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Oral & Implantology

D Spinelli, G DE Vico, R Condò, L Ottria, C Arcuri
PURPOSE: This study describes the ability to perform a technique for bone regeneration in maxillary posterior deficit (TGSL) without the use of bone grafting materials using a highly minimally invasive protocol. MATERIALS AND METHODS: Sixty six implants have been inserted in the sinus floor of a total of 39 patients through the transcrestal guided sinus lift technique (TGSL). All patients have been followed for at least three years in function. The drilling protocol was adapted on the basis of bone density of each implant site to achieve a torque between 45 and 55 Ncm...
April 2015: Oral & Implantology
M Costacurta, D Benavoli, G Arcudi, R Docimo
AIM: The aim of this report is to identify the main oral and dental aspects of physical and sexual abuse and dental neglect in childhood, contributing to the precocious identification and diagnosis in a dental practice. METHODS: The oral and dental manifestations were divided and classified according to the type of child abuse: physical abuse, sexual abuse, neglect. PHYSICAL ABUSE: Several studies in the literature have shown that oral or facial trauma occurs in about 50% of physically abused children; the oral cavity may be a central focus for physical abuse...
April 2015: Oral & Implantology
M Spuntarelli, F Cecchetti, L Arcuri, D Testi, P Melone, E Bigelli, F Germano
Impaction of maxillary canine is a relatively frequent orthodontic anomaly which could represent fuctional and aesthetic problems for patients. Nowadays, the conventional technique to impacted canines consists of a combined orthodontic and surgical approach, aimed to guide cuspids at the center of the alveolar ridge in a stable position and surrounded by healthy hard and soft tissues. This article presents three cases studies with different combined surgical-orthodontic approaches for the treatment of infraosseous impacted canines...
April 2015: Oral & Implantology
P Cardelli, V Vertucci, M Montani, C Arcuri
OBJECTIVES: Modern dentistry increasingly tends to use materials aesthetically acceptable and biomimetic. Among these are zirconia and ceramics for several years, a combination that now has becoming synonym of aesthetic; however, what could be the real link between these two materials and especially its nature, remains a controversial topic debated in the literature. The aim of our study was to "underline" the type of bonding that could exist between these materials. MATERIALS AND METHODS: To investigate the nature of this bond we used a SEM microscopy (Zeiss SUPRA 25)...
April 2015: Oral & Implantology
D Testi, M Nardone, P Melone, P Cardelli, L Ottria, C Arcuri
The importance of HPV in world healthy is high, in fact high-risk HPV types contribute significantly to viral associated neoplasms. In this article we will analyze vary expression of HPV in oral cavity both benign and malignant, their prevalence and the importance in early diagnosis and prevention. The classical oral lesions associated with human papillomavirus are squamous cell papilloma, condyloma acuminatum, verruca vulgaris and focal epithelial hyperplasia. Overall, HPV types 2, 4, 6, 11, 13 and 32 have been associated with benign oral lesions while HPV types 16 and 18 have been associated with malignant lesions, especially in cancers of the tonsils and elsewhere in the oropharynx...
April 2015: Oral & Implantology
P Cardelli, E Bigelli, V Vertucci, F Balestra, M Montani, S DE Carli, C Arcuri
Prosthodontic management of palatal defects is fundamental to improve patient's life undergoing to a maxillary surgical treatment. A lot of maxillary defects are a direct consequence of surgical treatment of malformations, neoplasms or trauma. The obturators are prosthesis used to close palatal defects after maxillectomy, to restore masticatory function and to improve speech. The primary goals of the obturator prosthesis are to preserve the remaining teeth and tissue and to provide comfort, function, and aesthetics to the patients...
July 2014: Oral & Implantology
F Cecchetti, F Germano, F N Bartuli, L Arcuri, M Spuntarelli
Alveolar ridge, after tooth extraction, could reduce its volume up to 50% in buccal-lingual width in the first twelve months and residual dimensions could interfere with correct three dimensional placement of implants and influence negatively treatment outcomes with regard to function and aesthetic aspects. Over the last decades, several approaches have been proposed and tested in order to prevent ridge volumetric contraction and provide maximum bone availability for implant procedure. This article presents a case study with a single anterior tooth replacement, illustrating socket seal technique followed by a type 3 timing implant placement...
