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Air polishing therapy in supportive periodontal treatment: a systematic review 空气抛光疗法在支持牙周治疗中的应用:系统综述
Q4 Medicine Pub Date : 2023-04-03 DOI: 10.56609/jac.v41i1.269
A. Pardo, F. Baccini, R. De Manzoni, M. Viviani, S. Brentaro, A. Zangani, P. Faccioni, U. Luciano, N. Zuffellato, A. Signoriello, N. Tomizioli, G. Lombardo, N. Zerman, G. Sanna, S. Wang
The aim of this study was to analyze tooth surface roughness and clinical parameters by a systematic review of the literature to compare the efficacy of air polishing with hand or ultrasonic instrumentation during supportive periodontal therapy (SPT). This study used a research question based on the PICO method. Bibliographic research was performed using four different databases. For the search of the articles, the work was divided into two parts: the first part analyzed the clinical parameters of air polishing in supportive periodontal therapy, and the second part analyzed the effects of air polishing on hard tissues. Of 164 articles concerning clinical parameters, 49 met the inclusion criteria; from 64 articles concerning hard tissues, it reached 4. Excluding these doubles, 12 were chosen for the literature review: eight RCTs, one retrospective cohort study, and three in vitro studies. The scientific literature has shown that air polishing, scaling, and root planing in supportive periodontal therapy give similar clinical results. However, air polishing seems to preserve the hard tissues of the tooth more than the traditional treatment with ultrasonic or manual instrumentation.
本研究的目的是通过对文献的系统回顾来分析牙齿表面粗糙度和临床参数,以比较在支持性牙周治疗(SPT)过程中用手或超声仪器进行空气抛光的疗效。本研究使用了一个基于PICO方法的研究问题。文献研究使用四个不同的数据库进行。为了检索文章,工作分为两部分:第一部分分析了空气抛光在支持性牙周治疗中的临床参数,第二部分分析了气体抛光对硬组织的影响。在164篇关于临床参数的文章中,49篇符合纳入标准;在64篇关于硬组织的文章中,它达到了4篇。排除这些双因素,选择12项进行文献综述:8项随机对照试验、1项回顾性队列研究和3项体外研究。科学文献表明,在支持性牙周治疗中,空气抛光、洁治和牙根刨削可以获得类似的临床结果。然而,空气抛光似乎比传统的超声波或手动仪器治疗更能保护牙齿的硬组织。
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引用次数: 0
Removal of bacterial biofilm in patients undergoing fixed orthodontic treatment: a literature review 固定正畸治疗患者细菌生物膜的去除:文献综述
Q4 Medicine Pub Date : 2023-03-15 DOI: 10.56609/jac.v41i1.267
A. Pardo, F. Baccini, R. De Manzoni, M. Viviani, L. Pancheri, A. Zangani, P. Faccioni, U. Luciano, N. Zuffellato, A. Signoriello, F. Melloni, N. Tomizioli, G. Lombardo, N. Zerman, M. Cortellini
Orthodontic treatment is highly popular for restoring functional and facial esthetics in juveniles and adults. However, the prevalence of biofilm-related complications remains high. The objectives of this review are to 1) identify which of the two professional prophylaxis systems analyzed, rubber cup polishing (RCP) and air-powder polishing (APP), is the most effective in removing bacterial biofilm in patients undergoing fixed orthodontic treatment, and 2) the comfort expressed by the patient and any damage caused to the orthodontic device. The search yielded 23 scientific articles, 14 of which were excluded, and 6 met the inclusion criteria. From the studies analyzed, it is, therefore, possible to state that the APP technique is more effective than the RCP technique in removing dental plaque, and treatment is less time-consuming and safer concerning orthodontic devices, as none of the scientific articles examined did APP cause any damage to the orthodontic device or debonding of the brackets.
