1
|
Beretta M, Paglia M, Di Lorenzo E, Conti V, Marzo G, Gatto R, Mattei A, Colombo S. ZeroExpander® effectiveness assessment in PEEK or PA12 in a group of paediatric patients with transverse maxillary deficiency. Eur J Paediatr Dent 2024:1. [PMID: 38623062 DOI: 10.23804/ejpd.2024.2199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 04/17/2024]
Abstract
AIM The aim of this article is to compare the performance of ZeroExpander® realised using PEEK or PA12 for the expansion of the maxilla in paediatric patients, exploring a new concept for approaching maxillary expansion with a metal-free fixed automatic appliance, based on pre-programmed set-up and anchored on deciduous teeth. MATERIALS It is a retrospective comparative study with a sample of 40 children in early or mixed deciduous dentition and transversal maxillary deficit, 20 treated with ZeroExpander® in PEEK and 20 treated with ZeroExpander® in PA12 with a mean age of 7.3 years old. The intraoral scans at T0 and at the end of the expansion were all performed by the same operator to obtain digital models on which were performed measurements by two other different operators. A descriptive analysis was conducted using frequencies and percentages for nominal variables and means and standard deviations for continuous variables. CONCLUSION In cases of allergy or hypersensitivity to metals or to specific chronic or acute pathological conditions, which may require periodic magnetic resonance imaging (MRI), it may not be possible to use traditional and metal fixed expansion devices. Moreover the concept of autonomous driving in paediatric orthodontics is not only possible, but it is and will be more real and very useful in the future. The "ortho-paediatric dentistry concept" will increase the range of benefits for children and their families which, in addition to care and thanks to technology, demand well-being, safety, comfort and quality of life beyond clinics.
Collapse
Affiliation(s)
- M Beretta
- DDS, MS Ortho, MS Digital Dentistry, Adjunct Professor Postgraduate School of Orthodontics, University of Brescia, and for the Master of Digital Paediatric Dentistry, University of L'Aquila, Private Practice in Varese, Italy
| | - M Paglia
- DDS,MS Ortho, MS Paediatric dentistry, Department of Maternal and Paediatric dentistry Italian Stomatological Institute Milan Italy and private practice in Milan , Italy
| | - E Di Lorenzo
- DDS, MS Ortho, Private Practice in Varese, Italy
| | - V Conti
- DDS, MS Ortho, Private Practice in Varese, Italy
| | - G Marzo
- Ordinary professor in Orthodontics, Department of Life, Health and Environmental Sciences, University of L'Aquila -Dean of Postagraduate School of Orthodontics, L'Aquila, Italy
| | - R Gatto
- Ordinary Professor in Paediatric Dentistry, Department of Life , Health and Environmental Science, Dean of Postagraduate School of Paediatric Dentistry , University of L' Aquila, L'Aquila, Italy
| | - A Mattei
- Associate Professor of Medical Statistics, Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - S Colombo
- DDS, MS Ortho, Private Practice in Milan, Italy
| |
Collapse
|
2
|
Moscati M, Caruso S, De Felice ME, Di Fabio G, Gatto R, Botticelli G. Selective excavation and ozone therapy: new frontier of mini-invasive caries treatment in MIH paediatric patients. A case report. Eur J Paediatr Dent 2024; 25:1. [PMID: 38353521 DOI: 10.23804/ejpd.2024.1850] [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: 02/16/2024]
Abstract
BACKGROUND The term hypomineralisation of molars and incisors (MIH), introduced in 2001 by Weerheijm et al., describes a clinical state of hypomineralisation of permanent molars with frequent involvement of the incisors. MIH is considered a global dental problem with a prevalence ranging from 2.4% to 40.2% in the entire world paediatric population. The continuous increase in the prevalence of enamel anomalies, including MIH, indicates the need to define new intervention protocols based on the technological advances that are revolutionising paediatric dentistry. The use of ozone associated with the selective and minimally invasive excavation of the dental tissue combines the antibacterial properties of the gas with an ultra-conservative approach aimed at the maximum conservation of the dental tissue. The operative protocol described can be an important tool in the prevention and treatment of MIH. The aim of this work is to illustrate an operative clinical protocol based on the combined use of selective excavation and ozone for the treatment of carious lesions in paediatric patients with MIH.
Collapse
Affiliation(s)
- M Moscati
- Department of Life Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy
| | - S Caruso
- Department of Life Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy
| | - M E De Felice
- Department of Life Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy
| | - G Di Fabio
- Department of Life Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy
| | - R Gatto
- Department of Life Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy
| | - G Botticelli
- Department of Life Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy
| |
Collapse
|
3
|
Villani FA, Aiuto R, Dioguardi M, Paglia L, Caruso S, Gatto R, Re D, Garcovich D. Caries prevalence and molar incisor hypomineralisation (MIH) in children. Is there an association? A systematic review. Eur J Paediatr Dent 2023; 24:312-320. [PMID: 38015112 DOI: 10.23804/ejpd.2023.1985] [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: 11/29/2023]
Abstract
AIM Molar incisor hypomeralisation (MIH) is a dental condition clinically characterised by the presence of morphological and qualitative enamel defects involving the occlusal and/or incisal third of one or more permanent molars or incisors. Its worldwide prevalence ranges between 2.4 and 40%. Several harmful conditions, such as genetic or medical problems during pregnancy, may act together and increase the risk of MIH. The main objective of this systematic review is to assess whether there is a correlation between MIH and dental caries in mixed or permanent dentition. METHODS An electronic search was performed on PubMed (Medline), Scopus and Cochrane Library for articles published from August 2022 to April 2023. Cohort, cross-sectional, retrospective and prospective studies were included. In vitro and animal studies, as well as clinical cases and systematic reviews, were excluded. Studies not differentiating between mixed and permanent dentition were excluded. The observed variables were DMFT (Decayed Missed Filled Teeth) score, DMFS (Decayed Missed Filled Surface) and DMF scores related to FPM (First Permanent Molar) and the clinical prevalence of MIH. CONCLUSION DMFT, DMFS and DMFT on FPM scores are significantly different between the group of patients with MIH and the control group. The available evidence supports a correlation between MIH lesions and caries. Caries indexes scores increase proportionally to the severity of MIH.
Collapse
Affiliation(s)
- F A Villani
- Department of Biomedical, Surgical and Dental Science, University of Milan - Istituto Stomatologico Italiano, 20122 Milan, Italy
| | - R Aiuto
- Department of Biomedical, Surgical and Dental Science, University of Milan - Istituto Stomatologico Italiano, 20122 Milan, Italy
| | - M Dioguardi
- Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy
| | - L Paglia
- President of Fondazione ISI - Istituto Stomatologico Italiano, 20122 Milan, Italy
| | - S Caruso
- Department of Life, Health and Environmental Science, University of L'Aquila, 67100 L'Aquila, Italy
| | - R Gatto
- Department of Life, Health and Environmental Science, University of L'Aquila, 67100 L'Aquila, Italy
| | - D Re
- Department of Biomedical, Surgical and Dental Science, University of Milan - Istituto Stomatologico Italiano, 20122 Milan, Italy
| | - D Garcovich
- Department of Dentistry, Universidad Europea de Valencia, 46010 Valencia, Spain
| |
Collapse
|
4
|
Paglia M, Severino M, Gatto R, Giani G, Caruso S. Otodental Syndrome. Eur J Paediatr Dent 2023; 24:247-249. [PMID: 37668456 DOI: 10.23804/ejpd.2023.24.03.03] [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: 09/06/2023]
Abstract
BACKGROUND Otodental syndrome is a rare autosomal dominant condition characterised by a dental phenotype known as globodontia often associated with high-frequency hearing loss. Globodontia occurs both in the decidous and permanent dentition and affects canine and molar teeth.
Collapse
Affiliation(s)
- M Paglia
- Department of Paediatric Dentistry, Istituto Stomatologico Italiano, Milano, Italy
| | - M Severino
- Researcher Department of Medicine and Surgery University of Perugia, Perugia, Italy
| | - R Gatto
- Ordinary Professor in Paediatric Dentistry, Department of Life, Health and Enviromental Science, Paediatric Dentistry, University of L'Aquila, L'Aquila, Italy
| | - G Giani
- Private Practice in Busto Arsizio, Varese, Italy
| | - S Caruso
- Department of Life, Health and Enviromental Science, Paediatric Dentistry, University of L'Aquila, L'Aquila Italy
| |
Collapse
|
5
|
Colombo S, Fiuli S, De Giorgio S, Gallus S, Jarach CM, Cianetti S, Caruso S, Severino M, Gatto R, Braiotta F, Paglia L. Effects of an Educational Book on Paediatric Oral Health knowledge in a sample of Italian women. Eur J Paediatr Dent 2023:1. [PMID: 37140171 DOI: 10.23804/ejpd.2023.1935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
AIM Parents and caregivers, particularly in Italy, often have limited knowledge about their children's oral health. The primary objective of the study is to evaluate the educational effectiveness of a book on nutrition and prevention of oral diseases entitled "Oral health of mother and child in the first 1000 days of life". MATERIALS The sample for this study was composed of 103 adult Italian women who were potential caregivers of one or more children (e.g., mothers, grandmothers, babysitters, and educators). The enrolled women completed a preliminary online survey which included questions about their socio-demographic characteristics and their knowledge on oral health in the first 1000 days of life of newborns (30 questions). Following the survey, they received the educational book. After reading it, the participants completed a second online survey with the same 30 questions, to measure any improvement in their knowledge. CONCLUSION It appears that our educational book about nutrition and prevention of oral diseases was effective in enhancing knowledge among the participants in our study. These findings suggest that this educational resource has the potential to be a valuable tool in preventing oral diseases in paediatric populations. However, further confirmation of these results should be obtained through randomised controlled trials.
Collapse
Affiliation(s)
- S Colombo
- Postgraduate School of Orthodontics, University of L'Aquila, L'Aquila, Italy, Dir. Prof. G. Marzo
| | - S Fiuli
- Postgraduate School of Pediatric Dentistry, University of L'Aquila, L'Aquila, Italy, Dir. Prof. R. Gatto
| | - S De Giorgio
- Department of Pediatric Dentistry, Istituto Stomatologico Italiano, Milan, Italy
| | - S Gallus
- Department of Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
| | - C M Jarach
- Department of Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
| | - S Cianetti
- Postgraduate School of Pediatric Dentistry, Dir. Prof. S.Cianetti Department of Medicine and Surgery University of Perugia, Perugia, Italy
| | - S Caruso
- Postgraduate School of Pediatric Dentistry, University of L'Aquila, L'Aquila, Italy, Dir. Prof. R. Gatto
| | - M Severino
- Department of Medicine and Surgery University of Perugia, Perugia, Italy
| | - R Gatto
- Postgraduate School of Pediatric Dentistry, University of L'Aquila, L'Aquila, Italy, Dir. Prof. R. Gatto
| | - F Braiotta
- Department of Pediatric Dentistry, Istituto Stomatologico Italiano, Milan, Italy
| | - L Paglia
- Department of Pediatric Dentistry, Istituto Stomatologico Italiano, Milan, Italy
| |
Collapse
|
6
|
Bernardi S, Qorri E, Botticelli G, Scarano A, Marzo G, Gatto R, Greco Lucchina A, Mortellaro C, Lupi E, Rastelli C, Falisi G. Use of electrical field for biofilm implant removal. Eur Rev Med Pharmacol Sci 2023; 27:114-121. [PMID: 37129321 DOI: 10.26355/eurrev_202304_31328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
OBJECTIVE New methods for biofilm removal are being investigated. A recent new one involves the use of the electric field for biofilm removal. In particular, electrolytic cleaning works on the adhesion forces of the biofilm on the surfaces, with few studies showing promising results in decontamination and implant re-integration in the bone. This study aims at assessing the effect of a new decontamination device that implies the electric field for implant-biofilm removal. MATERIALS AND METHODS Three implants affected by peri-implantitis were selected for the study. After the treatment, the implants were observed by the Scanning Electron Microscopy. RESULTS All three samples showed no microbial biofilm in the application area, while the rest of the surface observed was covered with microbial biofilm, with an intensely thickened bacterial population. CONCLUSIONS Peri-mucositis and peri-implantitis prevention and early treatments are essential for implant maintenance, thus saving the surrounding hard and soft tissues. The technological innovation is providing electrolytic devices which act not only on the microbial population but on the biofilm adhesion to the implant surface, with promising results for a new and valid therapeutic option.
