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Ronsivalle V, Nucci L, Bua N, Palazzo G, La Rosa S. Elastodontic Appliances for the Interception of Malocclusion in Children: A Systematic Narrative Hybrid Review. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1821. [PMID: 38002912 PMCID: PMC10670240 DOI: 10.3390/children10111821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 11/10/2023] [Accepted: 11/15/2023] [Indexed: 11/26/2023]
Abstract
BACKGROUND Interceptive orthodontic treatment aims to eliminate factors that prevent the harmonious development of the maxillary and mandibular arches during childhood, and elastodontic appliances (EAs) represent a group of devices with an increasingly important role. This systematic narrative hybrid review (HR) aims to provide an overview of the clinical indications for the use of EAs according to the available evidence and to identify potential research areas for unexplored applications. MATERIALS AND METHODS To assess the available literature on the subject, selective database searches were performed between July 2023 and September 2023. With the assistance of a health sciences librarian, a search strategy that utilized terms related to elastodontic therapy was developed. Embase, Scopus, PubMed, and Web of Science were the databases used. RESULTS The current literature addressing the usability of EAs is scarce and mostly limited to case reports and case series. After 2168 citations were found through the searches, 13 studies were ultimately included. In this regard, information about the clinical use and effectiveness of EAs are reported in a narrative form, defining specific domains of the application that are clinically oriented, including sagittal and transversal discrepancies, atypical swallowing, teeth malposition, two-phase orthodontics and a lack of teeth retention. CONCLUSIONS Within the intrinsic quality limitation of the available literature, it seems that EAs may represent a promising treatment alternative for managing mild-to-moderate malocclusion in children as an adjuvant therapy to the interruption of spoiled habits.
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Affiliation(s)
- Vincenzo Ronsivalle
- Department of Medical-Surgical Specialties—Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario “G. Rodolico-San Marco”, 95123 Catania, Italy; (N.B.); (G.P.); (S.L.R.)
| | - Ludovica Nucci
- Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, 80100 Naples, Italy
| | - Nicolò Bua
- Department of Medical-Surgical Specialties—Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario “G. Rodolico-San Marco”, 95123 Catania, Italy; (N.B.); (G.P.); (S.L.R.)
| | - Giuseppe Palazzo
- Department of Medical-Surgical Specialties—Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario “G. Rodolico-San Marco”, 95123 Catania, Italy; (N.B.); (G.P.); (S.L.R.)
| | - Salvatore La Rosa
- Department of Medical-Surgical Specialties—Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario “G. Rodolico-San Marco”, 95123 Catania, Italy; (N.B.); (G.P.); (S.L.R.)
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Patano A, Inchingolo AM, Cardarelli F, Inchingolo AD, Viapiano F, Giotta M, Bartolomeo N, Di Venere D, Malcangi G, Minetti E, Palermo A, Inchingolo F, Dipalma G. Effects of Elastodontic Appliance on the Pharyngeal Airway Space in Class II Malocclusion. J Clin Med 2023; 12:4280. [PMID: 37445315 DOI: 10.3390/jcm12134280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 06/24/2023] [Accepted: 06/25/2023] [Indexed: 07/15/2023] Open
Abstract
BACKGROUND The present study analyzed the changes obtained on the upper airway and hyoid bone dimensions in a group of patients with skeletal Class II malocclusion treated with functional elastodontic devices compared to an untreated control group. METHODS A group of 33 patients (19 females and 14 males) with Class II malocclusion treated with AMCOP® SC elastodontic device was compared with a control group of 35 subjects (17 females and 18 males) with untreated Class II malocclusion. Lateral cephalograms were available at the start (T0) and end of treatment/period of observation (T1). Cephalometric analysis was performed and linear measurements to evaluate airway space and hyoid bone position were also obtained. A multivariate analysis of variance for repeated measures (MANOVA) was performed to determine the effects of interactions for the groups for time. RESULTS Statistically significant differences were found in the study group from T0 and T1 with an improvement of superior upper airway (SPAS p < 0.0001), while in the control group it did not change in a statistically significant way from T0 to T1. The MANOVA test showed statistically significant differences between the two groups for the changes of SPAS (p = 0.003), IAS (p = 0.049), and H-C3 vertical (p = 0.038) values. CONCLUSIONS Functional elastodontic therapy produced significant favorable airway changes in skeletal class II subjects.
