Pub Date : 2017-01-21eCollection Date: 2017-10-01DOI: 10.11138/orl/2017.10.4.468
M Andreasi Bassi, M A Lopez, L Confalone, D Lauritano, V Candotto
Purpose: The crestal sinus lifting by means of hydraulic technique associated with a nano-cristalline hydroxyapatite in an aqueous medium is investigated.
Materials and methods: A specific purpose-made instrument is used, consisting of a syringe with a micrometrically controlled piston connected to a dispenser used to inject, in a calibrated and precise manner, noted volumes of graft material into the sub-schneiderian space. Adopting such a technique the Authors performed 7 future site developments, on 7 patients (2 males; 5 females; mean age 49.29±8.08 years), using a nanocrystalline hydroxyapatite. In the second stage, performed at 5.71±1.52 months, 7 implants were placed, after harvesting bone biopsies from the regenerated sites. The samples underwent histological and histomorphometric analysis.
Results: The average percentage of vital bone was of 33.27±5.98%, while the bone marrow and graft material were 60.84±5.93% and 5.87±3.05%, respectively.
Conclusions: The results confirm the effectiveness of this method in restoring bone volume in the sub-antral region. Furthermore nano-cristalline hydroxyapatite is a proper material for sinus floor augmentation.
{"title":"Clinical and histomorphometric outcome in future site development performed with a nano-hydroxyapatite through hydraulic sinus lift technique.","authors":"M Andreasi Bassi, M A Lopez, L Confalone, D Lauritano, V Candotto","doi":"10.11138/orl/2017.10.4.468","DOIUrl":"https://doi.org/10.11138/orl/2017.10.4.468","url":null,"abstract":"<p><strong>Purpose: </strong>The crestal sinus lifting by means of hydraulic technique associated with a nano-cristalline hydroxyapatite in an aqueous medium is investigated.</p><p><strong>Materials and methods: </strong>A specific purpose-made instrument is used, consisting of a syringe with a micrometrically controlled piston connected to a dispenser used to inject, in a calibrated and precise manner, noted volumes of graft material into the sub-schneiderian space. Adopting such a technique the Authors performed 7 future site developments, on 7 patients (2 males; 5 females; mean age 49.29±8.08 years), using a nanocrystalline hydroxyapatite. In the second stage, performed at 5.71±1.52 months, 7 implants were placed, after harvesting bone biopsies from the regenerated sites. The samples underwent histological and histomorphometric analysis.</p><p><strong>Results: </strong>The average percentage of vital bone was of 33.27±5.98%, while the bone marrow and graft material were 60.84±5.93% and 5.87±3.05%, respectively.</p><p><strong>Conclusions: </strong>The results confirm the effectiveness of this method in restoring bone volume in the sub-antral region. Furthermore nano-cristalline hydroxyapatite is a proper material for sinus floor augmentation.</p>","PeriodicalId":38303,"journal":{"name":"ORAL and Implantology","volume":"10 4","pages":"468-476"},"PeriodicalIF":0.0,"publicationDate":"2017-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892651/pdf/468-476.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36031703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-21eCollection Date: 2017-10-01DOI: 10.11138/orl/2017.10.4.457
F Secondo, C F Grottoli, I Zollino, G Perale, D Lauritano
During a sinus lift procedure the main requirement in order to position an implant is to have a maxillary sinus floor cortical bone thick enough to guarantee a primary stability in the implant inserted. In this way, the healing process is facilitated and osseointegration of the titanium surface may occur simultaneously, thus reducing the waiting time for the engraftment of the implant into the body. Unfortunately, these conditions are not always present. Hence, the need of developing an alternative approach that could simultaneously allow to perform sinus floor elevation along with an implant placement. Here we present the case of a 62-year-old patient that requires implant-prosthetic rehabilitation from 1.2 to 1.6 at diagnosis. In this study, we reported a novel application derived from the use of a heterologous bone scaffold (SmartBone@) in a sinus lift procedure. We showed the successful implant along with sinus lift with SmartBone@, both at the time of the surgery and after follow-up of the patient at 10 months from the implant. The possibility to perform simultaneously the contextual implant along with sinus lift dramatically reduced the waiting time for the patient of minimum 5-6 months required for osseointegration of the grafted biomaterials, before performing the implant procedure. This surgery represents an advance both in terms of medical technique and as life-benefit for the patient.
