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Puleio F, Di Spirito F, Lo Giudice G, Pantaleo G, Rizzo D, Lo Giudice R. Long-Term Chromatic Durability of White Spot Lesions through Employment of Infiltration Resin Treatment. Medicina (Kaunas) 2023; 59:medicina59040749. [PMID: 37109707 PMCID: PMC10146668 DOI: 10.3390/medicina59040749] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/12/2023] [Revised: 04/01/2023] [Accepted: 04/07/2023] [Indexed: 04/29/2023]
Abstract
Background and Objectives: White spot lesions (WSLs) denote regions of subsurface demineralization on the enamel that manifest as opaque and milky-white regions. Treatment for WSLs is essential for both clinical and aesthetic reasons. Resin infiltration has been identified as the most efficacious solution for alleviating WSLs, but studies with long-term monitoring are scarce. The aim of this clinical study is to assess the color change stability of the lesion after four years of implementing the resin infiltration technique. Materials and Methods: Forty non-cavity and unrestored white spot lesions (WSLs) were treated with the resin infiltration technique. The color of the WSLs and adjacent healthy enamel (SAE) was assessed using a spectrophotometer at T0 (baseline), T1 (after treatment), T2 (1 year after) and T3 (4 years after). The Wilcoxon test was utilized to determine the significance of the variation of color (ΔE) between WSLs and SAE over the observed time periods. Results: When comparing the color difference ΔE (WSLs-SAE) at T0-T1, the Wilcoxon test demonstarated a statistically significant difference (p < 0.05). For ΔE (WSLs-SAE) at T1-T2 and T1-T3, the color variation was not statistically significant (p = 0.305 and p = 0.337). Conclusions: The study's findings indicate that the resin infiltration technique is an effective solution for resolving the appearance of WSLs, and the results have demonstrated stability for a minimum of four years.
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Affiliation(s)
- Francesco Puleio
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98100 Messina, Italy
| | - Federica Di Spirito
- Department of Medicine, Surgery and Dentistry "Schola Medica Salernitana", University of Salerno, 84084 Baronissi, Italy
| | - Giuseppe Lo Giudice
- Department of Clinical and Experimental Medicine, Messina University, 98100 Messina, Italy
| | - Giuseppe Pantaleo
- Department of Medicine, Surgery and Dentistry "Schola Medica Salernitana", University of Salerno, 84084 Baronissi, Italy
| | - David Rizzo
- Independent Researcher, 98124 Messina, Italy
| | - Roberto Lo Giudice
- Department of Clinical and Experimental Medicine, Messina University, 98100 Messina, Italy
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Puleio F, Lo Giudice G, Militi A, Bellezza U, Lo Giudice R. Does Low-Taper Root Canal Shaping Decrease the Risk of Root Fracture? A Systematic Review. Dent J (Basel) 2022; 10:dj10060094. [PMID: 35735636 PMCID: PMC9222076 DOI: 10.3390/dj10060094] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 05/23/2022] [Accepted: 05/27/2022] [Indexed: 11/16/2022] Open
Abstract
Minimal root-canal preparation has been suggested to reduce the risk of root fracture, but as a result, satisfactory cleaning and shaping do not take place. Large-scale taper instrumentation can contribute to removing infected tissue; however, it may weaken the tooth structure. The aim of this systematic review is to evaluate whether root-canal shaping with low-taper instruments decreases the risk of root fracture, compared to high-conicity shaping. A search was performed on Ovid MEDLINE, PubMed, and the Web of Science. The inclusion criteria were: studies comparing the root fracture resistance of endodontically treated teeth, shaped with low- and high-conicity taper instruments, in human trials, and via in vitro study. The review includes all types of endodontically treated teeth, with various instrument tapers. The scientific search engines produced 328 results. Only 20 of the results were evaluated after screening. Based on the articles analyzed, it is not clear whether a taper difference can determine differences in root fracture resistance. No randomized controlled trial (RCTs) with long follow-ups have been published to date. It must also be taken into account that the in vitro studies do not consider the numerous differences that there are between in vitro and clinical evaluation. The review was registered on the PROSPERO website, with the protocol number CRD42020151451.
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Affiliation(s)
- Francesco Puleio
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98100 Messina, Italy; (F.P.); (A.M.)
| | - Giuseppe Lo Giudice
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98100 Messina, Italy; (F.P.); (A.M.)