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Affiliation(s)
- Assunta Patano
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | | | - Filippo Cardarelli
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | | | - Fabio Viapiano
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Massimo Giotta
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Nicola Bartolomeo
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Daniela Di Venere
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Giuseppina Malcangi
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Elio Minetti
- Department of Biomedical, Surgical, Dental Science, University of Milan, 20161 Milan, Italy
| | - Andrea Palermo
- College of Medicine and Dentistry, Birmingham B4 6BN, UK
| | - Francesco Inchingolo
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Gianna Dipalma
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
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Marra PM, Fiorillo L, Cervino G, Cardarelli F, Cicciù M, Laino L. Elastodontic treatment with oral bio-activators in young children. Minerva Dent Oral Sci 2022; 71:270-276. [PMID: 36321621 DOI: 10.23736/s2724-6329.22.04696-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
BACKGROUND Elastodontic therapy can correct bad oral habits and malocclusions in young patients by guiding jaw growth, eliminating functional disorders, and improving tooth position. The aim of this study was to assess the effects of bio-activator therapy on the presence of atypical swallowing with tongue thrust in growing patients. METHODS A retrospective study was conducted. Data regarding the early orthodontic treatment of 40 consecutive patients with atypical swallowing and tongue thrust (23 males and 17 females) were assembled from January 2019 to January 2020. All patients (≥7 and ≤15 years of age) were monitored for 1 year in a private practice in Isernia, Italy. RESULTS The mean age at commencement of orthodontic treatment was 8.5 years (range=7.1-14.9 years), and the mean total duration of therapy was 1 year (range=11 months-1 year). Final lateral radiographs demonstrated a mean of improvement of 8° for upper and lower incisor proclination (I/SN) and 3.5° for incisor mandibular plane angle (IMPA) in 36 patients, and 5° of I/SN and 2° of IMPA in the remaining 4 children after 1 year of treatment. CONCLUSIONS Bad oral habits in younger patients must not be ignored. The duration of treatment can differ depending on the severity of the open bite and the patient's cooperation. This study demonstrates the short-term efficacy of these myofunctional appliances in the treatment of atypical swallowing. In order to quickly eliminate factors which endanger healthy development of dento-skeletal structure, it is important to closely monitor patients during their development phase.
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Affiliation(s)
- Paola M Marra
- Complex Operative Unit of Stomatological Surgery in Developmental Age, Luigi Vanvitelli University of Campania, Naples, Italy -
| | - Luca Fiorillo
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
- Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, Luigi Vanvitelli University of Campania, Naples, Italy
- Department of Implantology, Faculty of Dentistry, University of Aldent, Tirana, Albania
| | - Gabriele Cervino
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | - Filippo Cardarelli
- Department of Interdisciplinary Medicine, Aldo Moro University of Bari, Bari, Italy
| | - Marco Cicciù
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | - Luigi Laino
- Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, Luigi Vanvitelli University of Campania, Naples, Italy
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Inchingolo AD, Patano A, Coloccia G, Ceci S, Inchingolo AM, Marinelli G, Malcangi G, Montenegro V, Laudadio C, Pede CD, Garibaldi M, Kruti Z, Maggiore ME, Mancini A, Nucci L, Bordea IR, Scarano A, Lorusso F, Dipalma G, Di Venere D, Cardarelli F, Inchingolo F. The Efficacy of a New AMCOP ® Elastodontic Protocol for Orthodontic Interceptive Treatment: A Case Series and Literature Overview. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:988. [PMID: 35055811 PMCID: PMC8775806 DOI: 10.3390/ijerph19020988] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Revised: 01/11/2022] [Accepted: 01/13/2022] [Indexed: 02/01/2023]
Abstract
BACKGROUND Elastodontics is a specific interceptive orthodontic treatment that uses removable elastomeric appliances. They are functional appliances that produce neuromuscular, orthopedic and dental effects. Thus, these devices are useful in the developmental age, when skeletal structures are characterized by important plasticity and adaptation capacity, allowing to remove factors responsible for malocclusions. Elastomeric devices are generally well tolerated by patients requiring simple collaboration and management. This work can be useful to update all orthodontists already adopting these appliances or for those who want to approach them for the first time. This study aimed to describe four cases treated with new elastomeric devices called AMCOP Bio-Activators and to provide an overview of elastodontics, its evolution, indications and limits. METHODS A total of four clinical cases were presented after a treatment period of 16-20 months to evaluate the clinical and radiological effects of the elastodontic therapy. RESULTS The effectiveness of Bio-Activators on clinical cases was evidenced with a significant improvement in skeletal and dentoalveolar relationship, and malocclusion correction in a limited treatment period (16-20 months). CONCLUSIONS The Bio-Activators showed clinical effectiveness to achieve therapeutic targets according to a low impact on the patient's compliance.