正畸治疗在青少年和成年人中非常流行,用于恢复功能和面部美学。然而,生物膜相关并发症的发生率仍然很高。本综述的目的是:1)确定所分析的两种专业预防系统,橡胶杯抛光(RCP)和空气粉末抛光(APP)中哪一种在去除接受固定正畸治疗的患者的细菌生物膜方面最有效,以及2)患者表现出的舒适感和对正畸装置造成的任何损伤。检索得到23篇科学文章,其中14篇被排除在外,6篇符合入选标准。因此,从所分析的研究中可以看出,APP技术在去除牙菌斑方面比RCP技术更有效,而且正畸设备的治疗耗时更少,也更安全,因为在所检查的科学文章中,APP没有对正畸设备造成任何损坏或托槽脱粘。
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引用次数: 0
Rendu-Osler’s disease: the effectiveness of mixed technology laser (Alexandrite laser combined with Nd:YAG laser) Rendu-Osler病:混合技术激光(Alexandrite激光联合Nd:YAG激光)的有效性
Q4 Medicine Pub Date : 2023-03-03 DOI: 10.56609/jac.v41i1.264
Chiara Cozzi, R. Mocchi, E. d’Este, S. Caravello, M. Campoli, A. Minuti, M. Herrera, H. Galadari, M. Borodina, R. Rauso, N. Zerbinati
Rendu-Osler’s disease is an autosomal dominant disorder that usually affects the skin and mucous membranes, but also internal organs can be involved. To date, laser treatments have been used only to treat systemic lesions, while diathermocoagulation has been considered the primary treatment for skin lesions. We wished to evaluate the effectiveness of treatment with Alexandrite laser combined with Nd:YAG laser on vascular skin lesions of these patients. Vascular skin damage of 3 patients afflicted with Rendu-Osler’s disease was treated with Alexandrite laser combined with Nd laser:YAG laser. After 3 treatments, once a month, we found a remarkable improvement in skin lesions. The cutaneous manifestations of Rendu-Osler’s disease do not increase the mortality of these patients but are often the source of psychological discomfort. For this reason, it is necessary to have an effective treatment on hand and the Alexandrite laser combined with Nd:YAG laser represents an excellent therapeutic alternative to the diathermocoagulation.
Rendu-Osler氏病是一种常染色体显性遗传病,通常影响皮肤和粘膜,但也可累及内脏。迄今为止,激光治疗仅用于治疗全身病变,而透热凝固被认为是皮肤病变的主要治疗方法。我们希望评价翠绿宝石激光联合Nd:YAG激光治疗这些患者血管性皮肤病变的有效性。对3例Rendu-Osler病血管皮肤损伤患者,采用翠绿宝石激光联合Nd激光:YAG激光治疗。经过3次治疗,每月一次,我们发现皮肤病变明显改善。Rendu-Osler病的皮肤表现不会增加这些患者的死亡率,但往往是心理不适的根源。因此,有必要进行有效的治疗,而亚历山大宝石激光联合Nd:YAG激光是透热凝治疗的一种极好的治疗选择。
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引用次数: 0
New approach for the treatment of autoimmune diseases 治疗自身免疫性疾病的新方法
Q4 Medicine Pub Date : 2023-02-21 DOI: 10.56609/jac.v41i1.228
D. Kaliterna, B. Barać
Autoimmune diseases are due to a dysregulation of the immune system’s balance, which attacks healthy cells in the body, leading to tissue damage. They can affect different organs/tissues, and the skin represents one of the most affected. Among the skin-related autoimmune diseases, Cutaneous Lupus Erythematosus (CLE) and Morphea are included. Both conditions present various cutaneous manifestations and may also show systemic involvement. It is noted that they can be challenging to treat, often recalcitrant to currently available therapies, thus causing significant distress to affected patients. The approach of personalised medicine, based on regenerative therapies, has been growing in recent years. The use of autologous adult stem cells has successfully treated autoimmune diseases. In this study, we aimed to evaluate the treatment based on patient-specific adipose-tissue stem cells (ASCs) in our two distinct cohorts of patients affected by CLE (n=20) and Morphea (n=12). Patients presenting only with skin lesions underwent local ASCs therapy by intradermal injection in the affected areas. At the same time, patients who also had extra-cutaneous involvement (complicated cases) received a combined therapy consisting of both intradermal and intravenous injections of ASCs. Overall, after 1 month of treatment, an improvement has been observed in 78% and 73% of subjects treated with intradermal injections and combined therapy, respectively. Notably, a better response to ASCs-based therapy has been reported in CLE patients, reaching an 86% in complicated cases. Our study promotes the application of autologous ASCs as an effective therapeutic strategy in skin-related autoimmune diseases.
