Pub Date : 2023-01-01DOI: 10.59987/ads/2022.1-4.3-8
V Luzzi
The purpose of this article is to compare the alginate impression with digital impression using the introral scanner Carestream 3600 and understand which is preferred by patients. 50 young orthodontic patients (25 boys and 25 girls) who had no previous experience of impressions were enrolled in the study. After the impressions the patients were subjected to a questionnaire for both types of impressions. They were asked about feelings of nausea and breathing issues related to whether a digital or alginate impression was taken. As for the feeling of nausea, 24 girls and 22 boys did not have this feeling with digital impressions; as regards breathing, 19 girls and 23 boys did not find respiratory problems with the intraoral scanner. At the end, patients were asked which method they preferred. About 75% both for girls and boys preferred the intraoral scanner. Therefore, the digital method was found to be the most comfortable for the patients.
{"title":"Traditional versus digital impression: compliance and preference in pediatric patients- review","authors":"V Luzzi","doi":"10.59987/ads/2022.1-4.3-8","DOIUrl":"https://doi.org/10.59987/ads/2022.1-4.3-8","url":null,"abstract":"The purpose of this article is to compare the alginate impression with digital impression using the introral scanner Carestream 3600 and understand which is preferred by patients. 50 young orthodontic patients (25 boys and 25 girls) who had no previous experience of impressions were enrolled in the study. After the impressions the patients were subjected to a questionnaire for both types of impressions. They were asked about feelings of nausea and breathing issues related to whether a digital or alginate impression was taken. As for the feeling of nausea, 24 girls and 22 boys did not have this feeling with digital impressions; as regards breathing, 19 girls and 23 boys did not find respiratory problems with the intraoral scanner. At the end, patients were asked which method they preferred. About 75% both for girls and boys preferred the intraoral scanner. Therefore, the digital method was found to be the most comfortable for the patients.","PeriodicalId":78041,"journal":{"name":"Annali di stomatologia","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135660702","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 : 2023-01-01DOI: 10.59987/ads/2023.1.23-27
L Vaccaro G
In the last few years, the interest of dentists in aesthetic treatments has grown considerably. For this reason, many European Union Country (E.U. Countries) have regulated the competences of dentists in the field of aesthetic medicine. One of the most common therapies in this field is represented by the injection of botulinum toxin type A (BTX-A). This study has analyzed the regulatory measures on the BTX-A administration adopted by all the E.U. member States. The search found the presence of a very varied regulatory framework and the need for convergence measures between legislations. In fact, the harmonization of dental competences is one of the pillars of the freedom to provide services under Directive 2005/36/EC. The prevision of common competences is functional not only to allow the professionals movement among the E.U. Member States, but also to guarantee the health of patients and avoid market distortions.
{"title":"The use of botulinum toxin for medical-aesthetic purposes in dentistry: a comparative medico-legal approach in the context of the European Union","authors":"L Vaccaro G","doi":"10.59987/ads/2023.1.23-27","DOIUrl":"https://doi.org/10.59987/ads/2023.1.23-27","url":null,"abstract":"In the last few years, the interest of dentists in aesthetic treatments has grown considerably. For this reason, many European Union Country (E.U. Countries) have regulated the competences of dentists in the field of aesthetic medicine. One of the most common therapies in this field is represented by the injection of botulinum toxin type A (BTX-A). This study has analyzed the regulatory measures on the BTX-A administration adopted by all the E.U. member States. The search found the presence of a very varied regulatory framework and the need for convergence measures between legislations. In fact, the harmonization of dental competences is one of the pillars of the freedom to provide services under Directive 2005/36/EC. The prevision of common competences is functional not only to allow the professionals movement among the E.U. Member States, but also to guarantee the health of patients and avoid market distortions.","PeriodicalId":78041,"journal":{"name":"Annali di stomatologia","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135660672","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 : 2023-01-01DOI: 10.59987/ads/2023.2.13-17
G Bruno
This paper aims at illustrating the different diagnostic methods and compare the reliability of the Digital Imaging Fiber Optic Transillumination (DIAGNOcamTM, KaVo Kerr, Brea, California, US) with the use of intraoral radiographs. Since the discovery of radiography, various methods have been introduced in order to provide early diagnosis of caries. In this review, specific keywords have been chosen on different search engines and medical databases. Scientific pa-pers published from 1990 to 2022 were included. Nine articles comparing two different methods for early detection of carious lesions were selected. An analysis of the existing literature seems to support the hypothesis that making diagnosis by using the Digital Imaging Fiber Optic Transillumination systems represents a safe and effective support for early diagnosis of interproximal carious lesions within enamel. However, it is still to be considered a complementary method to traditional bitewing and periapical radiographs.
