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Lorenzi C, Bianchi N, Pinto A, Mazzetti V, Arcuri C. The role of periodontal bacteria, Porphyromonas Gingivalis, in Alzheimer's disease pathogenesis and aggravation: a review. J BIOL REG HOMEOS AG 2021; 35:37-45. [PMID: 34289663 DOI: 10.23812/21-3supp1-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 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
The aim of this study was to establish the role of Porphyromonas gingivalis in Alzheimer's disease. An electronic search of publications was established from three electronic databases: Cochrane, PubMed and Web of Science. The search strategy used a combination of controlled vocabulary and free-text words. Inclusion and exclusion criteria were defined by the authors before the start of the study. The inclusion criteria were: all studies published in English language; in vitro analysis; in vivo on animals and postmortem biopsies on humans; studies analyzing the correlation between periodontal disease and Alzheimer. The search resulted in 262 titles. Only 9 articles were included in the quantitative analysis. An inflammatory status in the oral cavity might be connect to a brain degeneration syndrome such as dementia and AD. However, a strictly connection is still not evincible. More trials are recommended in order to investigate the role of periodontal bacteria and Porphyromonas gingivalis in AD pathogenesis and aggravation.
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Affiliation(s)
- C Lorenzi
- Department of Chemical Science and Technologies, Dentistry, University of Rome "Tor Vergata", Rome, Italy
| | - N Bianchi
- Department of Chemical Science and Technologies, Dentistry, University of Rome "Tor Vergata", Rome, Italy
| | - A Pinto
- Department of Chemical Science and Technologies, Dentistry, University of Rome "Tor Vergata", Rome, Italy
| | - V Mazzetti
- Department of Chemical Science and Technologies, Dentistry, University of Rome "Tor Vergata", Rome, Italy
| | - C Arcuri
- Department of Chemical Science and Technologies, Dentistry, University of Rome "Tor Vergata", Rome, Italy
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2
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Giancotti A, Mampieri G, Paoncelli F, Greco M, Arcuri C. Patient's perception of intraoral scanning: a comparison between traditional and digital dental impression. J BIOL REG HOMEOS AG 2021; 35:19-28. [PMID: 34289661 DOI: 10.23812/21-3supp1-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The purpose of this work was to assess the discomfort perceived by the patient during the intraoral scan procedure using the iTero Scanner. A sample of 33 patients was selected on the basis of parameters that identify a complete dentition. All treated patients underwent a traditional polyvinylsiloxane impression with double procedure and an intraoral scan in the same session. Subsequently they were given a questionnaire concerning the discomfort perceived by both procedures. Once the completed questionnaires were obtained, preliminary statistical tests were carried out to check if the distribution of scores assigned by patients to the two procedures differed significantly from a Gaussian distribution. Furthermore, the discomfort/preference indexes for the two procedures were compared using the Wilcoxon test for paired data. Finally, the Spearman correlation test was used. From the results of the preliminary normality tests, it was decided to use nonparametric type tests that gives the intraoral scan procedure more favorable scores relative to a minor discomfort. The use of intraoral scanning and more specifically of the iTero 2.9 scanner (despite a not small wand), represents an option largely preferred by patients in terms of reduction of discomfort and classic discomfort related to relief systems traditional imprint.
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Affiliation(s)
- A Giancotti
- Department of Clinical Science and Translational Medicine, University of Rome Tor Vergata, Rome, Italy
| | - G Mampieri
- Department of Clinical Science and Translational Medicine, University of Rome Tor Vergata, Rome, Italy
| | - F Paoncelli
- Department of Clinical Science and Translational Medicine, University of Rome Tor Vergata, Rome, Italy
| | - M Greco
- Department of Clinical Science and Translational Medicine, University of Rome Tor Vergata, Rome, Italy
| | - C Arcuri
- Department of Clinical Science and Translational Medicine, University of Rome Tor Vergata, Rome, Italy
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3
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Carosi P, Lorenzi C, Lio F, Laureti M, Ferrigno N, Arcuri C. Short implants (≤6mm) as an alternative treatment option to maxillary sinus lift. Int J Oral Maxillofac Surg 2021; 50:1502-1510. [PMID: 33637392 DOI: 10.1016/j.ijom.2021.02.014] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 12/15/2020] [Accepted: 02/06/2021] [Indexed: 02/03/2023]
Abstract
The aim of this systematic review was to evaluate survival rate of short dental implants placed in the posterior area of the maxilla. The electronic literature search of studies published between January 1, 2010 and February 29, 2020 was performed using specific word combinations. The outcome was to meta-analyse the implant survival rate (ISR). The search generated 238 potential studies. After screening procedures, only nine randomized controlled trials fulfilled the inclusion criteria and were selected for qualitative and quantitative analysis. ISR of short implants ranged from 91.9% to 100%, while standard-length implants ISR ranged from 82.9% to 100% with a follow-up from 1 to 5 years in function. The risk ratio difference was 1.24 (95% confidence interval: 0.63-2.45, P=0.52) for short dental implants failure when compared with standard dental implants, and was not statistically significant. Based on the evidence of the included studies, short implants (≤6mm) reported high survival rates over short to medium follow-up in posterior maxilla, but the long-term success is as yet not demonstrated.
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Affiliation(s)
- P Carosi
- Department of Chemical Science and Technologies, University of Rome 'Tor Vergata', Rome, Italy.
| | - C Lorenzi
- Department of Chemical Science and Technologies, University of Rome 'Tor Vergata', Rome, Italy
| | - F Lio
- Department of Chemical Science and Technologies, University of Rome 'Tor Vergata', Rome, Italy
| | - M Laureti
- Department of Oral and Maxillo-Facial Sciences, 'Sapienza' University of Rome, Rome, Italy
| | - N Ferrigno
- Department of Oral and Maxillo-Facial Sciences, 'Sapienza' University of Rome, Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, School of Dentistry, University of Rome 'Tor Vergata', Rome, Italy
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Veronesi L, Colucci ME, Pasquarella C, Caruso L, Mohieldin Mahgoub Ibrahim M, Zoni R, Pergreffi M, Arcuri C, Seidenari C, Viani I, Capobianco E, Mezzetta S, Affanni P. Virological surveillance of SARS-CoV-2 in an Italian northern area: comparison of Real Time RT PCR cycle threshold (Ct) values in three epidemic periods. Acta Biomed 2020; 91:19-21. [PMID: 32701912 PMCID: PMC8023099 DOI: 10.23750/abm.v91i9-s.10138] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Accepted: 07/03/2020] [Indexed: 12/31/2022]
Abstract
Aim of the study was to investigate the differences in Ct values in nasopharingeal swabs collected in three SARS-CoV-2 epidemic periods: first one from February 23 to March 25 (14 days from lockdown started on March 11); the second one from March 26 to May 18 (14 days from the end of strict lockdown on May 4) and the third one from May 19 until June 15. Viral RNA was detected in nasopharyngeal swabs obtained both from inpatients and outpatients. COVID-19 infection was confirmed according to the Ct values for N1 and N2 genes ascertained by Real-Time RT-PCR assay as described by the CDC. We calculated the prevalence of nasopharyngeal swabs tested positive for SARS-CoV-2, the mean and median of the Cts and the percentage of samples equal or below the Ct value of 25 in the 3 periods considered. The average value of Ct increased, going from 24.80 in the first epidemic period to 26.64 in the second period to 28.50 in the third period (p <0.001). The percentage of samples with Ct lower than or equal to 25 also decreased sharply from 54.7% to 20.0%. These findings need to be integrated with epidemiological and clinical data.
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Affiliation(s)
| | | | | | - Luca Caruso
- Department of Medicine and Surgery, University of Parma, Italy.
| | | | - Roberta Zoni
- Department of Medicine and Surgery, University of Parma, Italy.
| | | | - Carlo Arcuri
- Department of Medicine and Surgery, University of Parma, Italy.
| | | | - Isabella Viani
- Department of Medicine and Surgery, University of Parma, Italy.
| | | | - Sandra Mezzetta
- Department of Medicine and Surgery, University of Parma, Italy.
| | - Paola Affanni
- Department of Medicine and Surgery, University of Parma, Italy.
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Tatarelli P, Magnasco L, Borghesi ML, Russo C, Marra A, Mirabella M, Sarteschi G, Ungaro R, Arcuri C, Murialdo G, Viscoli C, Del Bono V, Nicolini LA. Prevalence and clinical impact of VIral Respiratory tract infections in patients hospitalized for Community-Acquired Pneumonia: the VIRCAP study. Intern Emerg Med 2020; 15:645-654. [PMID: 31786751 PMCID: PMC7088538 DOI: 10.1007/s11739-019-02243-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2019] [Accepted: 11/21/2019] [Indexed: 12/29/2022]
Abstract
Prevalence and clinical impact of viral respiratory tract infections (VRTIs) on community-acquired pneumonia (CAP) has not been well defined so far. The aims of this study were to investigate the prevalence and the clinical impact of VRTIs in patients with CAP. Prospective study involving adult patients consecutively admitted at medical wards for CAP and tested for VRTIs by real-time PCR on pharyngeal swab. Patients' features were evaluated with regard to the presence of VRTI and aetiology of CAP. Clinical failure was a composite endpoint defined by worsening of signs and symptoms requiring escalation of antibiotic treatment or ICU admission or death within 30 days. 91 patients were enrolled, mean age 65.7 ± 10.6 years, 50.5% female. 62 patients (68.2%) had no viral co-infection while in 29 patients (31.8%) a VRTI was detected; influenza virus was the most frequently identified (41.9%). The two groups were similar in terms of baseline features. In presence of a VRTI, pneumonia severity index (PSI) was more frequently higher than 91 and patients had received less frequently pre-admission antibiotic therapy (adjusted OR 2.689, 95% CI 1.017-7.111, p = 0.046; adjusted OR 0.143, 95% CI 0.030-0.670, p = 0.014). Clinical failure and antibiotic therapy duration were similar with regards to the presence of VRTI and the aetiology of CAP. VRTIs can be detected in almost a third of adults with CAP; influenza virus is the most relevant one. VRTI was associated with higher PSI at admission, but it does not affect patients' outcome.