自身免疫性疾病是由于免疫系统平衡失调,攻击体内健康细胞,导致组织损伤。它们可以影响不同的器官/组织,而皮肤是受影响最严重的器官之一。在与皮肤相关的自身免疫性疾病中,包括皮肤性红斑狼疮(CLE)和吗啡。这两种情况都表现为各种皮肤表现,也可能表现为全身受累。值得注意的是,它们的治疗可能具有挑战性,通常对目前可用的治疗方法难以抗拒,从而给受影响的患者带来重大痛苦。近年来,基于再生疗法的个性化医疗方法不断发展。自体成体干细胞的使用已经成功地治疗了自身免疫性疾病。在这项研究中,我们旨在评估基于患者特异性脂肪组织干细胞(ASCs)的治疗,这两组患者分别患有CLE(n=20)和吗啡(n=12)。仅表现为皮肤损伤的患者通过在受影响区域皮内注射进行局部ASCs治疗。同时,也有皮肤外受累的患者(复杂病例)接受了联合治疗,包括皮内和静脉注射ASCs。总的来说,在治疗1个月后,分别有78%和73%的受试者接受皮内注射和联合治疗后病情有所好转。值得注意的是,据报道,CLE患者对ASCs治疗的反应更好,在复杂病例中达到86%。我们的研究促进了自体ASCs作为皮肤相关自身免疫性疾病的有效治疗策略的应用。
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引用次数: 6
An improvement of upper airway flow in patients treated with rapid maxillary expansion: a Cone Beam Computed Tomography study 上颌骨快速扩张患者上呼吸道流量的改善:锥形束计算机断层扫描研究
Q4 Medicine Pub Date : 2023-02-16 DOI: 10.56609/jac.v41i1.192
P. Faccioni, L. Sacchetto, S. Sinigaglia, M. Marchiori, A. Pardo, A. Zangani, U. Luciano, F. Melloni, M. Albanese, D. De Santis, L. Trevisiol, P. Pancera, N. Zerman, R. Nocini
Rapid Maxillary Expansion (RME) is an orthopaedic treatment used to correct the transverse deficit of the maxilla. Most often, this defect is diagnosed in mouth-breathing patients. Rapid Palatal Expander (RPE) treatment increases the upper airways’ volume and decreases resistance, promoting physiological nasal breathing. The aim of this study is to measure the volume of the upper airways by employing Cone-beam Computed Tomography (CBCT) to evaluate the anatomical space where the major effects of RME occurred. Twenty-four subjects (mean age, 10.17 ± 1.75 years) treated with McNamara-type rapid palatal expander were selected. Two CBCT scans were taken for each patient: the first at the beginning (T0) and the second at the end of the treatment (T1). For each CBCT scan, Total Volume (TV), Retropalatal Volume (RPV) and Retroglossal Volume (RGV) were measured with the software ITK-Snap. The statistical analysis was performed using the paired samples t-test, with a p-value of 0.05. RPV significantly increased (Δ T1-T0: 680.75 mm3 ± 792.63 mm3, P<0.05). No significant changes were found in TV (Δ T1-T0: 452.92 mm3 ± 3091.7 mm3, P>0.05) and in RGV (Δ T1-T0: 166.92 mm3 ± 666.97 mm3, P>0.05). In this study, patients showed a statistically significant increase in RPV after RPE treatment. The CBCT scans provide only quantitative volumetric data, so it would be appropriate to determine the clinical significance of the obtained results with a functional examination (for example, rhinomanometry). The radiological protocol should be standardised to overcome limitations such as tongue posture during scan recording, swallowing and breathing control. Further studies are needed to evaluate the long-term stability of these effects on the airways.
