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Luzzi V, Altieri F, Guaragna M, Pirro V, Marasca B, Cotticelli L, Mazur M, Di Carlo G, Di Giacomo P, Di Paolo C, Brunori M, Ierardo G, Piperno G, Magliulo G, Pace A, Iannella G, Palange P, Martini A, Pietrafesa E, Polimeni A. Friedman Tongue Position and the Anthropometric Parameters in Adult Patients with Obstructive Sleep Apnea: An Observational Study. Int J Environ Res Public Health 2023; 20:3255. [PMID: 36833949 PMCID: PMC9960801 DOI: 10.3390/ijerph20043255] [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] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 02/06/2023] [Accepted: 02/08/2023] [Indexed: 06/18/2023]
Abstract
INTRODUCTION Obstructive Sleep Apnea Syndrome (OSAS) is a relevant public health problem; dentists can play an important role in screening patients with sleep disorders by using validated tools and referring patients to a specialist, thereby promoting an interdisciplinary approach. The aim of the study is to identify if the OSAS severity, measured by the apnea-hypopnea index (AHI), and some anthropometric measurements are associated with the Friedman Tongue Position (FTP) within a population with dysmetabolic comorbidities. MATERIALS AND METHODS A questionnaire containing information about clinical data including height, weight, Body Mass Index (BMI), neck circumference, waist circumference, hip circumference and FTP was administered. The AHI value was measured by means of an unattended home polysomnography device. Pearson correlation coefficients were calculated, and Kruskal-Wallis, Kolmogorov-Smirnov (both nonparametric) and independence tests were performed to probe the possible relationships. The significance was set at p ≤ 0.05. RESULTS A total of 357 subjects were analyzed. The association between the FTP and AHI was not statistically significant. On the contrary, the AHI showed a positive correlation with BMI and neck circumference. A statistically significant association between the number of subjects with a larger neck and an increasing FTP class was found. BMI, neck, hip and waist circumference was associated with the FTP scale. CONCLUSIONS although the FTP was not directly associated with OSAS severity, there was also evidence that an FTP increase is associated with an increase in the considered anthropometric parameters, and FTP can be a clinical tool used in the assessment of risk for OSAS risk factors.
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Affiliation(s)
- Valeria Luzzi
- Department of Oral and Maxillo Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Federica Altieri
- Department of Oral and Maxillo Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Mariana Guaragna
- Department of Oral and Maxillo Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Valentina Pirro
- Department of Oral and Maxillo Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Beatrice Marasca
- Department of Oral and Maxillo Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Luisa Cotticelli
- Department of Oral and Maxillo Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Marta Mazur
- Department of Oral and Maxillo Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Gabriele Di Carlo
- Department of Oral and Maxillo Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Paola Di Giacomo
- Department of Oral and Maxillo Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Carlo Di Paolo
- Department of Oral and Maxillo Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Marco Brunori
- Department of Oral and Maxillo Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Gaetano Ierardo
- Department of Oral and Maxillo Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Gabriele Piperno
- Department of Oral and Maxillo Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Giuseppe Magliulo
- Department of Sensory Organs, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Annalisa Pace
- Department of Sensory Organs, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Giannicola Iannella
- Department of Sensory Organs, “Sapienza” University of Rome, 00161 Rome, Italy
| | - Paolo Palange
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00100 Rome, Italy
| | - Agnese Martini
- Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers’ Compensation Authority (INAIL), 00143 Rome, Italy
| | - Emma Pietrafesa
- Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers’ Compensation Authority (INAIL), 00143 Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillo Facial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
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Fioravanti M, Di Giorgio G, Amato R, Bossù M, Luzzi V, Ierardo G, Polimeni A, Vozza I. Baby Food and Oral Health: Knowledge of the Existing Interaction. Int J Environ Res Public Health 2022; 19:5799. [PMID: 35627333 PMCID: PMC9140504 DOI: 10.3390/ijerph19105799] [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] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 05/06/2022] [Accepted: 05/06/2022] [Indexed: 11/16/2022]
Abstract
BACKGROUND The purpose of this study is to verify parents' knowledge of child nutrition and their awareness of the interaction between unhealthy sugars in their child's diet and caries formation. METHODS a questionnaire was proposed using Instagram to analyze type of breastfeeding; type of weaning and diet; home oral hygiene maneuvers; bad habits (use of pacifiers, bottles, and sugary substances); knowledge on the usefulness of fluoride; and first dental visit. A total of 200 parents from different regions of Italy with children aged 2 months to 6 years were contacted. Results showed that 66% parents preferred breastfeeding, while the remaining 34% chose artificial breastfeeding. Fifty percent (100 babies) started weaning at six months, 20% (40 babies) at the fifth month, 13.5% (27 babies) at the fourth month, and only 11.5% (23 babies) in a range from the seventh to ninth month of life. Oral hygiene practices were performed only by 25% of parents before eruption of the first tooth. After eruption of the first tooth, there is greater attention to home oral hygiene practices: 59% of parents carry out and teach their children daily home oral hygiene maneuvers. CONCLUSIONS it is possible to raise awareness among parents and caregivers on the importance of food education.
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Affiliation(s)
- Miriam Fioravanti
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00185 Rome, Italy; (G.D.G.); (R.A.); (M.B.); (V.L.); (G.I.); (A.P.); (I.V.)
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Iaculli F, Salucci A, Di Giorgio G, Luzzi V, Ierardo G, Polimeni A, Bossù M. Bond Strength of Self-Adhesive Flowable Composites and Glass Ionomer Cements to Primary Teeth: A Systematic Review and Meta-Analysis of In Vitro Studies. Materials (Basel) 2021; 14:ma14216694. [PMID: 34772221 PMCID: PMC8586968 DOI: 10.3390/ma14216694] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Revised: 10/25/2021] [Accepted: 11/04/2021] [Indexed: 11/17/2022]
Abstract
Background: Conventional composites are largely used in pediatric restorative dentistry and demonstrate successful clinical outcomes. However, the need for simplification of operative steps in young or uncooperative children demands reliable alternatives. Therefore, the aim of the present systematic review and meta-analysis was to evaluate the in vitro bond strength of glass ionomer cements (GICs) and self-adhesive flowable composites (SFCs) on deciduous teeth. Methods: A comprehensive literature search according to the PRISMA checklist was manually and electronically performed by two independent reviewers through the following databases: MEDLINE/PubMed, Google Scholar, Scopus, and Embase, to include in vitro studies comparing GICs and SFCs bond strength values of restorations on primary teeth. In addition, three groups of meta-analyses were conducted using random-effects models. Results: Three articles meeting the inclusion criteria were selected and subjected to both qualitative and quantitative assessment. No statistically significant difference was found between SFC versus GIC; however, both groups significantly differed with conventional flowable composites (CFs). Conclusions: Despite the absence of significant difference in bond strength values, SFCs may be considered a valid alternative to GICs in the restoration of deciduous teeth, although CFs proved better in vitro performances.
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Affiliation(s)
- Flavia Iaculli
- Department of Neuroscience and Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy;
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, 00161 Rome, Italy; (A.S.); (V.L.); (G.I.); (A.P.); (M.B.)
| | - Alessandro Salucci
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, 00161 Rome, Italy; (A.S.); (V.L.); (G.I.); (A.P.); (M.B.)
| | - Gianni Di Giorgio
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, 00161 Rome, Italy; (A.S.); (V.L.); (G.I.); (A.P.); (M.B.)
- Correspondence:
| | - Valeria Luzzi
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, 00161 Rome, Italy; (A.S.); (V.L.); (G.I.); (A.P.); (M.B.)
| | - Gaetano Ierardo
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, 00161 Rome, Italy; (A.S.); (V.L.); (G.I.); (A.P.); (M.B.)
| | - Antonella Polimeni
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, 00161 Rome, Italy; (A.S.); (V.L.); (G.I.); (A.P.); (M.B.)
| | - Maurizio Bossù
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, 00161 Rome, Italy; (A.S.); (V.L.); (G.I.); (A.P.); (M.B.)
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Di Giorgio G, Zumbo G, Saccucci M, Luzzi V, Ierardo G, Biagi R, Bossù M. Root Fracture and Extrusive Luxation in Primary Teeth and Their Management: A Case Report. Dent J (Basel) 2021; 9:dj9090107. [PMID: 34562981 PMCID: PMC8471370 DOI: 10.3390/dj9090107] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 07/14/2021] [Revised: 08/22/2021] [Accepted: 09/06/2021] [Indexed: 11/16/2022] Open
Abstract
Background: Extrusion, lateral luxation, and intrusion are among the most serious types of dental trauma. Only a few studies have specifically focused on extrusion; the present one was aimed at reporting a case of domestic traumatic dental injury to primary tooth and describing the measures taken in managing the trauma in order to avoid future consequences to the underlying permanent tooth germ. Case report: A 3.5-year-old boy reported a dental injury with extrusion and root fracture of deciduous tooth 5.1. After intraoral and radiographic evaluation, the element was repositioned and stabilized by an orthodontic flexible splint attached to the adjacent teeth. Several follow-up checkups were made and showed good healing of the tissues and physiological exfoliation of the tooth, with a healthy and unaffected corresponding central permanent incisor. Conclusion: This case report strengthens the importance of well-timed diagnosis and treatment and of regular follow-up of traumatized teeth as they may affect both dentitions with a negative impact on Oral Health-Related Quality of Life. Conservative treatment should be taken into consideration when possible, being in some cases more appropriate.
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Affiliation(s)
- Gianni Di Giorgio
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, Via Caserta, 6, 00161 Rome, Italy; (G.D.G.); (M.S.); (V.L.); (G.I.); (M.B.)
| | - Giulia Zumbo
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, Via Caserta, 6, 00161 Rome, Italy; (G.D.G.); (M.S.); (V.L.); (G.I.); (M.B.)