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Affiliation(s)
- P Tatarelli
- Division of Infectious Diseases, Department of Health Sciences (DiSSal), San Martino Polyclinic Hospital and IRCCS, University of Genoa, Via Pastore, 1, 16132, Genoa, Italy.
- Department of Infectious Diseases, Ospedale Santa Maria Delle Croci, Ravenna, Italy.
| | - L Magnasco
- Division of Infectious Diseases, Department of Health Sciences (DiSSal), San Martino Polyclinic Hospital and IRCCS, University of Genoa, Via Pastore, 1, 16132, Genoa, Italy
| | - M L Borghesi
- Division of Infectious Diseases, Department of Health Sciences (DiSSal), San Martino Polyclinic Hospital and IRCCS, University of Genoa, Via Pastore, 1, 16132, Genoa, Italy
| | - C Russo
- Division of Infectious Diseases, Department of Health Sciences (DiSSal), San Martino Polyclinic Hospital and IRCCS, University of Genoa, Via Pastore, 1, 16132, Genoa, Italy
| | - A Marra
- Second Clinic of Internal Medicine, Department of Internal Medicine, San Martino Polyclinic Hospital and IRCCS, University of Genoa, Genoa, Italy
| | - M Mirabella
- Division of Infectious Diseases, Department of Health Sciences (DiSSal), San Martino Polyclinic Hospital and IRCCS, University of Genoa, Via Pastore, 1, 16132, Genoa, Italy
| | - G Sarteschi
- Division of Infectious Diseases, Department of Health Sciences (DiSSal), San Martino Polyclinic Hospital and IRCCS, University of Genoa, Via Pastore, 1, 16132, Genoa, Italy
| | - R Ungaro
- Division of Infectious Diseases, Department of Health Sciences (DiSSal), San Martino Polyclinic Hospital and IRCCS, University of Genoa, Via Pastore, 1, 16132, Genoa, Italy
| | - C Arcuri
- Department of Health Sciences (DiSSal), University of Genoa, Genoa, Italy
| | - G Murialdo
- Second Clinic of Internal Medicine, Department of Internal Medicine, San Martino Polyclinic Hospital and IRCCS, University of Genoa, Genoa, Italy
| | - C Viscoli
- Division of Infectious Diseases, Department of Health Sciences (DiSSal), San Martino Polyclinic Hospital and IRCCS, University of Genoa, Via Pastore, 1, 16132, Genoa, Italy
| | - V Del Bono
- Infectious Diseases Unit, Azienda Ospedaliera S. Croce E Carle, Cuneo, Italy
| | - L A Nicolini
- Division of Infectious Diseases, Department of Health Sciences (DiSSal), San Martino Polyclinic Hospital and IRCCS, University of Genoa, Via Pastore, 1, 16132, Genoa, Italy
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Arcuri C, Petro E, Sollecchia G, Mummolo S, Marzo G. Laser in periodontal pockets: in vivo and in vitro study. J BIOL REG HOMEOS AG 2020; 34:139-146. DENTAL SUPPLEMENT. [PMID: 32618171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The aim of this study was to verify the sterilizing effectiveness of the laser in the treatment of the periodontal pockets in vivo, with the recording of clinicians' parameters and microbiological analysis, and in vitro with particular attention to the presence of specific bacterial stocks. During our study, in particular, it has been used the diodes laser. In order to estimate the effectiveness of the treatment of the periodontal pockets with laser, it has been examined the microbial content of the pockets carrying out withdrawals of the sulcular material before, immediately after and twenty minutes from the radiation. The microbiological results of the studies assert that, although substantial qualitative discrepancies between the several colonies of pathogen do not exist, quantitative differences are taken place with respect to the lessening of number and dimension of the present colonie.
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Affiliation(s)
- C Arcuri
- Department of Life, Health and Environmental Sciences, University of L'Aquila
| | - E Petro
- Department of Restorative and Endodontics Faculty of Dental Medicine University of Medicine, Tirana
| | - G Sollecchia
- Department of Chemical Science and Technologies, University of Rome "Tor Vergata", Rome, Italy
| | - S Mummolo
- Department of Chemical Science and Technologies, University of Rome "Tor Vergata", Rome, Italy
| | - G Marzo
- Department of Chemical Science and Technologies, University of Rome "Tor Vergata", Rome, Italy
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Carosi P, Barlattani A, Lorenzi C, Dolci A, Bianchi N, Arcuri C. Diode laser as an adjunct to nonsurgical chronic periodontitis therapy: a review. J BIOL REG HOMEOS AG 2020; 34:45-54. DENTAL SUPPLEMENT. [PMID: 32618160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The aim of this review was to investigate the additional effects of diode laser irradiation in combination with nonsurgical periodontal therapy. An electronic search of publications was established from three electronic databases: Cochrane, PubMed and Web of Science. The search strategy used a combination of controlled vocabulary and free-text words. Inclusion and exclusion criteria were defined by the authors before the start of the study. The inclusion criteria were all studies published in English language, randomized controlled trials, based on human subjects. All trials were designed to evaluate the efficacy of the diode laser therapy as an adjunct to nonsurgical periodontal therapy in the treatment of chronic periodontitis patients. All studies analyzed are not older than five years. The search resulted in 188 titles. After the analysis of the abstracts, an article was excluded because it was not relevant for the study and two because it treated aggressive periodontitis. At the end only 6 articles were included in the qualitative analysis. The potential role in chronic periodontal disease treatment of diode laser is still not demonstrated. Several studies regard the diode laser therapy, but there is still heterogeneity for what it concerns research and clinical protocols. As a result, several randomized controlled trials are needed to obtain certain data.
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Affiliation(s)
- P Carosi
- University Of Rome "Tor Vergata" - Department Of Chemical Science And Technologies, Phd In Materials For Health, Environment And Energy - Dentistry, Rome, Italy
| | - A Barlattani
- University of Rome "Tor Vergata"-Department of Clinical Science and Translational Medicine, Rome, Italy
| | - C Lorenzi
- University Of Rome "Tor Vergata" - Department Of Chemical Science And Technologies, Phd In Materials For Health, Environment And Energy - Dentistry, Rome, Italy
| | - A Dolci
- University of Rome "Tor Vergata"-Department of Clinical Science and Translational Medicine, Rome, Italy
| | - N Bianchi
- University Of Rome "Tor Vergata" - Department Of Chemical Science And Technologies, Phd In Materials For Health, Environment And Energy - Dentistry, Rome, Italy
| | - C Arcuri
- University of Rome "Tor Vergata"-Department of Clinical Science and Translational Medicine, Rome, Italy
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Affanni P, Colucci ME, Capobianco E, Bracchi MT, Zoni R, Viani I, Caruso L, Carlone L, Arcuri C, Veronesi L. Immunity status against tetanus in young migrants: a seroprevalence study. Acta Biomed 2020; 91:77-84. [PMID: 32275271 PMCID: PMC7975914 DOI: 10.23750/abm.v91i3-s.9438] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Accepted: 03/23/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND AND AIM OF THE WORK Thanks to the highly effective vaccine, tetanus became sporadic in high-income countries with well-established primary childhood immunization programs, but it is common in low-income countries. The migrants, leaving countries with poor immunization programs or where vaccinations have been interrupted, may represent a new risk group for tetanus in host countries. A seroprevalence study was conducted to estimate the immunological status against tetanus in young migrants without vaccination documentation. METHODS After a careful assessment by vaccination services of the Local Health Authority, all migrants recently arrived in Italy were included in the serosurvey. Titers of anti-tetanus toxoid were measured using a commercial ELISA kit. Subjects were stratified by age and by WHO region. Antibody titers <0.10 IU/ml were considered to be seronegative, between 0.10 and 1.00 IU/ml as intermediate protection, and >1.00 IU/ml high protection. RESULTS From January 2004 to December 2019, 2,326 blood samples were collected. Mean age was 13.9 years with no differences between WHO regions. The percentage of the subjects without protective antibodies was 22.3%, with an intermediate level was 45.2%, with high titer was 32.5%. Among migrant coming from African and Eastern Mediterranean WHO regions, the highest percentages of seronegative titers and, at the same time, the low percentages of high protective levels were found. Titers decreased with age. CONCLUSIONS The significant proportion of seronegative migrants and the decrease of protective titers increasing age, confirm the importance of the evaluation of the immunological status to employ the appropriate vaccination strategy.
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Affiliation(s)
| | | | | | | | - Roberta Zoni
- Department of Medicine and Surgery, University of Parma, Italy.
| | - Isabella Viani
- Department of Medicine and Surgery, University of Parma, Italy.
| | - Luca Caruso
- Department of Medicine and Surgery, University of Parma, Italy.
| | | | - Carlo Arcuri
- Department of Medicine and Surgery, University of Parma, Italy.
| | - Licia Veronesi
- Department of Medicine and Surgery, University of Parma, Italy.
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Arcuri L, Lorenzi C, Vanni A, Bianchi N, Dolci A, Arcuri C. Comparison of the accuracy of intraoral scanning and conventional impression techniques on implants: a review. J BIOL REG HOMEOS AG 2020; 34:89-97. DENTAL SUPPLEMENT. [PMID: 32064840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The aim of this review was to collect available evidence and evaluate accuracy outcomes of dental implant impression techniques, and to compare the accuracy of conventional implant impression versus digital implant impression. Inclusion and exclusion criteria were defined by the authors before the start of the study. The inclusion criteria were: all studies published in English language; studies no older than five years; analyzing the accuracy of digital vs conventional technique impression on implants. The exclusion criteria were: publications that reported the same data as later publications by the same authors and systematic reviews; commentaries and letters to the editor; case report and case series. The search resulted in 106 titles. Following the first stage of screening, after the records identification through database manual searching, 112 potentially relevant studies were identified. After the second stage screening, 33 full text publications were obtained and analyzed and 17 were excluded. Afterwards, 18 articles resulted eligible after full text reading and a cross search of the articles' references was accomplished; 3 articles were consequently added. At the end only 7 articles were included in the quantitative analysis. Within the limitations of this systematic review, digital impression on dental implants offers a comparable accuracy compared with conventional impressions technique. More clinical trials are recommended to investigate the accuracy of these scanners and their validity in clinical use.
