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Inchingolo F, Inchingolo AD, Charitos IA, Cazzolla AP, Colella M, Gagliano-Candela R, Hazballa D, Bordea IR, Tari SR, Scarano A, Lorusso F, Riccaldo L, Palermo A, Dipalma G, Malcangi G, Inchingolo AM. Ceramic biomaterials in dentistry: chemical structure and biosafety - a review and a bibliometric visual mapping on Scopus database. Eur Rev Med Pharmacol Sci 2024; 28:1242-1258. [PMID: 38436158 DOI: 10.26355/eurrev_202402_35446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/05/2024]
Abstract
OBJECTIVE A biomaterial is any non-pharmaceutical substance or a mixture of synthetic or natural substances used independently or as part of a system for any amount of time with the aim of mending, supporting the growth, or replacing tissues, organs, or functions of the body. It is a non-renewable material that interacts with biological systems. The purpose of this study was to assess the advances in ceramic biomaterials and perform a bibliometric mapping of the literature on the subject. MATERIALS AND METHODS The Scopus database was used for manuscript screening (Elsevier, Amsterdam, The Netherlands). The effect of the scientific production has been assessed using scientometric citational metrics. RESULTS A total of 2,554 pieces of literature, including 2,234 papers, 170 conference proceedings, 109 reviews, 35 book chapters, 3 editorial letters, and 3 short surveys, were retrieved. Based on the research conducted, it is noted that ceramic materials are high-performing by being porous or glassy and can, therefore, serve as fillers, covering materials, and scaffolds in medicine and biotechnology. They are frequently employed not only in orthopedic and maxillofacial surgery but also in dentistry for dental prostheses. CONCLUSIONS Materials monitoring methods enable us to track the three-dimensional evolution of ceramics' volume, as well as flaws or micro-cracks.
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Affiliation(s)
- F Inchingolo
- Interdisciplinary Department of Medicine, University of Bari Aldo Moro, Bari, Italy.
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Ciavarella D, Lorusso M, Campobasso A, Cazzolla AP, Montaruli G, Burlon G, Lo Muzio E, Laurenziello M, Tepedino M. Craniofacial morphology in Obstructive Sleep Apnea patients. J Clin Exp Dent 2023; 15:e999-e1006. [PMID: 38186919 PMCID: PMC10767735 DOI: 10.4317/jced.61104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Accepted: 11/08/2023] [Indexed: 01/09/2024] Open
Abstract
Background To evaluate the correlation between cephalometric skeletal parameters and Obstructive Sleep Apnea syndrome (OSAs) severity, in adult patients with OSAs. Material and Methods One hundred patients (94 males,6 females mean age 59,3) with diagnosis of OSAs were retrospectively enrolled. Each patient received Home Sleep Apnea Testing (HSAT) and latero-lateral radiograph. Eight cephalometric parameters (cranial deflection angle, saddle angle, articular angle, divergence angle, cranial base angle, skull base length, mandibular length, maxilla length) were analyzed and then related to Apnea/Hypopnea Index (AHI) and to the Oxygen Desaturation Index (ODI), recorded by HSAT. A Spearman's rho correlation test between cephalometric measurements and HSAT indices was performed. Statistical significance was set at p< 0.05. Results A negative statistically significant correlation was found between mandibular length (Condilion-Gnathion distance) and AHI (rho= -0,2022; p<0,05) and between maxilla length (Ans-Pns) and AHI (rho= -0,2984; p<0,01) and ODI (rho= -0,2443; p<0,05). A statistically significant correlation was also observed between the divergence angle (S-N^Go-Me) and AHI (rho=0,2263; p<0,05) and between cranial deflection angle (Fh^NBa) and AHI (rho=0,2212; p<0,05) and ODI (rho=0,1970; p<0,05). Conclusions The OSAs severity may be related to certain predisposing features in craniofacial morphology, such as maxillary and mandibular length, divergence and cranial deflection. Key words:OSAs, Home Sleep Apnea Testing, AHI, ODI, Cephalometry, Airway.
