Papi P, Pompa G, Moffa A, Casale M, D'Addona A. Evaluation of the periodontal healing of the second mandibular molar distal site following insertion of PRF in the third molar post extraction alveolus. J BIOL REG HOMEOS AG 2020; 34:111-118. Technology in Medicine. [PMID: 33386040] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
The aim of this study was to evaluate the periodontal healing of the distal sites of the mandibular second molars, comparing the extraction therapy of the third molar with and without PRF adjunct into the postextraction alveolus. The study sample was composed by 40 consecutive patients who underwent extraction of mandibular third molars. Patients were divided in two groups: the last 20 participants who have only been subjected to extraction (spontaneous healing group, SHG) and the first 20 patients who had PRF adjunct (PRF group, PG). Healing was evaluated by analyzing the variations in terms of PPD (Probing Pocket Depth), REC (Recession), CAL (Level of Clinical Attachment), BoP (Bleeding on Probing) and GI (Gingival Index) from Baseline to further follow-ups at 1 month and 3 months. The disto-vestibular (DV) and disto-lingual (DL) PPD values of the second mandibular molar were measured at Baseline and after three months in the two groups. Patients of the PG group showed lower PPD values at 1 month and 3 months postoperatively: DV: 3.6±1.09 - DL: 3.5±1.15 and DV: 2.5±0.83 - DL: 2.6±1.09, respectively. Patients belonging to the SHG also showed lower PPD values, reporting respectively the following DV values after 3 months: 2.7±0.86 - DL: 2.75±0. 85. However, there was no statistically significant difference comparing the results obtained in PG and SHG groups at 1 and 3 months (p>0.05). The insertion of PRF inside the post-extraction alveolus of the mandibular third molar leads to limited improvement in terms of periodontal healing, compared to extraction therapy only.
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Affiliation(s)
- P C Passarelli
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
| | - A Romeo
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
| | - M A Lopez
- Unit of Otolaryngology, UOS ORL TI, Campus-Biomedico University, Rome, Italy
| | - P De Angelis
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
| | - V Desantis
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
| | - G B Piccirillo
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
| | - R Papa
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
| | - P Papi
- Department of Oral and Maxillo-facial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - G Pompa
- Department of Oral and Maxillo-facial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - A Moffa
- Unit of Otolaryngology, UOS ORL TI, Campus-Biomedico University, Rome, Italy
| | - M Casale
- Unit of Otolaryngology, UOS ORL TI, Campus-Biomedico University, Rome, Italy
| | - A D'Addona
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
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10
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Lopez MA, Passarelli PC, Marra M, Lopez A, Moffa A, Casale M, D'Addona A. Antimicrobial efficacy of photodynamic therapy (PDT) in periodontitis and peri-implantitis: A systematic review. J BIOL REG HOMEOS AG 2020; 34:59-65. Technology in Medicine. [PMID: 33386035] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
To systematically review the literature regarding the antimicrobial effects of photodynamic therapy (PDT) on multi-bacterial species in periodontitis and peri-implantitis disease. The addressed focused question was: "Does PDT show antimicrobial efficacy against multi-bacterial species colonization in periodontal pockets and on the surface of dental implants?" Electronic databases including MEDLINE and EMBASE up to and including December 2018 were searched. Of the ninety studied analyzed, seven were included, four for the study of PDT in peri-implantitis disease and three for periodontal disease. All studies reported the multibacterial species outcomes after the application of antimicrobial PDT. All studies showed a significant reduction in the bacterial load, both in studies based on periodontal and peri-implantary disease, with an average reduction of the total amount of bacterial load of 99.3%. Moreover, the change in clinical parameters is equally important, with an average reduction of PPD of 1.01 mm (from 4.92 to 3.49 ± SD with a percentage reduction of 29%); of BoP of 50%; of RCAL of 1.19 mm (from 9.93 to 8.74, with an average percentage reduction of 12%); of PI of 0.3 (from 1 to 0.7 with a percentage reduction of 30%) and of GI of 1.2 (from 1.8 to 0.6 with a percentage reduction of 66.6%). This review demonstrated significant reduction in the bacterial load in periodontal pocket and dental implant surface with the use of PDT. The results of this review should be considered preliminary and further studies with standardized laser parameters are needed to obtain strong conclusions.
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Affiliation(s)
- M A Lopez
- Unit of Otolaryngology, UOS ORL TI, Campus Bio-Medico University, Rome, Italy
| | - P C Passarelli
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
| | - M Marra
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
| | - A Lopez
- Universidad Europea de Madrid, Madrid, Spain
| | - A Moffa
- Unit of Otolaryngology, UOS ORL TI, Campus Bio-Medico University, Rome, Italy
| | - M Casale
- Unit of Otolaryngology, UOS ORL TI, Campus Bio-Medico University, Rome, Italy
| | - A D'Addona
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy
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11
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Giussani A, Lopez MA, Romm H, Testa A, Ainsbury EA, Degteva M, Della Monaca S, Etherington G, Fattibene P, Güclu I, Jaworska A, Lloyd DC, Malátová I, McComish S, Melo D, Osko J, Rojo A, Roch-Lefevre S, Roy L, Shishkina E, Sotnik N, Tolmachev SY, Wieser A, Woda C, Youngman M. Eurados review of retrospective dosimetry techniques for internal exposures to ionising radiation and their applications. Radiat Environ Biophys 2020; 59:357-387. [PMID: 32372284 PMCID: PMC7369133 DOI: 10.1007/s00411-020-00845-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Accepted: 04/15/2020] [Indexed: 05/17/2023]
Abstract
This work presents an overview of the applications of retrospective dosimetry techniques in case of incorporation of radionuclides. The fact that internal exposures are characterized by a spatially inhomogeneous irradiation of the body, which is potentially prolonged over large periods and variable over time, is particularly problematic for biological and electron paramagnetic resonance (EPR) dosimetry methods when compared with external exposures. The paper gives initially specific information about internal dosimetry methods, the most common cytogenetic techniques used in biological dosimetry and EPR dosimetry applied to tooth enamel. Based on real-case scenarios, dose estimates obtained from bioassay data as well as with biological and/or EPR dosimetry are compared and critically discussed. In most of the scenarios presented, concomitant external exposures were responsible for the greater portion of the received dose. As no assay is available which can discriminate between radiation of different types and different LETs on the basis of the type of damage induced, it is not possible to infer from these studies specific conclusions valid for incorporated radionuclides alone. The biological dosimetry assays and EPR techniques proved to be most applicable in cases when the radionuclides are almost homogeneously distributed in the body. No compelling evidence was obtained in other cases of extremely inhomogeneous distribution. Retrospective dosimetry needs to be optimized and further developed in order to be able to deal with real exposure cases, where a mixture of both external and internal exposures will be encountered most of the times.
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Affiliation(s)
- A Giussani
- BfS-Bundesamt für Strahlenschutz, Ingolstädter Landstr. 1, 85764, Oberschleißheim, Germany.
| | - M A Lopez
- CIEMAT - Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas, Av.da Complutense 40, 28040, Madrid, Spain
| | - H Romm
- BfS-Bundesamt für Strahlenschutz, Ingolstädter Landstr. 1, 85764, Oberschleißheim, Germany
| | - A Testa
- ENEA Casaccia Research Center, Via Anguillarese 301, Santa Maria di Galeria, 00123, Rome, Italy
| | - E A Ainsbury
- Public Health England - Centre for Radiation, Chemical and Environmental Hazards, Chilton, Didcot, OX11 0RQ, Oxon, UK
| | - M Degteva
- Urals Research Center for Radiation Medicine (URCRM), Vorovskt str. 68A, Chelyabinsk, 454141, Russia
| | - S Della Monaca
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Rome, Italy
| | - G Etherington
- Public Health England - Centre for Radiation, Chemical and Environmental Hazards, Chilton, Didcot, OX11 0RQ, Oxon, UK
| | - P Fattibene
- Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Rome, Italy
| | - I Güclu
- Cekmece Nuclear Research and Training Center Radiobiology Unit Yarımburgaz, Turkish Atomic Energy Authority, Istanbul, Turkey
| | - A Jaworska
- DSA-Norwegian Radiation and Nuclear Safety Authority, Skøyen, P. O. Box 329, 0213, Oslo, Norway
| | - D C Lloyd
- Public Health England - Centre for Radiation, Chemical and Environmental Hazards, Chilton, Didcot, OX11 0RQ, Oxon, UK
| | - I Malátová
- SURO-National Radiation Protection Institute, Bartoskova 28, 14000, Prague, Czech Republic
| | - S McComish
- US Transuranium and Uranium Registries, Washington State University, Richland, WA, USA
| | - D Melo
- Melohill Technology, 1 Research Court, Rockville, MD, 20850, USA
| | - J Osko
- National Centre for Nuclear Research, A. Soltana 7, 05400, Otwock, Poland
| | - A Rojo
- ARN-Nuclear Regulatory Authority of Argentina, Av. del Libertador 8250, Buenos Aires, Argentina
| | - S Roch-Lefevre
- Institut de Radioprotection et de Sûreté Nucléaire, IRSN, Pôle Santé et Environnement, Direction de la Santé, Fontenay-aux-Roses, France
| | - L Roy
- Institut de Radioprotection et de Sûreté Nucléaire, IRSN, Pôle Santé et Environnement, Direction de la Santé, Fontenay-aux-Roses, France
| | - E Shishkina
- Urals Research Center for Radiation Medicine (URCRM), Vorovskt str. 68A, Chelyabinsk, 454141, Russia
- Chelyabinsk State University (ChelSU), 129, Bratiev Kashirinih Street, Chelyabinsk, 454001, Russia
| | - N Sotnik
- Southern Urals Biophysics Institute (SUBI), Ozyorsk, Chelyabinsk Region, 456780, Russia
| | - S Y Tolmachev
- US Transuranium and Uranium Registries, Washington State University, Richland, WA, USA
| | - A Wieser
- Institute of Radiation Medicine, Helmholtz Zentrum München, Ingolstädter Landstr. 1, 85764, Neuherberg, Germany
| | - C Woda
- Institute of Radiation Medicine, Helmholtz Zentrum München, Ingolstädter Landstr. 1, 85764, Neuherberg, Germany
| | - M Youngman
- Public Health England - Centre for Radiation, Chemical and Environmental Hazards, Chilton, Didcot, OX11 0RQ, Oxon, UK