{"title":"Positioning of a contextual implant along with a sinus lift anchored with a block of heterologous bone.","authors":"F Secondo, C F Grottoli, I Zollino, G Perale, D Lauritano","doi":"10.11138/orl/2017.10.4.457","DOIUrl":"https://doi.org/10.11138/orl/2017.10.4.457","url":null,"abstract":"<p><p>During a sinus lift procedure the main requirement in order to position an implant is to have a maxillary sinus floor cortical bone thick enough to guarantee a primary stability in the implant inserted. In this way, the healing process is facilitated and osseointegration of the titanium surface may occur simultaneously, thus reducing the waiting time for the engraftment of the implant into the body. Unfortunately, these conditions are not always present. Hence, the need of developing an alternative approach that could simultaneously allow to perform sinus floor elevation along with an implant placement. Here we present the case of a 62-year-old patient that requires implant-prosthetic rehabilitation from 1.2 to 1.6 at diagnosis. In this study, we reported a novel application derived from the use of a heterologous bone scaffold (SmartBone@) in a sinus lift procedure. We showed the successful implant along with sinus lift with SmartBone@, both at the time of the surgery and after follow-up of the patient at 10 months from the implant. The possibility to perform simultaneously the contextual implant along with sinus lift dramatically reduced the waiting time for the patient of minimum 5-6 months required for osseointegration of the grafted biomaterials, before performing the implant procedure. This surgery represents an advance both in terms of medical technique and as life-benefit for the patient.</p>","PeriodicalId":38303,"journal":{"name":"ORAL and Implantology","volume":"10 4","pages":"457-467"},"PeriodicalIF":0.0,"publicationDate":"2017-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892665/pdf/457-467.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36031702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-11-13DOI: 10.11138/orl/2016.9.1.001
M. Girolamo, R. Calcaterra, R. D. Gianfilippo, C. Arcuri, L. Baggi
The amount of marginal bone loss is considered an important criterion to evaluate the implant therapy outcome and to predict the prognosis of the implant rehabilitation. The purpose of this systematic review was to examine the available literature comparing clinical and radiological outcomes like the implant failure rates and marginal bone loss around platform switching dental implants versus platform matching ones. English randomized controlled human clinical trials, comparing one or more PS groups with one or more PM groups, with at least 12 months of follow-up after loading and 10 implants, providing carefully the number of PS- and PM- implants used as well as implant survival and data concerning bone level changes or marginal bone loss around implants, were included. Fifteen publications, involving a total of 1439 implants and 642 patients, were eligible. More studies showed less mean marginal bone loss around PS implants and none of them showed differences in terms of implant failure rates. This review confirmed a great effectiveness of platform switching technique to prevent marginal bone resorption. Nevertheless, this result should be interpreted cautiously because of the heterogeneity of the included studies.