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Affiliation(s)
- L Arcuri
- Department of Chemical Science and Technologies, University of Rome "Tor Vergata", Rome, Italy
| | - C Lorenzi
- Department of Chemical Science and Technologies, University of Rome "Tor Vergata", Rome, Italy
| | - A Vanni
- Unit of Dentistry and Oral Surgery, University of Pisa, Italy
| | - N Bianchi
- Department of Chemical Science and Technologies, University of Rome "Tor Vergata", Rome, Italy
| | - A Dolci
- Department of Chemical Science and Technologies, University of Rome "Tor Vergata", Rome, Italy
| | - C Arcuri
- Department of Chemical Science and Technologies, University of Rome "Tor Vergata", Rome, Italy
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Grammatico F, Butera F, Iavarone IG, Schenone I, Arcuri C, Barisione G, Guarona G, Sticchi L, Orsi A, Icardi G. RSV burden among hospitalized patients: 6-years surveillance of Liguria regional reference lab. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz186.522] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Respiratory syncytial virus (RSV) represents one of the most common agent causing respiratory infections in infants and adults. It causes seasonal epidemics, with a peak prevalence in winter. RSV epidemiology and burden are still under-recognized, although it leads to complications and increased mortality in patients at risk, such as infants, pregnant women, the elderly and patients with chronic diseases.
Materials/Methods
Data analyzed in this study were collected during the virological surveillance system activities at the Policlinico San Martino university hospital in Genoa, Italy. The regional reference laboratory receive swabs from all Liguria region, and detects the main circulating respiratory viruses by using molecular methods. The proportion rate of RSV (subtypes A and B) positive samples was determined in the period January 2013 - December 2018, stratifying data by gender, age and hospital units.
Results
From January 2013 to December 2018, 14911 swabs were analyzed, 585 patients reported at least once RSV positive respiratory sample. The median age of RSV positive patients was 56 years (IQR 27-71), with a males: females ratio of 0.93: 1. The peak RSV infection period occurred mainly during first quarter, confirming the seasonal trend of the virus. Greatest proportion of RSV positive samples were received from hematology-oncology wards (45.2% of isolations) and medicine units (31.9%). From 2013 to 2018 an increase of swabs collection of 207% was observed. Neonatology and pediatrics resulted in the highest rate of positive swabs (above 30%), hemato-oncology departments collected 7932 swabs with 3,3 % resulted positive.
Conclusions
A virological surveillance system able to detect the principal respiratory viruses circulating in adult population is a key element to better understand the RSV epidemiology and evaluate therapeutical strategies, in view of the availability of effective vaccines able to prevent RSV infection in the next future.
Key messages
RSV represents a leading cause of respiratory disease in hospitalized patients, especially in hematology-oncology, medicine and intensive care unit wards. Virological surveillance is a key element to better understand RSV epidemiology in all ages, in view of the availability of new effective vaccines.
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Affiliation(s)
- F Grammatico
- Department of Health Sciences, University of Genoa, Genova, Italy
| | - F Butera
- Department of Health Sciences, University of Genoa, Genova, Italy
| | - I G Iavarone
- Department of Health Sciences, University of Genoa, Genova, Italy
| | - I Schenone
- Department of Health Sciences, University of Genoa, Genova, Italy
| | - C Arcuri
- Department of Health Sciences, University of Genoa, Genova, Italy
| | - G Barisione
- Department of Health Sciences, University of Genoa, Genova, Italy
| | - G Guarona
- Department of Health Sciences, University of Genoa, Genova, Italy
| | - L Sticchi
- Department of Health Sciences, University of Genoa, Genova, Italy
- Hygiene Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy
| | - A Orsi
- Department of Health Sciences, University of Genoa, Genova, Italy
- Hygiene Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy
| | - G Icardi
- Department of Health Sciences, University of Genoa, Genova, Italy
- Hygiene Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy
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Monarca L, Ragonese F, Bastioli F, Cataldi S, Arcuri C, Mancinelli L, Iannitti R, Albi E, Fioretti B. Role of TTX-sensible voltage dependent sodium currents for the biological effects promoted by vitamin D3 in a model of neuronal differentiation. J Biotechnol 2019. [DOI: 10.1016/j.jbiotec.2019.05.115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Arcuri C, Barlattani A, Mazzetti V, Carosi P, Ferrigno N, Ferrigno N. Immediate restoration of a single upper central integrating digital workflow and a novel dental implant: a case report. J BIOL REG HOMEOS AG 2019; 33:171-177. [PMID: 32338471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The aim of this study is to report the integrated digital workflow with a novel dental implant to rehabilitate a single tooth in a high value aesthetic zone. A 50-year-old man asked to rehabilitate tooth 1.1. The use of an integrated digital workflow in combination with computer guided surgery allow the clinician to visualize all patient's information when planning the rehabilitation in order to obtain a more predictable and a less invasive surgery. After two months of follow-up there were no biological or prosthetic issues. Within the limitation of this study, the digital workflow to rehabilitate a high value aesthetic zone could improve predictability and accuracy in immediate loading restoration.
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Affiliation(s)
- C Arcuri
- Department of Clinical Sciences and Translational Medicine - University of Rome "Tor Vergata", Rome, Italy
| | - A Barlattani
- Department of Clinical Sciences and Translational Medicine - University of Rome "Tor Vergata", Rome, Italy
| | - V Mazzetti
- Department of Clinical Sciences and Translational Medicine - University of Rome "Tor Vergata", Rome, Italy
| | - P Carosi
- Department of Chemical Science and Technologies, PhD in Materials for Health, Environment and Energy - Dentistry, Rome, Italy
| | - N Ferrigno
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - N Ferrigno
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
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Scapoli L, Arcuri C, D'Orto O, Bolzoni A, Lagana F, Carinci F. Screening of periodontopathic bacteria in Italian patients affected by periodontitis. J BIOL REG HOMEOS AG 2019; 33:15-20. DENTAL SUPPLEMENT. [PMID: 31828989] [Citation(s) in RCA: 0] [Impact Index Per Article: 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: 06/10/2023]
Abstract
Periodontal disease (PD) is among the most common infectious diseases in the world, caused by pathogenic bacteria that trigger innate, inflammatory, and adaptive immune responses, leading to the destruction of supporting periodontal tissues and, if untreated, tooth loss. This study included 3593 patients, of them 1963 had a complete dataset and thus were analysed: 1088 (55%) were from Northern Italy, 749 (38%) from Central and 126 (7%) from Southern. Aggregatibacter actinomycetemcomitans, Porphyromonas gengivalis, Treponema denticola, and Tannerella forsythia, Campylobacter rectus, Fusobacterium nucleatum, and total bacterial load were investigated. There was a significant difference in geographic distribution as regard A. actinomycetemcomitans (p<0.001), C. rectus (p<0.001), F. nucleatum (p<0.001) and total bacterial load (p<0.001). No differences were detected as regard gender, whereas a significant higher F. nucleatum load was observed in younger patients.
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Affiliation(s)
- L Scapoli
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of Tor Vergata, Rome, Italy
| | - O D'Orto
- Maxillofacial and Dental Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - A Bolzoni
- Maxillofacial and Dental Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
| | - F Lagana
- Maxillofacial and Dental Unit, IRCCS Cà Ospedale Policlinico San Martino, Genova, Italy
| | - F Carinci
- Lab srl, Codigoro (FE), Italy
- Department pf Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
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14
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Costacurta M, Petrini M, Biferi V, Arcuri C, Spoto G, Docimo R. The correlation between different techniques for the evaluation of oral malodour in children with and without orthodontic treatment. Eur J Paediatr Dent 2019; 20:233-236. [PMID: 31489824 DOI: 10.23804/ejpd.2019.20.03.12] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM The aim of this work was to evaluate the correlation between different methods (organoleptic evaluation, gas chromatography, salivary ?-galactosidases activity) for the evaluation of halitosis in children. The secondary purpose was to investigate the influence of orthodontic treatment on halitosis. MATERIALS AND METHODS Study Design: Oral malodour was detected with different methods in 50 children in the Paediatric Dentistry Unit, University of Rome Tor Vergata, Rome, Italy. During the dental visit, level of oral hygiene, tongue coating scores and presence of an orthodontic device, fixed or mobile, were recorded. Two trained and calibrated operators performed the organoleptic evaluation; the Oral ChromaTM device was used for the volatile sulfur compounds (VSCs) quantification and salivary ?-galactosidases (S?-g) activity was evaluated through the spectrophotometric method. STATISTICS The Cohen's Kappa score was used to evaluate the level of agreement between the operators. The Pearson's correlation coefficient was used to evaluate the linear relationship between continuous variables (e.g. S?-g vs. VSCs values) and the Spearman's correlation coefficient was calculated for ordinal variables (e.g. organoleptic scores) vs. other parameters. The LSD test was used to compare the parameters analysed in the study. RESULTS A positive and significant correlation between the organoleptic evaluation, the S?-g, the levels of hydrogen sulfide (H2S) and methyl mercaptan (CH3SH) was found. The Spearman's correlation has shown that organoleptic scores were significantly correlated with S?-g (0.664, p<0.001) and the Oral ChromaTM measurements of H2S (0.538, p<0.001) and Ch3SH (0.316, p=0.026). The Pearson's correlation showed that S?-g was statistically significantly correlated with the Oral ChromaTM measurements of H2S (0.379 p=0.007) and Ch3SH (0.299, p=0.0035). Stratifying results for orthodontic treatment, it was possible to show that children under orthodontic treatment, both fixed or removable, were characterised by higher level of S?-g. The organoleptic evaluation and Oral ChromaTM measurements showed that children wearing fixed orthodontic were characterised by higher scores. CONCLUSIONS There was a significant correlation between the three different techniques for the evaluation of oral malodour in children. Like in the adult population, the increase of S?-g activity was associated with oral malodour. The presence of fixed orthodontic appliances was correlated to increased scores of all methods for the evaluation of halitosis.