July 2014: Oral & Implantology
M Longhi, L Cerroni, S G Condò, V Ariano, G Pasquantonio
OBJECTIVES: The work has the objective to analyze the literature on the degradation of the adhesive interface. In particular the study is focused on the role of the metalloproteinase in the hydrolytic degradation of collagen matrix in the bonded interface. The survey will concern also the latest innovations to improve and increase the link between dentin and the restorative materials through the MMPs inhibitors. METHODS: The research has been carried out in the MEDLINE database by choosing keywords as "metalloproteinases" and "dentin bond" and "degradation"...
July 2014: Oral & Implantology
G Sannino, F Germano, L Arcuri, E Bigelli, C Arcuri, A Barlattani
PURPOSE: The aim of this paper was to describe the CEREC 3 chairside system, providing the clinicians a detailed analysis of the whole digital workflow. Benefits and limitations of this technology compared with the conventional prosthetic work-flow were also highlighted and discussed. MATERIALS AND METHODS: Clinical procedures (tooth preparation, impression taking, adhesive luting), operational components and their capabilities as well as restorative materials used with CEREC 3 chairside system were reported...
July 2014: Oral & Implantology
M Miranda, P Bollero, N D'Ovidio, V Marsango, A Barlattani
OBJECTIVES: This work aims to assess the risks both thromboembolic that bleeding of a management protocol "non-conservative" in patients on oral anticoagulant therapy (OAT) to be undergoing implant surgery. MATERIALS AND METHODS: We decided to take a surgical "non-conservative" protocol, to insert four implants in the aesthetic zone, without using flapless surgery and the surgical template. In accordance with the hematologist, the value of INR is lowered and warfarin was replaced with heparin low molecular weight, to have a better coagulation's control...
April 2014: Oral & Implantology
L Ottria, A Zavattini, F M Ceruso, M Gargari
In patients with oral-nasal communication the absence of alveolar and/or palatal hard and soft tissue, or contraction resulting from previous surgical repair, needed prosthetic rehabilitation. This clinical report describes a treatment of an oral-nasal communication through a mixed prosthetic rehabilitation, fixed and removable, with attachments performed by EDM technique.
April 2014: Oral & Implantology
M Gargari, B Lorè, F M Ceruso
OBJECTIVE: The aim of this study is to report a case of restorative treatment of severely worn dentition. In this case report, the erosive/abrasive worn dentition have been reconstructed with metal ceramic crown on the posterior teeth and with ceramic veneers on the anterior teeth 1.3 - 2.3 and 3.4 - 4.3. METHODS: A prosthetic treatment was proposed to a male patient of 58 years old having a clinically significant tooth wear. After clinical exam, impressions of maxillary and mandible arches were taken with alginate to obtain preliminary casts for diagnostic waxing to all maxillary and mandibular teeth and fabrication of all provisional crowns in acrylic resin for posterior teeth, and from the diagnostic wax-up were fabricated a silicone guide masks for anterior teeth...
April 2014: Oral & Implantology
C Rastelli, G Falisi, R Gatto, M Galli, E Saccone, M Severino, C DI Paolo
OBJECTIVE: In the last few decades the implantology has achieved excellent results in the prosthetic rehabilitation of the partially or totally edentulous patients. The clinicians, given the pressing demand by patients, must deal with the situations in which the lack of the availability and sometimes the low quality of the bone can lead to the treatment failure. Although the manufacturers recommend to follow codified surgical protocols, alternative techniques of preparation, apt to ensure a better primary implant stability, have been developed...