{"title":"Bone level changes around platform switching and platform matching implants: a systematic review with meta-analysis.","authors":"M. Girolamo, R. Calcaterra, R. D. Gianfilippo, C. Arcuri, L. Baggi","doi":"10.11138/orl/2016.9.1.001","DOIUrl":"https://doi.org/10.11138/orl/2016.9.1.001","url":null,"abstract":"The amount of marginal bone loss is considered an important criterion to evaluate the implant therapy outcome and to predict the prognosis of the implant rehabilitation. The purpose of this systematic review was to examine the available literature comparing clinical and radiological outcomes like the implant failure rates and marginal bone loss around platform switching dental implants versus platform matching ones. English randomized controlled human clinical trials, comparing one or more PS groups with one or more PM groups, with at least 12 months of follow-up after loading and 10 implants, providing carefully the number of PS- and PM- implants used as well as implant survival and data concerning bone level changes or marginal bone loss around implants, were included. Fifteen publications, involving a total of 1439 implants and 642 patients, were eligible. More studies showed less mean marginal bone loss around PS implants and none of them showed differences in terms of implant failure rates. This review confirmed a great effectiveness of platform switching technique to prevent marginal bone resorption. Nevertheless, this result should be interpreted cautiously because of the heterogeneity of the included studies.","PeriodicalId":38303,"journal":{"name":"ORAL and Implantology","volume":"29 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2016-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11138/orl/2016.9.1.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63487613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-11-13DOI: 10.11138/orl/2016.9.3.123
L. Milillo, C. Fiandaca, F. Giannoulis, L. Ottria, A. Lucchese, F. Silvestre, M. Petruzzi
PURPOSE This study aims to evaluate differences in implant stability between post-extractive implants vs immediately placed post-extractive implants by resonance frequency analysis (RFA). MATERIALS AND METHODS Patients were grouped into two different categories. In Group A 10 patients had an immediate post-extractive implant, then a provisional, acrylic resin crown was placed (immediate loading). In Group B (control group) 10 patients only had an immediate post-extractive implant. Both upper and lower premolars were chosen as post-extractive sites. Implant Stability Quotient (ISQ) was measured thanks to RFA measurements (Osstell®). Five intervals were considered: immediately after surgery (T0) and every four weeks, until five months after implant placement (T1, T2, T3, T4,T5). A statistical analysis by means of Student's T-test (significance set at p<0.05) for independent sample was carried out in order to compare Groups A and B. RESULTS The ISQ value between the two groups showed a statistically significant difference (p<0.02) at T1. No statistically significant difference in ISQ was assessed at T0, T2, T3, T4 and T5. CONCLUSIONS After clinical assessment it is possible to confirm that provisional and immediate prosthetic surgery in post-extraction sites with cone-shaped implants, platform-switching abutment and bioactive surface can facilitate osseointegration, reducing healing time.
{"title":"Immediate vs non-immediate loading post-extractive implants: a comparative study of implant stability quotient (ISQ).","authors":"L. Milillo, C. Fiandaca, F. Giannoulis, L. Ottria, A. Lucchese, F. Silvestre, M. Petruzzi","doi":"10.11138/orl/2016.9.3.123","DOIUrl":"https://doi.org/10.11138/orl/2016.9.3.123","url":null,"abstract":"PURPOSE\u0000This study aims to evaluate differences in implant stability between post-extractive implants vs immediately placed post-extractive implants by resonance frequency analysis (RFA).\u0000\u0000\u0000MATERIALS AND METHODS\u0000Patients were grouped into two different categories. In Group A 10 patients had an immediate post-extractive implant, then a provisional, acrylic resin crown was placed (immediate loading). In Group B (control group) 10 patients only had an immediate post-extractive implant. Both upper and lower premolars were chosen as post-extractive sites. Implant Stability Quotient (ISQ) was measured thanks to RFA measurements (Osstell®). Five intervals were considered: immediately after surgery (T0) and every four weeks, until five months after implant placement (T1, T2, T3, T4,T5). A statistical analysis by means of Student's T-test (significance set at p<0.05) for independent sample was carried out in order to compare Groups A and B.\u0000\u0000\u0000RESULTS\u0000The ISQ value between the two groups showed a statistically significant difference (p<0.02) at T1. No statistically significant difference in ISQ was assessed at T0, T2, T3, T4 and T5.\u0000\u0000\u0000CONCLUSIONS\u0000After clinical assessment it is possible to confirm that provisional and immediate prosthetic surgery in post-extraction sites with cone-shaped implants, platform-switching abutment and bioactive surface can facilitate osseointegration, reducing healing time.","PeriodicalId":38303,"journal":{"name":"ORAL and Implantology","volume":"9 3 1","pages":"123-131"},"PeriodicalIF":0.0,"publicationDate":"2016-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11138/orl/2016.9.3.123","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63488495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-01DOI: 10.11138/orl/2016.9.4.190