{"title":"Diagnostic reliability of the Digital Imaging Fiber Optic Transillumination: a review","authors":"G Bruno","doi":"10.59987/ads/2023.2.13-17","DOIUrl":"https://doi.org/10.59987/ads/2023.2.13-17","url":null,"abstract":"This paper aims at illustrating the different diagnostic methods and compare the reliability of the Digital Imaging Fiber Optic Transillumination (DIAGNOcamTM, KaVo Kerr, Brea, California, US) with the use of intraoral radiographs. Since the discovery of radiography, various methods have been introduced in order to provide early diagnosis of caries. In this review, specific keywords have been chosen on different search engines and medical databases. Scientific pa-pers published from 1990 to 2022 were included. Nine articles comparing two different methods for early detection of carious lesions were selected. An analysis of the existing literature seems to support the hypothesis that making diagnosis by using the Digital Imaging Fiber Optic Transillumination systems represents a safe and effective support for early diagnosis of interproximal carious lesions within enamel. However, it is still to be considered a complementary method to traditional bitewing and periapical radiographs.","PeriodicalId":78041,"journal":{"name":"Annali di stomatologia","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135660673","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 : 2023-01-01DOI: 10.59987/ads/2021.1-4.12-21
A Tiriduzzi
One of the most common complication associated with oral surgical procedures are iatrogenic injuries to lingual branch of trigeminal nerve. Lingual nerve damage may result in permanent lingual sensory deficit leading to symptoms, including lost or altered sensation and the development of unpleasant neuropathic pain, with consequent impaired quality of life. The surgical removal of mandibular third molars is one of the most common oral surgical procedures and it is associated with a number of perioperative complications, including nerve injuries. This paper show how to manage lingual nerve injuries.
{"title":"Management of lingual nerve injury: a case report","authors":"A Tiriduzzi","doi":"10.59987/ads/2021.1-4.12-21","DOIUrl":"https://doi.org/10.59987/ads/2021.1-4.12-21","url":null,"abstract":"One of the most common complication associated with oral surgical procedures are iatrogenic injuries to lingual branch of trigeminal nerve. Lingual nerve damage may result in permanent lingual sensory deficit leading to symptoms, including lost or altered sensation and the development of unpleasant neuropathic pain, with consequent impaired quality of life. The surgical removal of mandibular third molars is one of the most common oral surgical procedures and it is associated with a number of perioperative complications, including nerve injuries. This paper show how to manage lingual nerve injuries.","PeriodicalId":78041,"journal":{"name":"Annali di stomatologia","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135660703","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}
{"title":"Why Negotiation is the most critical business skill for dentists.","authors":"A Ferrante","doi":"10.59987/ads/2019.1-4.1","DOIUrl":"https://doi.org/10.59987/ads/2019.1-4.1","url":null,"abstract":"","PeriodicalId":78041,"journal":{"name":"Annali di stomatologia","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135662671","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 : 2023-01-01DOI: 10.59987/ads/2019.1-4.6-16
M Nagni
Aim: The objective of this paper was to show a case report of maxillary sinus lift with crestal access using the Magnetic Mallet technique and bio-material placement.
目的:本文报告一应用磁锤技术及生物材料植入的上颌窦提升术。
{"title":"Maxillary sinus lift with crestal access using the Magnetic Mallet technique and bio-material placement: case report","authors":"M Nagni","doi":"10.59987/ads/2019.1-4.6-16","DOIUrl":"https://doi.org/10.59987/ads/2019.1-4.6-16","url":null,"abstract":"Aim: The objective of this paper was to show a case report of maxillary sinus lift with crestal access using the Magnetic Mallet technique and bio-material placement.","PeriodicalId":78041,"journal":{"name":"Annali di stomatologia","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135662673","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}
Innovative “prescriptions”, to improve the treatment of the citizen in need of odontosto- matological care, are published daily on dental journals. These “prescriptions” are mostly indications from The Experts who have the aim of favouring citizens’ access to dental care in the dental facilities of the Servizio Sanitario Nazionale (SSN), which is constantly grap- pling with the long-standing and never solved problems of waiting lists and staff shortages. Beyond the goodness of the initiative, the arranged action plans always need the com- mitment of financial resources, nowadays not widely available. The question then arises as to how a project is feasible without the appropriate financial backing or, better yet, how economic resources can be found.