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Moffa A, Casale M, Fiore V, Rinaldi V, Giancaspro R, Lopez MA, Baptista P, Gelardi M, Cassano M. Impact of intranasal nebulized ectoine on morbidity and short-term quality of life after pediatric adenoidectomy. J BIOL REG HOMEOS AG 2020; 34:1213-1218. [PMID: 32666776 DOI: 10.23812/20-160-l-64] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- A Moffa
- Unit of Otolaryngology, University of Foggia, Foggia, Italy
| | - M Casale
- Integrated Sleep Surgery Team UCBM - Unit of Otolaryngology - Integrated Therapies in Otolaryngology, Campus Bio-Medico University, Rome, Italy
| | - V Fiore
- Unit of Otolaryngology, University of Foggia, Foggia, Italy
| | - V Rinaldi
- Integrated Sleep Surgery Team UCBM - Unit of Otolaryngology - Integrated Therapies in Otolaryngology, Campus Bio-Medico University, Rome, Italy
| | - R Giancaspro
- Unit of Otolaryngology, University of Foggia, Foggia, Italy
| | - M A Lopez
- Integrated Sleep Surgery Team UCBM - Unit of Otolaryngology - Integrated Therapies in Otolaryngology, Campus Bio-Medico University, Rome, Italy
| | - P Baptista
- Unit of Otolaryngology, Clinica Universitaria de Navarra, Pamplona, Spain
| | - M Gelardi
- Unit of Otolaryngology, University of Foggia, Foggia, Italy
| | - M Cassano
- Unit of Otolaryngology, University of Foggia, Foggia, Italy
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Passarelli PC, Lopez MA, Mastandrea Bonaviri GN, Garcia-Godoy F, D'Addona A. Taste and smell as chemosensory dysfunctions in COVID-19 infection. Am J Dent 2020; 33:135-137. [PMID: 32470238] [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: 06/11/2023]
Abstract
PURPOSE To review the literature on the presence of two clinical manifestations in patients presenting COVID-19 (SARS-CoV-2) infection: loss of taste (ageusia) and loss of smell (anosmia). METHODS PubMed and EMBASE were searched and studies were selected starting from November, 2019 until April 2020; also, the references of the selected articles were evaluated for methodological quality. RESULTS Of the 19 studies analyzed, five were included to evaluate the presence of ageusia and/or anosmia as symptoms in patients who were tested and resulted positive for the SARS-CoV-2 virus. In a total of 10,818 patients, 8,823 presented ageusia (81.6%; range 5.6%-88%) and 8,088 presented anosmia (74.8%; range 5.1-85.6%). Only one study recorded both symptoms with a percentage of 18.6%. CLINICAL SIGNIFICANCE This systematic review demonstrated significant presence of ageusia and anosmia in the patients with COVID-19 infection. These symptoms may be considered as the first manifestation of the infection.
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Affiliation(s)
- Pier Carmine Passarelli
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Catholic University of the Sacred Heart, Gemelli Foundation for the University Policlinic, Rome, Italy,
| | | | | | - Franklin Garcia-Godoy
- Bioscience Research Center, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tennessee, USA
- The Forsyth Institute, Cambridge, Massachusetts, USA
| | - Antonio D'Addona
- Department of Head and Neck, Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Catholic University of the Sacred Heart, Gemelli Foundation for the University Policlinic, Rome, Italy
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14
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Moffa A, Fraccaroli F, Carbone S, Rinaldi V, Costantino A, Lopez MA, Cassano M, Casale M. Bromelain after oral or dental procedures: an update. J BIOL REG HOMEOS AG 2019; 33:1629-1634. [PMID: 31507135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
- A Moffa
- Unit of Otolaryngology, University of Foggia, Foggia, Italy
| | - F Fraccaroli
- Unit of Otolaryngology, UOS ORL TI, Campus Bio-Medico University, Rome, Italy
| | - S Carbone
- Unit of Otolaryngology, UOS ORL TI, Campus Bio-Medico University, Rome, Italy
| | - V Rinaldi
- Unit of Otolaryngology, UOS ORL TI, Campus Bio-Medico University, Rome, Italy
| | - A Costantino
- Unit of Otolaryngology, UOS ORL TI, Campus Bio-Medico University, Rome, Italy
| | - M A Lopez
- Unit of Otolaryngology, UOS ORL TI, Campus Bio-Medico University, Rome, Italy
| | - M Cassano
- Unit of Otolaryngology, University of Foggia, Foggia, Italy
| | - M Casale
- Unit of Otolaryngology, University of Foggia, Foggia, Italy
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15
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Alves JG, Fantuzzi E, Rühm W, Gilvin P, Vargas A, Tanner R, Rabus H, Lopez MA, Breustedt B, Harrison R, Stolarczyk L, Fattibene P, Woda C, Caresana M, Knežević Ž, Bottollier-Depois JF, Clairand I, Mayer S, Miljanic S, Olko P, Schuhmacher H, Stadtmann H, Vanhavere F. EURADOS education and training activities. J Radiol Prot 2019; 39:R37-R50. [PMID: 31307030 DOI: 10.1088/1361-6498/ab3256] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
This paper provides a summary of the Education and Training (E&T) activities that have been developed and organised by the European Radiation Dosimetry Group (EURADOS) in recent years and in the case of Training Courses over the last decade. These E&T actions include short duration Training Courses on well-established topics organised within the activity of EURADOS Working Groups (WGs), or one-day events integrated in the EURADOS Annual Meeting (workshops, winter schools, the intercomparison participants' sessions and the learning network, among others). Moreover, EURADOS has recently established a Young Scientist Grant and a Young Scientist Award. The Grant supports young scientists by encouraging them to perform research projects at other laboratories of the EURADOS network. The Award is given in recognition of excellent work developed within the WGs' work programme. Additionally, EURADOS supports the dissemination of knowledge in radiation dosimetry by promoting and endorsing conferences such as the individual monitoring (IM) series, the neutron and ion dosimetry symposia (NEUDOS) and contributions to E&T sessions at specific events.
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Affiliation(s)
- J G Alves
- EURADOS, EURADOS e.V. Postfach 1129, D-85758 Neuherberg, Germany. Universidade de Lisboa (UL), Instituto Superior Técnico (IST), Laboratório de Proteção e Segurança Radiológica (LPSR), Estrada Nacional 10, 2695-066 Bobadela LRS, Portugal. Departamento de Engenharia e Ciências Nucleares (DECN), Centro de Ciências e Tecnologias Nucleares (C2TN), do IST, Portugal
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16
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Casale M, Moffa A, Cassano M, Carinci F, Lopez MA, Trecca EMC, Torretta S, Rinaldi V, Pignataro L. Saline nasal irrigations for chronic rhinosinusitis: From everyday practice to evidence-based medicine. An update. Int J Immunopathol Pharmacol 2018; 32:2058738418802676. [PMID: 30350744 PMCID: PMC6201180 DOI: 10.1177/2058738418802676] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [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] [Indexed: 11/24/2022] Open
Abstract
Saline nasal irrigations (SNIs) are often recommended as an additional
non-pharmacological treatment for adults with chronic rhinosinusitis (CRS), for
which it could even be considered a first-line treatment. However, there is a
wide range of different SNI protocols. The aim of this article is to review the
published literature regarding all of the potential therapeutic effects of SNIs
in adult CRS patients who had not undergone sinus surgery and clarify the role
of the various saline nasal solutions and protocols (particularly the volume,
frequency and duration of treatment), and describe the nasal devices used. A
search was made of the PubMed, Google Scholar and Ovid databases using the key
words ‘saline nasal irrigation’ and ‘chronic rhinosinusitis’, or medical subject
headings. The search identified 11 studies involving 663 patients. There was no
consensus about but substantial agreement concerning the frequency and duration
of treatment, the type of device, and the amount of solution to be used when
managing CRS. A hypertonic solution with the addition of the natural minerals
and oligo-elements found in seawater and some thermal waters may be associated
with greater clinical benefit in terms of endoscopic scores and mucociliary
clearance than isotonic solutions. Further studies are required to compare the
different forms of SNI and define SNI protocols and nasal devices, while
considering patient compliance.
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Affiliation(s)
- Manuele Casale
- 1 Department of Otolaryngology, Campus Bio-Medico University, Rome, Italy
| | - Antonio Moffa
- 2 Department of Otolaryngology, University of Foggia, Foggia, Italy
| | - Michele Cassano
- 2 Department of Otolaryngology, University of Foggia, Foggia, Italy
| | - Francesco Carinci
- 3 Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
| | | | | | - Sara Torretta
- 5 Department of Otolaryngology and Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Vittorio Rinaldi
- 1 Department of Otolaryngology, Campus Bio-Medico University, Rome, Italy
| | - Lorenzo Pignataro
- 5 Department of Otolaryngology and Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
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17
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Rühm W, Bottollier-Depois JF, Gilvin P, Harrison R, Knežević Ž, Lopez MA, Tanner R, Vargas A, Woda C. The work programme of EURADOS on internal and external dosimetry. Ann ICRP 2018; 47:20-34. [PMID: 29664324 DOI: 10.1177/0146645318756224] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Since the early 1980s, the European Radiation Dosimetry Group (EURADOS) has been maintaining a network of institutions interested in the dosimetry of ionising radiation. As of 2017, this network includes more than 70 institutions (research centres, dosimetry services, university institutes, etc.), and the EURADOS database lists more than 500 scientists who contribute to the EURADOS mission, which is to promote research and technical development in dosimetry and its implementation into practice, and to contribute to harmonisation of dosimetry in Europe and its conformance with international practices. The EURADOS working programme is organised into eight working groups dealing with environmental, computational, internal, and retrospective dosimetry; dosimetry in medical imaging; dosimetry in radiotherapy; dosimetry in high-energy radiation fields; and harmonisation of individual monitoring. Results are published as freely available EURADOS reports and in the peer-reviewed scientific literature. Moreover, EURADOS organises winter schools and training courses on various aspects relevant for radiation dosimetry, and formulates the strategic research needs in dosimetry important for Europe. This paper gives an overview on the most important EURADOS activities. More details can be found at www.eurados.org .