Collapse
Affiliation(s)
- S Bernardi
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
7
|
Caruso S, Ferrazzano GF, Severino M, Fratini A, Ralli L, Gatto R, Mattei A, Caruso S. Prevalence of sealant in an Italian paediatric population: an epidemiological study. Eur J Paediatr Dent 2023; 24:30-35. [PMID: 36853217 DOI: 10.23804/ejpd.2023.24.01.05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
Abstract
AIM The use of sealants is an effective measure for the prevention of pit and fissure caries in children and it has been well documented by several studies In order to plan and establish a preventive national programme, it is important to know the epidemiological pattern in an Italian paediatric population, correlated to the risk of caries, DMFT and other sociodemographic factors. METHODS This study was conducted on 2,442 children aged between 6 and 12 years attending the paediatric dentistry department of the University of L'Aquila, Italy. In addition to the oral examination, a questionnaire was administered on bad habits and the family perception of sealing. For descriptive analysis, the sample was stratified into two groups based on the presence/absence of at least one tooth with sealant. The differences between discrete and nominal variables, reported as absolute and percentage frequencies, were assessed by applying the χ2 test or the Fisher's exact test, as appropriate. Continuous variables were expressed in terms of mean values and their standard deviation(±DS) and the differences between the two groups under consideration were analysed through Student's t-test. The tests used are two-way and a significance level of 5% was applied. The statistical analysis was carried out using the statistical package STATA/IC 15.0 (StataCorp LLC, Texas, USA). CONCLUSION The application of sealants to healthy occlusal surfaces is the best aid in preventing the development of caries in these areas, and this is especially important in childhood and adolescence, when the incidence of this pathology is particularly high.
Collapse
Affiliation(s)
- S Caruso
- Paediatric Dentistry, Department of Clinical Medicine, Public Health, Life and Environmental Sciences - University of L'Aquila, Italy
| | - G F Ferrazzano
- Paediatric Dentistry section, UNESCO Chair on Health Education and Sustainable Development, University of Naples, "Federico II", Naples, Italy
| | - M Severino
- Paediatric Dentistry, Department of Clinical Medicine, Public Health, Life and Environmental Sciences - University of L'Aquila, Italy
| | | | - L Ralli
- Private practice in Rome, Italy
| | - R Gatto
- Paediatric Dentistry, Department of Clinical Medicine, Public Health, Life and Environmental Sciences - University of L'Aquila, Italy
| | - A Mattei
- Paediatric Dentistry, Department of Clinical Medicine, Public Health, Life and Environmental Sciences - University of L'Aquila, Italy
| | - S Caruso
- Paediatric Dentistry, Department of Clinical Medicine, Public Health, Life and Environmental Sciences - University of L'Aquila, Italy
| |
Collapse
|
8
|
Negri P, Vena F, Lomurno G, Coniglio M, Cianetti S, Gatto R, Severino M. Index of Orthodontic Treatment Need (IOTN) and distribution of malocclusion traits in a population of growing patients attending a public orthodontic service in Perugia (Italy). Eur J Paediatr Dent 2021; 22:303-308. [PMID: 35034466 DOI: 10.23804/ejpd.2021.22.04.8] [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: 06/14/2023]
Abstract
AIM Malocclusions are widespread all over the world with high prevalence values and represent a social vulnerability and health problem because of the important burden of orthodontic treatment for both families and the public health service. The Italian Ministry of Health identified the principles for priority setting in dental care, i.e. patients with IOTN (Index of Orthodontic Treatment Need) 4-5 and those in particular conditions of health or social vulnerability. METHODS A retrospective study was carried out to assess the IOTN and malocclusion in a population attending the public Orthodontic Health Service of Perugia (Italy) from September 2018 to February 2020. Medical charts, social income information, study models, photos and lateral cephalograms were examined to assess the orthodontic treatment need. CONCLUSION Orthodontic health service in Italy tends to have many patients on the waiting list, while the 72% of subject under orthodontic treatment are not part of the orthodontic priority (IOTN grade 4-5). This study suggests the heath system to guarantee a priority of need for orthodontic treatment for patients with health vulnerabilities.
Collapse
Affiliation(s)
- P Negri
- School of Medicine, Department of Medicine, Odontostomatological University Centre: Chair Prof. Stefano Cianetti, University of Perugia, S. Andrea delle Fratte, Perugia, Italy
| | - F Vena
- School of Medicine, Department of Medicine, Odontostomatological University Centre: Chair Prof. Stefano Cianetti, University of Perugia, S. Andrea delle Fratte, Perugia, Italy. Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Postgraduate School of Orthodontics, Head: Prof. Massimo Cordaro, Rome, Italy
| | - G Lomurno
- S.S.D. of Oral Surgery and Ambulatory, S. Maria della Misericordia Hospital; Department of Medicine, University of Perugia, S. Andrea delle Fratte, Perugia, Italy
| | - M Coniglio
- School of Medicine, Department of Medicine, Odontostomatological University Centre: Chair Prof. Stefano Cianetti, University of Perugia, S. Andrea delle Fratte, Perugia, Italy
| | - S Cianetti
- School of Medicine, Department of Medicine, Odontostomatological University Centre: Chair Prof. Stefano Cianetti, University of Perugia, S. Andrea delle Fratte, Perugia, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of L'Aquila, L'Aquila, Italy
| | - M Severino
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of L'Aquila, L'Aquila, Italy
| |
Collapse
|
9
|
Pelagalli P, Gatto R, Moscati M. Kids Digital Crown Technique: an innovative approach to restore primary teeth. Eur J Paediatr Dent 2021; 22:204-206. [PMID: 34544248 DOI: 10.23804/ejpd.2021.22.03.5] [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: 06/13/2023]
Abstract
AIM The purpose of this clinical case is to present the Kids Digital Crown Technique (KDCT), an innovative technique to restore primary teeth with customised prosthetic crowns. METHODS A six-year-old patient presented to our clinic with an extensive carious process affecting tooth 8.4. After assessing the patient’s conditions, a digital intraoral impression was taken and digitally sent to the dental lab to realise a customised prosthetic crown of the tooth. After the endodontic treatment and a minimal tooth preparation the crown was cemented using a dual resin-based cement. RESULTS The procedure permitted to realise a customised prosthetic crown ready to be applied immediately after the endodontic therapy. The crown was the correct size, easy to adapt and of the correct colour. The protocol follows an easy, kid-friendly workflow, reducing the operative time and maintaining the advantages of other procedures. CONCLUSION Kids Digital Crown Technique is a valid procedure to restore primary teeth with prosthetic crowns. Future prospective studies will be necessary to confirm the efficacy of this technique.
Collapse
Affiliation(s)
| | - R Gatto
- University of l´Aquila, Dental Clinic, L´Aquila, Italy
| | - M Moscati
- University of l´Aquila, Dental Clinic, L´Aquila, Italy
| |
Collapse
|
10
|
Greco AM, Gavetti F, Severino M, Gatto R. Use of a modified vertical holding appliance for open bite interceptive treatment in growing patients. Eur J Paediatr Dent 2021; 22:35-40. [PMID: 33719481 DOI: 10.23804/ejpd.2021.22.01.07] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND The aim of this paper is to illustrate the use of a modified vertical holding appliance (G-VHA) to obtain the vertical control of maxillary molars and tongue stimulation in order to achieve a transverse activation in growing patients with dental open bite without the patient's compliance. CASE REPORTS The G-VHA is a modified trans-palatal bar with a resin pad covering the Omega central loop and two adjunctive lateral loops to ensure the bar flexibility. The G-VHA is designed to direct the force of the tongue against the upper molars to generate intrusion and at the same time to stimulate and re-educate the tongue. Two cases of dental open bite in growing patients are illustrated. Both patients were successfully treated, and the open bite was fully corrected thanks to molar intrusion, following counterclockwise rotation of the mandible and tongue correction. Finishing of alignment was performed in phase II of the treatment with conventional appliances. CONCLUSION The G-VHA proved to be effective in controlling the vertical position of maxillary molars promoting the counter-clockwise rotation of the mandible and stimulating a different tongue posture.
Collapse
Affiliation(s)
- A M Greco
- Visiting Professor, Department of Pediatric Dentistry University of L'Aquila, L'Aquila, Italy
| | | | - M Severino
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of L'Aquila, L'Aquila, Italy
| | - R Gatto
- Professor and Chief, Department of Life, Health and Environmental Sciences, School of Dentistry, University of L'Aquila, L'Aquila, Italy
| |
Collapse
|
11
|
Caruso S, Nota A, Caruso S, Severino M, Gatto R, Meuli S, Mattei A, Tecco S. Mandibular advancement with clear aligners in the treatment of skeletal Class II. A retrospective controlled study. Eur J Paediatr Dent 2021; 22:26-30. [PMID: 33719479 DOI: 10.23804/ejpd.2021.22.01.05] [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] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM The current study aimed to analyse the dentoskeletal effects of the Invisalign mandibular advancement (MA) device in the treatment of skeletal Class II malocclusions. MATERIALS AND METHODS Pre-treatment and post-treatment lateral skull radiographs from patients treated with MA versus TB (Twin-Block Appliance) at the Department of Orthodontics of the University of L'Aquila, Italy, were traced. Eligibility criteria included SNB<78; ANB>4; no previous orthodontic treatments; and vertebral maturation stage (CVM) CS3. Radiographs from patients with craniofacial anomalies, or who underwent extraction treatments, were excluded. Totally, 20 patients were examined, 10 of whom treated with MA and 10 treated with TB. All the radiographs were traced by one expert operator, blind to the groups. A preliminary method error study was performed to exclude intra-operator differences. RESULTS Baseline characteristics of the participants were similar between the groups. Both appliances demonstrated a reduction of SNB and ANB angle, and a decrease in overjet. TB demonstrated a higher efficacy in increasing mandibular dimensions. A significant retroinclination of the upper incisive was observed in the TB group, where a decrease of SNA angles was additionally observed. The resulting differences between the two groups could be attributed to the different design of the appliances. CONCLUSIONS The present data show the effectiveness of both TB and MA in the management of skeletal Class II malocclusions due to mandibular retrusion. But some differences exist in the dentoalveolar effect of the two appliances. MA seems indicated in Class II cases where a control of the upper frontal teeth position is needed.
Collapse
Affiliation(s)
- S Caruso
- Università degli Studi de L'Aquila, Clinica Odontoiatrica, L'Aquila, Italy
| | - A Nota
- Vita-Salute San Raffaele University and IRCCS San Raffaele, Milan, Italy
| | - S Caruso
- Università degli Studi de L'Aquila, Clinica Odontoiatrica, L'Aquila, Italy
| | - M Severino
- Università degli Studi de L'Aquila, Clinica Odontoiatrica, L'Aquila, Italy
| | - R Gatto
- Università degli Studi de L'Aquila, Clinica Odontoiatrica, L'Aquila, Italy
| | - S Meuli
- Private practice, Rome, Italy
| | - A Mattei
- Università degli Studi de L'Aquila, Clinica Odontoiatrica, L'Aquila, Italy
| | - S Tecco
- Vita-Salute San Raffaele University and IRCCS San Raffaele, Milan, Italy
| |
Collapse
|
12
|
Ambu E, Caruso S, Gatto R, Tecco S, Severino M. Regenerative endodontics procedure of an immature permanent mandibular molar with a necrotic pulp using biodentine: a 16 months radiographic follow-up. J BIOL REG HOMEOS AG 2020; 34:33-37. DENTAL SUPPLEMENT. [PMID: 32064833] [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: 06/10/2023]
Abstract
An ideal scenario for a tooth in necrosis with immature root would be to continue root development after the regeneration of pulp tissue. We report a case, where the regenerative endodontic procedure (REP) was done using biodentine as a scaffold in an immature mandibular molar tooth.