{"title":"New procedures for the improvement of the SSN for a better access to dental care","authors":"M Nardone","doi":"10.59987/ads/2023.1.1-1","DOIUrl":"https://doi.org/10.59987/ads/2023.1.1-1","url":null,"abstract":"Innovative “prescriptions”, to improve the treatment of the citizen in need of odontosto- matological care, are published daily on dental journals. These “prescriptions” are mostly indications from The Experts who have the aim of favouring citizens’ access to dental care in the dental facilities of the Servizio Sanitario Nazionale (SSN), which is constantly grap- pling with the long-standing and never solved problems of waiting lists and staff shortages. Beyond the goodness of the initiative, the arranged action plans always need the com- mitment of financial resources, nowadays not widely available. The question then arises as to how a project is feasible without the appropriate financial backing or, better yet, how economic resources can be found.","PeriodicalId":78041,"journal":{"name":"Annali di stomatologia","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135660676","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 : 2023-01-01DOI: 10.59987/ads/2023.1.29-34
C Oddi
Objectives: over the years a device has been developed, the Magnetic Mallet, which allows a very high control and stability of the applied forces, able to perform procedures that were the safest possible for the patient and the surgeon himself. The handpiece has been designed so that different shock waves are emitted according to the type of surgery, with the possibility of inserting different inserts according to the technique / procedure that is being applied. The Magnetic Mallet can be used in different surgical procedures; Dental extractions, implant placement, implant site preparation (osseodensification), maxillary sinus lift procedures or crestal expansion procedures. Materials and methods: In the following clinical case, the extraction of element 2.7 is conducted with the simultaneous insertion of two implant fixtures in place 2.6 and 2.7 and simultaneous regenerative therapy. The implant in site 2.6 was positioned with a traditional method, with the help of the implant motor, while the post-extraction implant in site 2.7 was inserted with the use of the Magnetic Mallet. Results: At one week the sutures were removed and the tissues showed good healing. The patient is then placed in a maintenance and follow-up program to monitor healing after some time.
{"title":"Use of the magnet mallet in a case of extraction and post-extraction implant site preparation, in combination with regenerative therapy on hypertensive patient: a case report and literature review","authors":"C Oddi","doi":"10.59987/ads/2023.1.29-34","DOIUrl":"https://doi.org/10.59987/ads/2023.1.29-34","url":null,"abstract":"Objectives: over the years a device has been developed, the Magnetic Mallet, which allows a very high control and stability of the applied forces, able to perform procedures that were the safest possible for the patient and the surgeon himself. The handpiece has been designed so that different shock waves are emitted according to the type of surgery, with the possibility of inserting different inserts according to the technique / procedure that is being applied. The Magnetic Mallet can be used in different surgical procedures; Dental extractions, implant placement, implant site preparation (osseodensification), maxillary sinus lift procedures or crestal expansion procedures. Materials and methods: In the following clinical case, the extraction of element 2.7 is conducted with the simultaneous insertion of two implant fixtures in place 2.6 and 2.7 and simultaneous regenerative therapy. The implant in site 2.6 was positioned with a traditional method, with the help of the implant motor, while the post-extraction implant in site 2.7 was inserted with the use of the Magnetic Mallet. Results: At one week the sutures were removed and the tissues showed good healing. The patient is then placed in a maintenance and follow-up program to monitor healing after some time.","PeriodicalId":78041,"journal":{"name":"Annali di stomatologia","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135661069","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 : 2023-01-01DOI: 10.59987/ads/2021.1-4.6-11
A Massaria
Bisphosphonate related osteonecrosis of the jaw (BRONJ) can occur in patients affected by malignancy associated hypercalcemia, bone metastases of solid tumors or multiple myeloma intaking amino-bisphosphonates or other bone resorption inhibitors. BRONJ occurs initially with alveolar bone radiographic alterations, with peripheral facial neurological symptoms and thereafter with bone exposition and necrosis.Drug related ONJ were also reported in oncologic patients intaking angiogenesis inhibitors or monoclonal antibodies that inhibit bone resorption (e.g. Denosumab).In the present case report, Denosumab has been administered to treat bone lesions related to invasive ductal breast cancer.Before starting therapy with Denosumab, in order to restore oral and periodontal health, dental extractions were performed without any modifications to surgical protocols and waiting the complete healing of extraction sites (6 weeks).Even if ministerial recommendations were followed, even if we waited the biologic healing and even if denosumab therapy started without symptoms, BRONJ occurred in this patient.The mistake made in the management of the present case is that we did not carefully evaluated early radiological signs (alveolar crest thickening, bone sclerosis, persistent alveolar post-extraction socket, periodontal space widening, formation of bone sequestrum) that could bring the clinician to the diagnostic suspect of BRONJ before the onset of clinical signs (fistula, and bone exposure).Identifying early radiological signs could bring the clinician to an early diagnosis and consequently a better prognosis.