- Correspondence:
| | - Angela Militi
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98100 Messina, Italy; (F.P.); (A.M.)
| | - Ugo Bellezza
- Department of Dentistry, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy;
| | - Roberto Lo Giudice
- Department of Clinical and Experimental Medicine, Messina University, 98100 Messina, Italy;
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Puleio F, Fiorillo L, Gorassini F, Iandolo A, Meto A, D'Amico C, Cervino G, Pinizzotto M, Bruno G, Portelli M, Amato A, Lo Giudice R. Systematic Review on White Spot Lesions Treatments. Eur J Dent 2021; 16:41-48. [PMID: 34450678 PMCID: PMC8890924 DOI: 10.1055/s-0041-1731931] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
The difference in refractive index between the healthy enamel and the demineralized area generates a lesion with a milky white opaque appearance, clearly distinguishable from the surrounding healthy enamel. The aim of this systematic review was to evaluate if the infiltration technique is the most efficient treatment to resolve a white spot lesion when compared with remineralization and microabrasion techniques. The Population/Intervention/Comparison/Outcome question investigated: “in enamel WS lesion, the infiltration treatment compared to remineralization or microabrasion treatments is more or less effective in the camouflage effect?.” The research was performed on electronic databases, including Ovid MEDLINE, PubMed, and web of science. The search was conducted up to April 1, 2020. The scientific search engines produced 324 results. Only 14 were screened after screening. Based on the articles analyzed in this systematic review, the resin infiltration technique seems to be the most effective and predictable treatment for the aesthetic resolution of WSLs.
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Affiliation(s)
- Francesco Puleio
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy
| | - Luca Fiorillo
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy.,Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania "Luigi Vanvitelli," Naples, Italy.,Department of Implantology, Faculty of Dentistry, University of Aldent, Tirana, Albania
| | - Francesca Gorassini
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy
| | - Alfredo Iandolo
- Department of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - Aida Meto
- Department of Dental Therapy, Faculty of Dental Medicine, University of Medicine, Tirana, Albania
| | - Cesare D'Amico
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy
| | - Gabriele Cervino
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy
| | - Mirta Pinizzotto
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy
| | - Giancarlo Bruno
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy
| | - Marco Portelli
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy
| | - Alessandra Amato
- Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania "Luigi Vanvitelli," Naples, Italy
| | - Roberto Lo Giudice
- Department of Clinical and Experimental Medicine, Messina University, Messina, Italy
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Lo Giudice R, Militi A, Nicita F, Bruno G, Tamà C, Lo Giudice F, Puleio F, Calapai F, Mannucci C. Correlation between Oral Hygiene and IL-6 in Children. Dent J (Basel) 2020; 8:dj8030091. [PMID: 32796524 PMCID: PMC7558544 DOI: 10.3390/dj8030091] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Revised: 08/08/2020] [Accepted: 08/09/2020] [Indexed: 01/19/2023] Open
Abstract
The aim of this study was to evaluate the correlation between marginal gingivitis, oral hygiene parameters, and interleukin-6 (IL-6) levels in gingival crevicular fluid of 40 children. The marginal periodontal pathology was evaluated by gingival index (GI). The status of oral hygiene was estimated by using patient hygiene performance (PHP), brushing frequency (BF), and plaque index (PI). IL-6 levels in gingival crevicular fluid were measured to evaluate the inflammation in marginal gingiva. PHP score showed a significant correlation with GI, BF, and PI. The groups based on PHP ranges were significantly related to IL-6 concentration in crevicular fluid.
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Affiliation(s)
- Roberto Lo Giudice
- Department of Clinical and Experimental Medicine, University of Messina, 98100 Messina, Italy
- Correspondence: ; Tel.: +39-090-221-6922
| | - Angela Militi
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98100 Messina, Italy; (A.M.); (F.N.); (G.B.); (C.T.); (F.L.G.); (F.P.); (F.C.); (C.M.)
| | - Fabiana Nicita
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98100 Messina, Italy; (A.M.); (F.N.); (G.B.); (C.T.); (F.L.G.); (F.P.); (F.C.); (C.M.)
| | - Giancarlo Bruno
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98100 Messina, Italy; (A.M.); (F.N.); (G.B.); (C.T.); (F.L.G.); (F.P.); (F.C.); (C.M.)
| | - Cristina Tamà
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98100 Messina, Italy; (A.M.); (F.N.); (G.B.); (C.T.); (F.L.G.); (F.P.); (F.C.); (C.M.)
