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Squamos Odontogenic Tumor: A case report 牙源性鳞状肿瘤1例
Pub Date : 2023-01-01 DOI: 10.59987/ads/2023.1.3-8
P De Angelis
A 40-year-old male patient presented with diffuse radiolucent lesions on the upper maxilla at the apex of the incisors, canines, premolars, and molars. Surgical excision of the lesions was performed, and the biopsy specimens were submitted for histological analysis: the lesions of the first quadrant were found to be a squamous odontogenic tumor, a rare benign neoplasm of odontogenic origin. The purpose of this article is to describe the clinical, radiographic and histological aspects of odontogenic squamous tumor.
男性,40岁,上颌门齿、犬齿、前磨牙、磨牙尖部出现弥漫性透光病变。手术切除病变,活检标本提交组织学分析:发现第一象限病变为牙源性鳞状肿瘤,一种罕见的牙源性良性肿瘤。本文的目的是描述临床,影像学和组织学方面的牙源性鳞状肿瘤。
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引用次数: 0
The improvement of predictability in Clear Aligner treatment in conjunction with Digital Monitoring 结合数字监测,提高了清晰矫正器治疗的可预见性
Pub Date : 2023-01-01 DOI: 10.59987/ads/2023.2.3-6
S Caruso
The primary objective of this study is to evaluate the Tpredictability of orthodontic treatment with clear aligners monitored by Dental Monitoring® (DM) and to assess if using the DM system can actually lead to better results and shorter treatment times. A secondary objective is to assess whether the DM system can be more effective in monitoring one type of malocclusion over another, namely: crowding, crossbite and diastema. A total of 55 patients treated consecutively with clear aligners were selected. All patients were asked to use the DM system with scheduled appointments at 7–8-week intervals. Our results show that photos and scans taken in the chair correspond accurately to the photos and scan taken by the patient using the DM system. Results also show that the different malocclusions did not show any difference in predictability when using the DM system. This study concluded that treatment time was indeed reduced in terms of total number of in-office appointments.
本研究的主要目的是评估使用牙科监测®(DM)监测的透明对准器进行正畸治疗的可预测性,并评估使用DM系统是否确实可以获得更好的结果和更短的治疗时间。第二个目的是评估DM系统是否可以更有效地监测一种类型的错牙合,即:拥挤,交叉咬合和间隙。共选择55例连续使用透明矫正器治疗的患者。所有患者被要求每隔7 - 8周预约一次DM系统。我们的研究结果表明,在椅子上拍摄的照片和扫描与患者使用DM系统拍摄的照片和扫描准确对应。结果还表明,使用DM系统时,不同错颌的可预测性没有任何差异。这项研究的结论是,治疗时间确实减少了在办公室预约的总数。
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引用次数: 0
Traditional versus digital impression: compliance and preference in pediatric patients- review 传统印象与数字印象:儿科患者的依从性和偏好-综述
Pub Date : 2023-01-01 DOI: 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.
本文的目的是比较海藻酸盐印模和数字印模,使用口腔内扫描仪Carestream 3600,了解患者更喜欢哪一种。50名没有印模经验的年轻正畸患者(25名男孩和25名女孩)参加了这项研究。在印象之后,患者接受了两种类型印象的问卷调查。他们被问及是否有恶心的感觉和呼吸问题,这些问题与数字印痕或海藻酸盐印痕有关。对于恶心的感觉,24名女生和22名男生在数字印象中没有这种感觉;在呼吸方面,19名女孩和23名男孩使用口腔内扫描仪没有发现呼吸问题。最后,患者被问及他们更喜欢哪种方法。大约75%的女孩和男孩更喜欢口内扫描仪。因此,发现数字方法对患者来说是最舒适的。
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引用次数: 0
New procedures for the improvement of the SSN for a better access to dental care 改进社会安全保障的新程序,以便更好地获得牙科保健
Pub Date : 2023-01-01 DOI: 10.59987/ads/2023.1.1-1
M Nardone
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.
创新的“处方”,以改善需要牙科护理的公民的治疗,每天发表在牙科杂志上。这些“处方”大多是专家的指示,他们的目的是有利于公民在国家卫生服务局(SSN)的牙科设施获得牙科护理,该服务局一直在努力解决长期存在但从未解决的等候名单和工作人员短缺问题。除了倡议的好处之外,安排好的行动计划总是需要财政资源的承诺,而现在财政资源并不普遍。那么问题来了,如果没有适当的财政支持,一个项目如何可行,或者更好的是,如何找到经济资源。
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引用次数: 0
Management of lingual nerve injury: a case report 舌神经损伤的治疗:1例报告
Pub Date : 2023-01-01 DOI: 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.