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Affiliation(s)
- W Rühm
- a Department of Radiation Sciences, Institute for Radiation Protection, Helmholtz Centre Munich, Ingolstädter Landstr. 1, 85764 Neuherberg, Germany
| | | | | | | | | | - M A Lopez
- f Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas, Spain
| | | | - A Vargas
- g Universitat Politècnica de Catalunya, Spain
| | - C Woda
- a Department of Radiation Sciences, Institute for Radiation Protection, Helmholtz Centre Munich, Ingolstädter Landstr. 1, 85764 Neuherberg, Germany
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18
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Mackler RM, Lopez MA, Osterhage MJ, Yoder KE. Prototype foamy virus integrase is promiscuous for target choice. Biochem Biophys Res Commun 2018; 503:1241-1246. [PMID: 30017200 PMCID: PMC6119477 DOI: 10.1016/j.bbrc.2018.07.031] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2018] [Accepted: 07/06/2018] [Indexed: 12/11/2022]
Abstract
Retroviruses have two essential activities: reverse transcription and integration. The viral protein integrase (IN) covalently joins the viral cDNA genome to the host DNA. Prototype foamy virus (PFV) IN has become a model of retroviral intasome structure. However, this retroviral IN has not been well-characterized biochemically. Here we compare PFV IN to previously reported HIV-1 IN activities and discover significant differences. PFV IN is able to utilize the divalent cation calcium during strand transfer while HIV-1 IN is not. HIV-1 IN was shown to completely commit to a target DNA within 1 min, while PFV IN is not fully committed after 60 min. These results suggest that PFV IN is more promiscuous compared to HIV-1 IN in terms of divalent cation and target commitment.
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Affiliation(s)
- R M Mackler
- Department of Cancer Biology and Genetics, Ohio State University College of Medicine, 460 West 12(th)Ave, Columbus, OH, 43210, USA
| | - M A Lopez
- Department of Cancer Biology and Genetics, Ohio State University College of Medicine, 460 West 12(th)Ave, Columbus, OH, 43210, USA
| | - M J Osterhage
- Department of Cancer Biology and Genetics, Ohio State University College of Medicine, 460 West 12(th)Ave, Columbus, OH, 43210, USA
| | - K E Yoder
- Department of Cancer Biology and Genetics, Ohio State University College of Medicine, 460 West 12(th)Ave, Columbus, OH, 43210, USA.
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Breustedt B, Blanchardon E, Castellani CM, Etherington G, Franck D, Giussani A, Hofmann W, Lebacq AL, Li WB, Noßke D, Lopez MA. EURADOS work on internal dosimetry. Ann ICRP 2018; 47:75-82. [PMID: 29664321 DOI: 10.1177/0146645318756232] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
European Radiation Dosimetry Group (EURADOS) Working Group 7 is a network on internal dosimetry that brings together researchers from more than 60 institutions in 21 countries. The work of the group is organised into task groups that focus on different aspects, such as development and implementation of biokinetic models (e.g. for diethylenetriamine penta-acetic acid decorporation therapy), individual monitoring and the dose assessment process, Monte Carlo simulations for internal dosimetry, uncertainties in internal dosimetry, and internal microdosimetry. Several intercomparison exercises and training courses have been organised. The IDEAS guidelines, which describe - based on the International Commission on Radiological Protection's (ICRP) biokinetic models and dose coefficients - a structured approach to the assessment of internal doses from monitoring data, are maintained and updated by the group. In addition, Technical Recommendations for Monitoring Individuals for Occupational Intakes of Radionuclides have been elaborated on behalf of the European Commission, DG-ENER (TECHREC Project, 2014-2016, coordinated by EURADOS). Quality assurance of the ICRP biokinetic models by calculation of retention and excretion functions for different scenarios has been performed and feedback was provided to ICRP. An uncertainty study of the recent caesium biokinetic model quantified the overall uncertainties, and identified the sensitive parameters of the model. A report with guidance on the application of ICRP biokinetic models and dose coefficients is being drafted at present. These and other examples of the group's activities, which complement the work of ICRP, are presented.
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Affiliation(s)
- B Breustedt
- a Karlsruhe Institute of Technology, Safety and Environment - Radioanalytical Laboratories, Hermann-von-Helmholtz-Platz 1, 76344 Eggenstein-Leopoldshafen, Germany
| | - E Blanchardon
- b Institut de Radioprotection et de Sûreté Nucléaire, France
| | - C-M Castellani
- c ENEA Italian National Agency for New Technologies, Energy and Sustainable Economic Development, Radiation Protection Institute, Italy
| | | | - D Franck
- b Institut de Radioprotection et de Sûreté Nucléaire, France
| | - A Giussani
- e Federal Office for Radiation Protection, Germany
| | - W Hofmann
- f University of Salzburg, Department of Chemistry and Physics of Materials, Austria
| | - A-L Lebacq
- g SCK-CEN, Belgian Nuclear Research Centre, Belgium
| | - W B Li
- h Helmholtz Zentrum München - German Research Centre for Environmental Health, Germany
| | - D Noßke
- i Federal Office for Radiation Protection, Germany (retired)
| | - M A Lopez
- j Centro de Investigaciones Energéticas Medioambientales y Tecnológicas, Spain
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20
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Lopez MA, Manzulli N, D'Angelo A, Candotto V, Casale M, Lauritano D. The use of hyaluronic acid as an adjuvant in the management of mucositis. J BIOL REG HOMEOS AG 2017; 31:115-118. [PMID: 29202570] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
In recent years, with an increase in the number of implants, there has been a related increase in cases of pathologies related to infections around the implant site and on the implant surface i.e. mucositis and peri-implantitis. The purpose of this pilot study is to evaluate the potential efficacy of nebulized hyaluronic acid in the management of mucositis. The results of the statistical analysis demonstrate that there was no difference between the pocket depth as measured in the treated sites at time 0 (pre-treatment) and time 1 (15 days weeks post-treatment). However, the difference between bleeding on probing as measured at time 0 and time 1 indicated an improvement on both sides, with a slightly greater improvement on the side treated with HA.
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Affiliation(s)
| | | | | | - V Candotto
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
| | - M Casale
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy
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21
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Lopez MA, Manzulli N, D'Angelo A, Candotto V, Casale M, Lauritano D. The use of hyaluronic acid as an adjuvant in the management of gingivitis. J BIOL REG HOMEOS AG 2017; 31:111-118. [PMID: 29202569] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Recently, a specifically designed device was proposed that is able to nebulize particles with a diameter of approximately 16 micrometres to be used mainly in the management of diseases of the upper airway respiratory tract. The purpose of this pilot study is to evaluate the potential efficacy of nebulized hyaluronic acid in the management of gingivitis. The results of the statistical analysis demonstrate that there was no difference between the pocket depth as measured in the treated sites at time 0 (pre-treatment) and time 1 (15 days post-treatment). However, the difference between bleeding on probing as measured at time 0 and time 1 indicated an improvement on both sides, with a slightly greater improvement on the side treated with HA.
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Affiliation(s)
| | | | | | - V Candotto
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
| | - M Casale
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy
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22
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Lopez MA, Casale M, Candotto V, Papalia R, Bressi F, Carinci F. The use of hyaluronic acid as a support of two different micronized biomaterials in crestal sinus lift procedures. A report on two case studies with volume comparison. J BIOL REG HOMEOS AG 2017; 31:129-138. [PMID: 29202573] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
In the context of the trans crestal maxillary sinus lift, a wide variety of biomaterials have been used to fill the sub-antral space over the years. The materials that have a pasty consistency and are smooth and free from lumps are the most suitable to come into contact with the Schneiderian membrane which, if torn, cannot perform its graft containment function. In this study, a micronized heterologous bone in a collagen matrix of two different percentages was used in order to fill the maxillary sinus. Before using biomaterial as filler, a spray form of hyaluronic acid was used to disinfect the surgical site before and after the surgery, along with more consistent and pasty form of gel of hyaluronic acid being used in order to facilitate the detachment of the membrane. The surgical procedures were designed and carried out using computer-planned surgery. The filling volume obtained was measured with a comparative software programme and using an ellissoid formula. This technique allows the surgery to be performed in a way that is both minimally traumatic and invasive, fully careful of the membrane and represents a viable alternative to those surgical techniques for crestal sinus lift currently in use.
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Affiliation(s)
| | - M Casale
- Otolaryngology Unit, University Campus Bio-Medico, Rome, Italy
| | - V Candotto
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Italy
| | - R Papalia
- University Campus Bio-Medico of Rome, Department of Orthopedics and Traumatology
| | - F Bressi
- University Campus Bio-Medico of Rome, Physical and Rehabilitation Medicine
| | - F Carinci
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Italy
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23
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Lopez MA, Manzulli N, D'Angelo A, Lauritano D, Casale M, Candotto V. The use of hyaluronic acid as an adjuvant in the management of periodontitis. J BIOL REG HOMEOS AG 2017; 31:119-122. [PMID: 29202571] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The emollient and restructuring action exerted on the mucous membranes by hyaluronic acid is of particular significance. This is thanks to its reparative (it stimulates angiogenesis) and soothing properties (hyaluronic acid is used in wound care to improve the processes of wound healing), which are effective in treating the symptoms of local inflammation and irritation. The purpose of this clinical trial is to evaluate the potential efficacy of nebulized hyaluronic acid in the management of chronic periodontitis in adults. The results of the statistical analysis demonstrate that there was a slight improvement in the measurement of pocket depth in the side treated with HA at time 0 (pre-treatment) and time 1 (15 days post-treatment). Furthermore, the difference between bleeding on probing as measured at time 0 and time 1 indicated an improvement on both sides, with a slightly greater improvement on the side treated with HA.