- Correspondence: ; Tel.: +39-392-7017935
| | - Matteo Saccucci
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, Via Caserta, 6, 00161 Rome, Italy; (G.D.G.); (M.S.); (V.L.); (G.I.); (M.B.)
| | - Valeria Luzzi
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, Via Caserta, 6, 00161 Rome, Italy; (G.D.G.); (M.S.); (V.L.); (G.I.); (M.B.)
| | - Gaetano Ierardo
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, Via Caserta, 6, 00161 Rome, Italy; (G.D.G.); (M.S.); (V.L.); (G.I.); (M.B.)
| | - Roberto Biagi
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, Via della Commenda 10, 20122 Milan, Italy;
| | - Maurizio Bossù
- Department of Oral and Maxillofacial Science, “Sapienza” University of Rome, Via Caserta, 6, 00161 Rome, Italy; (G.D.G.); (M.S.); (V.L.); (G.I.); (M.B.)
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Luzzi V, Ierardo G, Bossù M, Polimeni A. Paediatric Oral Health during and after the COVID-19 Pandemic. Int J Paediatr Dent 2021; 31:20-26. [PMID: 33012056 PMCID: PMC7675493 DOI: 10.1111/ipd.12737] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Revised: 08/13/2020] [Accepted: 09/25/2020] [Indexed: 12/19/2022]
Abstract
BACKGROUND During the period of health emergency linked to the current COVID-19 pandemic, the paediatric dentists' management of oral health problems in children must have as primary objective the control of the spread of the disease according to specific protocols aimed at minimizing the risk of viral transmission. AIM This paper examines the possible clinical conditions that may require intervention by the paediatric dentist, distinguishing clinical situations that fall into the category of paediatric dental emergencies from conditions of oral pathologies that normally do not represent an emergency. The definition of rigorous and highly effective infection control protocols in the dental settings must therefore be complemented by the development and strengthening of remote communication techniques with the parents, who must be adequately educated on preventive and palliative measures for the management of their children's oral health, with the aim of postponing clinical attendance to when the circumstances become favourable. CONCLUSIONS The experience gained with these approaches and models of treatment, where remote interaction techniques play a central role, will hone the communication skills of the paediatric dentist and will retain its usefulness even at the end of the current emergency period.
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Affiliation(s)
- Valeria Luzzi
- Department of Oral and Maxillo‐Facial Science‘Sapienza’ University of RomeRomeItaly
| | - Gaetano Ierardo
- Department of Oral and Maxillo‐Facial Science‘Sapienza’ University of RomeRomeItaly
| | - Maurizio Bossù
- Department of Oral and Maxillo‐Facial Science‘Sapienza’ University of RomeRomeItaly
| | - Antonella Polimeni
- Faculty of Medicine and DentistryDepartment of Oral and Maxillo‐Facial Science‘Sapienza’ University of RomeRomeItaly
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Messineo D, Luzzi V, Pepe F, Celli L, Turchetti A, Zambrano A, Celli M, Polimeni A, Ierardo G. New 3D Cone Beam CT Imaging Parameters to Assist the Dentist in Treating Patients with Osteogenesis Imperfecta. Healthcare (Basel) 2020; 8:healthcare8040546. [PMID: 33321783 PMCID: PMC7764058 DOI: 10.3390/healthcare8040546] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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: 11/14/2020] [Revised: 12/08/2020] [Accepted: 12/09/2020] [Indexed: 12/17/2022] Open
Abstract
(1) Background: The aim of the work is to identify some imaging parameters in osteogenesis imperfecta to assist the dentist in the diagnosis, planning, and orthodontic treatment of Osteogenesis Imperfecta (OI) using 3D cone beam Computed Tomography (CBCT) and the Double Energy X-ray Absorptiometry (DEXA) technique. (2) Methods: 14 patients (9 males and 5 females; aged mean ± SD 15 ± 1.5) with a clinical-radiological diagnosis of OI were analyzed and divided into mild and moderate to severe forms. The patients' samples were compared with a control group of 14 patients (8 males and 6 females; aged mean ± SD 15 ± 1.7), free from osteoporotic pathologies. (3) Results: The statistical analysis allowed us to collect four datasets: in the first dataset (C1 sick population vs. C1 healthy population), the t-test showed a p-value < 0.0001; in the second dataset (C2 sick population vs. C2 healthy population), the t-test showed a p-value < 0.0001; in the third dataset (parameter X of the sick population vs. parameter X of the healthy population), the t-test showed a p-value < 0.0001; in the fourth dataset the bone mineralometry (BMD) value detected by the DEXA technique compared to the C2 value of the OI affected population only) the Welch-Satterthwaite test showed a p-value < 0.0001. (4) Conclusions: The research has produced specific imaging parameters that assist the dentist in making diagnostic decisions in OI patients. This study shows that patients with OI have a characteristic chin-bearing symphysis, thinned, and narrowed towards the center, configuring it with a constant "hourglass" appearance, not reported so far in the literature by any author.
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Affiliation(s)
- Daniela Messineo
- Department of Radiological, Oncological and Anatomo-Pathological Sciences, Sapienza University of Rome, 00161 Rome, Italy
- Correspondence: ; Tel.: +39-06-49976721
| | - Valeria Luzzi
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy; (V.L.); (F.P.); (A.P.); (G.I.)
| | - Francesca Pepe
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy; (V.L.); (F.P.); (A.P.); (G.I.)
| | - Luca Celli
- Rare Bone Metabolism Center, Pediatric Department, Sapienza University of Rome, 00161 Rome, Italy; (L.C.); (A.T.); (A.Z.); (M.C.)
| | - Arianna Turchetti
- Rare Bone Metabolism Center, Pediatric Department, Sapienza University of Rome, 00161 Rome, Italy; (L.C.); (A.T.); (A.Z.); (M.C.)
| | - Anna Zambrano
- Rare Bone Metabolism Center, Pediatric Department, Sapienza University of Rome, 00161 Rome, Italy; (L.C.); (A.T.); (A.Z.); (M.C.)
| | - Mauro Celli
- Rare Bone Metabolism Center, Pediatric Department, Sapienza University of Rome, 00161 Rome, Italy; (L.C.); (A.T.); (A.Z.); (M.C.)
| | - Antonella Polimeni
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy; (V.L.); (F.P.); (A.P.); (G.I.)
| | - Gaetano Ierardo
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy; (V.L.); (F.P.); (A.P.); (G.I.)
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Luzzi V, Ierardo G, Di Carlo G, Saccucci M, Polimeni A. Obstructive sleep apnea syndrome in the pediatric age: the role of the dentist. Eur Rev Med Pharmacol Sci 2020; 23:9-14. [PMID: 30920636 DOI: 10.26355/eurrev_201903_17341] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Sleep disordered breathing in children designates a wide spectrum of respiratory disorders characterized by partial or complete obstruction of the upper airways. It ranges from primary snoring, its mildest clinical manifestation, to obstructive sleep apnea syndrome (OSAS): complete obstruction of the upper airways with cessation of airflow. The aim of this paper is to highlight the roles of the pediatric dentist and the orthodontist in the therapeutic approach to pediatric OSAS as a "sentinel" who can detect early signs of the disease for immediate referral to the otolaryngologist and as an active participant in therapy. MATERIALS AND METHODS A literature review has been performed on the following topics: pediatric OSAS, orthodontic clinical aspects of pediatric OSAS, orthodontic therapy of pediatric OSAS, mandibular advancement devices and functional orthodontic devices in OSAS treatment. RESULTS The role of the dentist in pediatric OSAS is essential to correct orthodontic alterations that may favor the development of the condition. Orthodontic treatment aims at reducing the severity of OSAS by increasing the airspace and improving airflow through orthopedic expansion of the upper jaw and mandibular advancement. Rapid palatal expanders and mandibular advancement devices are successfully used in the treatment of OSAS. CONCLUSIONS Scientific evidence of a strong association between craniofacial growth and OSAS; the pediatric dentist and the orthodontist participate as sentinels, observing and identifying conditions requiring referral to the otolaryngologist and playing a pivotal role in the orthodontic treatment phase.
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Affiliation(s)
- V Luzzi
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy.
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Contaldo M, Luzzi V, Ierardo G, Raimondo E, Boccellino M, Ferati K, Bexheti-Ferati A, Inchingolo F, Di Domenico M, Serpico R, Polimeni A, Bossù M. Bisphosphonate-related osteonecrosis of the jaws and dental surgery procedures in children and young people with osteogenesis imperfecta: A systematic review. J Stomatol Oral Maxillofac Surg 2020; 121:556-562. [PMID: 32156673 DOI: 10.1016/j.jormas.2020.03.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Accepted: 03/02/2020] [Indexed: 11/26/2022]
Abstract
BACKGROUND Bisphosphonates (BPs) contrast the bone fragility and improve bone density in some metastatic cancers and bone diseases, such as Osteogenesis Imperfecta (OI). BPs use has been associated with osteonecrosis of the jaws (BRONJs) in adults needing for invasive dental procedures. AIM To conduct a systematic review on BRONJ occurrence after dental surgery in paediatric population under BPs therapy for OI, so as to identify the pre-surgical protocols adopted. DESIGN According to PRISMA guidelines, Pubmed, Web of Science (WoS) and Cochrane were investigated on September 2018, and re-checked on July 2019. Inclusion criteria were English-language papers on children/young adults (until 24 years old) reporting dental/oral surgery procedures. RESULTS Totally, 60 articles were found. After title/abstract reviews and duplicates exclusion, 22 eligible titles underwent full-text evaluation. Finally, 10 studies were included. CONCLUSIONS The lack of BRONJ occurrence in paediatric population suffering OI and treated with BPs, was confirmed, but the reasons are still debated, being the BPs therapies and the surgical strategies various and not standardized. Longitudinal studies should evaluate what happens to those former children once adult, to evaluate the delayed BRONJs onset associated with the occurrence of comorbidities during the adulthood.