Collapse
Affiliation(s)
- E Ambu
- Private practice, Bologna, Italy
| | - S Caruso
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy
| | - R Gatto
- Department of Life, Health and Environmental Science, University of L'Aquila, L'Aquila, Italy
| | - S Tecco
- Dental School, Vita-Salute San Raffaele University, Milan, Italy
| | - M Severino
- Department of Life, Health and Environmental Science, University of L'Aquila, L'Aquila, Italy
| |
Collapse
|
13
|
Pasini M, Caruso S, Lardani L, Gatto R, Giuca MR, Severino M. Frenula in the oral cavity: an overview of diagnosis, prognosis and clinical management in growing patients. J BIOL REG HOMEOS AG 2020; 34:13-22. DENTAL SUPPLEMENT. [PMID: 32064831] [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)
- M Pasini
- Unit of Dentistry and Oral Surgery, University of Pisa, Italy
| | - S Caruso
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy
| | - L Lardani
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy
| | - M R Giuca
- Unit of Dentistry and Oral Surgery, University of Pisa, Italy
| | - M Severino
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy
| |
Collapse
|
14
|
Colombo S, Gallus S, Beretta M, Lugo A, Scaglioni S, Colombo P, Paglia M, Gatto R, Marzo G, Caruso S, Paglia L. Prevalence and determinants of early childhood caries in Italy. Eur J Paediatr Dent 2019; 20:267-273. [PMID: 31850767 DOI: 10.23804/ejpd.2019.20.04.02] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM Still limited data from representative surveys are available on the prevalence of Early Childhood Caries (ECC; i.e., the presence of one or more decayed, missing, or filled tooth surfaces in any primary tooth in a child aged 71 months or younger), particularly for infant. We conducted a survey in Italian children aged 0 to 71 months. MATERIALS AND METHODS A cross-sectional study on ECC was conducted in Italy in 2018 on a sample of parents who were members of an online panel. Using an online questionnaire, 2,522 parents provided information on a total sample of 3,000 children, representative of the Italian population aged 0-71 months. RESULTS ECC prevalence was 8.2% overall, 2.9% in children aged 0-23 months, 6.2% in children aged 24-47 and 14.7% in children aged 48-71 months (p for trend<0.001). ECC was more frequently observed among children using baby bottle with milk to fall asleep (multivariate odds ratio, OR, 1.36, 95% confidence interval, CI: 1.03-1.78), baby bottle with sugary beverages (OR 2.87, 95% CI: 2.05-4.03) and pacifier with sugary substances (OR 2.49, 95% CI: 1.79-3.47), consuming beverages other than water (OR for ?1/day vs never 2.29, 95% CI: 1.35-3.90), a higher number of snacks between meals (OR for ?3 vs <2 meals 2.05, 95% CI: 1-38-3.06), a lower frequency of tooth brushing (OR for <1 vs ?2 times/day 2.26, 95% CI: 1.42-3.58) and a high number of siblings (compared to 0, OR for ?2 siblings 2.28, 95% CI: 1.56-3.34). ECC increased with parents' mean age (p for trend=0.048), parents' smoking habit (OR for at least one smoker 1.54, 95% CI: 1.17-2.03), parents' poor oral hygiene (OR for ?1 vs >1 time/day of tooth brushing 1.42, 95% CI: 1.03-1.96) and high number of caries (OR for ?7 vs 0 caries was 2.38, 95% CI: 1.35-4.20). CONCLUSION The present large and representative survey for the first time shows that ECC might be frequent also among infants. We confirm that ECC might be prevented if parents follow simple good practices. Information campaign and intervention programmes are needed to inform parents about unfavourable habits that favour the onset of ECC.
Collapse
Affiliation(s)
- S Colombo
- Department of Pediatric Dentistry, Istituto Stomatologico Italiano, Milan, Italy
| | - S Gallus
- Department of Environmental Health Sciences; Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
| | - M Beretta
- DDS, MS Ortho, MS Digital Dentistry, Private Practice in Varese, Italy
| | - A Lugo
- Department of Environmental Health Sciences; Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
| | - S Scaglioni
- De Marchi Foundation - Department of Pediatrics, IRCCS Ospedale Maggiore Policlinico, Milan, Italy
| | | | - M Paglia
- Department of Pediatric Dentistry, Istituto Stomatologico Italiano, Milan, Italy
| | - R Gatto
- Ordinary Professor in Pediatric Dentistry, University of l'Aquila, dipartimento di Medicina Clinica, Sanità Pubblica, scienze della Salute e dell'Ambiente
| | - G Marzo
- MeSVA Department - Università degli Studi de l'Aquila
| | - S Caruso
- Department of Pediatric Dentistry, Università degli Studi de l'Aquila, dipartimento di Medicina Clinica, Sanità Pubblica, scienze della Salute e dell'Ambiente
| | - L Paglia
- Department of Pediatric Dentistry, Istituto Stomatologico Italiano, Milan, Italy
| |
Collapse
|
15
|
Lombardo G, Pagano S, Cianetti S, Capobianco B, Orso M, Negri P, Paglia M, Friuli S, Paglia L, Gatto R, Severino M. Sub-ablative laser irradiation to prevent acid demineralisation of dental enamel. A systematic review of literature reporting in vitro studies. Eur J Paediatr Dent 2019; 20:295-301. [PMID: 31850772 DOI: 10.23804/ejpd.2019.20.04.07] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM Caries lesions begin with enamel acid demineralisation mediated by microorganisms. Lasers with sub-ablative energy might act as a prophylactic intervention to reinforce enamel against lesions caused by acid. MATERIALS AND METHODS A systematic review of the literature was performed evaluating only in vitro studies published from 2010 to 2018. The research was performed using the following databases: Medline, Embase and the Web Of Science. A further search was performed consulting the list of references of the included studies as well as book chapters which dealt with this topic. RESULTS A total of 347 records were retrieved and, after their evaluation, 36 studies were included. CO2 lasers were the most described and effective device in preventing acid demineralisation. This type of laser was unique in improving the already positive results obtained with fluoride-based interventions. Er,Cr:YSGG (with fluencies > 8.5J/cm2), diode and argon lasers also improved enamel acid resistance (p-values ranging from 0.05 to 0.001) producing similar effects with fluoride-based interventions. Regarding the sealant retention outcome, the Er:YAG laser was able to perform an enamel etching which was as effective as the traditional acid etching with the advantage of being easier and usually well accepted by low-compliant patients (i.e. younger children). Nd:YAG presented the worst results. The most common structural changes after the laser irradiation were water and carbonate reduction in the enamel combined with a phosphate and calcium enamel content increase. Moreover, the calcium/phosphate ratio was found to reach the 1.67 ideal ratio. CONCLUSION The in vitro studies that examined the prophylactic use of lasers for increasing enamel acid resistance presented interesting results that are enough to support a further in vivo experiment. This would entail the use of a clinical laser as an alternative or in combination with fluoride-based interventions.
Collapse
Affiliation(s)
- G Lombardo
- Department of Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - S Pagano
- Department of Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - S Cianetti
- Department of Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - B Capobianco
- Department of Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - M Orso
- Health Planning Service, Department of Epidemiology, Regional Health Authority of Umbria, Italy
| | - P Negri
- Department of Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - M Paglia
- Department of Pediatric Dentistry, Italian Stomatologic Institute, Milan, Italy
| | - S Friuli
- Department of Pediatric Dentistry, Italian Stomatologic Institute, Milan, Italy
| | - L Paglia
- Department of Pediatric Dentistry, Italian Stomatologic Institute, Milan, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L´Aquila, L´Aquila, Italy
| | - M Severino
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L´Aquila, L´Aquila, Italy
| |
Collapse
|
16
|
|
17
|
Baldini A, Nota A, Santariello C, Caruso S, Assi V, Ballanti F, Gatto R, Cozza P. Sagittal dentoskeletal modifications associated with different activation protocols of rapid maxillary expansion. Eur J Paediatr Dent 2019; 19:151-155. [PMID: 29790780 DOI: 10.23804/ejpd.2018.19.02.10] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM The aim of this study is to compare the sagittal dentoskeletal changes associated with different activation protocols of maxillary expander. MATERIALS AND METHODS A total of 101 subjects with constricted maxillary arches (49 males and 52 females; mean age 10.08 ± 1.57 years) were enrolled in the study. The study comprised also a control group of 20 subjects (11 females and 9 males, mean age 10.27 ± 1.24 years) who were not treated during the observation period. All the subjects underwent rapid maxillary expansion with a stainless steel banded expander cemented to the maxillary first molars. The expansion screw was randomly activated with two different rapid maxillary expansion protocols (one-quarter per day or two-quarters per day). A statistical comparison between the sagittal cephalometric variations obtained in the two expansion groups was made, and compared with the untreated control group. Data were then stratified for skeletal maturation of each subject. RESULTS The Wilcoxon rank-sum test shows statistically significant differences between the two RME activation protocols only for overjet. Statistically significant differences were reported in comparison with the control group. CONCLUSIONS This study suggests that the increase in overjet after RME could be associated with faster activation protocols especially in subjects with lower skeletal maturation.
Collapse
Affiliation(s)
- A Baldini
- Dental School, Vita-Salute San Raffaele University, Milan, Italy
| | - A Nota
- Dental School, Vita-Salute San Raffaele University, Milan, Italy
| | - C Santariello
- Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Italy
| | - S Caruso
- Department MeSVA, University of L'Aquila, Italy
| | - V Assi
- Edinburgh Clinical Trials Unit (ECTU), University of Edinburgh, United Kingdom
| | - F Ballanti
- Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Italy
| | - R Gatto
- Department MeSVA, University of L'Aquila, Italy
| | - P Cozza
- Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Italy
| |
Collapse
|
18
|
Cianetti S, Lombardo G, Lupatelli E, Pagano S, Abraha I, Montedori A, Caruso S, Gatto R, De Giorgio S, Salvato R. Dental fear/anxiety among children and adolescents. A systematic review. Eur J Paediatr Dent 2019; 18:121-130. [PMID: 28598183 DOI: 10.23804/ejpd.2017.18.02.07] [Citation(s) in RCA: 51] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM The aim of this paper was to review the published scientific literature to quantify the prevalence and mean score of dental fear/anxiety (DFA) in children/adolescents and its variation according to several variables. MATERIALS AND METHODS Cross- sectional and cohort studies published from 2000 to 2014, that measured DFA in children /adolescents (aged 0-19 years), in the general population, or visiting private or public dental services (general or pediatric) or attending school and kindergarten, were searched, with specific terms, in 3 electronic databases (Medline, Embase, Web Of Science). Primary data, collected with specific questionnaires of demonstrated reliability and/or validity, were extracted. RESULTS After screening 743 abstracts and evaluating 164 full-text publications, 36 articles were selected. Dental fear/anxiety prevalence rates were 12.2%, 10.0%, 12.2%,11.0% and 20.0% for the CFSS-DS, DAS, MDAS, DFS, and DFSS-SF scores, respectively. In the studies that used MCDAS Dental fear/prevalence rates varied from 13.3% to 29.3%. In the studies that used CFSS-DS ratings, the prevalence and the mean score of dental fear/anxiety was lower in Northern Europe than the remaining countries, the prevalence decreased with increasing age and the frequency was higher in females than males. CONCLUSIONS Dental fear/anxiety is a common problem in children/adolescents worldwide, therefore, new strategies to overcome this relevant children/adolescent condition should be encouraged.