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Affiliation(s)
- Domenico Ciavarella
- Department of Clinical and Experimental Medicine, Dental School of Foggia, University of Foggia, Foggia, Italy
| | - Mauro Lorusso
- Department of Clinical and Experimental Medicine, Dental School of Foggia, University of Foggia, Foggia, Italy
| | - Alessandra Campobasso
- Department of Clinical and Experimental Medicine, Dental School of Foggia, University of Foggia, Foggia, Italy
| | - Angela-Pia Cazzolla
- Department of Clinical and Experimental Medicine, Dental School of Foggia, University of Foggia, Foggia, Italy
| | - Graziano Montaruli
- Department of Clinical and Experimental Medicine, Dental School of Foggia, University of Foggia, Foggia, Italy
| | - Giuseppe Burlon
- Department of Clinical and Experimental Medicine, Dental School of Foggia, University of Foggia, Foggia, Italy
| | - Eleonora Lo Muzio
- Department of Translational Medicine and for Romagna, School of Orthodontics, University of Ferrara, Ferrara, Italy
| | - Michele Laurenziello
- Department of Clinical and Experimental Medicine, Dental School of Foggia, University of Foggia, Foggia, Italy
| | - Michele Tepedino
- Department of Biotechnological and Applied Clinical Sciences, Dental School of L'Aquila, University of L'Aquila, L'Aquila, Italy
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Dioguardi M, Di Cosola M, Copelli C, Cantore S, Quarta C, Nitsch G, Sovereto D, Spirito F, Caloro GA, Cazzolla AP, Aiuto R, Cascardi E, Greco Lucchina A, Lo Muzio L, Ballini A, Mastrangelo F. Oral bisphosphonate-induced osteonecrosis complications in patients undergoing tooth extraction: a systematic review and literature updates. Eur Rev Med Pharmacol Sci 2023; 27:6359-6373. [PMID: 37458653 DOI: 10.26355/eurrev_202307_32996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 07/20/2023]
Abstract
OBJECTIVE Bisphosphonates, the most common anti-resorptive medications, are internalized by osteoclasts, where they inhibit the macrophage colony-stimulating factor (M-CSF) pathway, preventing their differentiation, inhibiting anchorage to the cell membrane, and inducing apoptosis. In patients undergoing oral bisphosphonate therapy, oral surgery involves a high risk of developing drug-related osteonecrosis of the jaws (BRONJ/MRONJ), among the possible complications. MATERIALS AND METHODS A systematic search was carried out on the PubMed, Scopus and Cochrane Library search engines, using the keywords "oral bisphosphonates AND tooth extraction", "third molar extraction AND oral bisphosphonates". In addition, we manually evaluated the articles included in references from other sources and an analysis of the Gray Literature was performed. A secondary outcome was to evaluate the assessment of pharmacological (antibiotics) use in the BRONJ/MRONJ management. The revision protocol followed the indications of the Cochrane Handbook, and was registered in the INPLASY database, while the drafting of the manuscript was based on PRISMA. RESULTS The results of the systematic review, after the study identification and selection process, included a total of 7 studies: 4 retrospective studies, 2 prospective studies and 1 case report. The main complication was represented by osteonecrosis of the jaws, which appears to be related to the duration of treatment with bisphosphonates; in addition, data regarding the anatomical location of post-extraction sites, the sex and age of patients, comorbidities and various systemic risk factors were extrapolated. The most frequent post-extraction complication in patients treated with oral bisphosphonates is osteonecrosis of the jaws, with a significant prevalence in the posterior region of the mandible. In some cases, delayed healing of the surgical wound was also found; moreover, the duration of exposure to oral bisphosphonates influences the onset of complications. CONCLUSIONS Ongoing studies continue to unravel the role of the oral environment response in alveolar bone homeostasis and how it might contribute to the induction of BRONJ/MRONJ. Approaching the problem from this perspective could provide new directions for the prevention of BRONJ/MRONJ and expand our understanding of the unique oral microenvironment.