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Affiliation(s)
- M Contaldo
- Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania "Luigi Vanvitelli", Via L. de Crecchio, 6, 80138 Naples, Italy.
| | - V Luzzi
- Department of Oral and Maxillo-facial Sciences, Sapienza University of Rome, Rome, Italy.
| | - G Ierardo
- Department of Oral and Maxillo-facial Sciences, Sapienza University of Rome, Rome, Italy.
| | - E Raimondo
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", Bari, Italy.
| | - M Boccellino
- Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
| | - K Ferati
- Faculty of Medicine, University of Tetovo, Tetovo, Macedonia.
| | | | - F Inchingolo
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", Bari, Italy.
| | - M Di Domenico
- Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
| | - R Serpico
- Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania "Luigi Vanvitelli", Via L. de Crecchio, 6, 80138 Naples, Italy.
| | - A Polimeni
- Department of Oral and Maxillo-facial Sciences, Sapienza University of Rome, Rome, Italy.
| | - M Bossù
- Department of Oral and Maxillo-facial Sciences, Sapienza University of Rome, Rome, Italy.
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Ierardo G, Luzzi V, Polimeni A. Diagnosi e terapia intercettiva delle terze classi in età evolutiva. Dental Cadmos 2020. [DOI: 10.19256/d.cadmos.01.2020.12] [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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Ierardo G, Luzzi V, Sfasciotti GL, Nardacci G, Polimeni A, Vozza I. Using of modified rapid palate expander with miniscrews in a patient affected by ectodermic dysplasia. Clin Ter 2019; 170:e168-e173. [PMID: 31173044 DOI: 10.7417/ct.2019.2127] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVES To show the orthodontic treatment in a 8-year-old patient affected by Ectodermal Dysplasia (hypohidrotic type) and presenting multiple agenesiae, contraction of the maxilla and skeletal Class III malocclusion. STUDY DESIGN Because of both oligodontia of primary and secondary dentition and no good retention and anchoring, a hybrid modified rapid palatal expander (RPE) was used. It presented dental anchoring with two bands on first upper molars and skeletal anchoring with two miniscrews in the anterior palate. The project included the use of a CBTC for the bone examination and precise silicon dental impression for the insertion of miniscrews. RESULTS The procedure was successful and the patient solved the expansion in few days, so RPE has been embedded throughout 6 months in order to develop the bone at the median suture. CONCLUSIONS This case report can be considered as a valid example for approaching patients affected by Ectodermal Dysplasia with multiple agenesiae and palatal contraction because of the difficult retention.
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Affiliation(s)
- G Ierardo
- DDS, PhD RTDB, UOC Odontoiatria Pediatrica, Sapienza Università di Roma
| | - V Luzzi
- DDs, PhD RTDB, UOC Odontoiatria Pediatrica,Sapienza Università di Roma
| | - G L Sfasciotti
- MD, DDS Professore Associato, UOC Odontoiatria Pediatrica,Sapienza Università di Roma
| | - G Nardacci
- DDS Specializzanda Odontoiatria Pediatrica Sapienza Università di Roma
| | - A Polimeni
- MD, DDS Professore Ordinario, Direttore UOC Odontoiatria Pediatrica, Sapienza Università di Roma
| | - I Vozza
- DDS, PhD Professore Associato, UOC Odontoiatria Pediatrica, Sapienza Università di Roma, Italia
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Di Carlo G, Saccucci M, Luzzi V, Ierardo G, Vozza I, Sfasciotti GL, Polimeni A. Prevalence of maxillary canine impaction in skeletal Class III malocclusions compared to Class I malocclusions. J Clin Exp Dent 2019; 11:e264-e268. [PMID: 31001397 PMCID: PMC6461734 DOI: 10.4317/jced.55478] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Accepted: 01/07/2019] [Indexed: 11/05/2022] Open
Abstract
Background The aim of the present investigation was to evaluate if an orthodontic population of Class III malocclusion patients shows a different prevalence of maxillary canine impaction than Class I subjects. Material and Methods Fifty-eight subjects were retrospectively selected and assigned to the Class I group (n= 32) or the Class III group (n= 26), depending on the ANB and WITS values. Lateral cephalograms were used to collect angular and linear measurements that described the skeletal and dental maxillary features of the subjects, while orthopantomography was used to assess the impaction or the correct eruption of the maxillary canines. An independent samples T-test or a Mann-Whitney U-test was used to compare the cephalometric values between the two groups, while a chi-squared test was used to evaluate the distribution of maxillary canine impaction between the two groups. Results No statistically significant difference was found for the cephalometric variables, and the frequency of canine impaction showed no difference between the Class III and Class I subjects. Conclusions Patients with skeletal Class III malocclusions did not show a different prevalence of canine impaction; therefore, such skeletal features cannot be used as a diagnostic aid for assessment of the risk of maxillary canine impaction. Key words:Skeletal Class III, Angle Class III, maxillary canine impaction, tooth impaction.
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Affiliation(s)
- Gabriele Di Carlo
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Viale Regina Elena 287a, 00161 Rome, Italy
| | - Matteo Saccucci
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Viale Regina Elena 287a, 00161 Rome, Italy
| | - Valeria Luzzi
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Viale Regina Elena 287a, 00161 Rome, Italy
| | - Gaetano Ierardo
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Viale Regina Elena 287a, 00161 Rome, Italy
| | - Iole Vozza
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Viale Regina Elena 287a, 00161 Rome, Italy
| | - Gian-Luca Sfasciotti
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Viale Regina Elena 287a, 00161 Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Viale Regina Elena 287a, 00161 Rome, Italy
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Abstract
Objective: Treatment of sleep bruxism (SB) in children is not well established. The aim of this study was to develop evidence-based recommendations on SB therapy in children between the ages of 2 and 17. Methods: A systematic review and meta-analysis was conducted. Literature searches were performed using MedLine (PubMed), Web of Science, Scopus, and the Cochrane Library (November 30 2017). Results: The search strategy identified 268 potential articles; 10 papers were included in the qualitative synthesis and 3 in the meta-analysis, for a total of 94 patients. Hydroxyzine therapy showed the strongest efficacy on SB (OR 10.63; CI 95%, 1.48 to 76.08). Flurazepam and Melissa officinalis therapies presented lower grades of association with decreased SB symptoms. Conclusions: Data on treatments of SB in children are limited. Future studies with a proper design, conducted on a meaningful number of patients, and based on standardized and developed diagnostic criteria are desperately needed.
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Affiliation(s)
- Gaetano Ierardo
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome , Rome, Italy
| | - Marta Mazur
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome , Rome, Italy
| | - Valeria Luzzi
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome , Rome, Italy
| | - Francesca Calcagnile
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome , Rome, Italy
| | - Livia Ottolenghi
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome , Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome , Rome, Italy
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Occasi F, Perri L, Saccucci M, Di Carlo G, Ierardo G, Luzzi V, De Castro G, Brindisi G, Loffredo L, Duse M, Polimeni A, Zicari AM. Malocclusion and rhinitis in children: an easy-going relationship or a yet to be resolved paradox? A systematic literature revision. Ital J Pediatr 2018; 44:100. [PMID: 30134958 PMCID: PMC6106920 DOI: 10.1186/s13052-018-0537-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2018] [Accepted: 08/07/2018] [Indexed: 12/19/2022] Open
Abstract
OBJECTIVE The relation between nasal flow and malocclusion represents a practical concern to pediatricians, otorhinolaryngologists, orthodontists, allergists and speech therapists. If naso-respiratory function may influence craniofacial growth is still debated. Chronic mouth-breathing is reported to be associated also with a characteristic pattern of dental occlusion. On the other hand, also malocclusion may reduce nasal air flows promoting nasal obstruction. Hereby, the aim of this review was to describe the relationship between rhinitis and malocclusion in children. METHODS An electronic search was conducted using online database including Pubmed, Web of Science, Google Scholar and Embase. All studies published through to January 30, 2017 investigating the prevalence of malocclusion in children and adolescents (aged 0-20 years) affected by rhinitis and the prevalence of rhinitis in children with malocclusion were included. The protocol was registered at PROSPERO - International prospective register of systematic reviews under CRD42016053619. RESULTS Ten studies with 2733 patients were included in the analysis. The prevalence of malocclusion in children with rhinitis was specified in four of the studies ranging from as high as 78.2% to as low as 3%. Two out of the studies reported the prevalence of rhinitis in children with malocclusion with a rate ranging from 59.2 to 76.4%. CONCLUSION The results of this review underline the importance of the diagnosis and treatment of the nasal obstruction at an early age to prevent an altered facial growth, but the data currently available on this topic do not allow to establish a possible causal relationship between rhinitis and malocclusion.
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Affiliation(s)
- Francesca Occasi
- Department of Pediatrics, "Sapienza" University of Rome, Rome, Italy
| | - Ludovica Perri
- Department of Internal Medicine and Medical Specialities, "Sapienza" University of Rome, Rome, Italy.
| | - Matteo Saccucci
- Department of Pediatric Otorhinolaryngology, "Sapienza" University of Rome, Rome, Italy
| | - Gabriele Di Carlo
- Department of Pediatric Otorhinolaryngology, "Sapienza" University of Rome, Rome, Italy
| | - Gaetano Ierardo
- Department of Pediatric Otorhinolaryngology, "Sapienza" University of Rome, Rome, Italy
| | - Valeria Luzzi
- Department of Pediatric Otorhinolaryngology, "Sapienza" University of Rome, Rome, Italy
| | | | - Giulia Brindisi
- Department of Pediatrics, "Sapienza" University of Rome, Rome, Italy
| | - Lorenzo Loffredo
- Department of Internal Medicine and Medical Specialities, "Sapienza" University of Rome, Rome, Italy
| | - Marzia Duse
- Department of Pediatrics, "Sapienza" University of Rome, Rome, Italy
| | - Antonella Polimeni
- Department of Pediatric Otorhinolaryngology, "Sapienza" University of Rome, Rome, Italy
| | - Anna Maria Zicari
- Department of Pediatrics, "Sapienza" University of Rome, Rome, Italy
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14
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Di Giacomo P, Celli M, Ierardo G, Polimeni A, Di Paolo C. Evaluation of Temporomandibular Disorders and Comorbidities in Patients with Ehler--Danlos: Clinical and Digital Findings. J Int Soc Prev Community Dent 2018; 8:333-338. [PMID: 30123766 PMCID: PMC6071363 DOI: 10.4103/jispcd.jispcd_103_18] [Citation(s) in RCA: 5] [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: 03/05/2018] [Accepted: 05/02/2018] [Indexed: 11/04/2022] Open
Abstract
Objective The objective of this study is to recognize representative cranio-cervico-mandibular features of patients with Ehler-Danlos syndrome and associated temporomandibular disorders (TMDs), to assess a targeted and integrated treatment plan. Materials and Methods After a diagnosis of disease, 38 individiuals with Ehler-Danlos syndrome and temporomandibular symptomatology referred were evaluated. Gnathological evaluation, according to the Diagnostic Criteria for TMDs, and radiographic imaging was performed. In addition, digital evaluation of occlusal and muscular balance, using surface electromyography of jaw muscles, was conducted. Statistical software for data analysis - STATA (StataCorp, College station, Texas, USA) - was used. Results Most common temporomandibular dysfunctions were arthralgia, myalgia, disc displacement with reduction and subluxation. Headache and neck pain were the most frequent comorbidities. Somatization, depression, anxiety, and obsessive-compulsive behavior were the most recurrent psychological disorders. Electromyographic analysis showed out of normal range data. Conclusion Early diagnosis and interception are requested to avoid injuries and repeated traumatism. Multidisciplinary treatments are available to approach all the aspects of the syndrome.