Collapse
Affiliation(s)
- S Cianetti
- Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - G Lombardo
- Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - E Lupatelli
- Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - S Pagano
- Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - I Abraha
- Regional Health Authority of Umbria, Health Planning Service of Perugia, Perugia, Italy
| | - A Montedori
- Regional Health Authority of Umbria, Health Planning Service of Perugia, Perugia, Italy
| | - S Caruso
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of L´Aquila, L´Aquila, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of L´Aquila, L´Aquila, Italy
| | - S De Giorgio
- Department of Philosophy, Social and Human Sciences and Education, University of Perugia, Perugia, Italy
| | - R Salvato
- Department of Philosophy, Social and Human Sciences and Education, University of Perugia, Perugia, Italy
| |
Collapse
|
19
|
Paglia L, Gallus S, de Giorgio S, Cianetti S, Lupatelli E, Lombardo G, Montedori A, Eusebi P, Gatto R, Caruso S. Reliability and validity of the Italian versions of the Children's Fear Survey Schedule - Dental Subscale and the Modified Child Dental Anxiety Scale. Eur J Paediatr Dent 2019; 18:305-312. [PMID: 29380617 DOI: 10.23804/ejpd.2017.18.04.08] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM Children's dental fear and anxiety (DFA) causes significant problems in clinical practice. The 15-item Children's Fear Survey Schedule - Dental Subscale (CFSS-DS) and the 8-item Modified Child Dental Anxiety Scale (MCDAS) are the most widely used measures of dental fear in children. The aim of this study is to examine the reliability and validity of the Italian versions of the CFSS-DS and MCDAS, also in comparison with a simple visual analogue scale (VAS). MATERIALS AND METHODS The CFSS-DS and MCDAS were translated into Italian by a consensus panel of experts and administered to 210 dental patients aged 4-11 years from three Italian Institutions. Internal reliability was assessed using the Cronbach's alpha correlation. A sub-sample of 60 children was selected for test-retest analysis. CFSS-DS and MCDAS, plus a VAS scale, rated both by children and parents, were validated using as gold standard the 4-item Frankl scale for behaviours assessed by dentists. RESULTS Mean CFSS-DS score was 30.8 (SD: 11.1) and mean MCDAS score was 17.9 (SD: 7.2), significantly higher among children aged 4-7 years and among children at their first dental visit. The alpha value for internal reliability was 0.90 (95%, CI= 0.88-0.92) for CFSS-DS and 0.87 (95% CI=0.85-0.90) for MCDAS. Both CFSS-DS and MCDAS showed good test-retest reliability (rsp= 0.80; p<0.001 for both scales). CFSS-DS and MCDAS predicted a Frankl score ≤2 (i.e., indicating children with an uncooperative behaviour) with a fair accuracy (AUC=0.69 and AUC=0.68, respectively). The VAS scale was more effective in predicting a negative behaviour (AUC=0.78). The scales self-reported by children were only slightly more accurate than those reported by parents. CONCLUSION The Italian versions of the CFSS-DS and MCDAS are valid and reliable tools for the assessment of dental fear in Italian children aged 4-11 years. A simple, one-item VAS, and dental fear and anxiety evaluation by parents may be valid and quick alternatives to multi-item indices to predict an uncooperative children behaviour.
Collapse
Affiliation(s)
- L Paglia
- Department of Pediatric Dentistry, Italian Stomatologic Institute, Milan, Italy
| | - S Gallus
- Department of Environmental Health Sciences, IRCCS Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy
| | - S de Giorgio
- Department of Pediatric Dentistry, Italian Stomatologic Institute, Milan, Italy
| | - S Cianetti
- Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - E Lupatelli
- Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - G Lombardo
- Surgical and Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, Perugia, Italy
| | - A Montedori
- Health Planning Service, Regional Health Authority of Umbria, Perugia, Italy
| | - P Eusebi
- Health Planning Service, Regional Health Authority of Umbria, Perugia, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - S Caruso
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| |
Collapse
|
20
|
Nota A, Tecco S, Caruso S, Severino M, Gatto R, Baldini A. Analysis of errors in following the rapid maxillary expansion activation protocol: An observational study. Eur J Paediatr Dent 2019; 20:116-118. [PMID: 31246086 DOI: 10.23804/ejpd.2019.20.02.06] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM The aim of this study is to analyse the correspondence between the reported number of activations and the number of prescribed activations. MATERIALS AND METHODS A total of 114 subjects with constricted maxillary arches (58 males, 56 females; mean age 10.26 ± 1.92 years) were enrolled in the study. The subjects underwent RME and all the parents were provided with a screw activations report form in order to remind them the number of prescribed activations. At the removal of the expander, the screw was turned back in order to count the effective number of activations applied. RESULTS In 46 cases, out of a total of 114 patients, an involuntary error during the activation procedure was presumably made. A slight statistically significant correlation between the number of activations prescribed, and the number of incorrect activations was found. The errors consisted in added or missed activations, compared to the prescribed number but more frequently in missed activations with statistical significance. CONCLUSION Errors in following the rapid palatal expansion activation protocol are not uncommon. These errors could consist in missed or added activations to the number prescribed by the orthodontist, more often in missed ctivations.
Collapse
Affiliation(s)
- A Nota
- Dental School, Vita-Salute San Raffaele University and IRCCS San Raffaele, Milan, Italy - Department MeSVA, University of L´Aquila, L´Aquila, Italy
| | - S Tecco
- Dental School, Vita-Salute San Raffaele University and IRCCS San Raffaele, Milan, Italy
| | - S Caruso
- Department MeSVA, University of L´Aquila, L´Aquila, Italy
| | - M Severino
- Department MeSVA, University of L´Aquila, L´Aquila, Italy
| | - R Gatto
- Department MeSVA, University of L´Aquila, L´Aquila, Italy
| | - A Baldini
- Dental School, Vita-Salute San Raffaele University and IRCCS San Raffaele, Milan, Italy
| |
Collapse
|
21
|
Greco M, Gatto R, Caruso S, Severino M. Modified bonded acrylic expander in patient with anterior crossbite and pseudo-class III. J BIOL REG HOMEOS AG 2019; 33:63-72. DENTAL SUPPLEMENT. [PMID: 31538451] [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: 06/10/2023]
Abstract
The open-bite treatment can be considered one of the most difficult malocclusions to treat in children as well as in adult patients. Several papers show that the traditional maxillary expander device contribute to increase the vertical face dimension and bite opening due to posterior rotation of the mandible, buccal tipping of lateral segments and cuspal interferences. Other more specific studies compared the effects of traditional maxillary expander to those of bonded acrylic expander and evidenced that the acrylic expander can better control the vertical effects of the maxillary expansion by the resin bite plane on which the heavy occlusal forces are exerted. We decided to use an acrylic expander in order to prevent worsening of anterior openbite after a careful assessment of nasal airflow by the otorhinolaryngologist.
Collapse
Affiliation(s)
- M Greco
- Department of Orthodontics University of Ferrara, Ferrara Italy
| | - R Gatto
- Department of Pediatric Dentistry, University of L'Aquila, L'Aquila Italy
| | - S Caruso
- Department of Pediatric Dentistry, University of L'Aquila, L'Aquila Italy
| | - M Severino
- Department of Pediatric Dentistry, University of L'Aquila, L'Aquila Italy
| |
Collapse
|
22
|
Cutilli T, Coletti G, Fatayer MW, Caruso S, Tecco S, Gatto R, Leocata P. Very large Ameloblastic Fibroma with Calcifying Odontogenic Cyst in an 8-year-old child. Histological and immunohistochemical characterisation. Eur J Paediatr Dent 2019; 20:19-22. [PMID: 30919639 DOI: 10.23804/ejpd.2019.20.01.04] [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] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Ameloblastic fibroma (AF) is an uncommon odontogenic tumour that may present an aggressive behaviour and may have potential for malignant transformation. Ghost cell (GC) differentiation within AF is extremely rare. There are only seven cases in the international literature in which ghost cells are found in AF. CASE REPORT In this study, we report a case of a 8-year-old female child with a cystic-solid mass, measuring 3 x 1.7 x 1.2 cm, characterised by mixed odontogenic tumour, with AF in most of the lesion, with areas characterised by GC, while ameloblastic and ameloblastic fibrodontoma areas were also detected. Other histological sections showed only AF tissue, with areas of Calcifying Odontogenic Cyst. The immunohistochemical characterisation of the lesion was also performed. A comparative table of the immunoistochemical staining of the AF and COC areas revealed some differences in the expression of markers.
Collapse
Affiliation(s)
- T Cutilli
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Maxillofacial Surgery Operative Unit, San Salvatore City Hospital, L'Aquila, Italy
| | - G Coletti
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Pathology Operative Unit, San Salvatore City Hospital, L'Aquila, Italy
| | - M W Fatayer
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Pathology Operative Unit, San Salvatore City Hospital, L'Aquila, Italy
| | - S Caruso
- Dental School, Department of Life, Health and Environmental Sciences, University of L’Aquila, Italy
| | - S Tecco
- Dental School, Vita-Salute San Raffaele University, Milan, Italy
| | - R Gatto
- Dental School, Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy
| | - P Leocata
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Pathology Operative Unit, San Salvatore City Hospital, L'Aquila, Italy
| |
Collapse
|
23
|
Caruso S, Gatto R, Cinque B, Cifone MG, Mattei A. Association between salivary cortisol level and caries in early childhood. Eur J Paediatr Dent 2018; 19:10-15. [PMID: 29569447 DOI: 10.23804/ejpd.2018.19.01.02] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM The present study aimed to evaluate the association between caries and oral health status, age, salivary cortisol levels, and parental education in children with and without prior dental caries experience. MATERIALS AND METHODS An observational case-control study was performed including 122 children aged between 3 and 6 years who were clinically examined for caries experience using the sum of decayed, missing, and filled teeth in the primary (dmft index) and permanent (DMFT index) dentition. Oral health status was also evaluated using the Simplified Oral Hygiene index (OHI-S). Parents filled a questionnaire to provide information on other variables. Salivary cortisol levels were estimated 1 h after routine dental brushing. RESULTS We found that dental caries experience was associated with cortisol level, plaque, age, and high calculus levels. High cortisol levels and age are important risk factors for caries development with odds ratios of 3.05 (95% CI: 1.84-5.06) and 1.59 (95% CI: 1.09-2.58), respectively. Multivariate logistic analysis showed that cortisol level and age were independently associated with caries presence. Caries experience was not associated with education of parents, feeding-hygiene habits of child or birth events. CONCLUSION The present findings support the hypothesis that caries is mainly correlated with high salivary cortisol levels. Dental caries experience in children was also positively associated with tartar, plaque, and age.