April 2014: Oral & Implantology
G Nicolai, E Ventucci, P Antonucci, V Costantino, G Brunelli, G Mariani, A Saltarel, B Lorè, L Calabrese
Warthin's tumor is the second most common benign neoplasm of the parotid. Most of cases are represented by a single localization, while only a small percentage of patients presents bilateral lesions or unilateral multifocal pattern. Warthin's tumor has an excellent prognosis due to the low rate of recurrence after surgical treatment. Malignant transformation occurs in less than 1% of cases. The aim of this article is to present two unusual cases of Warthin's tumor and an updated review of the latest scientific literature...
January 2014: Oral & Implantology
V Marsango, R Bollero, N D'Ovidio, M Miranda, P Bollero, A Barlattani
OBJECTIVE: The project presents a clinical case in which the digital work-flow procedure was applied for a prosthetic rehabilitation in natural teeth and implants. MATERIALS: Digital work-flow uses patient's photo for the aesthetic's planning, digital smile technology for the simulation of the final restoration and real time scanning to register the two arches. Than the scanning are sent to the laboratory that proceed with CAD-CAM production. RESULTS: Digital work-flow offers the opportunities to easily speak with laboratory and patients, gives better clinical results and demonstrated to be a less invasiveness method for the patient...
January 2014: Oral & Implantology
N Baldini, M DE Sanctis, M C Cagidiaco, P Balleri, F Vignoletti, C Goracci, M Ferrari
AIM: In this preliminary study, the 3-year radiological outcomes of Osseospeed implant-supported fixed complete or partial prostheses made with two different laboratory protocols were compared. METHODS: A convenience sample of 34 patients, who were either partially or completely edentulous in either jaw, were randomly assigned to two groups, of 17 patients each, using either a traditional laboratory protocol (control group) or the Cresco one (test group). The study's objective was an assessment of marginal bone loss around implants, measured on intraoral radiographs at 3-year follow-up...
January 2014: Oral & Implantology
M Cicciù, E Bramanti, F Cecchetti, L Scappaticci, E Guglielmino, G Risitano
The rehabilitation of edentulous patients is today a challenge for the clinicians. The healthy of the hard and soft issue may be considered a fundamental element for having long-term results. The dental implant progresses about the predictable and safe results made this technique chosen from a large group of practitioners. However some problems related intra-operative and postoperative conditions may create discomfort on the patients and consequently to the clinician. The unfavourable results are often related to the bone tissue quality but sometime the dental implant shape and the prosthesis framework may undergo to technical difficulties...
January 2014: Oral & Implantology
M Gargari, F M Ceruso, A Pujia, V Prete
OBJECTIVE: This article presents a case report of restoration of anterior teeth using an indirect technique with composite veneers in order to restore the dental anatomy and to provide aesthetic and function of anterior teeth. MATERIALS AND METHODS: A treatment of upper anterior teeth with indirect micro-hybrid composite restoration was proposed to a 40-year-old woman with old discolored and fractured ceramic veneers. Upper six anterior teeth were prepared and, after impressions with VPS of maxillary arche, the composite veneers were placed...
April 2013: Oral & Implantology
M P Cristalli, R Marini, G LA Monaca, D Vitolo, G Pompa, S Annibali
The clinical course and histological features of keratoacanthoma (KA) are well recognized by dermatologists and pathologists, but they are less familiar to dental professionals. The aims of this report were to describe an unusual case of simultaneous intraoral and labial KA and to identify the most important aspects of the clinical management of this lesion.
April 2013: Oral & Implantology
P Cardelli, F Cecchetti, M Montani, E Bramanti, C Arcuri
The medium-long term success of osseointegrated dental implants is evaluated on the basis of the degree of osseointegration over time, assessed by radiographic or instrumental analysis (ISQ). Over the years, the question has always been which surgical technique can provide a better performance in the medium-long term and, thanks to literature studies, it has been evidenced that there are no differences between "one stage" and "two stage" interventions. The purpose of this study is to evaluate clinical and radiographic parameters, referring to interventions for the insertion of dental implants characterized by a new kind of implant surface (Synthegra® GEASS, Udine)...
April 2013: Oral & Implantology
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