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Affiliation(s)
| | | | | | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy
| | - M Casale
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - V Candotto
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
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24
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Casale M, Vella P, Moffa A, Grimaldi V, Sabatino L, Rinaldi V, Lopez MA, Baptista P, Salvinelli F. The efficacy of topical hyaluronan in rhinosinusitis: a systematic review. J BIOL REG HOMEOS AG 2017; 31:71-80. [PMID: 29202565] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Rhinosinusitis is one of the most common inflammatory conditions of the nasal cavity and paranasal sinuses and is one of the most common causes of absence from work and for visits to the family doctor. The treatment strategy in both acute rhinosinusitis (ARS) and chronic rhinosinusitis (CRS) is to reduce the severity of the symptoms, minimize the duration of the disease and prevent complications. Topical therapy has become an important tool in otolaryngologists armamentarium for rhinosinusitis treatment. Recently, topical hyaluronic acid (HA), the major component of many extracellular matrices that promotes tissue healing, including activation and moderation of the inflammatory responses, cell proliferation, migration and angiogenesis, has been proposed for ARS and CRS adjuvant tool. The aim of the study is to systematically review the published literature regarding all the therapeutic effects of HA on the ARS and CRS. Relevant published studies were found in PubMed, Google Scholar and Ovid, using a combined keyword search or medical subject headings. At the end of our study selection process, 5 relevant publications were included: 2 of them investigated the potential role of HA in reducing symptoms and preventing exacerbations of CRS in adult population, two of them in paediatric patients affected by upper respiratory tract infections and one of them in cystic fibrosis patients with bacterial rhinopharyngitis. Data deriving from the present review of 5 clinical studies showed that the use of topical HA represents a relevant therapeutic advance in rhinosinusitis to minimize symptoms and prevent reacutization with a significant improvement of their quality of life, as it avoids systemic side effects and increases local drug activity. Further studies on larger populations and with new specific nebulization devices for upper airway are needed to confirm these encouraging results.
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Affiliation(s)
- M Casale
- Unit of Otolaryngology, University Campus Bio-Medico Of Rome
| | - P Vella
- Unit of Otolaryngology, University Campus Bio-Medico Of Rome
| | - A Moffa
- Unit of Otolaryngology, University Campus Bio-Medico Of Rome
| | - V Grimaldi
- Pediatric, Private Practitioner, Rome, Italy
| | - L Sabatino
- Unit of Otolaryngology, University Campus Bio-Medico Of Rome
| | - V Rinaldi
- Unit of Otolaryngology, University Campus Bio-Medico Of Rome
- Department of Clinical Sciences and Community Health, Università degli Studi di Milano, fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
| | - M A Lopez
- Dentist, Oral Surgeon, Private Practitioner, Rome, Italy
| | - P Baptista
- Unit of Otolaryngology, University of Navarra, Campus Universitario, Pamplona, Spain
| | - F Salvinelli
- Unit of Otolaryngology, University Campus Bio-Medico Of Rome
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25
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Casale M, Pace A, Moffa A, Vella P, Sabatino L, Lopez MA, Salvinelli F. Post-operative nebulized sodium hyaluronate versus spray after functional endoscopic sinus surgery for chronic rhinosinusitis. J BIOL REG HOMEOS AG 2017; 31:81-89. [PMID: 29202566] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
We prospectively evaluated the efficacy of nebulized Hyaluronic Acid (HA) as an adjuvant treatment to hasten the improvement of nasal respiration and to minimize patients discomfort in the postoperative functional endoscopic sinus surgery (FESS) for chronic rhino-sinusitis (CRS). We enrolled 33 CRS adult patients who underwent endoscopic functional sinus surgery. They were randomly assigned into two groups: Spray-Sol group (18 patients) with HA nebulized with a new nasal device named Spray-Sol and Spray group (15 patients) with a HA nebulized with a common spray. Both groups were treated twice daily for 4 weeks. CRS questionnaire, Visual analogic scale (VAS) and nasal endoscopy were used to assess the outcomes of the treatments during the 1st month of follow up. The mean VAS score of the Spray-Sol group at 2 weeks was significantly lower than the Spray group (5.2±2.1 vs 10.5±3.7; p less than 0.05). The VAS score remained significantly lower in the Spray-Sol group also at the 4 weeks (2.9±0.8 vs 6.1±3.4; p less than 0.05). The CRS score was significantly better at week 2 and 4 in both groups in comparison with baseline values, with better results in the Spray-Sol group. Since the first visit the Spray-Sol group also showed significantly lower crusts, edema and secretions than the Spray group (p less than 0.05). The compliance to treatment was similar in both groups. The results of this prospective study suggest a role nebulized of HA through new device (Spray-sol) as a supportive treatment for faster improvement of nasal respiration, also minimizing patient discomfort, promoting nasal mucosa healing in postoperative FESS for CRS.
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Affiliation(s)
- M Casale
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - A Pace
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - A Moffa
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - P Vella
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - L Sabatino
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - M A Lopez
- Dentist, Oral Surgeon, Private Practitioner, Rome, Italy
| | - F Salvinelli
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
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26
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Palmieri A, Avantaggiato A, Cura F, Casale M, Lopez MA, Bressi F, Scapoli L. Biorevitalization: an in vitro study on gingival fibroblast. J BIOL REG HOMEOS AG 2017; 31:147-153. [PMID: 29202575] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Bio-revitalization is a therapy commonly used in aesthetic medicine to improve skin quality by di¬rectly integrating hyaluronic acid alone or added to other molecules (i.e. vitamins) through intradermal injections. These injections are not aimed to fill roughness but to achieve extracellular matrix optimi¬zation. The injective medical devices used in aesthetic medicine differ for hyaluronic acid content and for the presence of additional molecules that characterize the formulation of a particular company. The aim of the present study is to compare HA with different compounds in regard to their effects on cultured fibroblasts over time by using RT-PCR and a panel of genes (ELN, DSP, FN1, FBN1, ITGA1, ITGA2, ITGA5, ITGB1, COL1A1, COL3A1) involved in connective integrity. Bio-revitalization is able to activate genes involved in tissue integrity. The reported data add new insight in the comprehension of molecular mechanism related to BR. These preliminary data have to be developed through additional experiments. However, an injective therapy seems to be effective in gingival fibroblast stimulation.
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Affiliation(s)
- A Palmieri
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - A Avantaggiato
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
| | - F Cura
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - M Casale
- Otolaryngology Unit, University Campus Bio-Medico, Rome, Italy
| | | | - F Bressi
- University Campus Bio-Medico of Rome, Physical and Rehabilitation Medicine
| | - L Scapoli
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
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27
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Casale M, Moffa A, Vella P, Rinaldi V, Lopez MA, Grimaldi V, Salvinelli F. Systematic review: the efficacy of topical hyaluronic acid on oral ulcers. J BIOL REG HOMEOS AG 2017; 31:63-69. [PMID: 29202564] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The management of oral ulcers is a challenge for clinicians. Whilst there is widespread use of topical corticosteroids, antibiotics and antimicrobial, there is only weak evidence for the effectiveness of any of the topical treatments. Hyaluronic Acid (HA) has been recently proposed for topical administration in the treatment of oral ulcers and other painful oral lesions. The aim of the study is to systematically review the published literature regarding all the therapeutic effects of HA on painful oral lesions such as oral ulcers and oral lichen planus. Relevant published studies were found in PubMed, Google Scholar and Ovid using a combined keyword search or medical subject headings. At the end of our study selection process, 4 relevant publications were included: two regarding oral lichen planus, one Behcets Disease and Recurrent Aphthous ulcer and one in oral ulcers in general. Both subjective parameters such as healing period, VAS for pain and objective assessments such as number of ulcers, maximal area of ulcer and inflammatory signs, significantly improved after HA treatment. These data allow us to suggest that HA may play a pivotal role in the treatment of oral ulcers.
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Affiliation(s)
- M Casale
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - A Moffa
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - P Vella
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - V Rinaldi
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
- Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
| | - M A Lopez
- Dentist, Oral Surgeon, Private Practitioner, Rome, Italy
| | | | - F Salvinelli
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
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Lopez MA, Manzulli N, D'Angelo A, Lauritano D, Papalia R, Candotto V. The use of hyaluronic acid as an adjuvant in the management of peri-implantitis. J BIOL REG HOMEOS AG 2017; 31:123-127. [PMID: 29202572] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
It is well known in dentistry that there are numerous chronic conditions that require ongoing and constant management over time, the most noteworthy being periodontal disease, gingivitis and periodontitis. Yet, in recent years, with the increase in the number of implants being placed, mucositis and peri-implantitis have become more and more prevalent pathologies. The results of the statistical analysis demonstrate that there was a slight difference between the pocket depth as measured in the treated sites at time 0 (pre-treatment) and time 1 (15 days post-treatment), although the difference was so small as to render it statistically irrelevant. Bleeding on probing as measured at time 0 and time 1 indicated an improvement on both sides, but with no greater improvement noted on the side treated with HA.