R. Franco, Michela Basili, A. Venditti, C. Chiaramonte, L. Ottria, A. Barlattani, P. Bollero
The purpose of this text is to evaluate the distribution by sex and age of TMD patients and the frequency of pain on palpation of the lateral pterygoid muscle, pterygoid internal, sternocleidomastoid, masseter, temporal. The purpose is also to assess the existence of direct correlations between the articulating click and lateral deviation, the headache and tenderness of the temporal, the back pain and tenderness of the sternocleidomastoid, the postural disorders and difficulty finding the exact mating closing, the disorders related to previous dental procedures (large conservative reconstructions, rehabilitations fixed dentures and dental extractions) and tenderness to the temporal and masseter. 623 medical records, including 451 males and 175 females were randomly selected. It was statistically calculated the F/M ratio, age distribution and frequency of muscle tenderness to palpation through the relationship of positive feedback on the total sample multiplied by one hundred. The correlation between various disorders was calculated by estimating the Mantel-Haenszel common odds ratio. For each result it has been finally calculated the asymptotic level of significance.
{"title":"Statistical analysis of the frequency distribution of signs and symptoms of patients with temporomandibular disorders.","authors":"R. Franco, Michela Basili, A. Venditti, C. Chiaramonte, L. Ottria, A. Barlattani, P. Bollero","doi":"10.11138/orl/2016.9.4.190","DOIUrl":"https://doi.org/10.11138/orl/2016.9.4.190","url":null,"abstract":"The purpose of this text is to evaluate the distribution by sex and age of TMD patients and the frequency of pain on palpation of the lateral pterygoid muscle, pterygoid internal, sternocleidomastoid, masseter, temporal. The purpose is also to assess the existence of direct correlations between the articulating click and lateral deviation, the headache and tenderness of the temporal, the back pain and tenderness of the sternocleidomastoid, the postural disorders and difficulty finding the exact mating closing, the disorders related to previous dental procedures (large conservative reconstructions, rehabilitations fixed dentures and dental extractions) and tenderness to the temporal and masseter. 623 medical records, including 451 males and 175 females were randomly selected. It was statistically calculated the F/M ratio, age distribution and frequency of muscle tenderness to palpation through the relationship of positive feedback on the total sample multiplied by one hundred. The correlation between various disorders was calculated by estimating the Mantel-Haenszel common odds ratio. For each result it has been finally calculated the asymptotic level of significance.","PeriodicalId":38303,"journal":{"name":"ORAL and Implantology","volume":"1 1","pages":"190-201"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63489186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-01DOI: 10.11138/orl/2016.9.4.157
M. A. Bassi, C. Andrisani, S. Lico, Z. Ormanier, A. Barlattani, L. Ottria
PURPOSE In this article the Authors describe a procedure aimed to restore under endoscopic control, the continuity, of the Schneiderian membrane (SM) incidentally teared during a sinus lift with transcrestal approach. MATERIALS E METHODS In a 44-year-old male, due to aforementioned complication, the SM was gently detached via transcrestal approach, with a customized small ball burnisher, in order to facilitate the placement of a collagen sponge, to close the communication with the sinus, followed by the subsequent insertion of a graft material. All the procedure was endoscopically controlled and, considering the successful grafted area elevation, was simultaneously followed by implant placement. After 6 months the second stage was performed always under endoscopic control. RESULTS The endoscopic view of the grafted area showed a dome-shaped elevation sited on the top of the implant, the SM was apparently normal with no signs of inflammation, the antrum was empty and normally functioning. Periapical X-rays were performed: immediately after the surgery; at both 14 days and 6 months post-operative; at 6 months post prosthetic finalization. The volume of the grafted area progressively decreased over the time while its radiopacity, on the contrary, gradually increased, as expected after graft integration and remodelling. The implant was submitted to no functional load for 4 months by means of a temporary screwable acrylic crown inserted on a peek abutment and then finalized with a cementable metal-ceramic crown on a preformed titanium abutment. CONCLUSION The Authors recommend the use of endoscope to repair the SM incidentally teared during transcrestal sinus lift.