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Affiliation(s)
- Paola Di Giacomo
- Department of Oral and Maxillofacial Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
| | - Mauro Celli
- Department of Rare Diseases, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
| | - Gaetano Ierardo
- Department of Oral and Maxillofacial Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillofacial Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
| | - Carlo Di Paolo
- Department of Oral and Maxillofacial Sciences, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
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Luzzi V, Brunori M, Terranova S, Di Paolo C, Ierardo G, Vozza I, Polimeni A. Difficult-to-treat OSAS: Combined continuous positive airway pressure (CPAP) and mandibular advancement devices (MADs) therapy. A case report. Cranio 2018; 38:196-200. [PMID: 30048222 DOI: 10.1080/08869634.2018.1496628] [Citation(s) in RCA: 4] [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: 12/22/2022]
Abstract
Background: Obstructive sleep apnea syndrome and is characterized by recurrent episodes of partial or complete upper airway collapse during sleep with consequent oxygen desaturations and cardiovascular, neurological, and metabolic impairment. Clinical presentation: The authors report the case of a 66-year-old male presenting "metabolic syndrome" (obesity, impaired glucose tolerance, dyslipidemia, multi-drug treated arterial hypertension), atopy, mouth breathing due to turbinate hypertrophy, and pathological daytime sleepiness. As patient's compliance to standard continuous positive airway pressure (CPAP) therapy was poor, he was treated using low-pressure CPAP combined with a mandibular advancement device (MAD). Conclusion: In selected patients, a treatment combining CPAP and MAD might be a more tolerable alternative to CPAP alone. The improved pharyngeal patency, promoted by mandibular advancement and stretching of the pharyngeal muscles, allows operating the CPAP at lower pressures when the MAD alone is not sufficient to induce a safe sleep profile.
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Affiliation(s)
- Valeria Luzzi
- Department of Oral and Maxillo-facial Sciences, Head and Neck Integrated Activities Department, Policlinico "Umberto I", Sapienza University of Rome, Rome, Italy
| | - Marco Brunori
- Respiratory Pathophysiology and Rehabilitation Unit, Policlinico Umberto I, Rome, Italy
| | | | - Carlo Di Paolo
- Department of Oral and Maxillo-facial Sciences, Head and Neck Integrated Activities Department, Policlinico "Umberto I", Sapienza University of Rome, Rome, Italy
| | - Gaetano Ierardo
- Department of Oral and Maxillo-facial Sciences, Head and Neck Integrated Activities Department, Policlinico "Umberto I", Sapienza University of Rome, Rome, Italy
| | - Iole Vozza
- Department of Oral and Maxillo-facial Sciences, Head and Neck Integrated Activities Department, Policlinico "Umberto I", Sapienza University of Rome, Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillo-facial Sciences, Head and Neck Integrated Activities Department, Policlinico "Umberto I", Sapienza University of Rome, Rome, Italy
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16
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Ierardo G, Luzzi V, Vozza I, Polimeni A, Bossù M. Skin irritation from a facial mask in Class III malocclusion: evaluation of individual silicone chin cups in a group of 100 children. Minerva Dent Oral Sci 2018; 67:45-48. [PMID: 29446267 DOI: 10.23736/s0026-4970.17.04073-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Reverse headgear (a facial mask) is one of the most frequently used interceptive orthodontic devices in patients with Class III malocclusion. It is a simple device but may present some drawbacks related to pressure on the skin generated by the forehead and chin supports linked to the maxillary intraoral appliance by elastics. This can cause injury to the chin and lips. METHODS Patients between 7 and 8 years of age were selected from the Unit of Pediatric Dentistry. Orthopedic therapy with a rapid palatal expander and reverse headgear was prescribed for all subjects. The patients were divided into two groups: those who used a facial mask without a silicone chin cup and those who used a facial mask with a silicone chin cup. RESULTS Two-hundred subjects including 90 male patients and 110 female patients were enrolled. The groups that used a facial mask with and without a silicone chin cup included 100 patients each. The percentage of subjects without irritation was significantly greater in the group with a silicone chin cup than in the group without a silicone chin cup. CONCLUSIONS The authors propose a simple and effective solution to prevent skin irritation on the chin caused by a facial mask. A chin mask is a custom solution that can prevent injury to the chin during treatment when coupled with facial mask therapy.
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Affiliation(s)
- Gaetano Ierardo
- Department of Oral and Maxillo-Facial Science, "Sapienza" University of Rome, Rome, Italy -
| | - Valeria Luzzi
- Department of Oral and Maxillo-Facial Science, "Sapienza" University of Rome, Rome, Italy
| | - Iole Vozza
- Department of Oral and Maxillo-Facial Science, "Sapienza" University of Rome, Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillo-Facial Science, "Sapienza" University of Rome, Rome, Italy
| | - Maurizio Bossù
- Department of Oral and Maxillo-Facial Science, "Sapienza" University of Rome, Rome, Italy
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17
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Bregnocchi A, Zanni E, Uccelletti D, Marra F, Cavallini D, De Angelis F, De Bellis G, Bossù M, Ierardo G, Polimeni A, Sarto MS. Graphene-based dental adhesive with anti-biofilm activity. J Nanobiotechnology 2017; 15:89. [PMID: 29233187 PMCID: PMC5728064 DOI: 10.1186/s12951-017-0322-1] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2017] [Accepted: 11/14/2017] [Indexed: 02/07/2023] Open
Abstract
Background Secondary caries are considered the main cause of dental restoration failure. In this context, anti-biofilm and bactericidal properties are desired in dental materials against pathogens such as Streptococcus mutans. To this purpose, graphene based materials can be used as fillers of polymer dental adhesives. In this work, we investigated the possibility to use as filler of dental adhesives, graphene nanoplatelets (GNP), a non toxic hydrophobic nanomaterial with antimicrobial and anti-biofilm properties. Results Graphene nanoplatelets have been produced starting from graphite intercalated compounds through a process consisting of thermal expansion and liquid exfoliation. Then, a dental adhesive filled with GNPs at different volume fractions has been produced through a solvent evaporation method. The rheological properties of the new experimental adhesives have been assessed experimentally. The adhesive properties have been tested using microtensile bond strength measurements (µ-TBS). Biocidal activity has been studied using the colony forming units count (CFU) method. The anti-biofilm properties have been demonstrated through FE-SEM imaging of the biofilm development after 3 and 24 h of growth. Conclusions A significantly lower vitality of S. mutans cells has been demonstrated when in contact with the GNP filled dental adhesives. Biofilm growth on adhesive-covered dentine tissues demonstrated anti-adhesion properties of the produced materials. µ-TBS results demonstrated no significant difference in µ-TBS between the experimental and the control adhesive. The rheology tests highlighted the necessity to avoid low shear rate regimes during adhesive processing and application in clinical protocol, and confirmed that the adhesive containing the 0.2%wt of GNPs possess mechanical properties comparable with the ones of the control adhesive.
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Affiliation(s)
- Agnese Bregnocchi
- Research Center for Nanotechnology Applied to Engineering of Sapienza University (CNIS), Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy. .,Sapienza Nanotechnology & Nano-science Laboratory (SNN Lab), Sapienza University of Rome, Piazzale Aldo Moro 5, Rome, 00185, Italy. .,Department of Aerospace, Electrical and Energy Engineering, Sapienza University of Rome, Via Eudossiana 18, Rome, 00184, Italy.