{"title":"Are ministerial recommendations sufficient to avoid bisphosphonate related osteonecrosis of the jaw? A case report","authors":"A Massaria","doi":"10.59987/ads/2021.1-4.6-11","DOIUrl":"https://doi.org/10.59987/ads/2021.1-4.6-11","url":null,"abstract":"Bisphosphonate related osteonecrosis of the jaw (BRONJ) can occur in patients affected by malignancy associated hypercalcemia, bone metastases of solid tumors or multiple myeloma intaking amino-bisphosphonates or other bone resorption inhibitors. BRONJ occurs initially with alveolar bone radiographic alterations, with peripheral facial neurological symptoms and thereafter with bone exposition and necrosis.Drug related ONJ were also reported in oncologic patients intaking angiogenesis inhibitors or monoclonal antibodies that inhibit bone resorption (e.g. Denosumab).In the present case report, Denosumab has been administered to treat bone lesions related to invasive ductal breast cancer.Before starting therapy with Denosumab, in order to restore oral and periodontal health, dental extractions were performed without any modifications to surgical protocols and waiting the complete healing of extraction sites (6 weeks).Even if ministerial recommendations were followed, even if we waited the biologic healing and even if denosumab therapy started without symptoms, BRONJ occurred in this patient.The mistake made in the management of the present case is that we did not carefully evaluated early radiological signs (alveolar crest thickening, bone sclerosis, persistent alveolar post-extraction socket, periodontal space widening, formation of bone sequestrum) that could bring the clinician to the diagnostic suspect of BRONJ before the onset of clinical signs (fistula, and bone exposure).Identifying early radiological signs could bring the clinician to an early diagnosis and consequently a better prognosis.","PeriodicalId":78041,"journal":{"name":"Annali di stomatologia","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135660704","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 : 2023-01-01DOI: 10.59987/ads/2022.1-4.9-14
G Fantozzi
The coronavirus disease (COVID-19) caused by the SARS-CoV-2 coronavirus impacted worldwide without any precedents, including the dental world, from the education to the advanced cares. The co-existence with the virus circulation imposed the use of personal protection equipment such as respiratory protective equipment. The aim of this paper is to report the modifications made to a Power Air Power Respirator to improve the quality of work during dental hygiene procedures. The device is composed of a hood and a power-air unit. The power-air unit is equipped with a strap to secure the filters and battery at the waist. The hood and the power-air unit presented visibility, weight, and use issues during dental hygiene procedures. The modifications to the hood made the shield more resistant and allowed the place for magnifying loupes. In addition, placing the battery-unit in a backpack, the weight was better distributed. Further innovations in PPE, barrier devices to minimize aerosol contamination, air purification systems, antiviral adjuvants, chairside screening for COVID-19, changes in clinical techniques could be envisaged to minimize the spread of COVID-19, possibly adapted, and adopted in future pandemics.
{"title":"COVID19-Personal Protective Equipment ergonomic improvements: necessary considerations for the dental team health","authors":"G Fantozzi","doi":"10.59987/ads/2022.1-4.9-14","DOIUrl":"https://doi.org/10.59987/ads/2022.1-4.9-14","url":null,"abstract":"The coronavirus disease (COVID-19) caused by the SARS-CoV-2 coronavirus impacted worldwide without any precedents, including the dental world, from the education to the advanced cares. The co-existence with the virus circulation imposed the use of personal protection equipment such as respiratory protective equipment. The aim of this paper is to report the modifications made to a Power Air Power Respirator to improve the quality of work during dental hygiene procedures. The device is composed of a hood and a power-air unit. The power-air unit is equipped with a strap to secure the filters and battery at the waist. The hood and the power-air unit presented visibility, weight, and use issues during dental hygiene procedures. The modifications to the hood made the shield more resistant and allowed the place for magnifying loupes. In addition, placing the battery-unit in a backpack, the weight was better distributed. Further innovations in PPE, barrier devices to minimize aerosol contamination, air purification systems, antiviral adjuvants, chairside screening for COVID-19, changes in clinical techniques could be envisaged to minimize the spread of COVID-19, possibly adapted, and adopted in future pandemics.","PeriodicalId":78041,"journal":{"name":"Annali di stomatologia","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135660701","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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