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Affiliation(s)
- M Costacurta
- Department of Surgical Science, University of Rome Tor Vergata, Rome, Italy
| | - M Petrini
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy
| | - V Biferi
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy
| | - C Arcuri
- Department of Medical, Oral and Biotechnological Sciences, University of Rome Tor Vergata, Rome, Italy
| | - G Spoto
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy
| | - R Docimo
- Department of Surgical Science, University of Rome Tor Vergata, Rome, Italy
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15
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Lorenzi C, Arcuri L, Lio F, Dolci A, Arcuri C. Radiosurgery in dentistry: a review. Clin Ter 2019; 170:e48-e54. [PMID: 30789197 DOI: 10.7417/ct.2019.2107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The aim of the present study was to analyse the clinical potential of radiosurgery applied to modern dentistry through a revision of the indexed literature. Radiosurgery represents a recent form of electrosurgery working at a frequency of 3.0-4.0 MHz. The depth of penetration of the waves is inversely proportional to the frequency. Radiowaves working at high frequency express a lower penetration with a consequent lower tissue alteration. The authors analyzed the literature in order to give to the scientific community an overview of the possible applications of radiosurgery in the clinical dental practice and their effectiveness. Radiosurgery can be used in prosthodontics, in periodontal and implant surgery, in the treatment of trigeminal neuralgia, in the treatment of obstructive sleep apnea syndromes (OSAS) and in endodontics. Our analysis shows that although there are few articles in indixed literature on the applications of radiosurgery in dentistry, thanks to the benefits that derive from it, radiosurgery will spread more in the daily clinical practice of the dentists.
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Affiliation(s)
- C Lorenzi
- Department of Chemical Science and Technologies, University of Tor Vergata, Rome
| | - L Arcuri
- Department of Chemical Science and Technologies, University of Tor Vergata, Rome
| | - F Lio
- Department of Clinical Sciences and Traslational Medicine, School of Dentistry, University of Tor Vergata, Rome, Italy
| | - A Dolci
- Department of Clinical Sciences and Traslational Medicine, School of Dentistry, University of Tor Vergata, Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Traslational Medicine, School of Dentistry, University of Tor Vergata, Rome, Italy
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16
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Piazza MF, Butera F, Schenone S, Iavarone IG, Arcuri C, D'ambrosio B, Canepa P, Sticchi C, Zoli D, Icardi G. Description of a Hepatitis A outbreak in the Liguria Region, Northern Italy, January 2017-April 2018. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky218.136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- MF Piazza
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - F Butera
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - S Schenone
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - IG Iavarone
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - C Arcuri
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - B D'ambrosio
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - P Canepa
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - C Sticchi
- Health Regional Agency, Liguria, Genoa, Italy
| | - D Zoli
- Department of Prevention, Public Health Unit, ASL1 Imperiese, Imperia, Genoa, Italy
| | - G Icardi
- Department of Health Sciences, University of Genoa, Genoa, Italy
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17
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Ottria L, Candotto V, Cura F, Baggi L, Arcuri C, Nardone M, Gaudio RM, Gatto R, Spadari F, Carinci F. HPV acting on E-cadherin, p53 and p16: literature review. J BIOL REG HOMEOS AG 2018; 32:73-79. [PMID: 29460521] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
In addition to tobacco and alcohol consumption, the two main risk factors for oral squamous cell carcinoma (OSCC), recent studies have revealed infections with human papilloma virus (HPV) as an additional risk factor for OSCC development. In the field of head and neck malignancies, the prevalence of HPV infections in oropharyngeal cancer (OC) ranges in different studies up to 84%. While HPV infection is discussed as an independent risk factor in this region, its distinguished role in carcinogenesis of tumours localized to the oral cavity remains uncertain. A systematic literature search was performed using PubMed, Cochrane library, Science Direct, and the Internet search, with language restricted to English. The search included published studies which dealt with detection methods of HPV-related oral and oropharyngeal cancers and biomolecular studies, particularly regarding the compromising of p53 p16 and e-cadherins. P53 Tumour suppressor protein p53 has several functions that are related to maintaining genomic stability and inhibiting cell proliferation in response to DNA damage. For preventing neoplasia to occur, the most important of these functions are cessation of cell growth and induction of either apoptosis or senescence. P16 is a cellular protein involved in cell cycle regulation. It is a cyclin-dependent kinase 4 (CDK4) inhibitor, and is integral to Rb mediated regulation of G1-S phase of the cell cycle. P16 is expressed at a very low level in normal cell as Rb inhibits transcription of p16. Various detection methods ranging from immunohistochemistry (IHC) to molecular techniques have been used to determine the HPV status of HNSCC. E-cadherin, a 120 kDa Type I classical cadherin, is expressed primarily on epithelial cells. It is found on the surface of keratinocytesand Langerhans cells (LC) and E-cadherin mediated adhesion between these cell types is required for LC retention in the epidermis. It is also an important tumour suppressor protein: its loss or inactivation is associated with epithelial-to-mesenchymal transition (EMT), a process involving dedifferentiation, infiltration and metastasis of tumours. Oral carcinogenesis is a multi-factorial process involving socioeconomic, environmental and microbial factors leading to multistep changes. Smoking and tobacco exposure seems to modify the survival and recurrence of HPV positive tumours and should be considered in future trials for risk stratification of HPV positive patients. HPV associated oropharynx cancer represents a distinct clinical and biologic entity with many unresolved issues that will be investigated in future translational, clinical research. We need to further explore and understand why the disease occurs predominantly in males, and whether the natural history of oral HPV infection differences in men and women.
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Affiliation(s)
- L Ottria
- Dental School, Tor Vergata University, Rome, Italy
| | - V Candotto
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
| | - F Cura
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Baggi
- Department of Clinical Sciences and Translational Medicine, University of Tor Vergata, Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of Tor Vergata, Rome, Italy
| | | | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of LAquila, LAquila, Italy
| | - F Spadari
- Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy
| | - F Carinci
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
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18
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Ottria L, Candotto V, Cura F, Baggi L, Arcuri C, Nardone M, Gaudio RM, Gatto R, Spadari F, Carinci F. Human Papilloma Virus associated with oral cancer and preventive strategies: the role of vaccines. J BIOL REG HOMEOS AG 2018; 32:61-65. [PMID: 29460519] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The aim of this paper is to describe the efficacy of Human Papilloma Virus (HPV) vaccines for preventing oral cancer. A systematic review of the literature was conducted to describe the state of the art about HPV vaccines for preventing oral cancer. The aspects of prevention and control of infection by administering vaccines and the diffusion of sexual education campaigns are discussed also. In recent years there has been a growing interest in HPV in dentistry, suggesting a role of such a family of viruses in the development of oral cancers as well as of the uterine cervix. Even if the mass media have increasingly faced the problem, causing frequent alarming among patients, the dentist therefore needs a complete and up-to-date knowledge of this infectious condition that is one of the most common causes of sexually transmitted mucous membrane infections (eg genital, anal and oral). Recent studies about HPV infection are a basic requirement in order to promote the HPV vaccinations and patients health.
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Affiliation(s)
- L Ottria
- Dental School, Tor Vergata University, Rome, Italy
| | - V Candotto
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
| | - F Cura
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Baggi
- Department of Clinical Sciences And Translational Medicine, University of Tor Vergata, Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of Tor Vergata, Rome, Italy
| | | | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of LAquila, LAquila, Italy
| | - F Spadari
- Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy
| | - F Carinci
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
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19
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Arcuri L, Contaldo M, Santoro R, Pozzi A, Lorenzi C, Arcuri C, Barlattani A, Tettamanti L, Ottria L. Radiosurgery-assisted gingival displacement: a proof of concept technique to enhance the efficiency of intraoral digital impression. J BIOL REG HOMEOS AG 2018; 32:197-201. [PMID: 29460541] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Nowadays, an increasing number of dentists are using intraoral scanners (IOS) in their daily practice as an alternative to conventional impression taking. One of the main concerns is related to the capability of scanning the subgingival anatomy of the die, usually very challenging due to the limited operative field and the presence of oral fluids. The radiosurgery assisted gingival displacement technique (RAGD) may enhance the intraoral optical scanning of the finish line and neighbor tooth anatomy. The contour of the interim prosthesis is used to drive the tip of radiosurgery electrode along the tooth surface and open selectively the gingival crevice with a prosthetically-driven and minimally invasive approach. The clinical implication of this technique is related to increasing the efficiency and accuracy of the digital impression technique in the critical zone of the prosthetic shoulder.