| | - Elena Zanni
- Research Center for Nanotechnology Applied to Engineering of Sapienza University (CNIS), Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.,Sapienza Nanotechnology & Nano-science Laboratory (SNN Lab), Sapienza University of Rome, Piazzale Aldo Moro 5, Rome, 00185, Italy.,Department of Biology and Biotechnology "Charles Darwin", Sapienza University of Rome, Piazzale Aldo Moro 5, Rome, 00185, Italy
| | - Daniela Uccelletti
- Research Center for Nanotechnology Applied to Engineering of Sapienza University (CNIS), Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.,Sapienza Nanotechnology & Nano-science Laboratory (SNN Lab), Sapienza University of Rome, Piazzale Aldo Moro 5, Rome, 00185, Italy.,Department of Biology and Biotechnology "Charles Darwin", Sapienza University of Rome, Piazzale Aldo Moro 5, Rome, 00185, Italy
| | - Fabrizio Marra
- Research Center for Nanotechnology Applied to Engineering of Sapienza University (CNIS), Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.,Sapienza Nanotechnology & Nano-science Laboratory (SNN Lab), Sapienza University of Rome, Piazzale Aldo Moro 5, Rome, 00185, Italy.,Department of Aerospace, Electrical and Energy Engineering, Sapienza University of Rome, Via Eudossiana 18, Rome, 00184, Italy
| | - Domenico Cavallini
- Research Center for Nanotechnology Applied to Engineering of Sapienza University (CNIS), Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.,Sapienza Nanotechnology & Nano-science Laboratory (SNN Lab), Sapienza University of Rome, Piazzale Aldo Moro 5, Rome, 00185, Italy.,Department of Aerospace, Electrical and Energy Engineering, Sapienza University of Rome, Via Eudossiana 18, Rome, 00184, Italy
| | - Francesca De Angelis
- Department of Dentistry and Maxillo-Facial Sciences, Unit of Pediatric Dentistry Sapienza University of Rome, Viale regina Elena 287a, Rome, 00161, Italy
| | - Giovanni De Bellis
- Research Center for Nanotechnology Applied to Engineering of Sapienza University (CNIS), Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.,Sapienza Nanotechnology & Nano-science Laboratory (SNN Lab), Sapienza University of Rome, Piazzale Aldo Moro 5, Rome, 00185, Italy.,Department of Aerospace, Electrical and Energy Engineering, Sapienza University of Rome, Via Eudossiana 18, Rome, 00184, Italy
| | - Maurizio Bossù
- Department of Dentistry and Maxillo-Facial Sciences, Unit of Pediatric Dentistry Sapienza University of Rome, Viale regina Elena 287a, Rome, 00161, Italy
| | - Gaetano Ierardo
- Department of Dentistry and Maxillo-Facial Sciences, Unit of Pediatric Dentistry Sapienza University of Rome, Viale regina Elena 287a, Rome, 00161, Italy
| | - Antonella Polimeni
- Department of Dentistry and Maxillo-Facial Sciences, Unit of Pediatric Dentistry Sapienza University of Rome, Viale regina Elena 287a, Rome, 00161, Italy
| | - Maria Sabrina Sarto
- Research Center for Nanotechnology Applied to Engineering of Sapienza University (CNIS), Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.,Sapienza Nanotechnology & Nano-science Laboratory (SNN Lab), Sapienza University of Rome, Piazzale Aldo Moro 5, Rome, 00185, Italy.,Department of Aerospace, Electrical and Energy Engineering, Sapienza University of Rome, Via Eudossiana 18, Rome, 00184, Italy
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18
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Ierardo G, Bossù M, D'Angeli G, Celli M, Sfasciotti G. Bisphosphonates therapy in children with Osteogenesis imperfecta: clinical experience in oral surgery. ACTA ACUST UNITED AC 2017; 10:311-316. [PMID: 29285334 DOI: 10.11138/orl/2017.10.3.311] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [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
Objectives To define the possible complications of oral surgery in childhood in patients affected by type 1 Osteogenesis imperfecta (OI) and treated with bisphosphonates (BP). Methods The study was conducted among 20 patients in childhood with an age range 8-14 (12 ♂ e 8 ♀) affected by OI. Patients were initially evaluated at the Policlinico Umberto I, University Hospital of Rome, Rare Disease Center Skeletal Dysplasia-Bone Metabolic Pathologies and after at the Policlinico Umberto I, University Hospital of Rome, Head and Neck Department, UOC Pediatric Dentistry. Results From this experience, we showed that a proper patient management from the medical and dental point of view can protect these patients from the risk of post-operative problems, such as onj, soft tissue flogos, intraoral and extraoral fistulas, failure to heal the post-extractive alveolus, infections, post-operative pain and pathological fractures. The follow-up, ranging from a minimum of 2 years to a maximum of 5 years, have not demonstrated the presence of particular complications or healing defects. Conclusions The clinical experiences observed in these patients are encouraging because no postoperative complications have been observed compared to patients non-affected by OI.
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Affiliation(s)
- G Ierardo
- Sapienza, University of Rome, Umberto I University Hospital of Rome, Rome, Italy
| | - M Bossù
- Sapienza, University of Rome, Umberto I University Hospital of Rome, Rome, Italy
| | - G D'Angeli
- Sapienza, University of Rome, Umberto I University Hospital of Rome, Rome, Italy
| | - M Celli
- Rare Disease Center Skeletal Dysplasia Bone, Department of Oral and Maxillo Facial Science, DAI Head and Neck UOC Pediatric Dentistry (Dir.: Prof. Antonella Polimeni)
| | - G Sfasciotti
- Sapienza, University of Rome, Umberto I University Hospital of Rome, Rome, Italy
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19
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Ferrato G, Falisi G, Ierardo G, Polimeni A, Di Paolo C. Digital evaluation of occlusal forces: comparison between healthy subjects and TMD patients. Ann Stomatol (Roma) 2017; 8:79-88. [PMID: 29276576 DOI: 10.11138/ads/2017.8.2.089] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Aim Continuous technological innovation has provided the clinicians to access to a computerized device that can analyse the different characteristics of occlusal contacts. The purpose of this research was to use this device to study the occlusal forces comparing healthy subjects and TMD patients. Materials and methods The study was conducted by following specific criteria to select participants; the sample was divided into two homogeneous groups: control group (CG) comprising healthy subjects, and dysfunctional group (DG) comprising TMD patients. The occlusal force analysis was performed using the computerized system T-Scan III V 5.20 T. The data were analysed with statistical methods. Results The most significant differences emerged between the groups in the average occlusal load distribution and in the location of the centre of occlusal forces (COF). In particular, compared with the CG and the functional standard, reductions in the molar field forces on the second and first molars of 27% and 6.9%, respectively, were observed in the DG. The COF was located in the most forward position in TMD patients compared with healthy subjects. Conclusions Although the differences in the distribution of the occlusal forces and the location of the occlusal centre of gravity were significant, the relationship between occlusal contacts and TMD remains to be fully clarified. Further research is needed to investigate whether studying occlusal force distributions in both healthy subjects and TMD patients.
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Affiliation(s)
- Giacomo Ferrato
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Italy
| | - Giovanni Falisi
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Italy
| | - Gaetano Ierardo
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Italy
| | - Carlo Di Paolo
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Italy
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20
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Ierardo G, Luzzi V, Lesti M, Vozza I, Brugnoletti O, Polimeni A, Bossù M. Peek polymer in orthodontics: A pilot study on children. J Clin Exp Dent 2017; 9:e1271-e1275. [PMID: 29167720 PMCID: PMC5694159 DOI: 10.4317/jced.54010] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [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: 05/03/2017] [Accepted: 05/27/2017] [Indexed: 11/05/2022] Open
Abstract
The purpose of the study has been making the orthodontic space maintainers in PEEK polymer (Polyetheretherketone) through a digital workflow. New digital technologies are taking hold in diagnosis, therapy and in dental laboratories. The digital world can help dentist in diagnosis and therapy: -diagnosis through the acquisition of radiographic images (CBCT) or scanners which allow the creation of 3D digital models – about therapy thanks to dental CAD CAM system. It consists of design devices through an dedicated software CAD and then realize devices through CAM system. We used digital system to improve the quality of the treatment and reduce costs. Peek polymer, subject of studies in recent years, thanking to its characteristics, resulted useful for this study. According to a nine month- follow up the devices were found comfortable, satisfying, personalized and minimally visible for the patients. These devices were found suitable to maintain the space. About material, thanks to its dimensional stability, mechanical strength but specially, thanks to its biocompatibility, PEEK was found as a very good material to build space maintainers. The workflow allowed a simulation of the treatment plan with a better collaboration and acceptance of the patient. Digital system reduced the systematic mistakes during the various phases and the production time. The digital system saved space creating a virtual plaster casts collection.
Key words:PEEK, CAD/CAM system, space maintainers, orthodontic prevention.
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Affiliation(s)
- Gaetano Ierardo
- Pediatric dentistry Unit, Department of Oral and Maxillo-facial Sciences, Sapienza University of Rome
| | - Valeria Luzzi
- Pediatric dentistry Unit, Department of Oral and Maxillo-facial Sciences, Sapienza University of Rome
| | - Michela Lesti
- Pediatric dentistry Unit, Department of Oral and Maxillo-facial Sciences, Sapienza University of Rome
| | - Iole Vozza
- Pediatric dentistry Unit, Department of Oral and Maxillo-facial Sciences, Sapienza University of Rome
| | - Orlando Brugnoletti
- Pediatric dentistry Unit, Department of Oral and Maxillo-facial Sciences, Sapienza University of Rome
| | - Antonella Polimeni
- Pediatric dentistry Unit, Department of Oral and Maxillo-facial Sciences, Sapienza University of Rome
| | - Maurizio Bossù
- Pediatric dentistry Unit, Department of Oral and Maxillo-facial Sciences, Sapienza University of Rome
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Ierardo G, Luzzi V, Polimeni A. Obstructive Sleep Apnea Syndrome (OSAS): evaluation and treatment of odontostomatological problems. Med Lav 2017; 108:293-296. [PMID: 28853428 DOI: 10.23749/mdl.v108i4.6232] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 02/28/2017] [Revised: 04/27/2017] [Accepted: 06/29/2017] [Indexed: 11/17/2022]
Abstract
The Obstructive Sleep Apnea Syndrome (OSAS) is a breathing disorder characterized by repeated episodes of apnea/hypopnea occurring during sleep and caused by the obstruction of the upper airway. As OSAS can have a significant impact on quality of life, an early diagnosis and a multi-specialized recognition become important. Therapeutic proposals include the Mandibular Advancement Devices (MADs), intraoral devices that induce a mandibular advancement during the night to eliminate snoring and apnea. Italian guidelines on dental aspects of OSAS in adults and children focus primarily on anamnestic and clinical methods by which the dentist, in a role of epidemiological sentinel, can first identify a patient with OSAS and then participate in the therapeutic process using specific orthodontic intraoral devices.