Collapse
Affiliation(s)
- S Caruso
- Department of Life, Health and Environmental Sciences, University of L´Aquila, L´Aquila, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, University of L´Aquila, L´Aquila, Italy
| | - B Cinque
- Department of Life, Health and Environmental Sciences, University of L´Aquila, L´Aquila, Italy
| | - M G Cifone
- Department of Life, Health and Environmental Sciences, University of L´Aquila, L´Aquila, Italy
| | - A Mattei
- Department of Life, Health and Environmental Sciences, University of L´Aquila, L´Aquila, Italy
| |
Collapse
|
24
|
Ottria L, Candotto V, Cura F, Baggi L, Arcuri C, Nardone M, Gaudio RM, Gatto R, Spadari F, Carinci F. HPV acting on E-cadherin, p53 and p16: literature review. J BIOL REG HOMEOS AG 2018; 32:73-79. [PMID: 29460521] [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: 06/08/2023]
Abstract
In addition to tobacco and alcohol consumption, the two main risk factors for oral squamous cell carcinoma (OSCC), recent studies have revealed infections with human papilloma virus (HPV) as an additional risk factor for OSCC development. In the field of head and neck malignancies, the prevalence of HPV infections in oropharyngeal cancer (OC) ranges in different studies up to 84%. While HPV infection is discussed as an independent risk factor in this region, its distinguished role in carcinogenesis of tumours localized to the oral cavity remains uncertain. A systematic literature search was performed using PubMed, Cochrane library, Science Direct, and the Internet search, with language restricted to English. The search included published studies which dealt with detection methods of HPV-related oral and oropharyngeal cancers and biomolecular studies, particularly regarding the compromising of p53 p16 and e-cadherins. P53 Tumour suppressor protein p53 has several functions that are related to maintaining genomic stability and inhibiting cell proliferation in response to DNA damage. For preventing neoplasia to occur, the most important of these functions are cessation of cell growth and induction of either apoptosis or senescence. P16 is a cellular protein involved in cell cycle regulation. It is a cyclin-dependent kinase 4 (CDK4) inhibitor, and is integral to Rb mediated regulation of G1-S phase of the cell cycle. P16 is expressed at a very low level in normal cell as Rb inhibits transcription of p16. Various detection methods ranging from immunohistochemistry (IHC) to molecular techniques have been used to determine the HPV status of HNSCC. E-cadherin, a 120 kDa Type I classical cadherin, is expressed primarily on epithelial cells. It is found on the surface of keratinocytesand Langerhans cells (LC) and E-cadherin mediated adhesion between these cell types is required for LC retention in the epidermis. It is also an important tumour suppressor protein: its loss or inactivation is associated with epithelial-to-mesenchymal transition (EMT), a process involving dedifferentiation, infiltration and metastasis of tumours. Oral carcinogenesis is a multi-factorial process involving socioeconomic, environmental and microbial factors leading to multistep changes. Smoking and tobacco exposure seems to modify the survival and recurrence of HPV positive tumours and should be considered in future trials for risk stratification of HPV positive patients. HPV associated oropharynx cancer represents a distinct clinical and biologic entity with many unresolved issues that will be investigated in future translational, clinical research. We need to further explore and understand why the disease occurs predominantly in males, and whether the natural history of oral HPV infection differences in men and women.
Collapse
Affiliation(s)
- L Ottria
- Dental School, Tor Vergata University, Rome, Italy
| | - V Candotto
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
| | - F Cura
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Baggi
- Department of Clinical Sciences and Translational Medicine, University of Tor Vergata, Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of Tor Vergata, Rome, Italy
| | | | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of LAquila, LAquila, Italy
| | - F Spadari
- Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy
| | - F Carinci
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
| |
Collapse
|
25
|
Ottria L, Candotto V, Cura F, Baggi L, Arcuri C, Nardone M, Gaudio RM, Gatto R, Spadari F, Carinci F. Human Papilloma Virus associated with oral cancer and preventive strategies: the role of vaccines. J BIOL REG HOMEOS AG 2018; 32:61-65. [PMID: 29460519] [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: 06/08/2023]
Abstract
The aim of this paper is to describe the efficacy of Human Papilloma Virus (HPV) vaccines for preventing oral cancer. A systematic review of the literature was conducted to describe the state of the art about HPV vaccines for preventing oral cancer. The aspects of prevention and control of infection by administering vaccines and the diffusion of sexual education campaigns are discussed also. In recent years there has been a growing interest in HPV in dentistry, suggesting a role of such a family of viruses in the development of oral cancers as well as of the uterine cervix. Even if the mass media have increasingly faced the problem, causing frequent alarming among patients, the dentist therefore needs a complete and up-to-date knowledge of this infectious condition that is one of the most common causes of sexually transmitted mucous membrane infections (eg genital, anal and oral). Recent studies about HPV infection are a basic requirement in order to promote the HPV vaccinations and patients health.
Collapse
Affiliation(s)
- L Ottria
- Dental School, Tor Vergata University, Rome, Italy
| | - V Candotto
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
| | - F Cura
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Baggi
- Department of Clinical Sciences And Translational Medicine, University of Tor Vergata, Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of Tor Vergata, Rome, Italy
| | | | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of LAquila, LAquila, Italy
| | - F Spadari
- Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy
| | - F Carinci
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
| |
Collapse
|
26
|
Ruggiero F, Carbone D, Mugavero R, Cura F, Baggi L, Arcuri C, Nardone M, Gaudio RM, Gatto R, Scapoli L, Carinci F. Human papilloma virus in the tonsillar microbiota of an Afghan population group. J BIOL REG HOMEOS AG 2018; 32:191-196. [PMID: 29460540] [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: 06/08/2023]
Abstract
Cancer of the oral cavity is known to have a diverse aetiology that includes infectious agents. Human papilloma virus has been found to be associated with several types of human cancer, inclusive of cervical, vulvar, vaginal, penile, anal, and cancer of tonsil. The aim of this manuscript is to investigate the presence of human papilloma virus in tonsillar microbiota of an Afghan population group. A sample of the tonsillar microbiota was collected by oral swab paper stick from 80 healthy donors. The sample was investigated for the presence of high-risk human papillomavirus types 16, 18, 31 and 45 by real time PCR. Eight samples produced some positive endpoint signals for human papillomaviruses. The human papillomavirus 31 was the unique papillomavirus detected; its calculated prevalence rate was 0.10 (C.I. 0.05-0.19). However, the viral load was always very low, in the order of 10-3 viral genomes per cell. The high prevalence of high-risk human papillomavirus in healthy population suggest a need for further investigation on virus spreading and supports the development of vaccination strategies.
Collapse
Affiliation(s)
- F Ruggiero
- Military Policlinic of Rome, Medical Department, Cardiological Unit, Rome, Italy
| | - D Carbone
- Military Policlinic of Rome, Department of Urgency and Surgery, Operative Unit of Odontostomatology, Rome, Italy
| | - R Mugavero
- Department of Electronic Engineering, University of Tor Vergata, Rome, Italy
- OSDIFE, University of Tor Vergata, Rome, Italy
- CUFS, University of San Marino
| | - F Cura
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Baggi
- Department of Clinical Sciences and Translational Medicine, University of Tor Vergata, Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of Tor Vergata, Rome, Italy
| | - M Nardone
- Ministry of Public Health, Rome, Italy
| | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of L’Aquila, L’Aquila, Italy
| | - L Scapoli
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - F Carinci
- CUFS, University of San Marino
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
| |
Collapse
|
27
|
Candotto V, Lauritano D, Nardone M, Baggi L, Arcuri C, Gatto R, Gaudio RM, Spadari F, Carinci F. HPV infection in the oral cavity: epidemiology, clinical manifestations and relationship with oral cancer. ACTA ACUST UNITED AC 2017; 10:209-220. [PMID: 29285322 DOI: 10.11138/orl/2017.10.3.209] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Purpose The aim of this paper is to describe epidemiology and clinical manifestations of oral infection by Human papillomavirus (HPV), with particular attention to potential malignant lesions. Materials and methods A systematic review of the literature was conducted to describe the state of the art about HPV infection in oropharyngeal mucosa and its modalities of transmission, with particular attention to possible simultaneous infection in multiple anatomic sites. The aspects of prevention and control of infection by administering vaccines and the diffusion of sexual education campaigns are discussed also. Therapeutic protocols are also described where necessary. Results In recent years there has been a growing interest in HPV oral medicine, suggesting a role of such a family of viruses in the development of neoplasms of the oropharyngeal district as well as of the uterine cervix. Even if the mass media have increasingly faced the problem, causing frequent alarming among patients, the dentist therefore needs a complete and up-to-date knowledge of this infectious condition that is one of the most common causes of sexually transmitted mucous membrane infections (e.g. genital, anal and oral). Conclusions Recent studies about HPV infection are a basic requirement in order to promote the health of patients and provide them with the most exhaustive indications from dentists.
Collapse
Affiliation(s)
- V Candotto
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
| | - M Nardone
- Ministry of Public Health, Rome, Italy
| | - L Baggi
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of L'Aquila, L'Aquila, Italy
| | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - F Spadari
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, "Ospedale Maggiore Policlinico Ca' Granda" Foundation, Unit of Oral Pathology and Medicine, Milan, Italy
| | - F Carinci
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
| |
Collapse
|
28
|
Pagnini F, Marconi A, Tagliaferri A, Manzoni GM, Gatto R, Fabiani V, Gragnano G, Rossi G, Volpato E, Banfi P, Palmieri A, Graziano F, Castelnuovo G, Corbo M, Molinari E, Riva N, Sansone V, Lunetta C. Meditation training for people with amyotrophic lateral sclerosis: a randomized clinical trial. Eur J Neurol 2017; 24:578-586. [DOI: 10.1111/ene.13246] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2016] [Accepted: 01/04/2017] [Indexed: 02/02/2023]
Affiliation(s)
- F. Pagnini
- Department of Psychology; Università Cattolica del Sacro Cuore; Milan Italy
- Azienda Ospedaliera Niguarda Ca’ Granda; Milan Italy
| | - A. Marconi
- NEuroMuscular Omnicentre (NEMO) − Fondazione Serena Onlus; Milan Italy
| | | | | | - R. Gatto
- Azienda Ospedaliera Niguarda Ca’ Granda; Milan Italy
| | - V. Fabiani
- Azienda Ospedaliera Niguarda Ca’ Granda; Milan Italy
| | - G. Gragnano
- NEuroMuscular Omnicentre (NEMO) − Fondazione Serena Onlus; Milan Italy
| | - G. Rossi
- NEuroMuscular Omnicentre (NEMO) − Fondazione Serena Onlus; Milan Italy
| | - E. Volpato
- Department of Psychology; Università Cattolica del Sacro Cuore; Milan Italy
- IRCCS Fondazione Don Carlo Gnocchi ONLUS; Milan Italy
| | - P. Banfi
- IRCCS Fondazione Don Carlo Gnocchi ONLUS; Milan Italy
| | - A. Palmieri
- Department of Philosophy, Sociology, Pedagogy and Applied Psychology; University of Padova; Padua Italy
| | - F. Graziano
- Department of Brain and Behavioural Sciences; Università degli Studi di Pavia; Pavia Italy
| | - G. Castelnuovo
- Department of Psychology; Università Cattolica del Sacro Cuore; Milan Italy
- Psychology Research Laboratory; Istituto Auxologico Italiano IRCCS; Piancavallo Italy
| | - M. Corbo
- Department of Neurorehabilitation Sciences; Casa Cura Policlinico; Milan Italy
| | - E. Molinari
- Department of Psychology; Università Cattolica del Sacro Cuore; Milan Italy
- Psychology Research Laboratory; Istituto Auxologico Italiano IRCCS; Piancavallo Italy
| | - N. Riva
- Department of Neurology; INSPE and Division of Neuroscience; San Raffaele Scientific Institute, Milan Italy
| | - V. Sansone
- NEuroMuscular Omnicentre (NEMO) − Fondazione Serena Onlus; Milan Italy
| | - C. Lunetta
- NEuroMuscular Omnicentre (NEMO) − Fondazione Serena Onlus; Milan Italy
| |
Collapse
|
29
|
Gatto R. Saddlepoint approximations to the distribution of the total distance of the multivariate isotropic and von Mises–Fisher random walks. Math Meth Stat 2017. [DOI: 10.3103/s1066530717010021] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
30
|
Caruso S, Bernardi S, Pasini M, Giuca MR, Docimo R, Continenza MA, Gatto R. The process of mineralisation in the development of human tooth. Eur J Paediatr Dent 2016; 17:322-326. [PMID: 28045323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Tooth development and mineralisation are processes that derive from different tissues interactions, in particular ectodermal and mesenchymal layers. These interactions are responsible for the formation of unique structures with a particular chemical composition. Despite differences, mineralised tissues are similar and they derive by highly concerted extracellular processes that involve matrix proteins, proteases, and mineral ion fluxes that collectively regulate the nucleation, growth and organisation of forming mineral crystals. This review aims at explaining mineralisation, its stages and when damage occurs and alters the hard tissues structure.