口腔外科手术最常见的并发症之一是医源性三叉神经舌支损伤。舌神经损伤可导致永久性舌感觉缺陷,导致症状,包括感觉丧失或改变,以及令人不快的神经性疼痛的发展,随之而来的生活质量受损。下颌第三磨牙的手术切除是最常见的口腔外科手术之一,它与许多围手术期并发症有关,包括神经损伤。本文介绍如何处理舌神经损伤。
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引用次数: 0
Why Negotiation is the most critical business skill for dentists. 为什么谈判是牙医最重要的商业技能。
Pub Date : 2023-01-01 DOI: 10.59987/ads/2019.1-4.1
A Ferrante
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引用次数: 0
Maxillary sinus lift with crestal access using the Magnetic Mallet technique and bio-material placement: case report 应用磁锤技术及生物材料置入上颌窦提升及冠状通道1例报告
Pub Date : 2023-01-01 DOI: 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。
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引用次数: 0
Are ministerial recommendations sufficient to avoid bisphosphonate related osteonecrosis of the jaw? A case report 部长建议是否足以避免与双膦酸盐相关的颌骨骨坏死?病例报告
Pub Date : 2023-01-01 DOI: 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.
双膦酸盐相关的颌骨骨坏死(BRONJ)可发生在恶性肿瘤相关的高钙血症、实体瘤或多发性骨髓瘤的骨转移患者,这些患者服用氨基双膦酸盐或其他骨吸收抑制剂。BRONJ最初表现为牙槽骨影像学改变,伴有周围面神经症状,随后表现为骨暴露和坏死。在服用血管生成抑制剂或单克隆抗体抑制骨吸收(如Denosumab)的肿瘤患者中也报道了药物相关的ONJ。在本病例报告中,Denosumab已被用于治疗与浸润性导管性乳腺癌相关的骨病变。在开始使用Denosumab治疗之前,为了恢复口腔和牙周健康,在不修改手术方案的情况下进行拔牙,等待拔牙部位完全愈合(6周)。即使遵循部长建议,即使我们等待生物愈合,即使denosumab治疗开始时没有症状,该患者仍发生BRONJ。在本病例的处理中所犯的错误是,我们没有仔细评估早期影像学征象(牙槽嵴增厚、骨质硬化、牙槽拔牙后窝持续存在、牙周间隙扩大、骨隔形成),这些征象在出现临床征象(瘘管和骨暴露)之前可能会使临床医生怀疑BRONJ的诊断。识别早期的放射学征象可以使临床医生早期诊断,从而获得更好的预后。
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引用次数: 0
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 磁棒在高血压患者拔牙及拔牙后种植体部位准备中的应用:1例报告并文献复习
Pub Date : 2023-01-01 DOI: 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.
目标:多年来,已经开发出一种设备,磁性槌,它可以对施加的力进行非常高的控制和稳定性,能够对患者和外科医生自己进行最安全的手术。该机头经过设计,可根据手术类型发出不同的冲击波,并可根据所应用的技术/程序插入不同的插入物。磁锤可用于不同的外科手术;拔牙,种植体放置,种植体位置准备(骨密度),上颌窦提升手术或嵴扩张手术。材料和方法:在以下临床病例中,提取2.7元素,同时在2.6和2.7位置插入两个种植体固定装置,同时进行再生治疗。使用传统方法在种植体电机的帮助下定位2.6位点的种植体,而在2.7位点使用磁锤插入拔牙后的种植体。结果:1周后拆线,组织愈合良好。一段时间后,患者将被放置在一个维护和随访程序中,以监测愈合情况。
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引用次数: 0
COVID19-Personal Protective Equipment ergonomic improvements: necessary considerations for the dental team health covid - 19个人防护装备的人体工程学改进:牙科团队健康的必要考虑
Pub Date : 2023-01-01 DOI: 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.
由SARS-CoV-2冠状病毒引起的冠状病毒病(COVID-19),从教育到高级护理,在全球范围内,包括牙科界,都产生了前所未有的影响。与病毒共存的循环强制使用个人防护装备,如呼吸防护装备。本文的目的是报告对动力空气动力呼吸器的改进,以提高口腔卫生程序中的工作质量。该装置由一个引擎盖和一个动力空气单元组成。动力-空气装置配备了一条带子,将过滤器和电池固定在腰部。引擎盖和动力空气单元提出了可见性,重量和使用问题,在牙科卫生程序。对引擎盖的修改使防护罩更具抵抗力,并允许放置放大镜。此外,将电池单元放在背包中,重量分布更好。可以设想在个人防护装备、减少气溶胶污染的屏障装置、空气净化系统、抗病毒佐剂、COVID-19椅子旁筛查、临床技术的变化等方面进行进一步创新,以尽量减少COVID-19的传播,并可能在未来的大流行中加以调整和采用。
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引用次数: 0
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Annali di stomatologia
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