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Luzzi V, Ierardo G, Corridore D, Di Carlo G, Di Giorgio G, Leonardi E, Campus GG, Vozza I, Polimeni A, Bossù M. Evaluation of the orthodontic treatment need in a paediatric sample from Southern Italy and its importance among paediatricians for improving oral health in pediatric dentistry. J Clin Exp Dent 2017; 9:e995-e1001. [PMID: 28936290 PMCID: PMC5601117 DOI: 10.4317/jced.54005] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [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: 05/02/2017] [Accepted: 06/21/2017] [Indexed: 12/29/2022] Open
Abstract
Background Data from epidemiological studies investigating the prevalence and severity of malocclusions in children are of great relevance to public health programs aimed at orthodontic prevention. Previous epidemiological studies focused mainly on the adolescence age group and reported a prevalence of malocclusion with a high variability, going from 32% to 93%. Aim of our study was to assess the need for orthodontic treatment in a paediatric sample from Southern Italy in order to improve awareness among paediatricians about oral health preventive strategies in pediatric dentistry. Material and Methods The study used the IOTN-DHC index to evaluate the need for orthodontic treatment for several malocclusions (overjet, reverse overjet, overbite, openbite, crossbite) in a sample of 579 children in the 2-9 years age range. Results The most frequently altered occlusal parameter was the overbite (prevalence: 24.5%), while the occlusal anomaly that most frequently presented a need for orthodontic treatment was the crossbite (8.8%). The overall prevalence of need for orthodontic treatment was of 19.3%, while 49% of the sample showed one or more altered occlusal parameters. No statistically significant difference was found between males and females. Conclusions Results from this study support the idea that the establishment of a malocclusion is a gradual process starting at an early age. Effective orthodontic prevention programs should therefore include preschool children being aware paediatricians of the importance of early first dental visit. Key words:Orthodontic treatment, malocclusion, oral health, pediatric dentistry.
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Affiliation(s)
- Valeria Luzzi
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Gaetano Ierardo
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Denise Corridore
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Gabriele Di Carlo
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Gianni Di Giorgio
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Emanuele Leonardi
- Istituto Nazionale di Fisica Nucleare (INFN), Sezione di Roma, Rome, Italy
| | - Guglielmo-Giuseppe Campus
- School of Dentistry, University of Sassari, Italy.,WHO Collaborating Centre for Epidemiology and Community Dentistry of Milan, University of Milan, Italy
| | - Iole Vozza
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Maurizio Bossù
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
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Ierardo G, Luzzi V, Nardacci G, Vozza I, Polimeni A. Minimally invasive orthodontics: elastodontic therapy in a growing patient affected by Dentinogenesis Imperfecta. Ann Stomatol (Roma) 2017; 8:34-38. [PMID: 28736605 DOI: 10.11138/ads/2017.8.1.034] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
AIM The aim of the study was to report the use of an elastodontic therapy in a growing patient affected by Dentinogenesis Imperfecta, second class malocclusion, deep bite and lower arch crowding from the deciduous dentition to permanent one. CASE REPORT At first, the 5-year-old patient was treated with an elastodontic device known as "Nite-Guide". When the patient was 7 years old, during her first permanent molars and incisors eruption and after optimal house-practices, an Occlus-o-Guide Series G was placed at night and on daylight (two hours a day) performing exercises aimed to activate facial muscles and facilitate the deep bite reopening. At 9 years of age, with totally deep bite resolution, she used the Occluso-Guide only at night to hold down previous results and follow patient's dental growth. At 11 years of age, after successful teeth switching, we prescribed an Occlus-o-Guide Series N, which is functional for permanent dentition and guaranteed an eruptive guide for last dental elements. CONCLUSIONS This clinic case could be considered an example of approach for all those patients with systemic and/or dental diseases that do not allow adequate dental retention, which is necessary for most orthodontic appliances; elastodontic devices do not require adequate dental retention and define a minimum intervention on the surfaces of the teeth.
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Affiliation(s)
- Gaetano Ierardo
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Valeria Luzzi
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Giuliana Nardacci
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Iole Vozza
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
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Lumetti S, Calciolari E, Parisi L, Toffoli A, Mazzotta S, Ferrillo S, Ierardo G, Macaluso GM, Galli C, Manfredi E. Study of GSK3b inhibitors SB415286 and SB216763 to improve osteoblastic differentiation on microstructured titanium. J BIOL REG HOMEOS AG 2017; 31:579-587. [PMID: 28952290] [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: 06/07/2023]
Abstract
Rough titanium surfaces enhance cell response to activation of Wnt canonical signalling, a pathway required for osteoblast differentiation. The present study investigated the effects of GSK3β-inhibitors SB216763 and SB415286 on osteoblastic differentiation on titanium surfaces with different topography and wettability. Osteoblastic MC3T3 cells were plated on smooth (Pickled), sand-blasted/acid-etched (SLA) or hyper hydrophilic SLA (modSLA) titanium discs and transfected with a reporter vector sys-tem for Wnt canonical signalling. Cells were also seeded in the presence or in the absence of GSK3b-inhibitors SB216763 or SB415286 and their viability, morphology and the expression of Wnt target and osteoblast specific genes was assessed by Real Time PCR. Inhibitors altered cell morphology and mostly reduced cell viability at high concentration. SB415286 markedly increased the expression of ALP in MC3T3 cells on rough surfaces at the concentration of 100 nM before decreasing its expression at higher concentrations. OCN expression was unaffected. Increasing concentrations of SB216763 increased the expression of ALP in MC3T3 cells on rough surfaces but OCN expression was not changed at any con-centration. SB216763 and SB415286 inhibitors should be further investigated as potential tools to improve cell differentiation on titanium surfaces for endosseous implants.
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Affiliation(s)
- S Lumetti
- Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, Parma, Italy
| | - E Calciolari
- Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, Parma, Italy
| | - L Parisi
- Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, Parma, Italy
| | - A Toffoli
- Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, Parma, Italy
| | - S Mazzotta
- Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, Parma, Italy
| | - S Ferrillo
- Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, Parma, Italy
| | - G Ierardo
- Department of Odontostomatologic and Maxillofacial Sciences, Sapienza University, Roma, Italy
| | - G M Macaluso
- Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, Parma, Italy
| | - C Galli
- Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, Parma, Italy
| | - E Manfredi
- Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, Parma, Italy
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Perinetti G, Sossi R, Primozic J, Ierardo G, Contardo L. Diagnostic reliability of mandibular second molar maturation in the identification of the mandibular growth peak: A longitudinal study. Angle Orthod 2017; 87:665-671. [PMID: 28657343 DOI: 10.2319/010417-12.1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To investigate the diagnostic reliability of mandibular second molar maturation in assessing the mandibular growth peak using a longitudinal design. MATERIALS AND METHODS From the files of the Burlington and Oregon growth studies, 40 subjects (20 from each collection, 20 males and 20 females) with at least seven annual lateral cephalograms taken from 9 to 16 years were included. Mandibular second molar maturation was assessed according to Demirjian et al., and mandibular growth was defined as annual increments of Co-Gn distance. A full diagnostic reliability analysis (including positive likelihood ratio) was performed to establish the diagnostic reliability of dental stages E, F, and (pooled) GH in identifying the imminent mandibular growth peak. RESULTS None of the dental maturation stages reliably identified the mandibular growth peak with greatest overall mean accuracy and positive likelihood ratio of 0.77 (stage F) and 2.7 (stage E), respectively. CONCLUSIONS Use of the mandibular second molar maturation is not recommended for planning treatment requiring identification of the mandibular growth peak.
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Abstract
Dental personnel (DP) may be exposed to pathogens during dental treatment, either through contact contaminated equipment, or with blood and respiratory secretion. On the other hand, health care professionals are constantly exposed to pathogens and opportunists in their work environment. Consequently, the dental healthcare environment is connected with the risk of exposure to biological agents both for patients and dental workers, and involves a wide number of microorganisms that can be present in biological matrices (gingival fluids, saliva, blood), contaminated and/or non-sanitized surfaces, water used in the dental unit, or emitted by patients suffering or carrier of a transmissible disease. The main determinants of exposure to biological agents in dentistry are related, therefore, to several factors, such as the lack in the application of disinfection/sterilization procedures for surfaces, reusable tools, water, etc.; the lack in the use of protective equipment by workers; an insufficient or inefficient training of personnel; the use of non-targeted, too diluted, or expired biocides. Therefore, each single patient needs to be treated as a potential communicable infectious disease carrier and each case must receive high level of attention in compliance with preventive and hygiene standards, following disinfection and sterilization procedures, and always wearing personal protective equipment. The goal of this article was to discuss on the infection risks related to dental practice both for patients and workers, and to evaluate the state of the art and future perspectives, with particular attention to disinfection procedures, for occupational biological hazards and HAIs prevention in this setting.
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Affiliation(s)
- Matteo Saccucci
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy -
| | - Gaetano Ierardo
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy
| | - Carmela Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Matteo Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy
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Ierardo G, Luzzi V, Nardacci G, Di Carlo G, Guaragna M, Covello F, Polimeni A. Utilizzo di un espansore mascellare rapido modificato in un caso di amelogenesi imperfetta. Dental Cadmos 2017. [DOI: 10.19256/d.cadmos.06.2017.07] [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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Arrica M, Carta G, Cocco F, Cagetti MG, Campus G, Ierardo G, Ottolenghi L, Sale S, Strohmenger L. Does a social/behavioural gradient in dental health exist among adults? A cross-sectional study. J Int Med Res 2017; 45:451-461. [PMID: 28345424 PMCID: PMC5536683 DOI: 10.1177/0300060516675682] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [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] [Indexed: 11/16/2022] Open
Abstract
Objective To explore the potential presence of a social/behavioural gradient in dental health among Italian adults using a cross-sectional study. Methods Caries indices were recorded among 480 subjects (52.9% men, 47.1% women) who also completed a structured self-administered social and behavioural questionnaire. A social/behavioural gradient was generated as the sum of the worst circumstances recorded on the questionnaire (cariogenic diet, smoking, lowest occupational profile, brushing teeth < twice daily, lowest educational level, uneven dental examination attendance). Results Caries figures (DMFT) and the number of filled sound teeth (FS-T) were statistically significantly linked to the social/behavioural gradient (DMFT: χ2(9) = 20.17 p = 0.02, Z = 0.02 p = 0.99; FS-T: χ2(9) = 25.68 p < 0.01, Z = −4.31 p < 0.01). DMFT was statistically significantly associated with gender and with social and behavioural variables. FS-T was higher in women (p = 0.03) and was linked to smoking (p < 0.01). Conclusions The proposed social/behavioural gradient demonstrated how subjects reporting the worst circumstances on the questionnaire exhibited the worst dental health. The use of the gradient demonstrates that health promotion and prevention cannot be compartmentalized.