Collapse
Affiliation(s)
- S Caruso
- Department of Health, Life and Environmental Sciences, University of L'Aquila
| | - S Bernardi
- Department of Health, Life and Environmental Sciences, University of L'Aquila
| | - M Pasini
- Department of Surgical, Medical, Molecular and Critical Area Pathology, University of Pisa
| | - M R Giuca
- Department of Surgical, Medical, Molecular and Critical Area Pathology, University of Pisa
| | - R Docimo
- Department of Experimental Medicine and Surgery, University of Rome "Tor Vergata"
| | - M A Continenza
- Department of Health, Life and Environmental Sciences, University of L'Aquila
| | - R Gatto
- Department of Health, Life and Environmental Sciences, University of L'Aquila
| |
Collapse
|
31
|
Giuca MR, Inglese R, Caruso S, Gatto R, Marzo G, Pasini M. Craniofacial morphology in pediatric patients with Prader-Willi syndrome: a retrospective study. Orthod Craniofac Res 2016; 19:216-221. [PMID: 27717123 DOI: 10.1111/ocr.12131] [Citation(s) in RCA: 8] [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] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/26/2016] [Indexed: 12/17/2022]
Abstract
OBJECTIVE To investigate craniofacial characteristics in pediatric patients with Prader-Willi syndrome (PWS). SETTING AND SAMPLE POPULATION A retrospective sample of 20 consecutive patients with PWS who had lateral and antero-posterior (AP) cephalograms (14 males and six females; average age 10.2 ± 3 years) was compared to 20 controls matched for age and sex (14 males and six females; average age 10.5 ± 3.7 years). MATERIALS AND METHODS Cephalometric skeletal measurements were performed twice at a 1-week interval by one calibrated operator, and random error was calculated using Dahlberg's formula. Mean values and standard deviations were computed for all variables. Student's t-test for independent samples was used to determine significant differences between PWS and controls. The level of significance was set at p < 0.05. RESULTS Cephalometric values for the length of the maxilla (p < 0.01), mandibular length (p < 0.05) at both the ramus (p < 0.05) and the mandibular body (p < 0.01), and posterior and anterior facial height (p < 0.01) were significantly lower in patients with PWS compared to controls. The AP cephalometric analysis revealed a significant reduction (p < 0.01) in maxillary skeletal width, mandibular skeletal width, and interzygomatic distance. CONCLUSIONS Pediatric patients with PWS seem to have a general reduction in certain craniofacial skeletal parameters (i.e., maxillary and mandibular length) compared to controls, but this study did not assess the overall craniofacial characteristics.
Collapse
Affiliation(s)
- M R Giuca
- Department of Surgical, Medical, Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy
| | - R Inglese
- Department of Surgical, Medical, Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy
| | - S Caruso
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - G Marzo
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - M Pasini
- Department of Surgical, Medical, Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
| |
Collapse
|
32
|
Gatto R, Cifone M, Caruso S, Pasini M, Giuca M, Casacchia M. Introduzione del sesto anno di Odontoiatria: un anno dedicato al tirocinio. Dental Cadmos 2016. [DOI: 10.19256/d.cadmos.08.2016.08] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
33
|
Frascaria M, Casinelli M, Mauro S, M D'Amario M, Gatto R, Marzo G. Aesthetic rehabilitation in a young patient using a minimally invasive approach. A multidisciplinary case report. Eur J Paediatr Dent 2016; 17:234-238. [PMID: 27759414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
BACKGROUND Optimal integration and long-term stability of oral rehabilitations require correct diagnostic approach, appropriate pre-prosthetic treatments and accurate therapeutic protocols. Technology provides devices to optimise therapeutic results, according to biologic constraints and aesthetic parameters. CASE REPORT The present report describes a multidisciplinary management in a young patient affected by lateral incisor agenesis, including pre-prosthetic orthodontic treatment and restorative and implant-supported prosthetic rehabilitation. Minimally invasive clinical procedures with veneer restorations and flapless implant placement, followed by immediate prosthesis delivery, are carried out. Tridimensional diagnostic data and dedicated software were used for treatment planning, allowing to achieve optimal results.
Collapse
Affiliation(s)
- M Frascaria
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - M Casinelli
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - S Mauro
- Private Practice in L'Aquila, Italy
| | - M M D'Amario
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - G Marzo
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| |
Collapse
|
34
|
Ortu E, Lacarbonara M, Cattaneo R, Marzo G, Gatto R, Monaco A. Electromyographic evaluation of a patient treated with extraoral traction: a case report. Eur J Paediatr Dent 2016; 17:123-128. [PMID: 27377110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
BACKGROUND This work seeks to provide information on the utility of surface electromyography (SEMG) as an aid for diagnosing orthodontic conditions. Classic orthodontic monitoring by radiography, plaster models, cephalometry, and photography can be improved by using SEMG before and during treatment, to prevent clinical worsening and relapses. CASE REPORT This paper presents the SEMG results for a 10-year-old female patient, orthodontically treated by extraoral traction (EOT). Significant muscular variations in the patient's EMG were observed as she changed different postures and as headgear device was used. CONCLUSION SEMG should be performed prior to the orthodontic treatment to assess the neuromuscular patient's pattern, in order to prevent strain induced by extraoral forces. EMG can be a valid aid for evaluating the patient's neuromuscular condition before, during, and after orthodontic treatment.
Collapse
Affiliation(s)
- E Ortu
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - M Lacarbonara
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - R Cattaneo
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - G Marzo
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - A Monaco
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| |
Collapse
|
35
|
Amatu A, Barault L, Moutinho C, Cassingena A, Bencardino K, Ghezzi S, Palmeri L, Bonazzina E, Tosi F, Ricotta R, Cipani T, Crivori P, Gatto R, Chirico G, Marrapese G, Truini M, Bardelli A, Esteller M, Di Nicolantonio F, Sartore-Bianchi A, Siena S. Tumor MGMT promoter hypermethylation changes over time limit temozolomide efficacy in a phase II trial for metastatic colorectal cancer. Ann Oncol 2016; 27:1062-1067. [PMID: 26916096 DOI: 10.1093/annonc/mdw071] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [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: 11/08/2015] [Accepted: 02/09/2016] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Objective response to dacarbazine, the intravenous form of temozolomide (TMZ), in metastatic colorectal cancer (mCRC) is confined to tumors harboring O(6)-methylguanine-DNA-methyltransferase (MGMT) promoter hypermethylation. We conducted a phase II study of TMZ enriched by MGMT hypermethylation in archival tumor (AT), exploring dynamic of this biomarker in baseline tumor (BT) biopsy and plasma (liquid biopsy). PATIENTS AND METHODS We screened 150 mCRC patients for MGMT hypermethylation with methylation-specific PCR on AT from FFPE specimens. Eligible patients (n = 29) underwent BT biopsy and then received TMZ 200 mg/m(2) days 1-5 q28 until progression. A Fleming single-stage design was used to determine whether progression-free survival (PFS) rate at 12 weeks would be ≥35% [H0 ≤ 15%, type I error = 0.059 (one-sided), power = 0.849]. Exploratory analyses included comparison between MGMT hypermethylation in AT and BT, and MGMT methylation testing by MethylBEAMing in solid (AT, BT) and LB with regard to tumor response. RESULTS The PFS rate at 12 weeks was 10.3% [90% confidence interval (CI) 2.9-24.6]. Objective response rate was 3.4% (90% CI 0.2-15.3), disease control rate 48.3% (90% CI 32.0-64.8), median OS 6.2 months (95% CI 3.8-7.6), and median PFS 2.6 months (95% CI 1.4-2.7). We observed the absence of MGMT hypermethylation in BT in 62.7% of tumors. CONCLUSION Treatment of mCRC with TMZ driven by MGMT promoter hypermethylation in AT samples did not provide meaningful PFS rate at 12 weeks. This biomarker changed from AT to BT, indicating that testing BT biopsy or plasma is needed for refined target selection.
Collapse
Affiliation(s)
- A Amatu
- Department of Hematology & Oncology, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan
| | - L Barault
- Experimental Clinical Molecular Oncology Cancer Epigenetics, Candiolo Cancer Institute-FPO, IRCCS, Candiolo, Turin, Italy
| | - C Moutinho
- Cancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain
| | - A Cassingena
- Department of Hematology & Oncology, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan
| | - K Bencardino
- Department of Hematology & Oncology, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan
| | - S Ghezzi
- Department of Hematology & Oncology, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan
| | - L Palmeri
- Department of Hematology & Oncology, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan
| | - E Bonazzina
- Department of Hematology & Oncology, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan
| | - F Tosi
- Department of Hematology & Oncology, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan
| | - R Ricotta
- Department of Hematology & Oncology, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan
| | - T Cipani
- Department of Hematology & Oncology, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan
| | - P Crivori
- Department of Oncology, CLIOSS s.r.l., Nerviano, Milan
| | - R Gatto
- Department of Oncology, CLIOSS s.r.l., Nerviano, Milan
| | - G Chirico
- Department of Hematology & Oncology, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan
| | - G Marrapese
- Department of Hematology & Oncology, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan
| | - M Truini
- Department of Hematology & Oncology, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan
| | - A Bardelli
- Experimental Clinical Molecular Oncology Cancer Epigenetics, Candiolo Cancer Institute-FPO, IRCCS, Candiolo, Turin, Italy; Department of Oncology, University of Torino, Candiolo, Turin
| | - M Esteller
- Cancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain
| | - F Di Nicolantonio
- Experimental Clinical Molecular Oncology Cancer Epigenetics, Candiolo Cancer Institute-FPO, IRCCS, Candiolo, Turin, Italy; Department of Oncology, University of Torino, Candiolo, Turin
| | - A Sartore-Bianchi
- Department of Hematology & Oncology, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan.
| | - S Siena
- Department of Hematology & Oncology, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan; Department of Oncology, Università degli Studi di Milano, Milan, Italy
| |
Collapse
|
36
|
Pasini M, Giuca G, Gatto R, Giuca M. Indagine sullo status parodontale di pazienti depressi in terapia con antidepressivi triciclici. Dental Cadmos 2016. [DOI: 10.1016/s0011-8524(16)30007-1] [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: 11/30/2022]
|
37
|
Giuca MR, Pasini M, Giuca G, Caruso S, Necozione S, Gatto R. Investigation of periodontal status in type 1 diabetic adolescents. Eur J Paediatr Dent 2015; 16:319-323. [PMID: 26637258] [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: 06/05/2023]
Abstract
AIM The purpose of this study was to evaluate the effects of type 1 diabetes and the possible role of metabolic control on the periodontal status of diabetic adolescents. MATERIALS AND METHODS Three groups of 40 patients each were examined: diabetic subjects with a good metabolic control (well controlled WC) (glycated haemoglobin HbA1c ≤ 7%) (20 males and 20 females; mean age: 14.1 ± 1.5 years); diabetic subjects with poor metabolic control (poorly controlled PC) (glycated haemoglobin HbA1c> 7%) (20 males and 20 females; mean age: 14.5 ± 1.3 years); and patients in good general health, which constituted the control group (20 males and 20 females; mean age: 14.1 ± 1.2 years). For each subject, a periodontal evaluation was performed and the following parameters were assessed: Plaque Index (PI), Gingival Index (GI), Bleeding on probing (BOP), Probing Depth (PD), Clinical Attachment Level (CAL). Chi-square was used to compare categorical variables. Kruskal-Wallis one-way ANOVA by ranks was used to compare the quantitative variables (GBI, PD) among the 3 groups. Post-hoc comparison between pairs of groups was assessed by Wilcoxon's rank sum test, with a downward adjustment of the alpha level to compensate for multiple comparisons. RESULTS The levels of PI in WC subjects (1.9 ± 0.8) and in PC subjects (2.1 ± 0.6) were significantly higher compared to healthy subjects in the control group (0.8 ± 0.7) (p <0.0001). Similarly, the GI in both PC (1.9 ± 0.8) and WC subjetcs (1.7 ± 0.9) was significantly higher (p <0.05) compared to controls (0.9 ± 0.8). GBI in the PC (60.2 ± 23.6%) and the WC (57.4 ± 22.5%) groups was significantly higher compared to healthy subjects (35.9 ± 18.7%) (p <0.05). The PD parameter was found significantly higher (p <0.05) in the PC group (26.7 ± 12.6) and WC group (23.5 ± 11.3%) compared with controls (8.3 ± 6.2%). Regarding the CAL, no significant differences were found between the groups (p> 0.05). In addition, the comparisons between groups PC and WC were not statistically significant (p> 0.05). CONCLUSIONS Adolescents affected with type 1 diabetes show a higher level of bacterial plaque, gingival inflammation with bleeding on probing and probing depth, compared to healthy subjects. There were no significant changes with regard to the accumulation of plaque and periodontal status among diabetic patients both with good control and with poor metabolic control.
