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Annali di stomatologia最新文献

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Modern concepts in Implant-Supported Fixed Complete Dental Prostheses (IFCDPs): from traditional solutions to current monolithic zirconia restorations. Concise review 种植体支持的固定全牙修复体(ifcdp)的现代概念:从传统的解决方案到目前的整体氧化锆修复体。简洁回顾
Pub Date : 2023-01-01 DOI: 10.59987/ads/2023.2.7-11
A Berzaghi
Implant-supported fixed complete dental prostheses (IFCDPs) can be made with different prosthetic designs in a wide range of material combinations. The choice of materials and the implant-prosthetic design are closely linked. In the recent past, the combinations of materials used for full-arch fixed prosthetic restorations were exclusively: metal-acrylic resin, metal-composite resin and metal-ceramic. In the last two decades, zirconia frameworks have become increasingly popular in the implant prosthetic field and the introduction of CAD/CAM technology has made it possible to approach full-arch restorations in a different way. The most advanced implant-prosthetic designs exploit the aesthetic and mechanical strength qualities of the latest generation monolithic zirconia. These solutions looks very promising. However, the long-term outcome of these implant-supported rehabilitations remains still unknown due to the lack of sufficient clinical data.
种植体支持的固定全牙修复体(ifcdp)可以采用不同的假体设计和广泛的材料组合。材料的选择与种植体-假体的设计是密切相关的。近年来,用于全弓固定修复体的材料组合主要有金属-丙烯酸树脂、金属-复合树脂和金属-陶瓷。在过去的二十年里,氧化锆框架在种植体修复领域越来越受欢迎,CAD/CAM技术的引入使得以不同的方式接近全弓修复成为可能。最先进的植入假体设计利用了最新一代单片氧化锆的美学和机械强度品质。这些解决方案看起来非常有希望。然而,由于缺乏足够的临床数据,这些种植体支持康复的长期结果仍然未知。
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引用次数: 0
Extraction of an upper premolar due to a root fracture and subsequent implant positioning: a case report 由于牙根骨折而拔除上前磨牙和随后的种植体定位:1例报告
Pub Date : 2023-01-01 DOI: 10.59987/ads/2023.2.19-23
L Ceresoli
Objectives: Root fracture, from an etiological point of view, constitutes the progression of the incomplete lesion. The treatment of this type of lesion involves the root fragments extraction, as in the case below, in their entirety. Vertical fractures can in fact include the entire thickness of the root, if complete. They may involve the buccal surface, the lingual surface or both surfaces, also extending to the periodontal attachment. In this case there was a fistula at the buccal level, in fact the presence of fistulas in this type of lesions can be detected in 35-42% of cases of root fractures1. The following article presents the clinical case of a patient who had the fractured root residue of element 1.5 with vestibular fistula that required masticatory and element aesthetic restoration.
目的:根骨折,从病因学的角度来看,构成了不完全病变的进展。这类病变的治疗包括完整地拔出根碎片,如下例所示。垂直骨折实际上可以包括根部的整个厚度,如果完整的话。可累及颊面、舌面或两面,也可累及牙周附着物。在本例中,口腔水平有瘘管,事实上,在35-42%的根骨折病例中,这种类型的病变中可以发现瘘管的存在1。下面的文章介绍了一名患者的临床病例,该患者患有1.5元根残留物骨折并前庭瘘,需要咀嚼和元美学修复。
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引用次数: 0
Classification system for partial edentulism: ABC classification 局部牙髓病的分类系统:ABC分类法
Pub Date : 2023-01-01 DOI: 10.59987/ads/2022.1-4.21-26
S Bortolini
Objectives: This article proposes a classification system for partial edentulism according to criteria of patient’s efficiency, sufficiency and functional deficitsMethods: The ABC classification is based on a critical analysis of functional units premolars and molars in antagonism between them. The indispensable diagnostic tools are the visit of patient, diagnostic imaging tests and model analysis in antagonism to each other. Results: Classification proposal. The classification recognizes and classifies three distinct functional levels identifying them with a letter and a standardized color code. Class A (green) represents an anatomical condition that allows bilateral masticatory function; Class B (yellow) identifies bilateral edentulous conditions and represents a condition of functional sufficiency. Class C (red) represents the condition of functional insufficiency.Conclusions: The ABC classification represents a rapid pre-diagnostic tool capable of identifying 3 levels of difficulty of the clinical case: progressively, proceeding from green to red, the clinician can ideally foresee the series of pretreatments and the level of difficulty in prosthetic acceptance of every single individual. The classification is proposed as a general guideline with which to analyze advantages and disadvantages of different therapeutic alternatives, but also as an effective communication tool with the patient.