{"title":"Endoscopic management of the schneiderian membrane perforation during transcrestal sinus augmentation: a case report.","authors":"M. A. Bassi, C. Andrisani, S. Lico, Z. Ormanier, A. Barlattani, L. Ottria","doi":"10.11138/orl/2016.9.4.157","DOIUrl":"https://doi.org/10.11138/orl/2016.9.4.157","url":null,"abstract":"PURPOSE\u0000In this article the Authors describe a procedure aimed to restore under endoscopic control, the continuity, of the Schneiderian membrane (SM) incidentally teared during a sinus lift with transcrestal approach.\u0000\u0000\u0000MATERIALS E METHODS\u0000In a 44-year-old male, due to aforementioned complication, the SM was gently detached via transcrestal approach, with a customized small ball burnisher, in order to facilitate the placement of a collagen sponge, to close the communication with the sinus, followed by the subsequent insertion of a graft material. All the procedure was endoscopically controlled and, considering the successful grafted area elevation, was simultaneously followed by implant placement. After 6 months the second stage was performed always under endoscopic control.\u0000\u0000\u0000RESULTS\u0000The endoscopic view of the grafted area showed a dome-shaped elevation sited on the top of the implant, the SM was apparently normal with no signs of inflammation, the antrum was empty and normally functioning. Periapical X-rays were performed: immediately after the surgery; at both 14 days and 6 months post-operative; at 6 months post prosthetic finalization. The volume of the grafted area progressively decreased over the time while its radiopacity, on the contrary, gradually increased, as expected after graft integration and remodelling. The implant was submitted to no functional load for 4 months by means of a temporary screwable acrylic crown inserted on a peek abutment and then finalized with a cementable metal-ceramic crown on a preformed titanium abutment.\u0000\u0000\u0000CONCLUSION\u0000The Authors recommend the use of endoscope to repair the SM incidentally teared during transcrestal sinus lift.","PeriodicalId":38303,"journal":{"name":"ORAL and Implantology","volume":"9 4 1","pages":"157-163"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11138/orl/2016.9.4.157","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63488152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-01DOI: 10.11138/orl/2016.9.4.164
M. A. Bassi, C. Andrisani, S. Lico, Z. Ormanier, L. Ottria, M. Gargari
PURPOSE The aim of this paper was to evaluate the histological and histomorphometric outcome of Preformed Titanium Foil (PTF) to perform Guided Bone Regeneration (GBR) in posterior mandibular atrophies. MATERIALS AND METHODS 10 subjects (1 male; 9 females; mean age 58±11.37 years), with distal mandibular atrophies were selected to perform GBR by means of PTF, using a moldable allograft paste as graft material. The devices, made of a 0,2 mm thick pure titanium foil, were pre-shaped using stereolithographic models obtained from CT-scan of the patients' recipient site. In the second stage, performed at 6.7±2.33 months, 18 cylindrical two-piece implants were placed and the devices removed, at the same time bone biopsies were harvested. At 4 months, the implants were exposed and submitted to progressive prosthetic load for a span of 4 months. The cases were finalized by means of metal-ceramic cementable restorations. The post finalization follow-up was at 12 months. RESULTS Survival rate (i.e. SVR) was 100% since none fixtures were lost. At the one-year follow up the clinical appearance of the soft tissues was optimal and not pathological signs on probing were recorded. The success rate (i.e. SCR) was 88.2% and the average peri-implant bone reabsorption was 1.17±0.41 mm. The average rate of graft contraction was 19.4±10.55%. The mean percentage occupied by mineralized bone was 48.03±5.93%, while the bone marrow and graft material were 36.1±2.81% and 15.87±4.87 %, respectively. CONCLUSION The results suggest good potentialities of the method for GBR in distal mandibular atrophies, allowing to maximize the outcome and simplifying the surgical phase.