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Affiliation(s)
- M Dioguardi
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
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Lacarbonara M, Cazzolla AP, Lacarbonara V, Lo Muzio L, Ciavarella D, Testa NF, Crincoli V, Di Venere D, De Franco A, Tripodi D, Grassi FR, Capogreco M. Prosthetic rehabilitation of maxillary lateral incisors agenesis using dental mini-implants: a multicenter 10-year follow-up. Clin Oral Investig 2021; 26:1963-1974. [PMID: 34564740 PMCID: PMC8816522 DOI: 10.1007/s00784-021-04176-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2020] [Accepted: 09/01/2021] [Indexed: 11/28/2022]
Abstract
Objectives Implants are used to replace congenitally missing lateral incisors but often the space across the alveolar crest is too narrow to permit their use. This multicenter study (Dental Clinic of the University of Foggia, Odontostomatology Clinic of the University of L’Aquila) evaluated the efficacy of mini-implants in cases of maxillary lateral incisor agenesis with severe osseous atrophy in 10-year follow-up. Materials and methods Forty-seven mini-implants have been inserted in 35 patients affected by lateral incisors agenesis (23 single and 12 bilateral ageneses). All patients underwent orthodontic opening of the space of the upper lateral incisors. After the insertion of the implants, the immediate, non-functional loading, positioning of crowns, presence of pain during percussion and mini-implant function, horizontal and vertical movement when a force of 5 N was applied, ridge loss, and plaque index have been evaluated 1 month after loading, 1 year after loading, and then every 5 years in the following 10 years. Little’s test was used to evaluate the assumption that data of loss to follow-up implants are missing completely at random (MCAR) and that a complete-case scenario could be adopted. Wilcoxon test was carried out to look statistically significant differences between the various parameters resulting in the complete-case scenario and those assumed for the worst scenario. The software R (v. 3.6.1, 2019) was employed to perform the statistical analysis. Results The results obtained over 10 years range from 89% of success rate in a worst-case scenario to the 100% using a complete-case analysis with satisfactory values of marginal bone resorption and good conditions of the peri-implant tissue. Ten-year follow-up using complete-case analysis shows survival rates of 100% for implants with no signs of peri-implantitis, stability of the marginal bone levels and soft tissue around the dental implants. Conclusions The data collected show very good implant stability, absence of progressive peri-implantitis, and satisfactory aesthetical results in time (no signs of infraocclusion). Clinical relevance Mini-implants can be considered a valid and stable over time solution in the restorative treatment of maxillary lateral incisors agenesis.
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Affiliation(s)
- M Lacarbonara
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - A P Cazzolla
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - V Lacarbonara
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - L Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - D Ciavarella
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
| | - N F Testa
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - V Crincoli
- Department of Basic Medical Sciences, Neurosciences and Sensory Organs, University of Bari, Bari, Italy
| | - D Di Venere
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - A De Franco
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - D Tripodi
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
| | - F R Grassi
- Department of Basic Medical Sciences, Neurosciences and Sensory Organs, University of Bari, Bari, Italy
| | - M Capogreco
- Department of Life, Health and Environmental Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
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Inchingolo AD, Cazzolla AP, Di Cosola M, Greco Lucchina A, Santacroce L, Charitos IA, Topi S, Malcangi G, Hazballa D, Scarano A, Lorusso F, Inchingolo AM, Inchingolo F, Dipalma G. The integumentary system and its microbiota between health and disease. J BIOL REG HOMEOS AG 2021; 35:303-321. [PMID: 34281327 DOI: 10.23812/21-2supp1-30] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The aim of the present investigation was to evaluate the essential physiological functions of the skin microbiota in human health and diseases. The main characteristics of the normal microbiota in the different anatomical sites have been reported in relation to the main factors, such as the effect of age, on its composition and stability for the eubiosis condition. Moreover, the present overview analyzed the functions and composition and the correct functionality of the skin microbiota in the light of current knowledge. According to several evidence is important preserving the eubiosis of the commensal microbes of the microecosystem (symbiotic and pathogenic), and probiotics are able to counteract the conditions of dysbiosis. Also, it has been shown that there is a crosstalk between gut and skin microbiota that affects human health and is still being studied, and its relationship to the current pandemic SARS-CoV-2.