快速上颌扩大术(RME)是一种用于矫正上颌骨横向缺损的整形外科治疗方法。大多数情况下,这种缺陷是在口腔呼吸患者中诊断出来的。快速腭扩张器(RPE)治疗可增加上呼吸道的体积并降低阻力,促进生理性鼻呼吸。本研究的目的是通过使用锥形束计算机断层扫描(CBCT)来测量上呼吸道的体积,以评估RME主要影响发生的解剖空间。选择24名受试者(平均年龄10.17±1.75岁)接受McNamara型快速腭扩张器治疗。每个患者进行两次CBCT扫描:第一次在治疗开始时(T0),第二次在治疗结束时(T1)。对于每次CBCT扫描,使用ITK Snap软件测量总容积(TV)、腭后容积(RPV)和舌后容积(RGV)。使用配对样本t检验进行统计分析,p值为0.05。RPV显著升高(ΔT1-T0:680.75 mm3±792.63 mm3,P<0.05),RGV明显升高(ΔT1-T0:166.92 mm3±666.97 mm3,P>0.05)。CBCT扫描只提供定量的体积数据,因此通过功能检查(例如鼻测压)来确定所获得结果的临床意义是合适的。放射学协议应标准化,以克服扫描记录过程中的舌头姿势、吞咽和呼吸控制等限制。需要进一步的研究来评估这些影响对气道的长期稳定性。
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引用次数: 0
The paranasal sinus localization of cholesteatoma: a systematic review 胆脂瘤的鼻窦定位系统评价
Q4 Medicine Pub Date : 2023-02-13 DOI: 10.56609/jac.v41i1.159
R. Nocini, N. Bisi, C. Liberale, G. Raguso, V. Arietti, G. Molteni, L. Sacchetto
Paranasal sinus cholesteatoma is a rare occurrence for which only a few cases have been reported in the literature, particularly in the frontal and maxillary sinuses. The clinical features are non-specific, and thus a broad differential diagnosis should be considered. In most cases, diagnostic imaging is carried out through CT and/or MRI scans, and the treatment goal is complete eradication regardless of the approach. In our review, we followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines and Egger et al.’s approach for Systematic Reviews in Health Care. The papers included were in English or Italian, with an available and congruous full text. Out of the 140 selected articles, we included only 22 papers, ranging from 1958 to 2020 and accounting for 24 patients. Eleven had cholesteatoma in the frontal, 9 in the maxillary sinus, and 4 in other sites. Most patients underwent CT scans or combined CT and MRI, and an open approach was the most selected procedure. Only 2 patients showed postoperative complications, and 5 patients had a recurrence over an average follow-up period of 25 months. In this first systematic review on this subject, we provide an overview of the diagnostic procedures, the proper surgical approach and the postoperative follow-up found in the literature without precise and shared guidelines.
鼻窦胆脂瘤是一种罕见的疾病,文献中只有少数病例报道,尤其是在额窦和上颌窦。临床特征是非特异性的,因此应该考虑广泛的鉴别诊断。在大多数情况下,诊断成像是通过CT和/或MRI扫描进行的,无论采用何种方法,治疗目标都是彻底根除。在我们的综述中,我们遵循了系统评价和荟萃分析的首选报告项目(PRISMA)指南和Egger等人的医疗保健系统评价方法。收录的论文是英文或意大利文,全文一致。在140篇精选文章中,我们只收录了22篇论文,从1958年到2020年,共有24名患者。额部胆脂瘤11例,上颌窦胆脂瘤9例,其他部位胆脂瘤4例。大多数患者都接受了CT扫描或CT和MRI联合扫描,开放式入路是最受欢迎的手术方式。只有2名患者出现术后并发症,5名患者在平均25个月的随访期内复发。在这篇关于该主题的首次系统综述中,我们概述了文献中发现的诊断程序、正确的手术方法和术后随访,但没有精确和共享的指南。
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引用次数: 0
The solved and unsolved mysteries of human life 人类生活中已解开和未解开的谜团
Q4 Medicine Pub Date : 2023-02-10 DOI: 10.56609/jac.v41i1.155
P. Morganti
.