目的:根据患者的有效性、充分性和功能缺陷的标准,提出了局部全牙的分类体系。方法:通过对前臼齿和磨牙之间的拮抗功能单位进行批判性分析,建立ABC分类体系。患者访视、影像诊断检查和模型分析三者相互对抗,是必不可少的诊断手段。结果:分类建议。该分类识别并分类了三个不同的功能级别,用字母和标准化的颜色代码来标识它们。A类(绿色)代表解剖状态允许双侧咀嚼功能;B级(黄色)标识双侧无牙状态,代表功能充足的状态。C类(红色)表示功能不全。结论:ABC分类是一种快速的预诊断工具,能够识别临床病例的3个困难等级:从绿色到红色,循序渐进,临床医生可以理想地预见到每个个体的预处理系列和假体接受的困难程度。该分类是作为分析不同治疗方案优缺点的一般指南,也是与患者有效沟通的工具。
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引用次数: 0
Clinical and histomorphometric comparison of autologous dentin graft versus a deproteinized bovine bone graft for Socket Preservation 自体牙本质移植物与去蛋白牛骨移植物保存牙槽的临床和组织形态学比较
Pub Date : 2023-01-01 DOI: 10.59987/ads/2020.1-4.02-09
G Gallusi
Dentin has been an important topic of study for its potential use as a bone substitute because it has a higher mineral content than any material derived from bone. Furthermore, dentin is similar to autologous bone in two ways: it is both osteocompatible and osteoconductive, thus providing a physical matrix for the sediment of new bone. In this comparative study, we evaluated the osteoinductive and osteoconductive possibilities of various materials normally used in “socket preservation” or alveolar ridge preservation. From the results obtained, it can be seen that autologous dentin matrix and bovine-derived xenografts (Bio-Oss) achieved better bone regeneration with a greater amount of newly formed bone (expressed by the BV/TV parameter) and less fibrous bone, which has unfavorable characteristics for implant biomechanics.
牙本质作为骨替代物的潜在用途一直是一个重要的研究课题,因为它比任何来源于骨的材料具有更高的矿物质含量。此外,牙本质在两个方面与自体骨相似:既具有骨相容性又具有骨导电性,从而为新骨的沉积提供了物理基质。在这项比较研究中,我们评估了通常用于“骨臼保存”或牙槽嵴保存的各种材料的骨诱导和骨传导的可能性。从结果可以看出,自体牙本质基质和牛源异种移植物(Bio-Oss)的骨再生效果更好,新成骨量(以BV/TV参数表示)更多,纤维骨较少,这对种植体的生物力学性能不利。
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引用次数: 0
Digital dentistry: myth or reality? 数字牙科:神话还是现实?
Pub Date : 2023-01-01 DOI: 10.59987/ads/2021.1-4.1
M Frascaria
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引用次数: 0
Clinical management of a severe case of positional obstructive sleep apnea syndrome 1例重度体位阻塞性睡眠呼吸暂停综合征的临床处理
Pub Date : 2023-01-01 DOI: 10.59987/ads/2019.1-4.17-21
N Venza
Obstructive sleep apnea syndrome (OSAS) is a common disorder which involves upper airway collapse during sleep. Positional Obstructive Sleep Apnoea Syndrome is a sub-type of OSAS characterized by obstructive apneas mainly in the supine sleeping position. Mandibular advancement devices (MAD) are recommended as first-line therapy for mild to moderate OSA or as second-line treatment for severe OSA for patients who do not tolerate or respond to CPAP. A case report of severe positional OSAS (AHI/h 34.7) is presented. The clinical case was studied by CBCT head and neck scan and nocturnal polysomnography and treated with a mandibular advancement device, positional therapy, dietary adjustments and instructions for proper sleep hygiene. After the treatment the patient’s AHI decreased to 5.1 and his general health improved. The MAD appliance represents a valid therapeutic alternative in subjects with severe OSAS who do not tolerate CPAP. A combined approach to the pathology can improve the patient’s overall health and quality of life.