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Affiliation(s)
- A D Inchingolo
- Interdisciplinary Department of Medicine, Microbiology and Virology Unit, University of Bari School of Medicine, Bari, Italy
| | - A P Cazzolla
- Department of Clinical and Experimental Medicine, Università degli Studi di Foggia, Foggia, Italy
| | - M Di Cosola
- Department of Clinical and Experimental Medicine, Università degli Studi di Foggia, Foggia, Italy
| | - A Greco Lucchina
- Saint Camillus International University of Health and Medical Science, Rome, Italy
| | - L Santacroce
- Interdisciplinary Department of Medicine, Microbiology and Virology Unit, University of Bari School of Medicine, Bari, Italy
| | - I A Charitos
- Department of Emergency and Urgency, National Poisoning Centre, Riuniti University Hospital of Foggia, Foggia, Italy
| | - S Topi
- Department of Clinical Disciplines, School of Technical Medical Sciences, University of Elbasan "A. Xhuvani", Rruga Rinia, Elbasan, Albania
| | - G Malcangi
- Interdisciplinary Department of Medicine, Microbiology and Virology Unit, University of Bari School of Medicine, Bari, Italy
| | - D Hazballa
- Interdisciplinary Department of Medicine, Microbiology and Virology Unit, University of Bari School of Medicine, Bari, Italy.,Kongresi Elbasanit, Rruga, Aqif Pasha, Elbasan, Albania
| | - A Scarano
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
| | - F Lorusso
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
| | - A M Inchingolo
- Interdisciplinary Department of Medicine, Microbiology and Virology Unit, University of Bari School of Medicine, Bari, Italy
| | - F Inchingolo
- Interdisciplinary Department of Medicine, Microbiology and Virology Unit, University of Bari School of Medicine, Bari, Italy
| | - G Dipalma
- Interdisciplinary Department of Medicine, Microbiology and Virology Unit, University of Bari School of Medicine, Bari, Italy
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6
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Dipalma G, Inchingolo AD, Inchingolo F, Charitos IA, Di Cosola M, Cazzolla AP. Focus on the cariogenic process: microbial and biochemical interactions with teeth and oral environment. J BIOL REG HOMEOS AG 2021; 35:30. [PMID: 33904270 DOI: 10.23812/20-747-a] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
This paper aims to describe the biochemical interactions between teeth and the oral environment that occur during the caries process, hence it covers all the steps related to physico-chemical reactions, including the most up-to-date theoretical basis in the clinical application for the prevention and treatment of caries. The terms 'demineralization' and 'remineralization' that characterise this process were analysed, as well as the role of the microbiota in its interaction with the hard surface of the teeth. The biochemical mechanisms that lead to the onset of carious lesions and those that occur during the healing and repair of such lesions are listed.