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引用次数: 0
Progressive Lipodystrophy: topical laser treatment with Endolift® procedure using Eufoton® LASEmaR®1500 1470-nm wavelength 进行性脂营养不良:使用Eufoton®LASEmaR®1500 1470 nm波长的Endolift®程序进行局部激光治疗
Q4 Medicine Pub Date : 2023-02-01 DOI: 10.56609/jac.v41i1.66
J. Sigova, J. S. J. Sigova, D. K. D. Kaliterna, A. A. A. Abdelmaksoud
Lipodystrophies are a group of rare disorders of diverse aetiology characterised by variable body fat loss. The loss of body fat may affect nearly the entire body (generalised), only certain body regions (partial) or small areas under the skin (localised). Body fat loss can result from underlying genetic defects, autoimmune mechanisms, or drugs. Progressive lipodystrophy is a chronic, inflammatory, degenerative disease of the connective tissue. It leads to the blockage of the circulation and lymphatic drainage, followed by an accumulation of toxins, which promote hyperplasia of the fat cells. As a consequence, connective tissue rigidity promotes skin dimpling or orange skin. This study was designed to evaluate the efficiency of Endolift®, a novel minimally invasive outpatient laser procedure, for the treatment of Progressive Lipodystrophy. 30 women showing cellulite, in the range of 20 to 55 y-o, were enrolled for this study. Patients have undergone a single treatment under tumescent anaesthesia. Treatment was performed using the Endolift® procedure, consisting of the device Eufoton® LASEmaR® 1500. In addition, a 1470-nm wavelength laser was utilised, lead by micro-optical fibres of different calibres directly inside the skin. This treatment aims to destroy and remove degenerative connective tissue and promote neocollagenesis. Optimal results were obtained by 23 patients, 5 had good results, and 2 reported moderate results. No side effect was recorded. Adipocytolysis was performed on 6 patients and we removed 50 to 350 ml of fat. Even after 3 years, 80% of patients maintain significant results. These data show that Endolift® laser treatment represents one of the most effective treatments for removing Progressive Lipodystrophy.
脂肪营养不良是一组罕见的疾病,其病因多种多样,其特征是身体脂肪损失不一。身体脂肪的损失可能影响几乎整个身体(全身),只有某些身体区域(局部)或皮肤下的小区域(局部的)。身体脂肪的减少可能是由潜在的遗传缺陷、自身免疫机制或药物引起的。进行性脂肪营养不良是一种结缔组织的慢性炎症性退行性疾病。它会导致循环和淋巴引流堵塞,随后毒素堆积,从而促进脂肪细胞增生。因此,结缔组织僵硬会促进皮肤凹陷或橙色皮肤。本研究旨在评估Endolift®(一种新型微创门诊激光手术)治疗进行性脂营养不良的疗效。30名显示脂肪团的女性参加了这项研究,年龄在20-55岁之间。患者在肿胀麻醉下接受了单一治疗。使用Endolift®程序进行治疗,该程序由Eufoton®LASEmaR®1500装置组成。此外,还使用了1470 nm波长的激光,由直接在皮肤内部的不同口径的微光学纤维引导。这种治疗旨在破坏和去除退行性结缔组织,促进新胶原的形成。23名患者获得了最佳结果,5名患者取得了良好结果,2名患者报告了中等结果。没有记录到副作用。对6名患者进行了脂肪细胞溶解,我们去除了50至350毫升的脂肪。即使在3年后,80%的患者仍保持显著的疗效。这些数据表明,Endolift®激光治疗是去除进行性脂肪营养不良最有效的治疗方法之一。
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引用次数: 2
Could digital workflow replace the conventional? A narrative review 数字化工作流程能取代传统工作流程吗?叙述性评论
Q4 Medicine Pub Date : 2023-02-01 DOI: 10.56609/jac.v41i1.156
A. Zangani, F. Gelpi, P. Faccioni, U. Luciano, A. Pardo, F. Melloni, T. Zambotti, C. Alberti, N. Zerman
In the last ten years, digital technologies have conditioned our lives in many ways. Also, in dentistry, new inventions changed our working routine, accompanying the clinician from the analogic epoch to the digital. A fully digital workflow seems to be very promising in terms of less discomfort for the patients and less time needed to make an impression than the traditional method. However, many aspects still need to be investigated, such as the procedure’s complexity, the optical impression’s reliability, the precision of the CAD-CAM-made crown, the costs, and the time needed to deliver a final crown. This review aims to understand, analyzing some RCT studies, whether a digital workflow is reliable compared to the analogic.