{"title":"Guided bone regeneration via a preformed titanium foil: clinical, histological and histomorphometric outcome of a case series.","authors":"M. A. Bassi, C. Andrisani, S. Lico, Z. Ormanier, L. Ottria, M. Gargari","doi":"10.11138/orl/2016.9.4.164","DOIUrl":"https://doi.org/10.11138/orl/2016.9.4.164","url":null,"abstract":"PURPOSE\u0000The aim of this paper was to evaluate the histological and histomorphometric outcome of Preformed Titanium Foil (PTF) to perform Guided Bone Regeneration (GBR) in posterior mandibular atrophies.\u0000\u0000\u0000MATERIALS AND METHODS\u000010 subjects (1 male; 9 females; mean age 58±11.37 years), with distal mandibular atrophies were selected to perform GBR by means of PTF, using a moldable allograft paste as graft material. The devices, made of a 0,2 mm thick pure titanium foil, were pre-shaped using stereolithographic models obtained from CT-scan of the patients' recipient site. In the second stage, performed at 6.7±2.33 months, 18 cylindrical two-piece implants were placed and the devices removed, at the same time bone biopsies were harvested. At 4 months, the implants were exposed and submitted to progressive prosthetic load for a span of 4 months. The cases were finalized by means of metal-ceramic cementable restorations. The post finalization follow-up was at 12 months.\u0000\u0000\u0000RESULTS\u0000Survival rate (i.e. SVR) was 100% since none fixtures were lost. At the one-year follow up the clinical appearance of the soft tissues was optimal and not pathological signs on probing were recorded. The success rate (i.e. SCR) was 88.2% and the average peri-implant bone reabsorption was 1.17±0.41 mm. The average rate of graft contraction was 19.4±10.55%. The mean percentage occupied by mineralized bone was 48.03±5.93%, while the bone marrow and graft material were 36.1±2.81% and 15.87±4.87 %, respectively.\u0000\u0000\u0000CONCLUSION\u0000The results suggest good potentialities of the method for GBR in distal mandibular atrophies, allowing to maximize the outcome and simplifying the surgical phase.","PeriodicalId":38303,"journal":{"name":"ORAL and Implantology","volume":"9 4 1","pages":"164-174"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11138/orl/2016.9.4.164","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63488159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-01DOI: 10.11138/orl/2016.9.4.175
D. Venere, R. Gaudio, A. Laforgia, G. Stefanachi, Silvio Tafuri, F. Pettini, F. Silvestre, Massimo Petruzzi, M. Corsalini
PURPOSE The aim of this retrospective case-control study was to identify, in a group of growing children and adolescents affected by malocclusion, specific dento-skeletal characteristics which could be correlated to the onset, in the above-mentioned subjects, of craniomandibular disorders (CMD). MATERIALS AND METHODS Among the patients treated at the Paedodontics and Orthodontics department of Bari Dental School, we recruited a group of patients with malocclusion and symptoms of temporomandibular disorders, as an experimental group. We considered as controls those patients who, match-paired to their skeletal class depending on the ANB angle, did not show any CMD sign or symptom. RESULTS Of the 128 examined patients, 15 showed signs and/or symptoms of CMD (11.7%). When compared to 15 patients non-affected by CMD, we could not detect statistically significant differences in both skeletal and occlusal characteristics. It is still interesting to notice how in CMD patients, characteristics of skeletal hyperdivergence are often to be found. CONCLUSIONS The present study seems to confirm that in growing children and adolescents, the presence of signs and/or symptoms of CMD is not associable to a specific vertical skeletal growth pattern or to other specific occlusal characteristics.