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Affiliation(s)
- L Arcuri
- Department of Clinical Sciences and Translational Medicine, School of Dentistry, University of Tor Vergata, Rome, Italy
| | - M Contaldo
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
| | - R Santoro
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
| | - A Pozzi
- Oral Surgery and Implant Dentistry, Marche Polytechnic University, Ancona, Italy
| | - C Lorenzi
- Department of Clinical Sciences and Translational Medicine, School of Dentistry, University of Tor Vergata, Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, School of Dentistry, University of Tor Vergata, Rome, Italy
| | - A Barlattani
- Department of Clinical Sciences and Translational Medicine, School of Dentistry, University of Tor Vergata, Rome, Italy
| | - L Tettamanti
- Department of Medicine and Surgery, University of Insubria, Varese, Italy
| | - L Ottria
- Department of Clinical Sciences and Translational Medicine, School of Dentistry, University of Tor Vergata, Rome, Italy
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20
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Ruggiero F, Carbone D, Mugavero R, Cura F, Baggi L, Arcuri C, Nardone M, Gaudio RM, Gatto R, Scapoli L, Carinci F. Human papilloma virus in the tonsillar microbiota of an Afghan population group. J BIOL REG HOMEOS AG 2018; 32:191-196. [PMID: 29460540] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Cancer of the oral cavity is known to have a diverse aetiology that includes infectious agents. Human papilloma virus has been found to be associated with several types of human cancer, inclusive of cervical, vulvar, vaginal, penile, anal, and cancer of tonsil. The aim of this manuscript is to investigate the presence of human papilloma virus in tonsillar microbiota of an Afghan population group. A sample of the tonsillar microbiota was collected by oral swab paper stick from 80 healthy donors. The sample was investigated for the presence of high-risk human papillomavirus types 16, 18, 31 and 45 by real time PCR. Eight samples produced some positive endpoint signals for human papillomaviruses. The human papillomavirus 31 was the unique papillomavirus detected; its calculated prevalence rate was 0.10 (C.I. 0.05-0.19). However, the viral load was always very low, in the order of 10-3 viral genomes per cell. The high prevalence of high-risk human papillomavirus in healthy population suggest a need for further investigation on virus spreading and supports the development of vaccination strategies.
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Affiliation(s)
- F Ruggiero
- Military Policlinic of Rome, Medical Department, Cardiological Unit, Rome, Italy
| | - D Carbone
- Military Policlinic of Rome, Department of Urgency and Surgery, Operative Unit of Odontostomatology, Rome, Italy
| | - R Mugavero
- Department of Electronic Engineering, University of Tor Vergata, Rome, Italy
- OSDIFE, University of Tor Vergata, Rome, Italy
- CUFS, University of San Marino
| | - F Cura
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - L Baggi
- Department of Clinical Sciences and Translational Medicine, University of Tor Vergata, Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of Tor Vergata, Rome, Italy
| | - M Nardone
- Ministry of Public Health, Rome, Italy
| | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of L’Aquila, L’Aquila, Italy
| | - L Scapoli
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - F Carinci
- CUFS, University of San Marino
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
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21
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Candotto V, Lauritano D, Nardone M, Baggi L, Arcuri C, Gatto R, Gaudio RM, Spadari F, Carinci F. HPV infection in the oral cavity: epidemiology, clinical manifestations and relationship with oral cancer. ACTA ACUST UNITED AC 2017; 10:209-220. [PMID: 29285322 DOI: 10.11138/orl/2017.10.3.209] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Purpose The aim of this paper is to describe epidemiology and clinical manifestations of oral infection by Human papillomavirus (HPV), with particular attention to potential malignant lesions. Materials and methods A systematic review of the literature was conducted to describe the state of the art about HPV infection in oropharyngeal mucosa and its modalities of transmission, with particular attention to possible simultaneous infection in multiple anatomic sites. The aspects of prevention and control of infection by administering vaccines and the diffusion of sexual education campaigns are discussed also. Therapeutic protocols are also described where necessary. Results In recent years there has been a growing interest in HPV oral medicine, suggesting a role of such a family of viruses in the development of neoplasms of the oropharyngeal district as well as of the uterine cervix. Even if the mass media have increasingly faced the problem, causing frequent alarming among patients, the dentist therefore needs a complete and up-to-date knowledge of this infectious condition that is one of the most common causes of sexually transmitted mucous membrane infections (e.g. genital, anal and oral). Conclusions Recent studies about HPV infection are a basic requirement in order to promote the health of patients and provide them with the most exhaustive indications from dentists.
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Affiliation(s)
- V Candotto
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
| | - D Lauritano
- Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy
| | - M Nardone
- Ministry of Public Health, Rome, Italy
| | - L Baggi
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, School of Dentistry, University of L'Aquila, L'Aquila, Italy
| | - R M Gaudio
- Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - F Spadari
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, "Ospedale Maggiore Policlinico Ca' Granda" Foundation, Unit of Oral Pathology and Medicine, Milan, Italy
| | - F Carinci
- Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy
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22
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Ottria L, Luciani F, Piva P, Alagna AM, Arcuri C, Bartuli FN. The flap recovery on the impacted lower third molar surgery comparing 3 different flap designs: a clinical study. ACTA ACUST UNITED AC 2017; 10:270-275. [PMID: 29285329 DOI: 10.11138/orl/2017.10.3.270] [Citation(s) in RCA: 5] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Aim The purpose of the study was to analyze the healing of the deep and superficial lower first and second molars periodontium, after the surgical extraction of the contiguous impacted third molar, comparing 3 mucoperiosteal flap designs. Materials and methods 150 patients which had to undergo a impacted lower third molar surgery were enrolled in this study. They were checked from day 0 to day 90, in order to focus on the recovery quality of the soft tissues around the lower second molar, comparing 3 different flap designs. Results No intraoperatory incident happened. The complete recovery of the periodontium around the second molar has been shown in each patient after 90 days from surgery and each adverse reaction happened within the sixth week after surgery. Only 2 slight gengival recessions 0,5 mm have been find out. Conclusions The impacted third molar surgery is an operation that, if rightly programmed and performed, is relatively safe. Besides, the correct handling and management of periodontium around the second molar and the choice of the flap type to be used support a correct recovery on the second molar periodontium, avoiding any long-term damage. Clinical significance This study wanted to analyze the healing of the deep and superficial lower second molar periodontium, after the impacted lower third molar surgery. In order to improve the surgical technique used for lower third molar germectomies, we wanted to compare 3 different kind of flap designs.
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Affiliation(s)
- L Ottria
- MD, DDS, MSc University of Rome "Tor Vergata", Department of Clinical Science and Translational Medicine, Rome, Italy
| | - F Luciani
- DDS, PhD University of Rome "Tor Vergata", Rome, Italy
| | - P Piva
- DDS, PhD University of Rome "Tor Vergata", Rome, Italy
| | - A M Alagna
- DDS, University of Rome "Tor Vergata", Rome, Italy
| | - C Arcuri
- MD, DDS, Resident Professor in Periodontics. Director and Chief UOCC Odontostomatology "S. Giovanni Calibita-Fatebenefratelli" Hospital. Co-Director PhD Programm in "Material for Health, Environment and Energy" University of Rome "Tor Vergata", Rome, Italy
| | - F N Bartuli
- DDS, PhD, UOCC Odontostomatology "S. Giovanni Calibita-Fatebenefratelli", University of Rome "Tor Vergata", Rome, Italy
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23
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Abstract
AIM OF THE STUDY It is well known by previous important studies that mandible flexes during different jaw movements. According to this assumption it is very important to know how implant supported fixed partial dentures could restrict mandibular movements and, could lead to excess strain accumulation that could modify the resolution of implant treatment. The aim of our project is to create a bio-faithful model able to recreate mandibular movements, during three point bending test methods of (FIXED -PARTIAL -DENTURES) FPDs, to avoid a not flexible metal base, where models' properties doesn't allow to obtain a bio-faithful simulation during testing phases. MATERIALS AND METHODS 2 implants (premium Sweden and Martina®) were embedded in mandible resin section to mimic osteointegrated implants in premolar and molar areas, in order to recreate a Kennedy Class II configuration. Our mandible test simulator was creating according to the measurement obtained according to the study of Schwartz-Dabney and Dechow (2002). Sample so created is tested with testing machine (Instron 5566®, UK) adopting the three point bending mechanical tests configuration. DISCUSSION AND CONCLUSION We can admit that oral cavity is a bio-dynamic system, where different variables incurr, so it's very important that experimental conditions simulate clinical environment. Experimentation should be based on the correlation between the failure mechanisms exhibited for in vitro samples and those observed in fractured clinical prostheses made of the same composition and processing conditions. A bio-faithful model could reduce this wide range between in vitro and in vivo study experimentation.
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Affiliation(s)
- V Vertucci
- PHD Material for Health, Environment and Energy, University of Rome "Tor Vergata", Rome, Italy
| | - M Montani
- PHD Material for Health, Environment and Energy, University of Rome "Tor Vergata", Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - P Cardelli
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy
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24
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Cataldi ME, Al Rakayan S, Arcuri C, Condò R. Dental unit wastewater, a current environmental problem: a sistematic review. Oral Implantol (Rome) 2017; 10:354-359. [PMID: 29682252 DOI: 10.11138/orl/2017.10.4.354] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The dental unit waters are divided in two different groups, because of their chemical and microbial composition proprieties: in the first there is the "incoming dental unit water", drinking water that arrived directly in the dental chair unit through the municipal water system; in the second there is the "waste water", that represents the whole dental unit waste water. Regarding the lack of a complete systematic review on the quality of dental unit wastewater, the aim of the current research was to systematically study the incoming dental unit water and the waste one, focusing the attention on the problem of the wastewater contamination and its regulations. Materials and methods A systematic literature review of the last 17 years was conducted on the topic of dental unit wastewater. Italian and English were the languages chosen for the papers research.Studies were searched in PubMed, Medline and Cochrane, with regard to inclusion criteria. Results The investigation and analysis of the two papers group revealed the presence of many information and scientific studies on the incoming dental unit water contamination, in contrast not much in literature about dental unit waste-water. Conclusions The results revealed that dental unit wastewater is a problem underestimated by the scientific community, with the exception of dental amalgam wastes.In Italy there is a sentence of "Corte di Cassazione Penale, sez III, sentenza 17 gennaio 2013, n 2340" that regularized dental wastewaters as industrial ones, so they are inadequate to be disposed as domestic waters; but, at the same time, there isn't a specific law that regulates this king of waste.