| | - Fabrizio Lo Giudice
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98100 Messina, Italy; (A.M.); (F.N.); (G.B.); (C.T.); (F.L.G.); (F.P.); (F.C.); (C.M.)
| | - Francesco Puleio
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98100 Messina, Italy; (A.M.); (F.N.); (G.B.); (C.T.); (F.L.G.); (F.P.); (F.C.); (C.M.)
| | - Fabrizio Calapai
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98100 Messina, Italy; (A.M.); (F.N.); (G.B.); (C.T.); (F.L.G.); (F.P.); (F.C.); (C.M.)
| | - Carmen Mannucci
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98100 Messina, Italy; (A.M.); (F.N.); (G.B.); (C.T.); (F.L.G.); (F.P.); (F.C.); (C.M.)
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Lo Giudice R, Lipari F, Puleio F, Alibrandi A, Lo Giudice F, Tamà C, Sazonova E, Lo Giudice G. Spectrophotometric Evaluation of Enamel Color Variation Using Infiltration Resin Treatment of White Spot Lesions at One Year Follow-Up. Dent J (Basel) 2020; 8:E35. [PMID: 32290119 PMCID: PMC7344573 DOI: 10.3390/dj8020035] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2020] [Revised: 03/31/2020] [Accepted: 04/01/2020] [Indexed: 11/29/2022] Open
Abstract
The aim of this study is to evaluate the color changes and the stability at a 1-year follow-up of white spot lesions (WSLs) treated with an infiltrating technique by using etching and TEGDMA resin. The color of 22 white spot lesions and the sound adjacent enamel (SAE) were assessed with a spectrophotometer at T0 (baseline), T1 (after treatment), and T2 (1 year after). The color change ΔE (WSLs-SAE) at T0 vs. T1 were compared to evaluate the camouflage effect efficiency, and at T1 vs. T2 to assess the stability of outcomes. To evaluate the effect on the treatment outcome of gender, the presence or not of previous orthodontic treatment, WSLs onset more/less than 10 years, the age of the patient, and the ΔE WSL (T0 vs. T1) was analyzed. The difference between ΔE (WSLs-SAE) at T0 and T1 resulted in statistical significance (p < 0.01). No statistical difference was found between ΔE (WSLs-SAE) at T1 vs. T2. The variables considered showed no statistical differences in treatment outcomes. The results of our investigation show that the technique used is immediately effective and the camouflage effect keeps up and steady one year after treatment. Such results do not appear to be influenced by analyzed clinical variables.
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Affiliation(s)
- Roberto Lo Giudice
- Department of Clinical and Experimental Medicine, Messina University, 98100 Messina, Italy
| | - Frank Lipari
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98100 Messina, Italy; (F.L.); (F.P.); (F.L.G.); (C.T.); (E.S.); (G.L.G.)
| | - Francesco Puleio
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98100 Messina, Italy; (F.L.); (F.P.); (F.L.G.); (C.T.); (E.S.); (G.L.G.)
| | - Angela Alibrandi
- Department of Economics, Section of Statistical and Mathematical Sciences, Messina University, 98100 Messina, Italy;
| | - Fabrizio Lo Giudice
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98100 Messina, Italy; (F.L.); (F.P.); (F.L.G.); (C.T.); (E.S.); (G.L.G.)
| | - Cristina Tamà
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98100 Messina, Italy; (F.L.); (F.P.); (F.L.G.); (C.T.); (E.S.); (G.L.G.)
| | - Evgenia Sazonova
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98100 Messina, Italy; (F.L.); (F.P.); (F.L.G.); (C.T.); (E.S.); (G.L.G.)
| | - Giuseppe Lo Giudice
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98100 Messina, Italy; (F.L.); (F.P.); (F.L.G.); (C.T.); (E.S.); (G.L.G.)