{"title":"Correlation between dento-skeletal characteristics and craniomandibular disorders in growing children and adolescent orthodontic patients: retrospective case-control study.","authors":"D. Venere, R. Gaudio, A. Laforgia, G. Stefanachi, Silvio Tafuri, F. Pettini, F. Silvestre, Massimo Petruzzi, M. Corsalini","doi":"10.11138/orl/2016.9.4.175","DOIUrl":"https://doi.org/10.11138/orl/2016.9.4.175","url":null,"abstract":"PURPOSE\u0000The aim of this retrospective case-control study was to identify, in a group of growing children and adolescents affected by malocclusion, specific dento-skeletal characteristics which could be correlated to the onset, in the above-mentioned subjects, of craniomandibular disorders (CMD).\u0000\u0000\u0000MATERIALS AND METHODS\u0000Among the patients treated at the Paedodontics and Orthodontics department of Bari Dental School, we recruited a group of patients with malocclusion and symptoms of temporomandibular disorders, as an experimental group. We considered as controls those patients who, match-paired to their skeletal class depending on the ANB angle, did not show any CMD sign or symptom.\u0000\u0000\u0000RESULTS\u0000Of the 128 examined patients, 15 showed signs and/or symptoms of CMD (11.7%). When compared to 15 patients non-affected by CMD, we could not detect statistically significant differences in both skeletal and occlusal characteristics. It is still interesting to notice how in CMD patients, characteristics of skeletal hyperdivergence are often to be found.\u0000\u0000\u0000CONCLUSIONS\u0000The present study seems to confirm that in growing children and adolescents, the presence of signs and/or symptoms of CMD is not associable to a specific vertical skeletal growth pattern or to other specific occlusal characteristics.","PeriodicalId":38303,"journal":{"name":"ORAL and Implantology","volume":"9 4 1","pages":"175-184"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63488166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-01DOI: 10.11138/orl/2016.9.4.222
M. Di Girolamo, C. Arullani, R. Calcaterra, J. Manzi, C. Arcuri, L. Baggi
AIM The objective of this study was to compare different approaches temporary restoration in an immediate implant placement. To determine the respective influence of each parameter, two treatment groups were formed; a strict and standardized study protocol was applied to minimize the influence of bias and confounding factors. The Pink Esthetic Score (PES) - the esthetic out-come of soft tissue appearance was evaluated. MATERIAL AND METHODS Sixteen patients with a single failing tooth in the maxilla and a natural contralateral site were randomly distributed into two groups. Treatment variations affected the provisional restorative in detail, group 1 with immediate implant placement and immediate temporary restoration with the simulation of the first three mm of the root and the seal of the socket, group 2 with immediate implant placement and immediate temporary restoration without the seal of the socket. All patients received the final prosthetic restoration 10-12 weeks after implant placement. Standardized photographs were taken eight months after tooth extraction. Five competent observers analyzed the esthetic outcome according to the PES. RESULTS The overall scores of the four treatment groups revealed PES values of 8.47 (SD 2.08, group 1), 6.62 (SD 3.24, group 2). The differences between groups 1 and 2 and were statistically significant (P=0.015 and P=0.047). The single parameter analysis displayed a certain range of fluctuation and heterogeneity. CONCLUSIONS Immediate implant placement and restoration appear to be a suitable alternative to early implant placement if an experienced surgeon is entrusted with the implantation procedure.