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Affiliation(s)
- M E Cataldi
- PhD in Materials for Health, Environment and Energy, Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - S Al Rakayan
- PhD in Materials for Health, Environment and Energy, Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - R Condò
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy
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Andreasi Bassi M, Andrisani C, Lico S, Ormanier Z, Arcuri C. Upper full arch rehabilitation with sinus by-pass with tilted implants via tapered-threaded expanders in low density bone: a clinical trial. Oral Implantol (Rome) 2017; 9:61-68. [PMID: 28042432 DOI: 10.11138/orl/2016.9.2.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE In the present paper the use of tapered-screw bone expanders (TSBEs) is proposed, in combination with the placement of tilted implants, in close proximity to the anterior sinus wall, solving the problem of the reduced height of the alveolar bone in the sub-antral area. The Authors present a case series of full-arch rehabilitations performed with this procedure named: Tilted Implant Expansion Osteotomy (TIEO). MATERIALS AND METHODS 12 patients (5 males and 7 females, average age 58.5 ± 8.1 years) with totally or partially edentulous maxilla were enrolled in this study. For each patient 4 implants were placed, the anterior implants in the area of lateral incisors or canines while, the posterior implants, immediately in front of the maxillary sinus, with an inclined position. Adopting the aforesaid procedure, 48 cylindrical two-piece implants were placed, 24 of which were placed in tilted position, in order to by-pass the maxillary sinus. After a healing period of 6 months, the second stage surgery was performed. The cases were finalized by means of a hybrid metal-acrylic prosthesis. The post finalization follow-up was at 12 months. RESULTS Survival rate was 100% since none fixtures were lost. At the one-year follow up the clinical and radiological appearance of the soft and hard tissues was optimal and no pathological signs were recorded. CONCLUSION TIEO is a promising surgical procedure for full-arch rehabilitation of maxillary edentulous sites and represents a therapeutic alternative to sinus lift techniques.
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Affiliation(s)
| | | | - S Lico
- Private Practice in Olevano Romano (RM), Italy
| | - Z Ormanier
- Department of Oral Rehabilitation, Tel-Aviv University, Tel-Aviv, Israel
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy
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DI Girolamo M, Arullani CA, Calcaterra R, Manzi J, Arcuri C, Baggi L. Preservation of extraction socket in immediate implant placement: a clinical study. Oral Implantol (Rome) 2017; 9:222-232. [PMID: 28042451 DOI: 10.11138/orl/2016.9.4.222] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
AIM The objective of this study was to compare different approaches temporary restoration in an immediate implant placement. To determine the respective influence of each parameter, two treatment groups were formed; a strict and standardized study protocol was applied to minimize the influence of bias and confounding factors. The Pink Esthetic Score (PES) - the esthetic out-come of soft tissue appearance was evaluated. MATERIAL AND METHODS Sixteen patients with a single failing tooth in the maxilla and a natural contralateral site were randomly distributed into two groups. Treatment variations affected the provisional restorative in detail, group 1 with immediate implant placement and immediate temporary restoration with the simulation of the first three mm of the root and the seal of the socket, group 2 with immediate implant placement and immediate temporary restoration without the seal of the socket. All patients received the final prosthetic restoration 10-12 weeks after implant placement. Standardized photographs were taken eight months after tooth extraction. Five competent observers analyzed the esthetic outcome according to the PES. RESULTS The overall scores of the four treatment groups revealed PES values of 8.47 (SD 2.08, group 1), 6.62 (SD 3.24, group 2). The differences between groups 1 and 2 and were statistically significant (P=0.015 and P=0.047). The single parameter analysis displayed a certain range of fluctuation and heterogeneity. CONCLUSIONS Immediate implant placement and restoration appear to be a suitable alternative to early implant placement if an experienced surgeon is entrusted with the implantation procedure.
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Affiliation(s)
- M DI Girolamo
- School of Dentistry, University of Rome "Tor Vergata", Rome, Italy
| | | | - R Calcaterra
- Department of Social Dentistry, National Institute for Health, Migration and Poverty - School of Dentistry, University of Rome "Tor Vergata", Rome, Italy
| | - J Manzi
- School of Dentistry, University of Rome "Tor Vergata", Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - L Baggi
- Department of Social Dentistry, National Institute for Health, Migration and Poverty - School of Dentistry, University of Rome "Tor Vergata", Rome, Italy
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Andreasi Bassi M, Andrisani C, Lico S, Silvestre F, Gargari M, Arcuri C. Increasing volume of vestibular soft tissues in flapless implant surgery through a modified connective punch technique: a controlled clinical trial. Oral Implantol (Rome) 2017; 9:143-150. [PMID: 28042442 DOI: 10.11138/orl/2016.9.3.143] [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] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The aim of this article is to make a comparative assessment between the modification of the soft-tissue profile, around the healing cap screws (HCSs), following both the traditional flapless surgery (TFS) and a new modified flapless surgery, named Modified Connective Tissue Punch (MCTP) technique. MATERIALS AND METHODS 8 patients (3M and 5F) (mean age 54.25±11.247 years) were enrolled in this study. Sixteen two-piece implants were placed on upper jaws, 2 for each patient, 8 with TFS and 8 with MCTP technique. In each patient the implants were placed in edentulous areas, of 2 or 3 adjacent teeth long. MCTP technique was performed on the front implant site (FIS) while the TFS was performed on the rear implant site (RIS). All implants were inserted and covered with healing cap screws (HCSs). Alginate impressions were carried out at the moment of the surgery, at 1 month and 4 months post-operative. Plaster models were poured and subsequently digitally scanned, in order to measure the distance between the gingival outline and the free margin of the HCS. The recorded values were analyzed with the ANOVA test. RESULTS The use of MTCP technique, in comparison to TFS, showed a significative better outcome, in terms of vertical increments, of gingiva, on the VS toward the HCSs, during the entire observation period (p = 0.000 for all). CONCLUSION The Authors recommend the use of MCTP technique for a better vestibular soft tissue outcome in flapless implant surgery.
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Affiliation(s)
| | | | - S Lico
- Private practice, Olevano Romano, (Rome), Italy
| | - F Silvestre
- Departimento de Estomatologia, University of Valencia, Valencia, Spain
| | - M Gargari
- Department of Clinical Sciences and Translational Medicine, University of "Tor Vergata", Rome, Italy. Department of dentistry "Fra G.B. Orsenigo - Ospedale San Pietro F.B.F.", Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of "Tor Vergata", Rome, Italy
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DI Girolamo M, Calcaterra R, DI Gianfilippo R, Arcuri C, Baggi L. Bone level changes around platform switching and platform matching implants: a systematic review with meta-analysis. Oral Implantol (Rome) 2016; 9:1-10. [PMID: 28042425 DOI: 10.11138/orl/2016.9.1.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The amount of marginal bone loss is considered an important criterion to evaluate the implant therapy outcome and to predict the prognosis of the implant rehabilitation. The purpose of this systematic review was to examine the available literature comparing clinical and radiological outcomes like the implant failure rates and marginal bone loss around platform switching dental implants versus platform matching ones. English randomized controlled human clinical trials, comparing one or more PS groups with one or more PM groups, with at least 12 months of follow-up after loading and 10 implants, providing carefully the number of PS- and PM- implants used as well as implant survival and data concerning bone level changes or marginal bone loss around implants, were included. Fifteen publications, involving a total of 1439 implants and 642 patients, were eligible. More studies showed less mean marginal bone loss around PS implants and none of them showed differences in terms of implant failure rates. This review confirmed a great effectiveness of platform switching technique to prevent marginal bone resorption. Nevertheless, this result should be interpreted cautiously because of the heterogeneity of the included studies.
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Affiliation(s)
- M DI Girolamo
- School of Dentistry, University of Rome "Tor Vergata", Rome, Italy
| | - R Calcaterra
- Department of Social Dentistry, National Institute for Health, Migration and Poverty, School of Dentistry, University of Rome "Tor Vergata", Rome, Italy
| | - R DI Gianfilippo
- School of Dentistry, University of Rome "Tor Vergata", Rome, Italy
| | - C Arcuri
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - L Baggi
- Department of Social Dentistry, National Institute for Health, Migration and Poverty, School of Dentistry, University of Rome "Tor Vergata", Rome, Italy
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Germano F, Melone P, Testi D, Cardelli P, Arcuri C. Condizioni parodontali e nascita pretermine e sottopeso. Dental Cadmos 2016. [DOI: 10.19256/d.cadmos.09.2016.08] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Massimiliano A, Bronte G, Spataro F, Bronte E, Leonardi V, Usset A, Laudani A, Arcuri C, Cusimano M, Russo A. Tolerability, efficacy and acceptability of fentanyl pectin nasal spray for breakthrough cancer pain. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw344.14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Fioravanti C, Frustaci I, Armellin E, Condò R, Arcuri C, Cerroni L. Autologous blood preparations rich in platelets, fibrin and growth factors. Oral Implantol (Rome) 2016; 8:96-113. [PMID: 28042422 DOI: 10.11138/orl/2015.8.4.096] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
OBJECTIVES Bone regeneration is often needed prior to dental implant treatment due to the lack of adequate quantity and quality after infectious diseases. The greatest regenerative power was obtained with autologous tissue, primarily the bone alive, taken from the same site or adjacent sites, up to the use centrifugation of blood with the selection of the parts with the greatest potential regenerative. In fact, various techniques and technologies were chronologically successive to cope with an ever better preparation of these concentrates of blood. Our aim is to review these advances and discuss the ways in which platelet concentrates may provide such unexpected beneficial therapeutic effects. METHODS The research has been carried out in the MEDLINE and Cochrane Central Register of Controlled Trials database by choosing keywords as "platelet rich plasma", "platelet rich fibrin", "platelet growth factors", and "bone regeneration" and "dentistry". RESULTS Autologous platelet rich plasma is a safe and low cost procedure to deliver growth factors for bone and soft tissue healing. CONCLUSION The great heterogeneity of clinical outcomes can be explained by the different PRP products with qualitative and quantitative difference among substance.