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Affiliation(s)
| | | | | | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy
| | - R Papalia
- University Campus Bio-Medico of Rome, Department of Orthopedics and Traumatology
| | - V Candotto
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
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29
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Bressi F, Vella P, Casale M, Moffa A, Sabatino L, Lopez MA, Carinci F, Papalia R, Salvinelli F, Sterzi S. Vestibular rehabilitation in benign paroxysmal positional vertigo: Reality or fiction? Int J Immunopathol Pharmacol 2017; 30:113-122. [PMID: 28485653 PMCID: PMC5806799 DOI: 10.1177/0394632017709917] [Citation(s) in RCA: 14] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
The objective of this article is to systematically review the evidence on the effectiveness of vestibular rehabilitation (VR) in patients with benign paroxysmal positional vertigo (BPPV). Relevant published studies about VR in BPPV were searched in PubMed, Google Scholar and Ovid using various keywords. We included trials that were available in the English language and did not apply publication year or publication status restrictions. Studies based on the VR in other peripheral and/or central balance disorders are excluded. Primary outcome was the effect on vertigo attacks and balance. Of 42 identified trials, only 12 trials fulfilled our inclusion criteria and were included in this review. Three of them investigated the role of VR in patients with BPPV comparing with no treatment, two of them evaluated the efficacy of VR versus medications, seven of them have highlighted the benefits of the VR alone or in combination with canalith repositioning procedure (CRP) compared to CRP alone. The studies differed in type of intervention, type of outcome and follow-up time. VR improves balance control, promoting visual stabilization with head movements, improving vestibular–visual interaction during head movement and expanding static and dynamic posture stability. CRP and VR seem to have a synergic effect in patients with BPPV, especially in elderly patients. VR does not reduce the recurrence rate, but it seems to reduce the unpleasantness. So VR can substitute CRP when spine comorbidities contraindicate CRP and can reduce the uptake of anti-vertigo drugs post CRP. Further studies are needed to confirm these encouraging results.
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Affiliation(s)
- Federica Bressi
- 1 Unit Physical and Rehabilitation Medicine, Campus Bio-Medico University, Rome, Italy
| | - Paola Vella
- 2 Unit of Otolaryngology, School of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Manuele Casale
- 2 Unit of Otolaryngology, School of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Antonio Moffa
- 2 Unit of Otolaryngology, School of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Lorenzo Sabatino
- 2 Unit of Otolaryngology, School of Medicine, Campus Bio-Medico University, Rome, Italy
| | | | - Francesco Carinci
- 4 Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
| | - Rocco Papalia
- 5 Unit of Orthopaedics and Trauma Surgery, Campus Bio-Medico University, Rome, Italy
| | - Fabrizio Salvinelli
- 2 Unit of Otolaryngology, School of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Silvia Sterzi
- 1 Unit Physical and Rehabilitation Medicine, Campus Bio-Medico University, Rome, Italy
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30
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Lopez MA, Lico S, Casale M, Ormanier Z, Carinci F. The use of various biomaterials in computer-guided crestal sinus lift procedures. A report on two case studies with volume comparison. Oral Implantol (Rome) 2017; 9:89-97. [PMID: 28042436 DOI: 10.11138/orl/2016.9.2.089] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE In the context of the transcrestal maxillary sinus lift a wide variety of biomaterials have been used to fill the subantral space over the years. In this study, two types of biomaterials were used in order to fill the maxillary sinus: a nano-crystallized hydroxyapatite in an aqueous solution and a micronized heterologous bone in a collagen matrix. MATERIALS AND METHODS The surgical procedures were designed and carried out using computer-guided surgery. The filling volume obtained was measured with a comparative software program. RESULTS A ≥ 6 millimeter augmentation of osseous volume was obtained. This result is comparable to those obtained in lifts where conventional techniques were applied. The technique used was very precise and the difference between the projected and clinical outcome of the implant position had an average of less than 0.3 millimeters. CONCLUSIONS This technique allows for the surgery to be performed in a way which is both minimally traumatic and invasive, and represents a viable alternative to those surgical techniques for crestal sinus lift currently in use.
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Affiliation(s)
| | - S Lico
- Private practice, Rome, Italy
| | - M Casale
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - Z Ormanier
- Department of Oral Rehabilitation, Tel-Aviv University, Tel-Aviv, Israel
| | - F Carinci
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
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31
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Andreasi Bassi M, Lopez MA, Andrisani C, Ormanier Z, Gargari M. Full arch rehabilitation in severe maxillary atrophy with palatal approach implant placement: a case report. Oral Implantol (Rome) 2017; 9:115-122. [PMID: 28042439 DOI: 10.11138/orl/2016.9.3.115] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
PURPOSE The edentulous severely atrophic maxilla, as consequence of alveolar bone resorption and pneumatisation of the maxillary sinus, represents a serious limitation to the implant rehabilitation. Implants insertion via palatal approach (PA), in combination with relatively minimally invasive techniques aimed at increasing bone volume without the use of autologous bone harvesting is a valid alternative among the options for the rehabilitation of the upper jaw. CLINICAL CASE In a 70-year-old female, with a severe maxillary atrophy, 6 spiral taper implants were placed with the PA, combined with the bilateral transcrestal elevation of both the sinus floors and nasal cavities; a further GBR, with resorbable pericardium membrane covering a termoplastic allograft associated to a xenograft, was performed. The second stage was performed after 6 months. Implant prosthetic functionalization was carried out in 4 months by placing the removable prosthesis in direct contact with the healing cup screws. After that period the case was finalized with a hybrid prosthesis. Clinical and radiographic follow-ups were carried out at 6 months and at one year after prosthetic finalization, during which no pathological signs were recorded. CONCLUSIONS The PA implant insertion described by the Authors, combined with bone augmentation procedures, performed in the same stage, may represent a valid and reliable solution to rehabilitate maxillary edentulous patients.
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Affiliation(s)
| | | | | | - Z Ormanier
- Department of Oral Rehabilitation, Tel-Aviv University, Tel-Aviv, Israel
| | - M Gargari
- Department of Clinical Sciences and Translational Medicine, University of "Tor Vergata", Rome, Italy; Department of dentistry "Fra G.B. Orsenigo - Ospedale San Pietro F.B.F.", Rome, Italy
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Lopez MA, Merchant M, Postlethwaite D, Tyson N. Subdermal contraceptive implant: summary of “typical use” adolescent experience in a managed care setting. Contraception 2016. [DOI: 10.1016/j.contraception.2016.07.120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Ayuso T, Marzo-Sola ME, Castillo-Trivino T, Soriano G, Otano MA, Lopez MA, Croitoru IM, Olascoaga J. [Fingolimod: effectiveness and safety in routine clinical practice. An observational, retrospective, multi-centre study in Navarra, Gipuzkoa and La Rioja]. Rev Neurol 2016; 63:S5-S11. [PMID: 27658434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
AIM To evaluate the effectiveness and safety of fingolimod in clinical practice in Navarra, Gipuzkoa and La Rioja regions. PATIENTS AND METHODS We conducted a retrospective multi-centre study with recurrent multiple sclerosis patients treated with fingolimod, following the product data sheet. The following data were evaluated: annualised relapse rate (ARR), percentage of patients free from relapses, disability using the Expanded Disability Status Scale (EDSS) and the percentage of patients without gadolinium-enhancing lesions. RESULTS A total of 113 patients were treated with fingolimod: 6% were naive, and 58% and 35% were patients previously treated with an immunomodulator and natalizumab, respectively. Fingolimod lowered the ARR after the first (67%; 1 to 0.3; p < 0.0001) and second (89%; 1 to 0.1; p < 0.0001) years of treatment, and thus the number of patients free from relapses during the treatment increased. The baseline EDSS was 3 and after treatment with fingolimod was 2.5 in both years. The percentage of patients without gadolinium-enhancing lesions after the first year of treatment was 77%. Similar results were observed in naive patients and in those previously treated with an immunomodulator. In patients previously treated with natalizumab no changes were observed following the treatment. CONCLUSIONS The use of fingolimod in clinical practice showed an effectiveness similar to that observed in clinical trials. There were no changes in the ARR after changing from natalizumab, and only one patient presented a 'relapse' after withdrawal of natalizumab. Fingolimod acts like a safe drug, with scarce side effects and a low percentage of drop-outs.
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Affiliation(s)
- T Ayuso
- Complejo Hospitalario de Navarra , Pamplona, Espana
| | - M E Marzo-Sola
- Complejo Hospitalario San Millan-San Pedro, 26004 Logrono, Espana
| | | | - G Soriano
- Complejo Hospitalario de Navarra , Pamplona, Espana
| | - M A Otano
- Complejo Hospitalario de Navarra , Pamplona, Espana
| | - M A Lopez
- Complejo Hospitalario San Millan-San Pedro, 26004 Logrono, Espana
| | | | - J Olascoaga
- Hospital Donostia, 20014 San Sebastian, Espana
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Lopez MA, Fojtik P, Franck D, Osko J, Gerstmann U, Scholl C, Lebacq AL, Breustedt B, Del Risco Norrlid L. LESSONS LEARNED FROM THE EURADOS SURVEY ON INDIVIDUAL MONITORING DATA AND INTERNAL DOSE ASSESSMENTS OF FOREIGNERS EXPOSED IN JAPAN FOLLOWING THE FUKUSHIMA DAIICHI NPP ACCIDENT. Radiat Prot Dosimetry 2016; 170:402-406. [PMID: 26705360 DOI: 10.1093/rpd/ncv510] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Accepted: 11/09/2015] [Indexed: 06/05/2023]
Abstract
European Radiation Dosimetry Group e.V. (EURADOS) survey on individual monitoring data and dose assessment has been carried out for 550 foreigners returning home after being exposed in Japan to intakes of radionuclides (mainly (131)I, (132)I, (132)Te, (134)Cs and (137)Cs) as a consequence of the Fukushima Daiichi NPP accident. In vivo and in vitro measurements were performed in their respective countries at an early stage after that accident. Intakes of radionuclides were detected in 208 persons from Europe and Canada, but the committed effective dose E(50) was below the annual dose limit for the public (<1 mSv) in all the cases. Lessons learned from this EURADOS survey are presented here regarding not only internal dosimetry issues, but also the management of the emergency situation, the perception of the risk of health effects due to radiation and the communication with exposed persons who showed anxiety and lack of trust in monitoring data and dose assessments.