{"title":"Preservation of extraction socket in immediate implant placement: a clinical study.","authors":"M. Di Girolamo, C. Arullani, R. Calcaterra, J. Manzi, C. Arcuri, L. Baggi","doi":"10.11138/orl/2016.9.4.222","DOIUrl":"https://doi.org/10.11138/orl/2016.9.4.222","url":null,"abstract":"AIM\u0000The objective of this study was to compare different approaches temporary restoration in an immediate implant placement. To determine the respective influence of each parameter, two treatment groups were formed; a strict and standardized study protocol was applied to minimize the influence of bias and confounding factors. The Pink Esthetic Score (PES) - the esthetic out-come of soft tissue appearance was evaluated.\u0000\u0000\u0000MATERIAL AND METHODS\u0000Sixteen patients with a single failing tooth in the maxilla and a natural contralateral site were randomly distributed into two groups. Treatment variations affected the provisional restorative in detail, group 1 with immediate implant placement and immediate temporary restoration with the simulation of the first three mm of the root and the seal of the socket, group 2 with immediate implant placement and immediate temporary restoration without the seal of the socket. All patients received the final prosthetic restoration 10-12 weeks after implant placement. Standardized photographs were taken eight months after tooth extraction. Five competent observers analyzed the esthetic outcome according to the PES.\u0000\u0000\u0000RESULTS\u0000The overall scores of the four treatment groups revealed PES values of 8.47 (SD 2.08, group 1), 6.62 (SD 3.24, group 2). The differences between groups 1 and 2 and were statistically significant (P=0.015 and P=0.047). The single parameter analysis displayed a certain range of fluctuation and heterogeneity.\u0000\u0000\u0000CONCLUSIONS\u0000Immediate implant placement and restoration appear to be a suitable alternative to early implant placement if an experienced surgeon is entrusted with the implantation procedure.","PeriodicalId":38303,"journal":{"name":"ORAL and Implantology","volume":"9 4 1","pages":"222-232"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63489257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-10-01DOI: 10.11138/orl/2016.9.4.185
G. Nardi, S. Sabatini, D. Lauritano, F. Silvestre, M. Petruzzi
PURPOSE The aim of this study is to evaluate and compare the effectiveness of two different desensitizing varnishes. MATERIALS AND METHODS Ninety healthy adults suffering from tooth sensitivity were divided into three groups. Two different varnishes were used for the study: Fluor Protector S, containing 7700 ppm fluoride (group I), and Cervitec F, containing 1400 ppm fluoride and 0.3% chlorhexidine (group II). A placebo containing water and ethanol was applied for the third group. Tooth sensitivity was collected according the Schiff' scale at baseline and after 30 and 90 days. RESULTS Group I and group II improved with statistically significant results. Group III did not show any improvements. CONCLUSIONS Desensitizing varnishes are a valid treatment for tooth hypersensitivity.
{"title":"Effectiveness of two different desensitizing varnishes in reducing tooth sensitivity: a randomized double-blind clinical trial.","authors":"G. Nardi, S. Sabatini, D. Lauritano, F. Silvestre, M. Petruzzi","doi":"10.11138/orl/2016.9.4.185","DOIUrl":"https://doi.org/10.11138/orl/2016.9.4.185","url":null,"abstract":"PURPOSE\u0000The aim of this study is to evaluate and compare the effectiveness of two different desensitizing varnishes.\u0000\u0000\u0000MATERIALS AND METHODS\u0000Ninety healthy adults suffering from tooth sensitivity were divided into three groups. Two different varnishes were used for the study: Fluor Protector S, containing 7700 ppm fluoride (group I), and Cervitec F, containing 1400 ppm fluoride and 0.3% chlorhexidine (group II). A placebo containing water and ethanol was applied for the third group. Tooth sensitivity was collected according the Schiff' scale at baseline and after 30 and 90 days.\u0000\u0000\u0000RESULTS\u0000Group I and group II improved with statistically significant results. Group III did not show any improvements.\u0000\u0000\u0000CONCLUSIONS\u0000Desensitizing varnishes are a valid treatment for tooth hypersensitivity.","PeriodicalId":38303,"journal":{"name":"ORAL and Implantology","volume":"9 4 1","pages":"185-189"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11138/orl/2016.9.4.185","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63489266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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