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Affiliation(s)
- C Fioravanti
- Department of Clinical Science and Translational Medicine, "Tor Vergata" University of Rome, Rome, Italy
| | - I Frustaci
- Department of Clinical Science and Translational Medicine, "Tor Vergata" University of Rome, Rome, Italy
| | - E Armellin
- Department of Clinical Science and Translational Medicine, "Tor Vergata" University of Rome, Rome, Italy
| | - R Condò
- Department of Clinical Science and Translational Medicine, "Tor Vergata" University of Rome, Rome, Italy
| | - C Arcuri
- Department of Clinical Science and Translational Medicine, "Tor Vergata" University of Rome, Rome, Italy
| | - L Cerroni
- Department of Clinical Science and Translational Medicine, "Tor Vergata" University of Rome, Rome, Italy
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Germano F, Melone P, Testi D, Arcuri L, Marmiroli L, Petrone A, Arcuri C. Oral complications of head and neck radiotherapy: prevalence and management. Minerva Stomatol 2015; 64:189-202. [PMID: 25937580] [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: 06/04/2023]
Abstract
AIM The aim of the study was to evaluate the short-term and long-term toxicity caused by radiation treatment in the head and neck with the technique of intensity-modulated radiotherapy (IMRT). METHODS We selected 20 patients, 18 men and 2 women aged between 21 and 71 years, undergoing radiation therapy (IMRT) in head and neck. Patients were visited during radiotherapy and followed for six months after the end of the therapy. We assessed the presence of: mucositis, xerostomia, dysgeusia, dysphagia, pain, trismus and, in the case of late-onset complications, radiation cavities. RESULTS Acute toxicity: in 20 patients, 18 reported mucositis, 19 xerostomia, 17, dysgeusia, 15 dysphagia, 18 had pain and 3 patients had trismus. Tardive toxicity: in 14 patients, 5 reported mucositis, 11 xerostomia, 6 dysgeusia, 2 dysphagia, 3 had pain, 4 trismus and in 4 patients were found radiation cavities. CONCLUSION Acute complications with higher prevalence were xerostomia (19 of 20 patients), dysgeusia of 2nd grade (11 patients of 20), mucositis of 1st grade and pain of 1st grade (10 patients of 20). Among the late complications it was noted a maintenance of the high prevalence of xerostomia (11 patients of 14) and an increase in prevalence of trismus (4 patients of 14) against a reduction of all other complications. The presence of radiation cavities in 4 patients of 14 was also recorded.
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Affiliation(s)
- F Germano
- Odontostomatology Department, S. Giovanni Calibita FBF Hospital, Tor Vergata University, Rome, Italy -
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Giannitelli S, Basoli F, Mozetic P, Piva P, Bartuli F, Luciani F, Arcuri C, Trombetta M, Rainer A, Licoccia S. Graded porous polyurethane foam: A potential scaffold for oro-maxillary bone regeneration. Materials Science and Engineering: C 2015; 51:329-35. [DOI: 10.1016/j.msec.2015.03.002] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2014] [Revised: 02/01/2015] [Accepted: 03/05/2015] [Indexed: 10/23/2022]
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Testi D, Germano F, Bigelli E, Cardelli P, Arcuri C. Associazione tra composti volatili solforati, malattia parodontale e reflusso gastroesofageo in pazienti con alitosi. Dental Cadmos 2014. [DOI: 10.1016/s0011-8524(14)70191-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Cardelli P, Bigelli E, Balestra F, Montani M, Gallio M, Arcuri C. Tipologie di cementi nel fissaggio di corone in zirconia-ceramica: revisione della letteratura. Dental Cadmos 2013. [DOI: 10.1016/s0011-8524(13)70098-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Cardelli P, Cecchetti F, Montani M, Bramanti E, Arcuri C. Clinical assessment of submerged vs non-submerged implants placed in pristine bone. Oral Implantol (Rome) 2013; 6:89-93. [PMID: 24971162 PMCID: PMC4051271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
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). The prospective study, not randomized and controlled, referred to the insertion of 18 implants on 9 patients with mono or bilateral edentulism, with measurements at 1, 3, 6 and 12 months and an overall follow-up at 3 years, in order to evaluate the different degree of crestal bone resorption using the submerged and transmucosal surgical technique. The results of our study show that there are no differences in the resorption of the two surgical techniques, with an average bone resorption of 2,05±0,16 mm, comparable with values reported in literature.
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Affiliation(s)
- P Cardelli
- Department of Clinical Science and Translational Medicine, University of Rome "Tor Vergata", UOCC Odontostomatology "S. Giovanni Calibita-Fatebenefratelli" Hospital, Rome, Italy
| | - F Cecchetti
- Department of Clinical Science and Translational Medicine, University of Rome "Tor Vergata", UOCC Odontostomatology "S. Giovanni Calibita-Fatebenefratelli" Hospital, Rome, Italy
| | - M Montani
- Department of Clinical Science and Translational Medicine, University of Rome "Tor Vergata", UOCC Odontostomatology "S. Giovanni Calibita-Fatebenefratelli" Hospital, Rome, Italy
| | - E Bramanti
- Department of Experimental Medical-Surgical and Oral Dental Sciences, University of Messina, Messina, Italy
| | - C Arcuri
- Department of Clinical Science and Translational Medicine, University of Rome "Tor Vergata", UOCC Odontostomatology "S. Giovanni Calibita-Fatebenefratelli" Hospital, Rome, Italy
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Arcuri C, Zito I, Santini F, Muzzi F, Panetta V, Squitti R. Understanding the implications of the PAX9 gene in tooth development. Eur J Paediatr Dent 2011; 12:245-248. [PMID: 22185249] [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: 05/31/2023]
Abstract
AIM Tooth agenesis is characterised by the congenital absence of one or more teeth. The Pax9 gene has been associated with nonsyndromic forms. MATERIALS AND METHODS To investigate the molecular mechanisms, we evaluated specific haplotypes frequency in exon 3 of the Pax9 gene in 26 patients and 21 controls, using an Italian population. RESULTS Presence of His239His and the Ala240Pro were confirmed in exon 3 of the Pax9 gene. A frequency of 20.2€ of the T allele at position 717 and a C frequency of 33€ of Ala240Pro polymorphism, that reached 40.5€ in the control group, were observed. The 39 C/C-240 C/C or G/Chaplotype which we defined Pax9hapl a had a proportion of 61.9€ in control individuals. The frequency of Pax9hapl a tested in the patients was different from controls, being 81.3€ in normalcy and 18.8€ in oligodontia (p<0.05). CONCLUSION Our observations suggest that Pax9hapl a may have a protective effect against sporadic oligodontia.
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Affiliation(s)
- C Arcuri
- Department of Dentistry, University of Rome Tor Vergata, Rome, Italy.
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Ferrini M, Nardicchi V, Mannucci R, Arcuri C, Nicoletti I, Donato R, Goracci G. Effect of NGF on the subcellular localization of group IIA secretory phospholipase A(2) (GIIA) in PC12 cells: role in neuritogenesis. Neurochem Res 2010; 35:2168-74. [PMID: 21125328 DOI: 10.1007/s11064-010-0345-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/08/2010] [Indexed: 01/01/2023]
Abstract
Phospholipases A(2) (PLA(2)s) are involved in neuritogenesis but the identity of the isoforms(s) contributing to this process is still not defined. Several reports have focused on secretory PLA(2)s (sPLA(2)) as the administration of exogenous sPLA(2)s to PC12 neuronal cells stimulates neurite outgrowth. The present study demonstrates that the endogenous group IIA sPLA(2) (GIIA), constitutively expressed in mammalian neural cells, changes its subcellular localization when PC12 cells are induced to differentiate by NGF treatment. Indeed, confocal analysis showed a time-dependent accumulation of GIIA in growth cones and neurite tips. Under identical conditions the subcellular distribution of another isoform (GV) was unaffected by NGF. Contrary to GX, another sPLA(2) isoform expressed by PC12 cells, the contribution of GIIA to neuritogenesis does not require its release in the extracellular medium.
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Affiliation(s)
- M Ferrini
- Departments of Experimental Medicine and Biochemical Sciences, University of Perugia, Via del Giochetto, 06126 Perugia, Italy
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Murgia V, Arcuri C, Caffo O, Vanoni V, Magri E, Bagatin E, Caldara A, Arisi E, Galligioni E. Radical treatment with weekly cisplatin (wCDDP) plus concurrent radiotherapy (XRT) in locally advanced cervical cancer (LACC) patients (pts): A mono-institutional experience. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.e15556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Caffo O, Fellin G, Graffer U, Mussari S, Arcuri C, Caldara A, Murgia V, Valduga F, Tomio L, Galligioni E. 7171 Chemoradiotherapy with cisplatin (C) and gemcitabine (G) plus concurrent irradiation (XRT), for the conservative treatment of invasive transitional bladder cancer (ITBC) patients – clinical outcome and long term follow-up in a monoinstitutional experience. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)71504-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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41
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Alu' M, Laudani A, Leonardi V, Palmisano V, Savio G, Pepe A, Arcuri C, Cusimano M, Calabria C, Agostara B. 3546 POSTER (XELOX)Capecitabine plus Oxaliplatin: clinical efficacy and safety in first-line treatment for metastatic gastric cancer. EJC Suppl 2007. [DOI: 10.1016/s1359-6349(07)71049-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Abstract
BACKGROUND Most of the patients with advanced ovarian cancer will recur after first-line platinum-based chemotherapy and need additional treatment. Gemcitabine (G) and Anthracyclines are active in this setting and their combination has shown synergistic antiproliferative activity in vitro, due to different mechanisms of action and non-overlapping toxicities. PATIENTS AND METHODS In 2002 we began a phase II study with G 1000 mg/m(2) (day 1,8) combined to Epirubicin (E) 60 mg/m(2) (day 1), every 3 weeks for 6 cycles, in Platinum resistant/refractory ovarian carcinoma patients. RESULTS Among 30 patients enrolled so far (27 evaluable), receiving 149 cycles (median 6), 1 complete and 12 partial responses (48%), 9 stabilizations (33%) and 5 progressions (18%) were observed, with a good correlation with serological responses. Median time to progression was 8 months, while median time to response was 10 weeks and median duration 8 months. Grade 3-4 toxicities consisted of neutropenia (58%), thrombocytopenia (3%), anemia (10%), liver toxicity (13%), and mucositis (7%). Eight patients (27%) received G-CSF and 3 (10%) blood transfusions. No febrile neutropenia nor cardiotoxicity were observed. CONCLUSIONS Although our results are preliminary, G/E combination appears particularly effective and safe in these platinum resistant/refractory patients.