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Affiliation(s)
- Alessio Danilo Inchingolo
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Assunta Patano
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Giovanni Coloccia
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Sabino Ceci
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Angelo Michele Inchingolo
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Grazia Marinelli
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Giuseppina Malcangi
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Valentina Montenegro
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Claudia Laudadio
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Chiara Di Pede
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Mariagrazia Garibaldi
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Zamira Kruti
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Maria Elena Maggiore
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Antonio Mancini
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Ludovica Nucci
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Via L. De Crecchio 6, 80138 Naples, Italy;
| | - Ioana Roxana Bordea
- Department of Oral Rehabilitation, Faculty of Dentistry, Iuliu Hațieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
| | - Antonio Scarano
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy;
| | - Felice Lorusso
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy;
| | - Gianna Dipalma
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Daniela Di Venere
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Filippo Cardarelli
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Francesco Inchingolo
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
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Galluccio G, Guarnieri R, Jamshir D, Impellizzeri A, Ierardo G, Barbato E. Comparative Evaluation of Esthetic and Structural Aspects in Class II Functional Therapy. A Case-Control Retrospective Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:6978. [PMID: 34209944 PMCID: PMC8296913 DOI: 10.3390/ijerph18136978] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 06/24/2021] [Accepted: 06/25/2021] [Indexed: 11/17/2022]
Abstract
Background: To compare the skeletal, dental, and esthetic changes produced by three functional devices, Fränkel-2 appliance (FR-2), Twin Block (TB), and Occlus-o-Guide® (O-o-G®), for the treatment of Class II malocclusion. Methods: Sixty-five patients with Class II Division 1 malocclusion were divided into three groups and were analyzed through cephalometric analysis of skeletal, dental, and esthetic variables before and after treatment. The first group of 23 patients (F: 9; M: 14; mean age: 10.3 ± 1.08 years) was treated with FR-2, the second group of 18 patients (F: 8; M: 10; mean age 10.7 ± 1.05 years) was treated with TB, the third group (F: 11; M: 13; mean age: 9.05 ± 0.39 years) of 24 patients was treated with O-o-G®. The structural effects of the three devices were compared with a control group generated by the growth variations reported in the cephalometric atlas of Bhatia and Leighton. Esthetic analysis was performed comparing the results of the patients treated with a control group of 20 subjects with mandibular retrognathia and Class II Division 1 malocclusion, not subjected to therapy. Results: The three devices resulted in a significant increase in mandibular length, with higher results obtained for FR-2 and TB. A statistically significant increase in the IMPA angle was found for the O-o-G® group, and a notable reduction of both overjet and overbite was detected in all three groups of treated patients. The esthetic evaluation showed overall more significant results in the TB group, especially with regard to the reduction of facial convexity. The retrusion of the upper lip was on average more significant in the O-o-G® group, followed by that in the TB. Conclusions: All three devices have proven to be effective overall in resolving skeletal changes and improving facial esthetics.
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Affiliation(s)
| | - Rosanna Guarnieri
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy; (G.G.); (D.J.); (A.I.); (G.I.); (E.B.)
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Ierardo G, Bossù M, D'Angeli G, Celli M, Sfasciotti G. Bisphosphonates therapy in children with Osteogenesis imperfecta: clinical experience in oral surgery. ACTA ACUST UNITED AC 2017; 10:311-316. [PMID: 29285334 DOI: 10.11138/orl/2017.10.3.311] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objectives To define the possible complications of oral surgery in childhood in patients affected by type 1 Osteogenesis imperfecta (OI) and treated with bisphosphonates (BP). Methods The study was conducted among 20 patients in childhood with an age range 8-14 (12 ♂ e 8 ♀) affected by OI. Patients were initially evaluated at the Policlinico Umberto I, University Hospital of Rome, Rare Disease Center Skeletal Dysplasia-Bone Metabolic Pathologies and after at the Policlinico Umberto I, University Hospital of Rome, Head and Neck Department, UOC Pediatric Dentistry. Results From this experience, we showed that a proper patient management from the medical and dental point of view can protect these patients from the risk of post-operative problems, such as onj, soft tissue flogos, intraoral and extraoral fistulas, failure to heal the post-extractive alveolus, infections, post-operative pain and pathological fractures. The follow-up, ranging from a minimum of 2 years to a maximum of 5 years, have not demonstrated the presence of particular complications or healing defects. Conclusions The clinical experiences observed in these patients are encouraging because no postoperative complications have been observed compared to patients non-affected by OI.
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Affiliation(s)
- G Ierardo
- Sapienza, University of Rome, Umberto I University Hospital of Rome, Rome, Italy
| | - M Bossù
- Sapienza, University of Rome, Umberto I University Hospital of Rome, Rome, Italy
| | - G D'Angeli
- Sapienza, University of Rome, Umberto I University Hospital of Rome, Rome, Italy
| | - M Celli
- Rare Disease Center Skeletal Dysplasia Bone, Department of Oral and Maxillo Facial Science, DAI Head and Neck UOC Pediatric Dentistry (Dir.: Prof. Antonella Polimeni)
| | - G Sfasciotti
- Sapienza, University of Rome, Umberto I University Hospital of Rome, Rome, Italy
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