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Affiliation(s)
- Mariantonietta Arrica
- 1 Depertment of Surgical, Microsurgical and Medical Sciences, University of Sassari, Sassari, Italy
| | - Giovanna Carta
- 1 Depertment of Surgical, Microsurgical and Medical Sciences, University of Sassari, Sassari, Italy
| | - Fabio Cocco
- 1 Depertment of Surgical, Microsurgical and Medical Sciences, University of Sassari, Sassari, Italy.,2 World Health Organization, Collaborating Centre for Epidemiology and Preventive Dentistry, Milan, Italy
| | - Maria Grazia Cagetti
- 2 World Health Organization, Collaborating Centre for Epidemiology and Preventive Dentistry, Milan, Italy.,3 Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Lombardia, Italy
| | - Guglielmo Campus
- 1 Depertment of Surgical, Microsurgical and Medical Sciences, University of Sassari, Sassari, Italy.,2 World Health Organization, Collaborating Centre for Epidemiology and Preventive Dentistry, Milan, Italy
| | - Gaetano Ierardo
- 4 Department of Oral and Maxillo Facial Sciences, University of Rome La Sapienza, Rome, Lazio, Italy
| | - Livia Ottolenghi
- 4 Department of Oral and Maxillo Facial Sciences, University of Rome La Sapienza, Rome, Lazio, Italy
| | - Silvana Sale
- 1 Depertment of Surgical, Microsurgical and Medical Sciences, University of Sassari, Sassari, Italy
| | - Laura Strohmenger
- 2 World Health Organization, Collaborating Centre for Epidemiology and Preventive Dentistry, Milan, Italy.,3 Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Lombardia, Italy
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Sfasciotti GL, Marini R, Pacifici A, Ierardo G, Pacifici L, Polimeni A. Childhood overweight-obesity and periodontal diseases: is there a real correlation? Ann Stomatol (Roma) 2017; 7:65-72. [PMID: 28149453 DOI: 10.11138/ads/2016.7.3.065] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
OBJECTIVE The association between obesity and periodontitis has been extensively investigated in adults but not in young people. The aim of this study was to examine the association between overweight-obesity and periodontal disease in pediatric subjects. METHODS Controlled cross-sectional study involving 100 school children of both gender (50 M and 50 F) between 7 and 12 years of age (mean age 9,19±1,57). Two groups were formed based on Body Mass Index value: test group with BMI ≥ 25 Kg/m2 and control group with BMI ≤ 24 Kg/m2. Diet intake and oral hygiene habits were recorded by a specific questionnaire and the periodontal clinical parameters were evaluated. RESULTS The periodontal examination in the control group revealed a full-mouth plaque score (FMPS) value equal to 21.86% against 50.08% in the group of patients overweight/obese; the full-mouth bleeding score (FMBS) in the control group amounted to 12.7% against 26.24% of test group. No patient in either group included in the study presented a probing pocket depth (PPD) ≥3, so a significant difference regarding this value was not found. Regarding the frequency and quantity of food consumption, the number of obese patients who did not follow a balanced diet largely exceeded the number of normal-weight patients (70 versus 20%). CONCLUSIONS These results focus the attention on the negative impact of obesity on gingival health in young subjects, probably due to a combination of metabolic and inflammatory profiles and the result of a careless attitude towards prevention diseases of the oral cavity.
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Affiliation(s)
- Gian Luca Sfasciotti
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Italy
| | - Roberta Marini
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Italy
| | - Andrea Pacifici
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Italy
| | - Gaetano Ierardo
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Italy
| | - Luciano Pacifici
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Italy
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Luzzi V, Di Carlo G, Saccucci M, Ierardo G, Guglielmo E, Fabbrizi M, Zicari AM, Duse M, Occasi F, Conti G, Leonardi E, Polimeni A. Craniofacial morphology and airflow in children with primary snoring. Eur Rev Med Pharmacol Sci 2016; 20:3965-3971. [PMID: 27775805] [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: 06/06/2023]
Abstract
OBJECTIVE Sleep-disordered breathing (SDB) is among the most common diseases and includes a group of pathological conditions that form a severity continuum from primary snoring (PS) to obstructive sleep apnea (OSA). SDB presents a multifactorial etiology and in children, it is often linked to adenotonsillar hypertrophy, which may lead to an alteration of the breathing pattern. Therefore, several studies hinted at the existence of a correlation between SDB and the alteration of craniofacial growth. However, these studies concentrated on the most severe forms of SDB and little evidence still exists for the mildest form of SDB, namely PS. This preliminary study investigates the association between nasal airflow, measured through rhinomanometry, and cephalometric parameters in a sample of young children with PS. PATIENTS AND METHODS A sample of 30 children with habitual snoring aged between 5 and 8 years was selected by a SDB validated questionnaire at the Pediatric Allergology and Immunology Center of "Sapienza" University of Rome, Italy. To assess the degree of nasal obstruction, all children underwent anterior active rhinomanometry while nocturnal pulse oximetry and polysomnography were used to characterize the SDB. Cephalometric analysis was used to evaluate relevant orthodontic parameters associated to the sagittal and vertical craniofacial development and to the position of the hyoid bone. RESULTS We found a statistically significant association between the Frankfurt mandibular angle (FMA), which measures the total facial vertical divergence, and the severity of the airflow's obstruction (p = 0.014). CONCLUSIONS The present study supports the association between the level of nasal obstruction in children with PS and the alteration of cephalometric parameters associated with the vertical craniofacial growth, thus placing the evaluation of craniofacial parameters in the growth period in a privileged position to determine an early diagnosis of a possible insurgence of sleep disorders.
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Affiliation(s)
- V Luzzi
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy.
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Vozza I, Mari D, Pacifici E, Luzzi V, Ierardo G, Sfasciotti GL, Polimeni A. Pediatric patients tolerance: a comparative study about using of Er:YAG laser and self-adhesive flowable composite for treatment of primary decayed teeth. Ann Stomatol (Roma) 2016; 7:24-28. [PMID: 31168336 DOI: 10.11138/ads/2016.7.1.024] [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
Aim To verify the tolerance of children aged between 3 and 8 years, having class I caries and treated with Er:YAG Laser in association with a new self-adhesive flowable resin in comparison with a high-speed diamond bur and a conventional flowable resin treatment. Methods A group of 80 healthy children (43 male and 37 female) ranging in age from 3 to 8 years, who had been diagnosed with at least one active occlusal non-cavitated superficial carious lesions in first or second deciduous molars, were selected for the present study. They were divided in 4 groups: group A: Class I occlusal cavities prepared using an Er:YAG laser and a self-adhesive flowable resin; Group B: Class I occlusal cavities prepared using an Er:YAG laser and a conventional flowable resin; Group C: Class I occlusal cavities prepared using a high-speed diamond bur and a self-adhesive flowable resin; Group D: Class I occlusal cavities prepared using a high-speed diamond bur and a conventional flowable resin. Before and after the treatments the patient tolerance was tested with the modified Wong-Baker pain level scale. Results In the first group, the tolerance rate was 95% with 0 score (no hurt) for 19 patients; in Group D, the tolerance rate was 75%. Just one child of group D experienced hurting worst because of non cooperative patient. Conclusion From these results it emerged that, although the limits of the study, Er:Yag laser in association with self-adhering composite, is very effective in pediatric dentistry and is a good treatment option especially for non cooperative patients.
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Affiliation(s)
- Iole Vozza
- Pediatric Dentistry Division, Oral and Maxillo-facial Sciences Department, "Sapienza" University of Rome
| | - Daniela Mari
- Pediatric Dentistry Division, Oral and Maxillo-facial Sciences Department, "Sapienza" University of Rome
| | - Edoardo Pacifici
- Pediatric Dentistry Division, Oral and Maxillo-facial Sciences Department, "Sapienza" University of Rome
| | - Valeria Luzzi
- Pediatric Dentistry Division, Oral and Maxillo-facial Sciences Department, "Sapienza" University of Rome
| | - Gaetano Ierardo
- Pediatric Dentistry Division, Oral and Maxillo-facial Sciences Department, "Sapienza" University of Rome
| | - Gian Luca Sfasciotti
- Pediatric Dentistry Division, Oral and Maxillo-facial Sciences Department, "Sapienza" University of Rome
| | - Antonella Polimeni
- Pediatric Dentistry Division, Oral and Maxillo-facial Sciences Department, "Sapienza" University of Rome
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Ierardo G, Calcagnile F, Luzzi V, Ladniak B, Bossu M, Celli M, Zambrano A, Franchi L, Polimeni A. Osteogenesis imperfecta and rapid maxillary expansion: Report of 3 patients. Am J Orthod Dentofacial Orthop 2015; 148:130-7. [PMID: 26124036 DOI: 10.1016/j.ajodo.2015.01.029] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2014] [Revised: 01/01/2015] [Accepted: 01/01/2015] [Indexed: 11/28/2022]
Abstract
INTRODUCTION The aim of this study was to analyze the effects of orthopedic therapy with rapid maxillary expansion (RME) in growing patients affected by osteogenesis imperfecta and treated with bisphosphonates. METHODS Three boys with osteogenesis imperfecta (mean age, 10.6 years) were treated with RME. They all had treatment with quarterly intravenous infusions of bisphosphonates. They were in either the early or the late mixed dentition and had indications for RME. The expansion screw was activated twice daily until correction of the transverse relationships was achieved. The retention period with the expander in place was 6 months. In 2 Class III patients, RME was associated with the use of a facemask. In all patients, occlusal radiographs were taken at the end of active RME therapy to assess the opening of the midpalatal suture and 1 year after the end of active expansion therapy to evaluate the reossification and reorganization of the midpalatal suture. RESULTS In all patients, the opening of the midpalatal suture and the healing with reorganization of the midpalatal suture were documented with the occlusal radiographs. No complications were found after a 1-year follow-up. CONCLUSIONS In growing patients affected by osteogenesis imperfecta and treated with bisphosphonates, it is possible to perform RME with a standard protocol with no complications after a 1-year follow-up.