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Affiliation(s)
- E Galligioni
- Medical Oncology, St. Chiara Hospital, 38100 Trento, Italy.
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Arcuri C, Cecchetti F, Dri M, Muzzi F, Bartuli FN. Suture in oral surgery. A comparative study. Minerva Stomatol 2006; 55:17-31. [PMID: 16495870] [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: 05/06/2023]
Abstract
AIM The aim of the present paper is to continue the previous study, with 52 new additional cases, confronting in vivo the behavior of 4 different suture materials (Ethibond Excel, Monocryl, silk and Vicryl) in oral surgery. METHODS The clinical aspects have been particularly underlined: the intraoperative easy handling, the estate of the nodes and the resistance of the thread, the plaque accumulation, the tissue response in the short term (within 3 weeks) as well as in the long term (90 days), all estimated with objective parameters. RESULTS Fifty-two out of a total of 55 new subjects included in the program have been followed throughout all the experimentation. Of the remaining 3, 1 didn't come for the suture removal, the second had a bleeding phenomenon 2 days after surgery and he went to the emergency department where sutures were replaced. The last one refused to come back for the 90 days control. These patients have been excluded from the experimentation. Data regarding the 52 patients are: plaque index recorded on the suture (Visible Plaque Index), number and percentage of sutures lost before 7/10 days, adverse reactions observed on the surgical site (14/20 days), total plaque index, and healing level and dental-periodontal status at 90 days. CONCLUSIONS The clinical healing at 90 days was the same for all the different threads, differently from what happened in the critical postoperative period (within the 3 weeks).
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Affiliation(s)
- C Arcuri
- Dentistry Unit, San Giovanni Calinita Fatebenefratelli Hospital, Isola Tiberina, Rome, Italy.
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Restelli A, Garlaschi M, Granata P, Arcuri C, Magri V, Torresani E. PROSTATITE CRONICA: POSSIBILE RUOLO PATOGENO DI CORYNEBACTERIUM GLUCURONOLYTICUM/SEMINALE. Microbiol Med 2005. [DOI: 10.4081/mm.2005.3499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Arcuri C, Cecchetti F, Germano F, Motta A, Santacroce C. Clinical and histological study of a xenogenic bone substitute used as a filler in postextractive alveolus. Minerva Stomatol 2005; 54:351-62. [PMID: 16175164] [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: 05/04/2023]
Abstract
AIM The development of oral implant techniques and the demand for the treatment of increasingly complex cases have drawn the attention of researchers and clinicians towards those systems and materials able to promote bone regeneration. The aim of this paper is to evaluate the clinical behavior and in particular the resorption times of the material used as a filler in postextractive alveolus with the intent of preserving the ridge volume, a prerequisite for successive insertion of osteointegrated fixtures. METHODS A group of 12 patients, aged between 30-40 years, have been selected at the Oral Surgery Unit of the San Giovanni Calibita Hospital in Rome. They all required an endosseous implant following the loss of a dental element due to radicular fracture of periodontal pathology. The grafting material used is OsteoBiol Putty, an antigen-free bone paste composed of 80% granulated mix and 20% pure collagen. RESULTS The results emerging from the histological analysis show that 3 months after insertion of this osteoconductive material in the receiving site it can no longer be detected in the samples collected and it has been completely substituted by trabecular bone tissue. CONCLUSIONS The conclusion is drawn that the heterologous material used in this study shows excellent manageability allowing the operator to easily and accurately remove and shape it in the receiving site.
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Affiliation(s)
- C Arcuri
- Operative Odontostomatologic Unit, Department of Periodontology, Tor Vergata University, Fatebenefratelli Hospital, Isola Tiberina, Rome, Italy.
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Arcuri C, Sorio R, Caffo O, Scalone S, Griso C, Lucenti A, Valduga F, Frisinghelli M, Arisi E, Galligioni E. Preliminary results of a phase II study of gemcitabine and epirubicin in platinum-resistant or refractory advanced ovarian cancer. J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.5071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- C. Arcuri
- St. Chiara Hosp, Trento, Italy; Ctr di Riferimento Oncologico, Aviano, Italy; St Chiara Hosp, trento, Italy; Osp Borgo Trento, Verona, Italy
| | - R. Sorio
- St. Chiara Hosp, Trento, Italy; Ctr di Riferimento Oncologico, Aviano, Italy; St Chiara Hosp, trento, Italy; Osp Borgo Trento, Verona, Italy
| | - O. Caffo
- St. Chiara Hosp, Trento, Italy; Ctr di Riferimento Oncologico, Aviano, Italy; St Chiara Hosp, trento, Italy; Osp Borgo Trento, Verona, Italy
| | - S. Scalone
- St. Chiara Hosp, Trento, Italy; Ctr di Riferimento Oncologico, Aviano, Italy; St Chiara Hosp, trento, Italy; Osp Borgo Trento, Verona, Italy
| | - C. Griso
- St. Chiara Hosp, Trento, Italy; Ctr di Riferimento Oncologico, Aviano, Italy; St Chiara Hosp, trento, Italy; Osp Borgo Trento, Verona, Italy
| | - A. Lucenti
- St. Chiara Hosp, Trento, Italy; Ctr di Riferimento Oncologico, Aviano, Italy; St Chiara Hosp, trento, Italy; Osp Borgo Trento, Verona, Italy
| | - F. Valduga
- St. Chiara Hosp, Trento, Italy; Ctr di Riferimento Oncologico, Aviano, Italy; St Chiara Hosp, trento, Italy; Osp Borgo Trento, Verona, Italy
| | - M. Frisinghelli
- St. Chiara Hosp, Trento, Italy; Ctr di Riferimento Oncologico, Aviano, Italy; St Chiara Hosp, trento, Italy; Osp Borgo Trento, Verona, Italy
| | - E. Arisi
- St. Chiara Hosp, Trento, Italy; Ctr di Riferimento Oncologico, Aviano, Italy; St Chiara Hosp, trento, Italy; Osp Borgo Trento, Verona, Italy
| | - E. Galligioni
- St. Chiara Hosp, Trento, Italy; Ctr di Riferimento Oncologico, Aviano, Italy; St Chiara Hosp, trento, Italy; Osp Borgo Trento, Verona, Italy
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Abstract
This case report presents a Class I extraction treatment in an adult patient with bimaxillary crowding using a palatal implant for anchorage control. The implant (pure titanium 6 mm SLA) is inserted in the middle of the palate, after a careful radiological assessment on a lateral cephalogram. At the end of the healing period (13 weeks), an anchorage device, such as a squared trans-palatal bar connecting the maxillary molars to the palatal implant, is projected and placed in order to obtain the posterior anchorage control. The orthodontic treatment was performed according to the bidimensional technique.
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Affiliation(s)
- A Giancotti
- University of Rome Tor Vergata, Viale Gorizia 24/c, 00198 Rome. Italy.
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Arcuri C, Caffo O, Vanoni V, Silvestri M, Valduga F, Santarossa S, Galligioni E. Neoadjuvant treatment in the clinical practice of locally advanced non-small cell lung cancer (NSCLC). J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.7345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- C. Arcuri
- Santa Chiara Hospital, Trento, Italy
| | - O. Caffo
- Santa Chiara Hospital, Trento, Italy
| | - V. Vanoni
- Santa Chiara Hospital, Trento, Italy
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Restelli A, Garlaschi C, Colombo R, Granata P, Arcuri C, Bringhenti A, Magri V, Trincheri A, Scarazatti E. RUOLO EZIOPATOGENETICO DEI MICOPLASMI UROGENITALI NELLE PROSTATITI CRONICHE. Microbiol Med 2004. [DOI: 10.4081/mm.2004.3900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Arcuri C, Bartuli FN, Germano F, Docimo R, Cecchetti F. Bilateral anesthesia into Spix's spine. Ten years' experience. Minerva Stomatol 2004; 53:93-9. [PMID: 15107780] [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: 04/29/2023]
Abstract
AIM This study examines 10.112 cases in 10 years of bilateral block anaesthesia to Spix's spine. The aim of this study is therefore to eliminate any doubt about executing a bilateral anaesthesia to Spix's spine for the extraction, in inclusion and impacted of the inferior wisdom teeth. METHODS A retrospective study was carried out on 10,112 operations (59% females, 41% males,) regarding the removal of the lower 3 molar teeth undertaken in the past 10 years. Locoregional anaesthesia and standard instruments and protocol were applied to all operations. The anaesthetic used was mepicavina at 2% with epinefrine 1:100,000 with a 4 x 25 mm, 27 Gauge needle. In order to completely anaesthetize the areas subject to surgery a quantity of approximately 3-ml on each side was injected. Local anaesthetics used were the same throughout the study; all the patients were in good health and not undergoing any pharmaceutical treatment. RESULTS The onset of complications was 3 times less when using local anaesthesia (LA) compared to general anaesthesia (GA). It was also proven that local anaesthesia was advantageous, as the operation time was considerably less (24 min for LA and 46 min for GA). CONCLUSIONS The paper shows that LA offers a significant reduction in complications, psychological advantages for the patients and facilitation of the operational position too, so that GA is to be preferred only for non-cooperative patients.
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Affiliation(s)
- C Arcuri
- Department of Dentistry and Stomatology, Fatebenefratelli Hospital, Tor Vergata University of Rome, Rome, Italy
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