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Affiliation(s)
- G Dipalma
- Department of Interdisciplinary Medicine, Dentistry Unit, University of Bari, Bari, Italy
| | - A D Inchingolo
- Department of Interdisciplinary Medicine, Dentistry Unit, University of Bari, Bari, Italy
| | - F Inchingolo
- Department of Interdisciplinary Medicine, Dentistry Unit, University of Bari, Bari, Italy
| | - I A Charitos
- Emergency/Urgent Department, National Poisoning Center, Riuniti University Hospital of Foggia, Foggia, Italy
| | - M Di Cosola
- Department of Clinical and Experimental Medicine, Riuniti University Hospital of Foggia, Foggia, Italy
| | - A P Cazzolla
- Department of Clinical and Experimental Medicine, Riuniti University Hospital of Foggia, Foggia, Italy
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7
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Lacarbonara M, Lacarbonara V, Cazzolla AP, Spinelli V, Crincoli V, Lacaita MG, Capogreco M. Odontomas in developmental age: confocal laser scanning microscopy analysis of a case. Eur J Paediatr Dent 2017; 18:77-79. [PMID: 28494609 DOI: 10.23804/ejpd.2017.18.01.16] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Odontomas are the most common benign odontogenic tumors (especially in children and adolescents) and consist of odontogenic ectomesenchyma and odontogenic epithelium with the formation of dental hard tissues. They are also simply considered hamartomas. The WHO Classification defines them as complex and compound odontomas. The diagnosis is often occasional, in conjunction with x-ray routine examinations, or it is suggested by eruption disorders or abnormal position of teeth in the dental arch. The mainstay therapy is surgical excision of the lesion followed by orthodontic treatment to take in the arch the impacted teeth. CASE REPORT The aim of this work is the presentation of a case of mandibular bilateral compound odontoma in a young patient, and the confocal laser scanning microscopic analysis of the surgical specimens.
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Affiliation(s)
- M Lacarbonara
- Unit of Dentistry, Department of Life, Health and Environmental Sciences, University of L'Aquila San Salvatore Hospital, L'Aquila, Italy
| | - V Lacarbonara
- Clinic of Dentistry, Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - A P Cazzolla
- Clinic of Dentistry, Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - V Spinelli
- Clinic of Dentistry, Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - V Crincoli
- Clinic of Dentistry, Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - M G Lacaita
- Clinic of Dentistry, Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - M Capogreco
- Unit of Dentistry, Department of Life, Health and Environmental Sciences, University of L'Aquila San Salvatore Hospital, L'Aquila, Italy
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8
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Lacarbonara M, Cazzolla AP, Lacarbonara VA, Di Venere D, Capogreco M, Marzo G. Prolidase deficiency: dento-facial aspects in a paediatric patient. Eur J Paediatr Dent 2014; 15:224-228. [PMID: 25101509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND Prolidase Deficiency (PD) is a rare hereditary disease consisting in developmental delay, mental retardation, facial dysmorphism, splenomegaly, recurrent pulmonary infections and skin lesions. CASE REPORT The present study reports a case of PD treated in the Paediatric Section of the Department of Dentistry and Surgery at the University of Bari. A special diagnostic and clinical approach to the patient was useful to improve his quality of life and identify some new aspects of this systemic disease. In particular, clinical features never described before are reported: low hair line, decreased osteotendinous reflexes, long upper lip, microrhinia, dentoskeletal Class III, dental age (Proffit) older than chronological age, fusion of 2nd and 3rd cervical vertebrae, incomplete atlanto-occipital fusion.
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Affiliation(s)
- M Lacarbonara
- Department of Life, Health and Environmental Sciences, Dental Clinic; University of L'Aquila, Italy
| | - A P Cazzolla
- Department of Dentistry and Surgery, University of Bari, Italy
| | - V A Lacarbonara
- Department of Dentistry and Surgery, University of Bari, Italy
| | - D Di Venere
- Department of Dentistry and Surgery, University of Bari, Italy
| | - M Capogreco
- Department of Life, Health and Environmental Sciences, Dental Clinic; University of L'Aquila, Italy
| | - G Marzo
- Department of Life, Health and Environmental Sciences, Dental Clinic; University of L'Aquila, Italy
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9