Collapse
Affiliation(s)
- M R Giuca
- Department of Surgical, Medical, Molecular and Critical Area Pathology, University of Pisa, Pisa, Italy
| | - M Pasini
- Department of Surgical, Medical, Molecular and Critical Area Pathology, University of Pisa, Pisa, Italy
| | - G Giuca
- Department of Surgical, Medical, Molecular and Critical Area Pathology, University of Pisa, Pisa, Italy
| | - S Caruso
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - S Necozione
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, ItalY
| | - R Gatto
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| |
Collapse
|
38
|
Ortu E, Sgolastra F, Barone A, Gatto R, Marzo G, Monaco A. Salivary Streptococcus Mutans and Lactobacillus spp. levels in patients during rapid palatal expansion. Eur J Paediatr Dent 2014; 15:271-274. [PMID: 25306143] [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: 06/04/2023]
Abstract
AIM To assess the microbial level of Streptococcus Mutans and Lactobacillus spp. during rapid palatal expansion, and compare the data with untreated control patients. STUDY DESIGN Thirty patients aged between 6-9 years were enrolled in this study (15 males and 15 females). The patients were divided into three groups: 10 patients were treated with rapid palatal expander (RPE) (Test Group 1), 10 patients were treated with Mc Namara expander, and 10 patients were enrolled in the control untreated group. Whole stimulated saliva was collected from each patient at three time points: before initiation of expansion therapy (baseline at T0), after 3 months (T1), after initiation of treatment, and after 6 months from T0 (T2). The protocol of rapid palatal expansion for the two groups was as follows: at placement of the expander 4 activations were performed by the orthodontist (1 mm expansion), followed by 4 activations per day by the parents (two in the morning and two in the evening, 1 mm per day total) to be repeated for 7 days. RESULTS Statistics: In this study a different trend in the microbial colonisation for the two treated groups was observed. In the Test Group 1, in which patients were treated with the RPE, there was a significant difference between Strp T0 T1 and between Strp T0 and T2 (p< 0.05). There was also a significant difference between LAC T1 T0 and LAC T2 and T0 (p<0.05). In the Test Group 2, treated with McNamara expanders, it was found was a significant difference between LAC T2 T0 and LAC T1 T0. In the same group it was also found a significant difference between Strp T2 T0; T1 T0; T1 T2 (p<0.05). CONCLUSION The level of the various species of bacteria changes during rapid palatal expansion, and this seems to depend on the type of orthodontic expander. During rapid palatal expansion treatment it is also advisable a periodical microbial monitoring using in-office bacteria tests.
Collapse
Affiliation(s)
- E Ortu
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - F Sgolastra
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - A Barone
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - G Marzo
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - A Monaco
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| |
Collapse
|
39
|
Caruso S, Sgolastra F, Gatto R. Dental pulp regeneration in paediatric dentistry: the role of stem cells. Eur J Paediatr Dent 2014; 15:90-94. [PMID: 25102454] [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: 06/03/2023]
Abstract
AIM In the last decade, tissue engineering has undergone enormous expansion in the fields of regenerative medicine and dentistry. In response to mechanical and chemical injuries, the dentine-pulp complex possesses a regenerative ability due to a speci?c population of mesenchymal stem cells, which have been widely described in literature. The postnatal dental pulp also contains progenitor stem cells that participate in dental regeneration. Knowledge of the regenerative potential of these cells is important in terms of understanding and applying their biological and chemical characteristics. CONCLUSION Through the isolation and exploration of the regenerative abilities of these stem cells, new therapeutic possibilities may be possible, opening the way for improving paediatric endodontic therapy.
Collapse
Affiliation(s)
- S Caruso
- Department of Clinical Medicine, Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - F Sgolastra
- Department of Clinical Medicine, Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - R Gatto
- Department of Clinical Medicine, Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| |
Collapse
|
40
|
Maratea D, Fadda V, Trippoli S, Gatto R, De Rosa M, Marinai C, Messori A. Letter: biological drugs for inducing remission in ulcerative colitis. Aliment Pharmacol Ther 2014; 39:1242-4. [PMID: 24735145 DOI: 10.1111/apt.12690] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2014] [Accepted: 02/15/2014] [Indexed: 12/19/2022]
Affiliation(s)
- D Maratea
- HTA Unit, ESTAV Toscana Centro, Regional Health Service, Florence, Italy
| | | | | | | | | | | | | |
Collapse
|
41
|
Ferro R, Besostri A, Giuca MR, Docimo R, Gatto R, Marzo G. The Italian perspective on fluoride intake in children and adolescents. Eur J Paediatr Dent 2014; 15:55-58. [PMID: 24745594] [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: 06/03/2023]
Abstract
AIM This paper represents the outcome of the meetings of the Committee composed by Pedodontists (SIOI - Italian Society of Paediatric Dentistry) and Paediatricians (FIMP - Italian Association of Paediatricians) with the aim to share an evidence- based common approach in caries prevention during childhood and adolescence. The most important topic was an update on fluoride administration methods in order to minimise the risk of fluorosis and maximise its caries-preventive effect. CONCLUSION The conclusions of this work are exposed in a synoptic table.
Collapse
Affiliation(s)
- R Ferro
- Surgery Department, Dental Unit, Cittadella Hospital, Health District No 15 'Alta Padovana' (Padua, Italy)
| | - A Besostri
- Surgery Department, Dental Unit, Cittadella Hospital, Health District No 15 'Alta Padovana' (Padua, Italy)
| | - M R Giuca
- Department of Surgical Pathology, Unit of Paediatric Dentistry, University of Pisa, Italy
| | - R Docimo
- Department of Paediatric Dentistry, University of Rome 'Tor Vergata', Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences University of L'Aquila, Italy
| | - G Marzo
- Department of Life, Health and Environmental Sciences University of L'Aquila, Italy
| |
Collapse
|
42
|
Sgolastra F, Petrucci A, Severino M, Gatto R, Monaco A. Periodontitis, implant loss and peri-implantitis. A meta-analysis. Clin Oral Implants Res 2013; 26:e8-e16. [PMID: 24382358 DOI: 10.1111/clr.12319] [Citation(s) in RCA: 96] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/19/2013] [Indexed: 01/01/2023]
Abstract
OBJECTIVE The aim of the present systematic review and meta-analysis was to assess the role of periodontal disease as a risk factor for implant loss, peri-implantitis and implant-bone loss. MATERIALS AND METHODS Six electronic database and a manual search resulted in 7391 unique publications; after selection only 16 studies were included in systematic review. Dichotomous data were expressed as risk ratio (RR) and 95% confidence interval (CI), while continuous data were expressed as standardized mean difference (SMD). Due to the expected inter-study heterogeneity, a random effect model was used for both type of data. The pooled effect was considered significant for a P < 0.05. RESULTS Meta-analysis revealed that an higher and significant risk for implant loss was present in patients affected by PD (RR: 1.69, 95% CI: 1.31-2.17, P < 0.0001). A higher and significant IBL was present in patients with periodontal disease, when compared with patients periodontally healthy (SMD: 0.38, 95% CI: 0.18-0.58, P = 0.0002). Patients periodontally compromised showed an increased risk of PI, when compared with patients without periodontitis (RR: 2.17, 95% CI: 1.51-3.12, P < 0.0001) No evidence of significant heterogeneity was detected for the three outcomes. CONCLUSION Strong evidence suggests that periodontitis is a risk factor for implant loss; moderate evidence revealed that periodontitis is a risk factor for peri-implantitis and that patients with periodontitis have higher implant-bone loss.
Collapse
Affiliation(s)
- F Sgolastra
- Department of Life Health and Environmental Sciences, School of Dentistry, University of L'Aquila, L'Aquila, Italy
| | - A Petrucci
- Department of Life Health and Environmental Sciences, School of Dentistry, University of L'Aquila, L'Aquila, Italy
| | - M Severino
- Department of Life Health and Environmental Sciences, School of Dentistry, University of L'Aquila, L'Aquila, Italy
| | - R Gatto
- Department of Life Health and Environmental Sciences, School of Dentistry, University of L'Aquila, L'Aquila, Italy
| | - A Monaco
- Department of Life Health and Environmental Sciences, School of Dentistry, University of L'Aquila, L'Aquila, Italy
| |
Collapse
|
43
|
Mastrangelo F, Grilli A, Tettamanti L, Gatto R, Marzo G, Vinci R, Tagliabue A, Felaco M, Tete S, Gherlone E. Nitric oxide synthase isoenzyme expression in human oral lichen planus. J BIOL REG HOMEOS AG 2013; 27:1069-1075. [PMID: 24382189] [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: 06/03/2023]
Abstract
The roles of nitric oxide (NO) synthase (NOS) enzyme in pathological mechanisms of the oral cavity are still incompletely understood. The aim of this study was to investigate the expression of the endothelial, neuronal and inducible isoforms of NOS (eNOS, nNOS and iNOS) in oral lichen planus (OLP) development in humans. OLP and healthy oral mucosa biopsies were taken for mRNA and protein analysis of NOS isoenzymes by RT-PCR, western blot and immunohistochemistry. The mRNA and protein levels of eNOS and nNOS were present in all samples, with a significant increase only for eNOS in OLP. The normal oral mucosa exhibited only small amounts of iNOS mRNA and protein, while it showed a significant rise in OLP samples. These results were confirmed by immunohistochemical analysis. Our findings suggest that NO produced by increased eNOS and iNOS expression may have circulatory and immune functions in the development of OLP.
Collapse
Affiliation(s)
- F Mastrangelo
- Department of Oral Medical Science and Biotechnology, University of Chieti, Chieti, Italy
| | - A Grilli
- Institute of Pathology and Histology, AUSL of Chieti, Chieti, Italy
| | - L Tettamanti
- Department of Oral Science, Insubria University of Varese, Varese, Italy
| | - R Gatto
- Department of Surgical Science, University of LAquila, LAquila, Italy
| | - G Marzo
- Department of Surgical Science, University of LAquila, LAquila, Italy
| | - R Vinci
- Department of University of Vita e Salute, Milano, Italy
| | - A Tagliabue
- Department of Oral Science, Insubria University of Varese, Varese, Italy
| | - M Felaco
- Institute of Pathology and Histology, AUSL of Chieti, Chieti, Italy
| | - S Tete
- Department of Oral Medical Science and Biotechnology, University of Chieti, Chieti
| | - E Gherlone
- Department of University of Vita e Salute, Milano, Italy
| |
Collapse
|
44
|
Muzio LL, Santarelli A, Orsini G, Memè L, Mattioli-Belmonte M, De Florio I, Gatto R, Gallusi G, Nocini P, Bertossi D, Emanuelli M, Putignano A, Bambini F. MG63 and MC3T3-E1 Osteoblastic Cell Lines Response to Raloxifene. EUR J INFLAMM 2013. [DOI: 10.1177/1721727x1301100322] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Bone resorption in edentulous regions often results in inadequate ridge for implant osseointegration. In order to overcome this problem, the use of osteoconductive biomaterials has been proposed as a carrier for different types of pharmacological molecules. Since raloxifene, a drug used in osteoporosis therapy, inhibits the osteoclast, but not osteoblast functions, it has been suggested to improve recovery during implant surgery. The present work evaluated in vitro the effect of raloxifene on two different cell populations: the human osteoblast-like cells (MG63) and osteoblasts derived from rat calvaria (MC3T3-E1). The morpho-functional investigations carried out showed a different behavior of the two cell lines. Raloxifene showed a stimulatory effect towards MG63 cell proliferation with a significant increase in cell viability after 7 days of culture. On the contrary, MC3T3-E1 cells showed a significant reduction in cell viability, when compared with the same cells at 72 h, or with the control cell population. The predominantly proliferative effect of raloxifene on MG63 cells is partly confirmed by the reduction of alkaline phosphatase activity, an early marker of osteoblast differentiation. The different effect of raloxifene on osteoblastic population in relationship to the type and age of the cell is an issue that needs further investigation.