在过去的十年里,数字技术在很多方面影响了我们的生活。此外,在牙科领域,新的发明改变了我们的工作常规,伴随着临床医生从模拟时代进入数字时代。与传统方法相比,完全数字化的工作流程似乎非常有前途,因为它减少了患者的不适,缩短了留下印象所需的时间。然而,仍有许多方面需要研究,如手术的复杂性、光学印模的可靠性、cad - cam制造的冠的精度、成本和交付最终冠所需的时间。本综述旨在了解和分析一些RCT研究,与类比工作流程相比,数字工作流程是否可靠。
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引用次数: 0
Acne scars topical treatment: Endolift® direct optical energy using 1470-nm wavelength Eufoton® LASEmaR® 1500 痤疮疤痕局部治疗:使用1470 nm波长的Eufoton®LASEmaR®1500的Endolift®直接光能
Q4 Medicine Pub Date : 2023-02-01 DOI: 10.56609/jac.v41i1.71
I. B. Sitohang, D. Kaliterna, M. Kamalska, A. Abdelmaksoud, N. E. Tsoureli
The present work was designed to evaluate the efficiency of the procedure Endolift® studied to reduce skin depression and scars. Thirty patients with acne scars, mostly deep rolling, of both sex ranging from 19 to 32 year-of-age, were treated; 30% of them presented active acne. The Endolift® laser treatment is based on wavelength 1470-nm of the device Eufoton® LASEmaR® 1500 and LIGHTSCAN™ - a fractional, non-ablative laser treatment. Only one session of 300-mm diameter laser fibre inserted under the skin was performed; 70% of enrolled patients were without anaesthesia, and 30% were treated with air-cooling systems or block anaesthesia. Sixty-five% of the patients reported immediate smoothing of the scars with only one application; for the 35%, we used 2 to 3 treatments based on LIGHTSCAN™ to keep acne under control. Twenty patients with rolling scars needed only one session of treatment to reach optimal results; 10 patients with other types of acne scars reported moderate to medium improvement and needed a second treatment. Although day-by-day improvement was visible, the final result was obtained after 12 months. The treatment had permanent results, and there were no downtimes or side effects. Laser sub-incision is a game changer for acne scar treatments, especially deep rolling scars.
本工作旨在评估Endolift®手术的效率,该手术旨在减少皮肤凹陷和疤痕。对30名痤疮疤痕患者进行了治疗,这些患者大多是深卷痤疮疤痕,年龄从19岁到32岁不等;30%为活动性痤疮。Endolift®激光治疗基于Eufoton®LASEmaR®1500和LIGHTSCAN设备的波长1470 nm™ - 一种部分的非消融激光治疗。仅进行了一次将直径为300mm的激光纤维插入皮肤下的治疗;70%的入选患者没有麻醉,30%的患者使用空气冷却系统或阻滞麻醉进行治疗。65%的患者报告说,仅使用一次就可以立即抚平疤痕;对于35%的患者,我们使用了2到3种基于LIGHTSCAN的治疗方法™ 控制粉刺。20名滚动疤痕患者只需一次治疗即可达到最佳效果;10名患有其他类型痤疮疤痕的患者报告中度至中度改善,需要进行第二次治疗。尽管每天都有明显的改善,但在12个月后获得了最终结果。治疗取得了永久性的效果,没有出现停机或副作用。激光子切口是痤疮疤痕治疗的游戏规则改变者,尤其是深层滚动疤痕。
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引用次数: 0
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Journal of applied cosmetology
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