阻塞性睡眠呼吸暂停综合征(OSAS)是一种常见的睡眠时上呼吸道塌陷的疾病。体位阻塞性睡眠呼吸暂停综合征是OSAS的一个亚型,主要表现为仰卧位阻塞性呼吸暂停。下颌推进装置(MAD)被推荐作为轻度至中度OSA的一线治疗,或作为对CPAP不耐受或无反应的严重OSA患者的二线治疗。报告1例重度体位性OSAS (AHI/h 34.7)。临床采用CBCT头颈扫描和夜间多导睡眠图对患者进行研究,并给予下颌推进器、体位疗法、饮食调整和睡眠卫生指导。治疗后患者的AHI降至5.1,总体健康状况得到改善。对于不能耐受CPAP的严重OSAS患者,MAD器械是一种有效的治疗选择。结合病理可以改善患者的整体健康和生活质量。
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引用次数: 0
Platelet-rich plasma (PRP): history of the platelets� concentrates and current applications in medicine 富血小板血浆(PRP):浓缩血小板的历史和目前在医学上的应用
Pub Date : 2023-01-01 DOI: 10.59987/ads/2022.1-4.27-32
M Covelli
Over the years, regenerative medicine has been improved thanks to new therapies and new innovative clinical protocols. The purpose of this work was to evaluate the efficacy of Platelet-rich Plasma by retracing the history of the evolution of the preparation technique, enhancing the role of platelets in tissue healing, as well as its use in various sectors of medicine. At the same time, through a critical review of recent innovations in the field of bone regeneration, was paid attention to new clinical protocols obtained from second generation platelet concentrates.
多年来,由于新的治疗方法和新的创新临床方案,再生医学得到了改进。本研究的目的是通过追溯富血小板血浆制备技术的发展历史,提高血小板在组织愈合中的作用,以及其在各个医学领域的应用,来评估富血小板血浆的功效。同时,通过对近期骨再生领域创新的批判性回顾,关注了从第二代血小板浓缩物中获得的新的临床方案。
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引用次数: 0
Modern concepts in Implant-Supported Fixed Complete Dental Prostheses (IFCDPs): from traditional solutions to current monolithic zirconia restorations. Concise review. 种植体支持的固定全牙修复体(ifcdp)的现代概念:从传统的解决方案到目前的整体氧化锆修复体。简洁的评论。
Pub Date : 2023-01-01 DOI: 10.59987/ads/2023.1.17-22
A Berzaghi
Implant-supported fixed complete dental prostheses (IFCDPs) can be made with different prosthetic designs in a wide range of material combinations. The choice of materials and the implant-prosthetic design are closely linked. In the recent past, the combinations of materials used for full-arch fixed prosthetic restorations were exclusively: metalacrylic resin, metal-composite resin and metal-ceramic. In the last two decades, zirconia frameworks have become increasingly popular in the implant prosthetic field and the introduction of CAD/CAM technology has made it possible to approach fullarch restorations in a different way. The most advanced implant-prosthetic designs exploit the aesthetic and mechanical strength qualities of the latest generation monolithic zirconia. These solutions looks very promising. However, the long-term outcome of these implant-supported rehabilitations remains still unknown due to the lack of sufficient clinical data.
种植体支持的固定全牙修复体(ifcdp)可以采用不同的假体设计和广泛的材料组合。材料的选择与种植体-假体的设计是密切相关的。近年来,用于全弓固定修复体的材料组合主要有:金属丙烯酸树脂、金属复合树脂和金属陶瓷。在过去的二十年里,氧化锆框架在种植体修复领域越来越受欢迎,CAD/CAM技术的引入使得以不同的方式接近全面修复成为可能。最先进的植入假体设计利用了最新一代单片氧化锆的美学和机械强度品质。这些解决方案看起来非常有希望。然而,由于缺乏足够的临床数据,这些种植体支持康复的长期结果仍然未知。
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引用次数: 0
Burning mouth syndrome: a literary review and an uptade 灼口综合征:文学评论和更新
Pub Date : 2023-01-01 DOI: 10.59987/ads/2021.1-4.2-5
M Mazzuka
Burning mouth syndrome is a debilitating condition of chronic oral pain and/or burning, which mainly affects pre and postmenopausal women. It can be characterized by the presence of other symptoms, such as a sensation of dry mouth (xerostomia), a bitter or metallic taste (dysgeusia) and tingling. BMS can be classified into two clinical forms: primary and secondary BMS. The primary BMS is essential or idiopathic, in which the organic local/systemic causes cannot be identified. The secondary BMS is caused by local, systemic, and/ or psychological factors; thus, its diagnosis depends on identification of the exact causative factor. Its etiology is complex and not well defined, suggesting neuropathic mechanisms. Its diagnosis continues to be a challenge for the clinician since there are no sufficiently objective and universally accepted criteria. This disease is usually characterized by presenting many symptoms, but without clinical signs, which makes its diagnosis difficult as it excludes lesions in the oral mucosa by its own definition. Therapy has been found to be effective for reducing the oral burning or pain symptom in some BMS patients previous clinical trials found that drug therapy with capsaicin, alpha-lipoic acid, clonazepam, and antidepressants may provide relief of oral burning or pain symptom but given the complexity of this syndrome, there are currently no widely accepted guidelines for its treatment. Aim :Update knowledge on burning mouth syndrome treatment, pathophysiology, analyzing current and innovative therapeutic procedures and assessing their effective efficacy.