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Affiliation(s)
- M A Lopez
- CIEMAT, Centro de Investigaciones Energéticas Medioambientales y Tecnologicas, Avda. Complutense 40, Madrid 28040, Spain
| | - P Fojtik
- SÚRO, Bartoškova 28, Prague 4 140 00, Czech Republic
| | - D Franck
- IRSN, Institut de Radioprotection et de Sûreté Nucléaire, IRSN/PRP-HOM/SDI/LEDI, BP-17, Fontenay-aux-Roses 92262, France
| | - J Osko
- NCBJ, National Centre for Nuclear Research, Rad. Prot. Measurement Lab. A. Sołtana, Otwock 705-400, Poland
| | - U Gerstmann
- BfS, Bundesamt für Strahlenschutz, Ingolstädter Landstraße 1, Neuherberg 85764, Germany
| | - C Scholl
- LIA, NRW, Ulenbergstr. 127-131, Düsseldorf 40225, Germany
| | - A L Lebacq
- SCK-CEN, Belgian Nuclear Research Centre, Boeretang 200, Mol 2400, Belgium
| | - B Breustedt
- KIT, Karlsruhe Institute of Technology, Hermann-von-Helmholtz-Platz 1, Eggenstein-Leopoldshafen 76344, Germany
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Lopez MA, Martin R, Hernandez C, Navarro JF, Navarro T, Perez B, Sierra I. THE CHALLENGE OF CIEMAT INTERNAL DOSIMETRY SERVICE FOR ACCREDITATION ACCORDING TO ISO/IEC 17025 STANDARD, FOR IN VIVO AND IN VITRO MONITORING AND DOSE ASSESSMENT OF INTERNAL EXPOSURES. Radiat Prot Dosimetry 2016; 170:31-34. [PMID: 26433182 DOI: 10.1093/rpd/ncv387] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The accreditation of an Internal Dosimetry Service (IDS) according to ISO/IEC 17025 Standard is a challenge. The aim of this process is to guarantee the technical competence for the monitoring of radionuclides incorporated in the body and for the evaluation of the associated committed effective dose E(50). This publication describes the main accreditation issues addressed by CIEMAT IDS regarding all the procedures involving good practice in internal dosimetry, focussing in the difficulties to ensure the traceability in the whole process, the appropriate calculation of detection limit of measurement techniques, the validation of methods (monitoring and dose assessments), the description of all the uncertainty sources and the interpretation of monitoring data to evaluate the intake and the committed effective dose.
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Affiliation(s)
- M A Lopez
- Radiation Dosimetry Unit, CIEMAT, Centro de Investigaciones Energéticas Medioambientales y Tecnológicas, Avda. Complutense 40, 28040 Madrid, Spain
| | - R Martin
- Radiation Dosimetry Unit, CIEMAT, Centro de Investigaciones Energéticas Medioambientales y Tecnológicas, Avda. Complutense 40, 28040 Madrid, Spain
| | - C Hernandez
- Radiation Dosimetry Unit, CIEMAT, Centro de Investigaciones Energéticas Medioambientales y Tecnológicas, Avda. Complutense 40, 28040 Madrid, Spain
| | - J F Navarro
- Radiation Dosimetry Unit, CIEMAT, Centro de Investigaciones Energéticas Medioambientales y Tecnológicas, Avda. Complutense 40, 28040 Madrid, Spain
| | - T Navarro
- Radiation Dosimetry Unit, CIEMAT, Centro de Investigaciones Energéticas Medioambientales y Tecnológicas, Avda. Complutense 40, 28040 Madrid, Spain
| | - B Perez
- Radiation Dosimetry Unit, CIEMAT, Centro de Investigaciones Energéticas Medioambientales y Tecnológicas, Avda. Complutense 40, 28040 Madrid, Spain
| | - I Sierra
- Radiation Dosimetry Unit, CIEMAT, Centro de Investigaciones Energéticas Medioambientales y Tecnológicas, Avda. Complutense 40, 28040 Madrid, Spain
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Breustedt B, Broggio D, Gomez-Ros JM, Leone D, Marzocchi O, Poelz S, Shutt A, Lopez MA. THE EURADOS-KIT TRAINING COURSE ON MONTE CARLO METHODS FOR THE CALIBRATION OF BODY COUNTERS. Radiat Prot Dosimetry 2016; 170:446-450. [PMID: 27103642 DOI: 10.1093/rpd/ncw085] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Monte Carlo (MC) methods are numerical simulation techniques that can be used to extend the scope of calibrations performed in in vivo monitoring laboratories. These methods allow calibrations to be carried out for a much wider range of body shapes and sizes than would be feasible using physical phantoms. Unfortunately, nowadays, this powerful technique is still used mainly in research institutions only. In 2013, EURADOS and the in vivo monitoring laboratory of Karlsruhe Institute of Technology (KIT) organized a 3-d training course to disseminate knowledge on the application of MC methods for in vivo monitoring. It was intended as a hands-on course centered around an exercise which guided the participants step by step through the calibration process using a simplified version of KIT's equipment. Only introductory lectures on in vivo monitoring and voxel models were given. The course was based on MC codes of the MCNP family, widespread in the community. The strong involvement of the participants and the working atmosphere in the classroom as well as the formal evaluation of the course showed that the approach chosen was appropriate. Participants liked the hands-on approach and the extensive course materials on the exercise.
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Affiliation(s)
- B Breustedt
- Safety and Environment, Karlsruhe Institute of Technology, Hermann-von-Helmholtz-Platz 1, 76344 Eggenstein-Leopoldshafen, Germany
| | - D Broggio
- Institut de Radioprotection et de Sûreté Nucléaire, IRSN/PRP-HOM/S/LEDI, BP-17 F-92262 Fontenay-aux-Roses, France
| | | | - D Leone
- Institute for Nuclear Waste Disposal, Karlsruhe Institute of Technology, Hermann-von-Helmholtz-Platz 1, 76344 Eggenstein-Leopoldshafen, Germany
| | - O Marzocchi
- European Patent Office, Patentlaan 1, 2288EE Rijswijk, the Netherlands
| | - S Poelz
- Institute for Nuclear Waste Disposal, Karlsruhe Institute of Technology, Hermann-von-Helmholtz-Platz 1, 76344 Eggenstein-Leopoldshafen, Germany
| | - A Shutt
- PHE, CRCE, Chilton, Didcot, Oxon, OX11 0RQ, UK
| | - M A Lopez
- CIEMAT, Av. Complutense 40, 28040 Madrid, Spain
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Etherington G, Bérard P, Blanchardon E, Breustedt B, Castellani CM, Challeton-de Vathaire C, Giussani A, Franck D, Lopez MA, Marsh JW, Nosske D. TECHNICAL RECOMMENDATIONS FOR MONITORING INDIVIDUALS FOR OCCUPATIONAL INTAKES OF RADIONUCLIDES. Radiat Prot Dosimetry 2016; 170:8-12. [PMID: 26464525 DOI: 10.1093/rpd/ncv395] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The TECHREC project, funded by the European Commission, will provide Technical Recommendations for Monitoring Individuals for Occupational Intakes of Radionuclides It is expected that the document will be published by the European Commission as a report in its Radiation Protection Series during 2016. The project is coordinated by the European Radiation Dosimetry Group (EURADOS) and is being carried out by members of EURADOS Working Group 7 (Internal Dosimetry). This paper describes the aims and purpose of the Technical Recommendations, and explains how the project is organised.
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Affiliation(s)
- G Etherington
- Public Health England (PHE), Centre for Radiation Chemical and Environmental Hazards, Didcot, UK
| | - P Bérard
- Commissariat à l'Énergie Atomique et aux Énergies Alternatives (CEA), France
| | - E Blanchardon
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), France
| | - B Breustedt
- Karlsruhe Institute of Technology (KIT), Germany
| | - C M Castellani
- Agenzia nazionale per le nuove tecnologie, l'energia e lo sviluppo economico sostenibile (ENEA), Italy
| | | | - A Giussani
- Bundesamt für Strahlenschutz (BfS), Germany
| | - D Franck
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), France
| | - M A Lopez
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), Spain
| | - J W Marsh
- Public Health England (PHE), Centre for Radiation Chemical and Environmental Hazards, Didcot, UK
| | - D Nosske
- Bundesamt für Strahlenschutz (BfS), Germany
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Castellani CM, Marsh JW, Hurtgen C, Blanchardon E, Bérard P, Giussani A, Lopez MA. EURADOS-IDEAS GUIDELINES (VERSION 2) FOR THE ESTIMATION OF COMMITTED DOSES FROM INCORPORATION MONITORING DATA. Radiat Prot Dosimetry 2016; 170:17-20. [PMID: 26541189 DOI: 10.1093/rpd/ncv457] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Dose assessment after intakes of radionuclides requires application of biokinetic and dosimetric models and assumptions about factors influencing the final result. In 2006, a document giving guidance for such assessment was published, commonly referred to as the IDEAS Guidelines. Following its publication, a working group within the European networks CONRAD and EURADOS was established to improve and update the IDEAS Guidelines. This work resulted in Version 2 of the IDEAS Guidelines, which was published in 2013 in the form of a EURADOS report. The general structure of the original document was maintained; however, new procedures were included, e.g. the direct dose assessment method for (3)H or special procedure for wound cases applying the NCRP wound model. In addition, information was updated and expanded, e.g. data on dietary excretion of U, Th, Ra and Po for urine and faeces or typical and achievable values for detection limits for different bioassay measurement techniques.