Collapse
Affiliation(s)
- L. Lo Muzio
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
| | - A. Santarelli
- Department of Clinical Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
- Odontostomatologic Clinic, National Institute of Care and Research on Ageing, Ancona, Italy
| | - G. Orsini
- Department of Clinical Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - L. Memè
- Department of Clinical Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - M. Mattioli-Belmonte
- Department of Clinical and Molecular Sciences, Marche Polytechnic University, Ancona, Italy
| | - I. De Florio
- Department of Clinical and Experimental Medicine, Foggia University, Foggia, Italy
- Department of Surgical Sciences, L'Aquila University, L'Aquila, Italy
| | - R. Gatto
- Department of Surgical Sciences, L'Aquila University, L'Aquila, Italy
| | - G. Gallusi
- Department of Surgical Sciences, L'Aquila University, L'Aquila, Italy
| | - P.F. Nocini
- Department of Maxillo-Facial Surgery, University of Verona, Verona, Italy
| | - D. Bertossi
- Department of Maxillo-Facial Surgery, University of Verona, Verona, Italy
| | - M. Emanuelli
- Department of Clinical Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - A. Putignano
- Department of Clinical Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
| | - F. Bambini
- Department of Clinical Specialistic and Stomatological Sciences, Marche Polytechnic University, Ancona, Italy
- Odontostomatologic Clinic, National Institute of Care and Research on Ageing, Ancona, Italy
| |
Collapse
|
45
|
Monaco A, Petrucci A, Marzo G, Necozione S, Gatto R, Sgolastra F. Effects of correction of Class II malocclusion on the kinesiographic pattern of young adolescents: a case- control study. Eur J Paediatr Dent 2013; 14:131-134. [PMID: 23758463] [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: 06/02/2023]
Abstract
AIM The aim of this study was to assess the dynamic activity of the mandible by means of a computerised kinesiograph in Class II patients treated with orthodontic therapy and to compare the results of this group with those of a sample of untreated Class II patients. METHODS Twenty young adolescents who had undergone orthodontic treatment for correction of Class II malocclusion and twenty age and sex-matched adolescents exhibiting Class II malocclusion, whose parents refused the orthodontic treatment, were enrolled. Maximum vertical opening (MVO), maximum anterior-posterior movement (MAPM), maximum right deviation (MRD), maximum left deviation (MLD), MVO/ MAPM ratio, maximum velocity in opening (MVIO), maximum velocity in closure (MVIC), verticality (ID-V), anterior-posteriority (ID-AP) and laterality (ID-L) were recorded during the kinesiographic evaluations. Differences in the kinesiographic data were analysed using the Wilcoxon sum rank test; data are expressed as means and standard deviations (SD). Differences between groups in age were analysed using unpaired t-test, while differences in gender distribution were assessed using the Fisher's exact test. The level of significance was set at p < 0.05. RESULTS No differences were detected in the distribution of sex and age between the two groups. Significant differences between the two groups were observed for MVO, MAPM, that were higher in the control group, and MLD, which was higher in the case group; no other significant differences were detected for MRD, MVO/ MAPM, MVIO, MVIC, ID-V, ID-AP, ID-L. CONCLUSION Orthodontic treatment of young patients with Class II malocclusion may reduce the maximum vertical opening as well as the maximum anterior-posterior movement and enhance the lateral displacement; however, further studies are needed to assess the relationship between impaired mandible kinetics of orthodontic treatment in patients with Class II malocclusion and craniomandibular disorders.
Collapse
Affiliation(s)
- A Monaco
- Department of Life, health and environmental sciences, University of L'Aquila, L'Aquila, Italy.
| | | | | | | | | | | |
Collapse
|
46
|
Abstract
This systematic review and meta-analysis assessed the efficacy of lasers in reducing dentin hypersensitivity (DH) as compared with placebo or no treatment. Seven electronic databases and a manual search resulted in 2,538 unique publications. After selection, 13 studies were included in the meta-analysis. A CONSORT-based quality assessment revealed that 3 and 10 studies were at low and high risk of bias, respectively. A random-effects model with the generic inverse variance standardized mean difference (SMD) was used because of expected heterogeneity. Meta-analyses of the baseline-end of follow-up changes in pain revealed no differences for Er,Cr:YSSG vs. placebo (SMD = 2.49; 95% CI, -0.25 to 5.22; p = .07) but did reveal differences in favor of lasers for Er:YAG vs. placebo (SMD, 2.65; 95% CI, 1.25 to 4.05; p = .0002), Nd:YAG vs. placebo (SMD, 3.59; 95% CI, 0.49 to 6.69; p = .02), and GaAlAs vs. placebo (SMD, 3.40; 95% CI, 1.93 to 4.87; p < .00001). High and significant heterogeneity was found for all comparisons. In conclusion, Er:YAG, Nd:YAG, and GaAlAs lasers appear to be efficacious in reducing DH. However, given the high heterogeneity of the included studies, future randomized controlled clinical trials are needed to confirm these results.
Collapse
Affiliation(s)
- F. Sgolastra
- Department of Life, Health, and Environmental Sciences, School of Dentistry, University of L’Aquila, Italy
| | - A. Petrucci
- Department of Life, Health, and Environmental Sciences, School of Dentistry, University of L’Aquila, Italy
| | - M. Severino
- Department of Life, Health, and Environmental Sciences, School of Dentistry, University of L’Aquila, Italy
| | - R. Gatto
- Department of Life, Health, and Environmental Sciences, School of Dentistry, University of L’Aquila, Italy
| | - A. Monaco
- Department of Life, Health, and Environmental Sciences, School of Dentistry, University of L’Aquila, Italy
| |
Collapse
|
47
|
Sgolastra F, Severino M, Petrucci A, Gatto R, Monaco A. Effectiveness of metronidazole as an adjunct to scaling and root planing in the treatment of chronic periodontitis: a systematic review and meta-analysis. J Periodontal Res 2013; 49:10-9. [DOI: 10.1111/jre.12089] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/21/2013] [Indexed: 12/01/2022]
Affiliation(s)
- F. Sgolastra
- Department of Health Sciences; School of Dentistry; University of L'Aquila; L'Aquila Italy
| | - M. Severino
- Department of Health Sciences; School of Dentistry; University of L'Aquila; L'Aquila Italy
| | - A. Petrucci
- Department of Health Sciences; School of Dentistry; University of L'Aquila; L'Aquila Italy
| | - R. Gatto
- Department of Health Sciences; School of Dentistry; University of L'Aquila; L'Aquila Italy
| | - A. Monaco
- Department of Health Sciences; School of Dentistry; University of L'Aquila; L'Aquila Italy
| |
Collapse
|
48
|
Monaco A, Sgolastra F, Cattaneo R, Petrucci A, Marci MC, D'Andrea PD, Gatto R. Prevalence of myopia in a population with malocclusions. Eur J Paediatr Dent 2012; 13:256-258. [PMID: 23046255] [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: 06/01/2023]
Abstract
AIM The purpose of this study was to investigate the prevalence of myopia among a paediatric population with malocclusions. MATERIALS AND METHODS A total of 322 consecutive patients of the department of Orthodontics and Gnathology, Dental Clinic, University of L'Aquila, were enlisted for the study and 292 were selected according to the exclusion criteria. Pretreatment diagnostic data, which included radiographic cephalometric and dental cast evaluation, were recorded and presence of myopia was assessed through an ophthalmological examination. Differences in the prevalence of myopia by sex and malocclusion were analysed by using Pearson's chi-square and Fisher's exact tests. RESULTS According to the sagittal malocclusion, patients were classified as Class I (N=162), Class II division 1 (N=75), Class II division 2 (N=38), or Class III (N=12). No gender influence was found for myopia or malocclusion. No differences were recorded when analysing the influence of sex on the prevalence of myopia in classes of malocclusion. A statistical significant higher prevalence was found for subjects showing myopia in Class II division 1 malocclusion, while no other significant differences were found for prevalence in the other classes of malocclusions. DISCUSSION Few studies investigated a possible relationship between the ocular and stomatognathic system, and no data are available in the scientific literature. A higher prevalence of myopia was found in patients with Class II division 1: as expected no other significant association was found. CONCLUSION The findings of the present study suggest a possible association between myopia and Class II, but further studies are needed to confirm and explain this observation.
Collapse
Affiliation(s)
- A Monaco
- Department of Health Sciences, School of Dentistry, University of L'Aquila, Italy
| | | | | | | | | | | | | |
Collapse
|
49
|
Abstract
The aim of this study was to assess the flexural strengths of three resin composites prepared at room temperature or cured after 20 or 40 cycles of preheating to a temperature of 45°C. Three resin composites were evaluated: Enamel Plus HFO (Micerium) (HFO), Enamel Plus HRi (Micerium) (HRi), Opallis + (FGM) (OPA). One group of specimens for each composite was fabricated under ambient laboratory conditions, whereas in the other groups, the composites were cured after 20 or 40 preheating cycles to a temperature of 45°C in a preheating device. Ten specimens were prepared for each group. A three-point bending test was performed using a universal testing machine at a crosshead speed of 0.5 mm/min. Data were analyzed with a two-way analysis of variance (ANOVA) test and a Games-Howell test (α = 0.05). The two-way ANOVA showed that both the material and the number of heating cycles were significant factors, able to influence the flexural strength values (p<0.05). However, there was not a statistically significant interaction (p>0.05). For all three composites flexural strengths were not affected after 20 preheating cycles in comparison with the control groups (0 preheating cycles) but were, however, significantly decreased when 40 prewarming cycles were conducted. The HRi and OPA groups had the highest flexural strengths, with no statistically significant differences among them. HFO presented significantly lower flexural strengths in comparison with HRi.
Collapse
Affiliation(s)
- M D'Amario
- Division of Restorative Dentistry, Department of Health Sciences Dental Clinic, University of L'Aquila, L'Aquila, Italy.
| | | | | | | | | |
Collapse
|
50
|
Cargini P, Fidanza F, Facente MV, Sgolastra F, Gatto R, Cutilli T. Gingival Myofibroma. A case report. Eur J Paediatr Dent 2012; 13:81-83. [PMID: 22455535] [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: 05/31/2023]
Abstract
AIM The Myofibroma (MF) is a benign mesenchymal tumor frequently observed in the skin and subcutaneous tissue of the head-neck region. It is described mainly in infants with congenital forms and, in early childhood, with acquired forms. Less often, it can be observed in adolescents and adults. The location of a MF in the oral cavity is occasional and differential diagnosis must be established with other benign and malignant neoplasms, high or low grade, of the oral mucosa. The histology of the myofibroma shows a biphasic growth pattern: elongated spindle cells with eosinophilic cytoplasm, in the borders, polygonal cells arranged in a palisading pattern, with hyperchromatic nuclei, in the central portions. The diagnosis of MF, usually made after excision of the neoformation, is obtained by means of immunohistochemistry, in which there is positivity for vimentin and αactine smooth muscle antibodies and negativity for keratin, S-100, EMA (Epithelial Membrane Antigen) antibodies. The treatment is surgical; the prognosis is generally good with low rates of recurrence after excision. CASE REPORT The authors describe a case of MF in a 16-year-old male subject, that came to their observation for the growth of a considerable mass attached to the gingival mucosa, describing the therapeutic strategy.
Collapse
Affiliation(s)
- P Cargini
- University of L'Aquila Health Sciences Department, Maxillofacial Surgery Unit, Italy.
| | | | | | | | | | | |
Collapse
|