灼口综合征是一种慢性口腔疼痛和/或灼烧的衰弱状况,主要影响绝经前和绝经后妇女。它的特征可能是出现其他症状,如口干(口干症)、苦味或金属味(味觉障碍)和刺痛。BMS可分为原发性和继发性两种临床形式。原发性BMS是原发性或特发性的,其中不能确定有机的局部/全身性原因。继发性脑转移综合征是由局部、全身和/或心理因素引起的;因此,其诊断取决于确定确切的致病因素。其病因复杂,不明确,提示神经病变机制。它的诊断仍然是临床医生的一个挑战,因为没有足够客观和普遍接受的标准。这种疾病通常表现为有许多症状,但没有临床体征,这使得其诊断困难,因为它本身的定义不包括口腔黏膜的病变。先前的临床试验发现,辣椒素、α -硫辛酸、氯硝西泮和抗抑郁药等药物治疗可以缓解口腔灼烧或疼痛症状,但鉴于该综合征的复杂性,目前尚无广泛接受的治疗指南。目的:更新口腔灼烧综合征的治疗、病理生理学知识,分析当前和创新的治疗方法,评估其疗效。
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引用次数: 0
Maxillary sinus infection related to Aspergillus: case report and recent updates 与曲霉菌有关的上颌窦感染:病例报告及最新进展
Pub Date : 2023-01-01 DOI: 10.59987/ads/2019.1-4.02-05
P Petrelli
Aspergillus related sinusitis is a fungal infectious disease that, despite its diffusion, is still not well acknowledged to dental operators. Due to the anatomophysiology characteristics of the maxillary sinus, the diagnosis of non-invasive aspergillus sinusitis relies on clinical and imaging signs, and on the medical history of the patient. Here, we present a clinical case describing a fungus ball, which diagnosis resulted particularly difficult, due to the presence of concomitant dental interventions in the same maxillary area. A 50 years-old woman, without any medical issue, came to the private dental practice complaining about nasal discharge from the left side. Dental arch were subjected to several treatments; to better understand the working plan, an orthopantomogram was performed, revealing a radiopacity in the left sinus. The conebeam computed tomography showed the obstruction of the maxillary sinus, and clarified the presence of mycetoma calculus. The patient underwent surgical Caldwell-Luc intervention and mycetoma sampling; the following in-vitro investigations revealed the presence of Aspergillus Niger. The one-year followup showed no recurrence of the infection. The reported case is aimed to underline how mycetoma is a benign condition, still unknown to dentists despite its large diffusion. Moreover, the authors want to highlight that an endodontic treatment can offer a favourable environment to mycetoma formation.
曲霉菌相关性鼻窦炎是一种真菌感染性疾病,尽管它的扩散,仍然没有很好地认识到牙科操作员。由于上颌窦的解剖生理学特点,非侵袭性曲霉菌性鼻窦炎的诊断依赖于临床和影像学征象,以及患者的病史。在这里,我们提出一个临床病例描述真菌球,其诊断结果特别困难,由于在同一上颌区域存在伴随的牙科干预。一位50岁的妇女,没有任何健康问题,来到私人牙科诊所抱怨从左侧流鼻涕。牙弓进行多种治疗;为了更好地了解工作计划,我们进行了正体层摄影,发现左窦有放射状阴影。锥束计算机断层显示上颌窦阻塞,并明确了结石足菌肿的存在。患者接受手术Caldwell-Luc干预和足菌肿取样;以下的体外调查发现了黑曲霉的存在。1年随访未见感染复发。该报告的病例旨在强调足菌肿是一种良性疾病,尽管其扩散很大,但牙医仍然不知道。此外,作者想强调根管治疗可以为足菌肿的形成提供有利的环境。
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引用次数: 0
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Annali di stomatologia
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