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Affiliation(s)
- C M Castellani
- ENEA, Radiation Protection Institute, Via dei Colli 16, 40136 Bologna, Italy
| | - J W Marsh
- Public Health England, Center for Radiation Chemical and Environmental Hazards, Chilton, Didcot, Oxon OX11 0RQ, UK
| | - C Hurtgen
- SCK CEN, Belgian Nuclear Research Centre, Boeretang 200, 2400 Mol, Belgium
| | - E Blanchardon
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN) PRP-HOM/SDI/LEDI, BP17, F-92262 Fontenay-aux-Roses, France
| | - P Bérard
- CEA/Direction des Sciences du Vivant/Unité Prositon, Route du Panorama BP 6, F-92262 Fontenay-aux-RosesCedex, France
| | - A Giussani
- Federal Office for Radiation Protection, Ingolstädter Landstr. 1, 85764 Oberschleißheim, Germany
| | - M A Lopez
- CIEMAT, Centro de Investigaciones Energéticas Medioambientales y Tecnológicas, Avda. Complutense 40, 28040 Madrid, Spain
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Casale M, Moffa A, Vella P, Sabatino L, Capuano F, Salvinelli B, Lopez MA, Carinci F, Salvinelli F. Hyaluronic acid: Perspectives in dentistry. A systematic review. Int J Immunopathol Pharmacol 2016; 29:572-582. [PMID: 27280412 DOI: 10.1177/0394632016652906] [Citation(s) in RCA: 75] [Impact Index Per Article: 9.4] [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: 02/10/2016] [Accepted: 05/03/2016] [Indexed: 11/16/2022] Open
Abstract
To date, topical therapies guarantee a better delivery of high concentrations of pharmacologic agents to the soft periodontal tissue, gingiva, and periodontal ligament as well as to the hard tissue such as alveolar bone and cementum. Topical hyaluronic acid (HA) has recently been recognized as an adjuvant treatment for chronic inflammatory disease in addition to its use to improve healing after dental procedures. The aim of our work was to systematically review the published literature about potential effects of HA as an adjuvant treatment for chronic inflammatory disease, in addition to its use to improve healing after common dental procedures. Relevant published studies were found in PubMed, Google Scholar, and Ovid using a combined keyword search or medical subject headings. At the end of our study selection process, 25 relevant publications were included, three of them regarding gingivitis, 13 of them relating to chronic periodontitis, seven of them relating to dental surgery, including implant and sinus lift procedures, and the remaining three articles describing oral ulcers. Not only does topical administration of HA play a pivotal key role in the postoperative care of patients undergoing dental procedures, but positive results were also generally observed in all patients with chronic inflammatory gingival and periodontal disease and in patients with oral ulcers.
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Affiliation(s)
- Manuele Casale
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - Antonio Moffa
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - Paola Vella
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | - Lorenzo Sabatino
- Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy
| | | | | | | | - Francesco Carinci
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
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Andreasi Bassi M, Lopez MA, Confalone L, Gaudio RM, Lombardo L, Lauritano D. A prospective evaluation of outcomes of two tapered implant systems. J BIOL REG HOMEOS AG 2016; 30:1-6. [PMID: 27469541] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The purpose of this prospective clinical study was to evaluate survival rate (SVR - i.e. fixtures still in place at the end of the observation period) and success rate (SCR - i.e. bone resorption around the implant neck) of two tapered implant systems. Both systems were equipped with a tapered connection, one requiring bone-level (BL) placement, while the other required soft-tissue-level (STL) placement. In the period between January 1996 and October 2011, 133 fixtures were inserted, 90 in females and 43 in males, with a mean age of 60±11 years. The mean post-surgical follow-up was 64±38 months. Several clinical parameters were evaluated as potential outcome conditioners. An SPSS program was used for statistical analysis and a Cox analysis was performed. The SVR was 100% since no fixtures were lost. SCR, expressed through the mean marginal bone loss, was 88%. No significant differences were found, for most of the variables investigated with the exception of bone grafting and implant type: STL implants showed a better clinical outcome than BL implants when bone grafting was performed simultaneously with implant placement. Tapered implants are reliable devices for oral rehabilitation of jaws.
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Affiliation(s)
| | | | | | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Lombardo
- Department of Biomedical Sciences and Specialist Surgeries, University of Ferrara, Ferrara, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
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Lopez MA, Andreasi Bassi M, Confalone L, Gaudio RM, Lombardo L, Lauritano D. Retrospective study on bone-level and soft-tissue-level cylindrical implants. J BIOL REG HOMEOS AG 2016; 30:43-48. [PMID: 27469547] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The purpose of this prospective clinical study was to evaluate the survival rate (SVR - i.e. fixtures still in place at the end of the observation period) and success rate (SCR - i.e. bone resorption around implant neck) of two cylindrical implant systems. Both systems were equipped with a tapered connection, one requiring a bone-level (BL) placement, while the other a soft-tissue-level (STL) placement. In the period between January 1996 and October 2011, a total of 150 implants (76 in females and 74 in males, mean age 60±11 years) were inserted. The mean post-surgical follow-up was 84±47 months. Several parameters were evaluated as potential outcome conditioners: age, gender, diabetes, smoking, periodontitis, type of edentulism, replaced tooth, jaw location (i.e. maxilla or mandible), bone graft, immediate loading, post-extractive, type of prosthesis, implant diameter and length. An SPSS program was used for statistical analysis. Only two fixtures were lost, therefore SVR was 98.7%. SCR, expressed through the mean marginal bone loss, was 92%. The mean peri-implant bone loss was 0.121.47 mm for BL implants and 0.041.3 mm for STL implants. None of the studied variables had a statistical significant impact on SVR or SCR. Cylindrical implants are reliable for oral rehabilitation.
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Affiliation(s)
| | | | | | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Lombardo
- Department of Biomedical Sciences and Specialist Surgeries, University of Ferrara, Ferrara, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
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Andreasi Bassi M, Andrisani C, Lopez MA, Gaudio RM, Lombardo L, Lauritano D. Guided bone regeneration in distal mandibular atrophy by means of a preformed titanium foil: a case series. J BIOL REG HOMEOS AG 2016; 30:61-68. [PMID: 27469550] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The aim of this case series was to evaluate the clinical outcome of preformed titanium foil (PTF) to perform guided bone regeneration (GBR) in posterior mandibular atrophies. Thirteen patients (4 male; 9 female; mean age 58.85±10.16 years), with class II division C atrophy, according to Misch, were selected to perform GBR by means of PTF, using a moldable allograft paste as graft material. The devices, made of a 0.2mm thick pure titanium foil, were pre-shaped using stereolithographic models obtained from CT-scan of the patients recipient sites. In the second stage, performed at 6.35±2.15 months, 23 cylindrical two-piece implants were placed and the devices removed. At four months, the implants were exposed and submitted to progressive prosthetic load for a span of 4 months. The cases were finalized by means of metal-ceramic cementable restorations. The post finalization follow-up was at 12 months. Survival rate (i.e. SVR) was 100% since no fixtures were lost. At the one-year follow up, the clinical appearance of the soft tissues was optimal and no pathological signs on probing were recorded. The success rate (i.e. SCR) was 82.6% and the average peri-implant bone reabsorption was 0.99±0.59 mm. The results suggest good potentialities of this method for bone volume augmentation in distal mandibular atrophies, allowing to maximize the outcome and simplifying the surgical phase.
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Affiliation(s)
- M Andreasi Bassi
- Experimental Laboratory of Immunological and Rheumatologic Researches, Istituto Auxologico; private practice in Rome, Italy
| | | | - M A Lopez
- Experimental Laboratory of Immunological and Rheumatologic Researches, Istituto Auxologico; private practice in Rome, Italy
| | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Lombardo
- Department of Biomedical Sciences and Specialist Surgeries, University of Ferrara, Ferrara, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
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Andreasi Bassi M, Lopez MA, Confalone L, Gaudio RM, Lombardo L, Lauritano D. Clinical outcome of a two-piece implant system with an internal hexagonal connection: a prospective study. J BIOL REG HOMEOS AG 2016; 30:7-12. [PMID: 27469542] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The purpose of this prospective clinical study was to evaluate the survival rate (SVR - i.e. fixtures still in place at the end of the observation period) and success rate (SCR - i.e. bone resorption around implant neck) of an implant system characterized by cylindrical and tapered implants, both provided with an internal hexagonal connection. In the period between January 1996 and October 2011, 52 implants with internal hexagonal connection were inserted in 21 females and 31 males, mean age 54±11 years. The mean post-surgical follow-up was 44.6±34.4 months. Several parameters were evaluated as potential outcome conditioners: age, gender, smoking, replaced tooth, periodontal disease, fixture shape (i.e. cylindrical or tapered), jaw location (i.e. maxilla or mandible), bone graft, immediate loading, post-extractive placement, type of prosthesis (i.e. single crown or bridge), edentulism, implant diameter and length. An SPSS statistical program was used and Cox regression analysis performed. SVR was 100% since no fixtures were lost. SCR, expressed through the mean marginal bone loss, was 77%. No significant differences were found, for most of the parameters analyzed, with the exception of prosthetic bridges, where implants supporting this type of rehabilitation showed a worse clinical outcome in comparison to single crown rehabilitations. Internal hexagonal connection is a reliable tool for oral rehabilitation.
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Affiliation(s)
| | | | | | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Lombardo
- Department of Biomedical Sciences and Specialist Surgeries, University of Ferrara, Ferrara, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
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44
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Andreasi Bassi M, Andrisani C, Lopez MA, Gaudio RM, Lombardo L, Lauritano D. Modified connective tissue punch technique to increase the vestibular/buccal keratinized tissue on flapless implant surgery: a case series. J BIOL REG HOMEOS AG 2016; 30:29-34. [PMID: 27469545] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The aim of this article is to show a simple and predictable technique to enhance both the vestibular/buccal (V/B) gingival thickness (GT) and keratinized tissue width (KTW) improving the soft-tissue profile after flapless implant placement. The technique proposed was named Modified Connective Tissue Punch (MCTP). Fourteen patients (6 men and 8 women) aged between 35 and 69 years (mean value 48.07±13.023 years) were enrolled in this case series. Seventeen implant sites were submitted to flapless procedure. The connective punch (CP) was harvested with a motor-driven circular tissue punch and then a full-split dissection was executed, in order to create a deep pouch, beyond the mucogingival junction, on the V/B side. In this recipient site the CP was placed. The normal flapless surgical protocol was used; implants were inserted and covered with transgingival healing cap screws. GT and KTW were measured: both immediately before and after surgery; at the time of the prosthetic finalization (3-4months, respectively, for mandible and maxilla); 1 year post surgery follow-up. GT was measured at 1 mm, 2 mm and 5 mm on the V/B side, from the outline of the punch. Both KTW and GT at 1 and 2 mm can be effectively increased, while no significant effects for GT at 5 mm can be expected from this technique. Furthermore, the mean values of KTW and GT at 1 mm and 2 mm show significant increases at 3-4 months post-operative, while no further significant increments are shown at 1 year post-operative follow-up. The Authors recommend the use of the MCTP technique to reduce the number of aesthetic complications and soft tissue defects in flapless implant surgery. Longer follow-ups are needed to evaluate the stability of peri-implant tissues over time.