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Giudice RL, Puleio F, Matarese M, Nicita F, Pantè GG, Previti C, Rizzo G. BioHPP and soft tissue‐ confocal laser scanning evaluation of junctional connective tissue. Clin Oral Implants Res 2019. [DOI: 10.1111/clr.239_13509] [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: 11/30/2022]
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Lo Giudice G, Ferrari Cagidiaco E, Lo Giudice R, Puleio F, Nicita F, Calapaj M. Evaluation of Mechanical Properties of a Hollow Endodontic Post by Three Point Test and SEM Analysis: A Pilot Study. Materials (Basel) 2019; 12:ma12121983. [PMID: 31226763 PMCID: PMC6630250 DOI: 10.3390/ma12121983] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Revised: 06/14/2019] [Accepted: 06/17/2019] [Indexed: 11/25/2022]
Abstract
The aim of this study was to investigate the mechanical properties of a fiber hollow endodontic post characterized by the presence of an empty central cylindrical channel extended along the whole length. This particular shape allows clinicians to use the post also as a cementation resin carrier. Ten hollow posts were divided in two groups: the control group (unfilled hollow posts) (Group 0) and hollow posts filled with dual resin cement (Group 1). The samples of both groups were subjected to mechanical and micromorphological analysis by performing a three-point test and SEM observations. In the three-point test, the Group 1 samples exhibited a fracture load of 57.09 ± 5.06 N, a flexural strength of 1323.53 ± 110.09 MPa, and a Young’s modulus of 42.87 ± 0.86 GPa. The samples of Group 2 exhibited a fracture load of 38.17 ± 1.7 N, a flexural strength of 908.87 ± 30.98 MPa, and a Young’s modulus of 40.33 ± 1.9 GPa. The difference between fracture load, flexural strength, and deflection between the two groups was statistically highly significant (p < 0.01). Further, the difference between the Young’s modulus of the two groups was statistically significant (p < 0.05). The values obtained are similar to those of other posts available on the market.
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Affiliation(s)
- Giuseppe Lo Giudice
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98122 Messina, Italy.
| | | | - Roberto Lo Giudice
- Department of Clinical and Experimental Medicine; Messina University, 98122 Messina, Italy.
| | - Francesco Puleio
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98122 Messina, Italy.
| | - Fabiana Nicita
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98122 Messina, Italy.
| | - Massimo Calapaj
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98122 Messina, Italy.
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Verrusio C, Medaglia M, Lo Giudice R, Puleio F, Rizzo D, Nicolò M. Rotary Instrument in Non-Surgical Treatment of Chronic Periodontal Disease: Clinic Randomized Study. Open Dent J 2018. [DOI: 10.2174/1874210601812010952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective:
The aim of this study is to compare the efficacy of rotary instruments vs hand scalers in non-surgical periodontal therapy, studying the variation of periodontal health indexes.
Materials and Methods:
Forty patients (age between 30 and 70 years) with advanced chronic periodontitis, that were recruited for the study, were divided into two groups; control group and test group. Control patients were treated with hand scalers while test group patients were treated with rotary instruments. Periodontal indexes were evaluated at baseline and after 3 months.
Results:
Nonsignificant differences were found at 12 weeks follow up for all the parameters between test and control groups.
Conclusions:
Within their limits, the results indicate that different instruments can be effective in removing calculus and endotoxins. This requisite is mandatory for a proper periodontal healing.
The reasons for clinicians to use diamond-coated instruments are related to a faster procedure, and the clinical evidence of a smooth root surface. The clinicians’ ability remains one of the most important variables that could affect periodontal therapy.
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Lo Giudice R, Puleio F, Verrusio C, Matarese M, Alibrandi A, Lizio A. Bulk vs wedge shape layering techniques in V class cavities: marginal infiltration evaluation. G Ital Endodon 2017. [DOI: 10.4081/j.gien.2017.22] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objective: The aim of this in vitro research was to assess if the different stratification techniques could influence the marginal gap in V class restoration. Material and methods: Standard 6 4 4 mm class V cavities were prepared on the buccal side of 24 extracted sound human premolars. Specimens were randomly divided in two groups: (A) Bulk filling technique; (B) Wedge-shape layering technique. The interfacial sealing ability of the stratification techniques was evaluated by scoring the 7% methylene blue penetration depth through optical microscope observations. The infiltration assessment was performed with a progressive score. Differences in infiltration scores recorded for the tested techniques were evaluated for statistical significance (Mann—Whitney U test, p < 0.05). Results: The A group showed a mean score of 1.166 1.114, registering the higher score of 3; the B group the mean score was 0.666 0.778, and a higher score of 2. The two tails Mann—Whitney analysis showed a 0.270 non-significant result. Conclusion: Considering the limitation related to the technique used for the infiltration analysis in small V class cavities, the infiltration score is not influenced by the different stratification techniques.
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