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Limongelli L, Parrulli R, Cazzolla AP, Di Venere D, Favia G. Juvenile Nasopharyngeal Angiofibroma: diagnosis and surgical treatment in I and II stage with dento-alveolar involvement. Ann Stomatol (Roma) 2013; 4:25-26. [PMID: 24353791 PMCID: PMC3860205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- L Limongelli
- Complex Operating Unit of Odontostomatology and Surgery, University of Bari, Italy
| | - R Parrulli
- Complex Operating Unit of Odontostomatology and Surgery, University of Bari, Italy
| | - A P Cazzolla
- Complex Operating Unit of Odontostomatology and Surgery, University of Bari, Italy
| | - D Di Venere
- Complex Operating Unit of Odontostomatology and Surgery, University of Bari, Italy
| | - G Favia
- Complex Operating Unit of Odontostomatology and Surgery, University of Bari, Italy
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10
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Franco S, Miccoli S, Cazzolla AP, Lacaita MG, Favia G. Familial Tumoral Calcinosis with dento-alveolar anomalies: clinico-pathological findings and Confocal Laser Scanning Microscopy of hard and soft tissues lesions. Ann Stomatol (Roma) 2013; 4:16-17. [PMID: 24353776 PMCID: PMC3860217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- S Franco
- Complex Operating Unit of Odontostomatology and Surgery, University of Bari, Italy
| | - S Miccoli
- Complex Operating Unit of Odontostomatology and Surgery, University of Bari, Italy
| | - A P Cazzolla
- Complex Operating Unit of Odontostomatology and Surgery, University of Bari, Italy
| | - M G Lacaita
- Complex Operating Unit of Odontostomatology and Surgery, University of Bari, Italy
| | - G Favia
- Complex Operating Unit of Odontostomatology and Surgery, University of Bari, Italy
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11
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Cazzolla AP, Riccitiello F, La Carbonara VA, Franco S, Lacaita MG. Turner syndrome with dental structural abnormalities: histological and morphostructural features by confocal laser microscopy. Ann Stomatol (Roma) 2013; 4:11. [PMID: 24353769 PMCID: PMC3860236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
| | - F Riccitiello
- Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples "Federico II", Italy
| | | | - S Franco
- Clinic of Dentistry, University of Bari, Italy
| | - M G Lacaita
- Clinic of Dentistry, University of Bari, Italy
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12
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Cazzolla AP, Lacarbonara V, Pellegrino B, Testa NF, Fidanza F, Lacaita MG. Sleep-disordered breathing in a sample of 495 children in Southern Italy. Eur J Paediatr Dent 2010; 11:189-192. [PMID: 21250770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
AIM Our objective was to investigate the occurrence of sleep-related breathing disturbances in a large cohort of school-aged children in Southern Italy, and to evaluate the association with anthropometric data and clinical findings of oropharynx and nasal airways. STUDY DESIGN A two-phase cross-sectional study was conducted with children from schools in Turi, Italy. MATERIALS AND METHODS A screening phase aimed to identify symptomatic children and clinical data from a cohort of 495 children by a self-administered questionnaire, and an instrumental phase for the definition of sleep-related disorders and clinical analysis of oral status were performed. According to the answers, children were classified into 3 groups: habitual snorers, occasional snorers, and non-snorers. All habitual snoring children underwent a polysomnographic home evaluation, and those with oxygen desaturation index (ODI) > 2 were considered for nocturnal polygraphic monitoring (NPM). Children with apnoea/ hypopnea index (AHI) > 3 received a diagnosis of obstructive sleep apnoea syndrome (OSAS). Moreover, a complete oral examination was performed. RESULTS A total of 436 questionnaires (response rate: 88.08%) were returned and scored (202 M, 234 F; Mean age ± Standard deviation: 6.2 ± 1.8); 18 children (4%) were identified as habitual snorers, 140 children (32%) were identified as occasional snorers, and 278 children (64%) were identified as non-snorers. The percentage of female children who were habitual snorers was higher than the percentage of male children (4.7% vs 3.6%). Habitual snorers had significantly more nighttime symptoms. OSAS was diagnosed in 2 children by NPM. A statistically significant association between snoring, cross-bite, open-bite and increased over-jet was found. CONCLUSION Habitual snoring and OSAS are significant problems for children and may be associated with diurnal symptoms. The presence of malocclusion increases the likelihood of sleep-related breathing disturbances.
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Affiliation(s)
- A P Cazzolla
- Department of Dentistry and Surgery, University of Bari, Italy
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