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Affiliation(s)
| | | | | | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Lombardo
- Department of Biomedical Sciences and Specialist Surgeries, University of Ferrara, Ferrara, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
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45
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Lopez MA, Andreasi Bassi M, Confalone L, Gaudio RM, Lombardo L, Lauritano D. Clinical outcome of 215 transmucosal implants with a conical connection: a retrospective study after 5-year follow-up. J BIOL REG HOMEOS AG 2016; 30:55-60. [PMID: 27469549] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The purpose of this retrospective clinical study was to evaluate the survival rate (i.e. SVR fixtures still in place at the end of the observation period) and success rate (i.e. SCR - bone resorption around implant neck) of an implant system characterized by cylindrical and tapered implants, both types of implant being equipped with a conical connection with an internal octagon (COC), both implant types having a 1.8 mm smooth neck, positioned above the bone crest level. A total of 65 subjects received 215 COCs between January 1996 and October 2011. All COCs were placed and restored by three experienced dental surgeons. The mean follow-up was 84±44 months. The patients involved in the study were both male (30) and female (35), of whom 30 were smokers (less than 20 cigarettes/day) and none was diabetic. The implants differed in terms of diameter and length, and were inserted both in the mandible (97) and in the maxilla (118). Sixty-seven implants were single tooth rehabilitations, and 148 prosthetic bridges. Fourteen had guided bone regeneration (GBR), and 10 were placed in post-extractive sites. Forty of the implants were provided with passing-screw abutments and 175 with full-screw abutments. The data were analyzed using descriptive statistics. None of the implants failed before prosthetic restoration, resulting in an SVR=100% after loading. The radiographic and clinical data revealed well-maintained, hard and soft tissue around the COCs, with an SCR=92.6%. Cox regression analyses did not detect any variables with statistical impact on the clinical outcome. In conclusion, Shiner XT implants are reliable tools for oral rehabilitation.
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Affiliation(s)
| | | | | | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Lombardo
- Department of Biomedical Sciences and Specialist Surgeries, University of Ferrara, Ferrara, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
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46
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Andreasi Bassi M, Andrisani C, Lopez MA, Gaudio RM, Lombardo L, Lauritano D. Maxillary sinus by-pass with tilted implants via tapered-screw bone expanders in low density bone: one year follow -up of a case series. J BIOL REG HOMEOS AG 2016; 30:13-20. [PMID: 27469543] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
In the present paper the use of tapered-screw bone expanders (TSBEs) is proposed, in combination with the placement of tilted implants in close proximity to the anterior sinus wall, solving the problem of the reduced height of the alveolar bone in the sub-antral area. The Authors named the procedure: Tilted Implant Expansion Osteotomy (TIEO). Fifteen patients (10 females and 5 males, mean age 47.8±8.15 years) with distal edentulous maxillae were enrolled in this study. For each edentulous site 2 implants were placed, the anterior implant in the area of the most anterior missing tooth while, the posterior implant, immediately in front of the maxillary sinus, with an inclined position. Adopting the aforesaid procedure, 34 cylindrical two-piece implants were placed, 17 of which were placed in tilted position, in order to by-pass the maxillary sinus. After a healing period of 4-6 months, the second stage surgery was performed. The cases were finalized by metal-ceramic cementable restorations with a variable number of elements, from 2 to 4, without any cantilever element. The post finalization follow-up was at 12 months. Survival rate was 100% since no fixtures were lost. At the one-year follow-up the clinical and radiological appearance of the soft and hard tissues was optimal and no pathological signs were recorded. TIEO is a promising surgical procedure for oral rehabilitation of maxillary edentulous sites and represents a therapeutic alternative to sinus lift techniques.
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Affiliation(s)
| | | | | | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Lombardo
- Department of Biomedical Sciences and Specialist Surgeries, University of Ferrara, Ferrara, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
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47
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Andreasi Bassi M, Andrisani C, Lopez MA, Gaudio RM, Lombardo L, Carinci F. Guided bone regeneration by means of a preformed titanium foil: A case of severe atrophy of edentulous posterior mandible. J BIOL REG HOMEOS AG 2016; 30:35-41. [PMID: 27469546] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The aim of this case report was to evaluate the potential of preformed titanium foil (PTF) as membrane, used together with a mouldable allograft paste, for guided bone regeneration in a case of severe mandibular posterior atrophy involving the alveolar nerve. In order to create a rigid barrier to the competitive growth of soft tissues and a stable volume for the colonization of the osteoprogenitor cells, a foil of pure titanium was pre-shaped by means of a stereolithographic model, obtained from a CT-scan of the patient. This procedure showed promising results, allowing to maximize the outcome and simplifying the surgical phase.
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Affiliation(s)
| | | | | | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Lombardo
- Department of Biomedical Sciences and Specialist Surgeries, University of Ferrara, Ferrara, Italy
| | - F Carinci
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
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Lopez MA, Manzulli N, Casale M, Ormianer Z, Carinci F. The use of resorbable heterologous cortical lamina as a new sinus lift floor: a technical note. J BIOL REG HOMEOS AG 2016; 30:75-79. [PMID: 27469552] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Some graft materials such as a heterologous porcine cortical lamina have an excellent capacity in creating recipient sites that can be filled with cortico-spongious collagenated bone paste that reabsorbs, allowing for the reformation of good-quality bone. In this work a technique is proposed which makes use of resorbable cortical lamina in order to create a new sinus floor that can be filled with cortico-spongious bone paste. The adequate vascularisation of the graft combined with the integration of the lamina, which does not need to be removed, makes it possible to propose this technique as a potential alternative to those used so far.
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Affiliation(s)
| | - N Manzulli
- Private practice in Cerignola, Foggia, Italy
| | - M Casale
- Policlinico Universitario Campus Biomedico, Rome, Italy
| | - Z Ormianer
- Department of Oral Rehabilitation, Tel-Aviv University, Tel-Aviv, Israel
| | - F Carinci
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
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Andreasi Bassi M, Andrisani C, Lopez MA, Gaudio RM, Lombardo L, Lauritano D. Endoscopically controlled hydraulic sinus lift in combination with rotary instruments: one-year follow-up of a case series. J BIOL REG HOMEOS AG 2016; 30:21-28. [PMID: 27469544] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The aim of this study was to evaluate a sinus lift via crestal approach (SLVCA) case series, performed with rotary instruments and hydraulic pressure, analyzed under endoscopic control. Sixteen patients (11 female, 5 male, mean age 47.13±8.07 years) candidates for SLVCA were enrolled in this study. Twenty-two cylindrical two-piece implants were placed. After a suitable period of time needed for the consolidation of the graft (mean value 5.78±1.49 months), the bone augmentation was assessed by means of intraoral X-ray exams before the surgical procedure of re-entry. After a functional load with temporary acrylic fixed prosthesis, on Peek abutments, for a span of 4 months, the cases were finalized with cemented metal-ceramic prosthesis (10 single crowns, 6 bridges). The post finalization follow-up was at 12 months. During the perforation of the sinus floor via rotary instruments no perforations of the sinus membrane were observed either during the hydraulic detachment or simultaneous filling of the subantral space with the graft material. Survival rate was 94.5% since one fixture was lost, but immediately replaced with a new one. At the one-year follow-up the clinical and radiological appearance of the soft and hard tissues was optimal and no pathological signs were recorded. The SLVCA performed with rotary instruments and hydraulic pressure is a reliable grafting procedure for oral rehabilitation of maxillary edentulous sites.
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Affiliation(s)
| | | | | | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Lombardo
- Department of Biomedical Sciences and Specialist Surgeries, University of Ferrara, Ferrara, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
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Lopez MA, Andreasi Bassi M, Confalone L, Gaudio RM, Lombardo L, Lauritano D. The influence of conical plus octagonal internal connection on implant survival and success rate: a retrospective study of 66 fixtures. J BIOL REG HOMEOS AG 2016; 30:49-54. [PMID: 27469548] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Implant oral rehabilitation has become one of the most successful dentistry techniques over the last 30 years. However, peri-implantitis is the most important complication in implant dentistry. Peri-implantits can be caused by inadequate implant-abutment connections (IAC). The aim of our study is to evaluate the influence of conical plus octagonal (i.e. I-Fix connection) on implant survival and success rate. All the implants included in this study were of a completely new type (I-Fix implants and abutments by FMD Falappa Medical Devices S.p.A. Rome, Italy). Sixty-six implants were inserted in males and females. The implants were of different diameters and lengths, inserted both in the mandible and in the maxilla with immediate or delayed loading, with guided bone regeneration (GBR), and post-extractive surgery. All implants were provided with I-Fix connection, 64 abutments using passing screws and 2 using full screws. None of the 66 implants were lost (i.e. survival rate - SVR = 100%). Cox-regression analysis demonstrated that diabetes (p=0.0074), GBR (p=0.0115), maxilla (p=0.0117) and smoking (p=0.0194) have a statistical significant impact on clinical outcome (i.e. greater bone resorption around implant neck). Our data show that I-Fix connection did not influence SVR. This finding demonstrates that I-Fix design seemed to significantly affect the survival rate of the implants in a recent meta-analysis. In spite of the limits of our study, I-Fix connection has been demonstrated to be efficient in closing the gap between implant and abutment and maintaining a good connection over time.
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Affiliation(s)
| | | | | | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Lombardo
- Department of Biomedical Sciences and Specialist Surgeries, University of Ferrara, Ferrara, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
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