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Affiliation(s)
- Gaetano Ierardo
- Assistant professor, Department of Oral and Maxillofacial Sciences, Pediatric Dentistry, Sapienza University of Rome, Rome, Italy
| | - Francesca Calcagnile
- Postgraduate student, Department of Oral and Maxillofacial Sciences, Pediatric Dentistry, Sapienza University of Rome, Rome, Italy
| | - Valeria Luzzi
- Assistant professor, Department of Oral and Maxillofacial Sciences, Pediatric Dentistry, Sapienza University of Rome, Rome, Italy
| | - Barbara Ladniak
- Assistant professor, Department of Oral and Maxillofacial Sciences, Pediatric Dentistry, Sapienza University of Rome, Rome, Italy
| | - Maurizio Bossu
- Assistant professor, Department of Oral and Maxillofacial Sciences, Pediatric Dentistry, Sapienza University of Rome, Rome, Italy
| | - Mauro Celli
- Assistant professor, Department of Pediatrics and Pediatric Neuropsychiatry, Center for Congenital Osteodystrophy, Sapienza University of Rome, Rome, Italy
| | - Anna Zambrano
- Assistant professor, Department of Pediatrics and Pediatric Neuropsychiatry, Center for Congenital Osteodystrophy, Sapienza University of Rome, Rome, Italy
| | - Lorenzo Franchi
- Assistant professor, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy; Thomas M. Graber Visiting Scholar, Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, Mich.
| | - Antonella Polimeni
- Professor and chair, Department of Oral and Maxillofacial Sciences, Pediatric Dentistry, Sapienza University of Rome, Rome, Italy
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Fadda MT, Ierardo G, Ladniak B, Di Giorgio G, Caporlingua A, Raponi I, Silvestri A. Treatment timing and multidisciplinary approach in Apert syndrome. Ann Stomatol (Roma) 2015; 6:58-63. [PMID: 26330906 PMCID: PMC4525098] [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: 06/05/2023]
Abstract
Apert syndrome is a rare congenital disorder characterized by craniosynostosis, midface hypoplasia and symmetric syndactyly of hands and feet. Abnormalities associated with Apert syndrome include premature fusion of coronal sutures system (coronal sutures and less frequently lambdoid suture) resulting in brachiturricephalic dismorphism and impaired skull base growth. After this brief explanation it is clear that these anatomical abnormalities may have a negative impact on the ability to perform essential functions. Due to the complexity of the syndrome a multidisciplinary (respiratory, cerebral, maxillo-mandibular, dental, ophthalmic and orthopaedic) approach is necessary in treating the psychological, aesthetic and functional issues. The aim of this paper is to analyse the different functional issues and surgical methods trying to enhance results through a treatment plan which includes different specialities involved in Apert syndrome treatment. Reduced intellectual capacity is associated to the high number of general anaesthesia the small patients are subject to. Therefore the diagnostic and therapeutic treatment plan in these patients has established integrated and tailored surgical procedures based on the patients' age in order to reduce the number of general anaesthesia, thus simplifying therapy for both Apert patients and their family members.
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Affiliation(s)
- Maria Teresa Fadda
- Department of Oral and Maxillofacial Sciences, Maxillofacial Surgery Unit, Policlinico Umberto I, “Sapienza” University of Rome, Italy
| | - Gaetano Ierardo
- Department of Oral and Maxillofacial Sciences, Pediatric Unit, “Sapienza” University of Rome, Italy
| | - Barbara Ladniak
- Department of Oral and Maxillofacial Sciences, Pediatric Unit, “Sapienza” University of Rome, Italy
| | - Gianni Di Giorgio
- Department of Oral and Maxillofacial Sciences, Pediatric Unit, “Sapienza” University of Rome, Italy
| | - Alessandro Caporlingua
- Department of Oral and Maxillofacial Sciences, Maxillofacial Surgery Unit, Policlinico Umberto I, “Sapienza” University of Rome, Italy
| | - Ingrid Raponi
- Department of Oral and Maxillofacial Sciences, Maxillofacial Surgery Unit, Policlinico Umberto I, “Sapienza” University of Rome, Italy
| | - Alessandro Silvestri
- Department of Oral and Maxillofacial Sciences, Orthognathodontic Unit, “Sapienza” University of Rome, Italy
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Trottini M, Bossù M, Corridore D, Ierardo G, Luzzi V, Saccucci M, Polimeni A. Assessing risk factors for dental caries: a statistical modeling approach. Caries Res 2015; 49:226-35. [PMID: 25765050 DOI: 10.1159/000369831] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2013] [Accepted: 11/03/2014] [Indexed: 11/19/2022] Open
Abstract
The problem of identifying potential determinants and predictors of dental caries is of key importance in caries research and it has received considerable attention in the scientific literature. From the methodological side, a broad range of statistical models is currently available to analyze dental caries indices (DMFT, dmfs, etc.). These models have been applied in several studies to investigate the impact of different risk factors on the cumulative severity of dental caries experience. However, in most of the cases (i) these studies focus on a very specific subset of risk factors; and (ii) in the statistical modeling only few candidate models are considered and model selection is at best only marginally addressed. As a result, our understanding of the robustness of the statistical inferences with respect to the choice of the model is very limited; the richness of the set of statistical models available for analysis in only marginally exploited; and inferences could be biased due the omission of potentially important confounding variables in the model's specification. In this paper we argue that these limitations can be overcome considering a general class of candidate models and carefully exploring the model space using standard model selection criteria and measures of global fit and predictive performance of the candidate models. Strengths and limitations of the proposed approach are illustrated with a real data set. In our illustration the model space contains more than 2.6 million models, which require inferences to be adjusted for 'optimism'.
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Polimeni A, Tremolati M, Falciola L, Pifferi V, Ierardo G, Farronato G. Salivary glucose concentration and daily variation in the oral fluid of healthy patients. Ann Stomatol (Roma) 2014; 5:1-6. [PMID: 24753793 PMCID: PMC3974554] [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
AIM The aim of this study was to determine the concentration and the variations of salivary glucose in healthy patients who were sampled at five different intervals during the day. MATERIALS AND METHODS Samples of un-stimulated saliva have been collected from 21 healthy patients using the drooling technique and they were divided into two categories. In the first category, patients were asked not to toothbrush their teeth in the 8 hours prior to collection of the salivary sample. Patients in the second category were instead asked to toothbrush 90 minutes before the collection of the first sample of saliva. The glucose concentration was measured in all patients via an enzymatic spectrophotometry. Patients have been selected following a strict inclusion criteria, which included <5% of plaque presence e according to the plaque Index and a total absence of oral disease that could possibly interfere with sample taking or oral fluid analysis. The average age of patients was 22,4±2,6 years old of which 45% were female and 55% were male. Samples were collected five times between 8 am and 12 pm, before and after breakfast. Data was statistically analyzed using the Skewness/Kurtosis Test, Shapiro-Wilk Test, Kruskal Wallis Test and Linear Regression Model, considering values of p<0,05 to be significant. RESULTS The average rate of un-stimulated salivary flow was 0,53±0,21 ml/min. There were no significant differences between salivary glucose values and salivary flow in female and male patients. However, we observed a typical trend which recurred for each patient and resembled a "pseudo-glycemic curve". CONCLUSIONS The collected data suggests that glucose concentration results did not show statistically significant differences (p>0,078) which could however be due to the little number of patients assessed, nonetheless there is a trend, recalling a "pseudo-glycemic curve" not referable to changes in flow rates, probably due to glucose catabolism and shunt.
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Affiliation(s)
- Antonella Polimeni
- Department of Oral and Maxillo-facial Sciences, “Sapienza” University of Rome, Italy
| | - Marco Tremolati
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy
| | - Luigi Falciola
- Department of Chemistry, University of Milan and Sensors Group of the Italian Chemical Society, Italy
| | - Valentina Pifferi
- Department of Chemistry, University of Milan and Sensors Group of the Italian Chemical Society, Italy
| | - Gaetano Ierardo
- Department of Oral and Maxillo-facial Sciences, “Sapienza” University of Rome, Italy
| | - Giampietro Farronato
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy
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Luzzi V, Ierardo G, Viscogliosi A, Fabbrizi M, Consoli G, Vozza I, Vestri A, Polimeni A. Allergic rhinitis as a possible risk factor for malocclusion: a case-control study in children. Int J Paediatr Dent 2013; 23:274-8. [PMID: 23017035 DOI: 10.1111/ipd.12003] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Prolonged oral respiration is known to cause postural alterations, which can lead to dental malocclusions. Allergic rhinitis, a common cause of upper airway obstruction in children, must therefore be seen as a possible risk factor in the development of malocclusions. AIM Aim of this study was to investigate the association between allergic rhinitis and malocclusions in primary and early-mixed dentition. DESIGN A case-control study was carried out involving 275 Italian children aged 5-9. The case group and the control group were composed of 125 individuals affected by malocclusions and by 150 healthy patients, respectively. Through a questionnaire, we assessed the presence of professionally diagnosed allergic rhinitis. Data were analysed to identify associations between these variables and the presence of malocclusions. RESULTS Children with a history of allergic rhinitis had a threefold increased risk to develop one or more dento-skeletal alterations [OR = 3.16; 95% CI (1.79-5.58), P < 0.001]. Statistically significant associations were found between allergic rhinitis and the development of posterior crossbite and increased overjet. No significant association was found for anterior openbite. CONCLUSIONS Allergic rhinitis is a significant risk factor for the development of malocclusions in general and is associated with the development of posterior crossbite and increased overjet.
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Affiliation(s)
- Valeria Luzzi
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Roma, Italy.
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Saccucci M, Ierardo G, Di Carlo G, Polimeni A, Sfasciotti GL. Marsupialization of radicular cyst in a 9-year-old child: report of a case and review of the literature. J BIOL REG HOMEOS AG 2013; 27:603-606. [PMID: 23830378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The following report describes the treatment of a 9-year-old child affected by a radicular cyst. The case was treated through the extraction of the impacted primary tooth followed by marsupialization. The residual cystic cavity was filled with a removable device in order to speed the healing process, facilitate the eruption of the permanent teeth and avoid orthodontic treatment. This technique is suitable as conservative treatment for patients affected by radicular cyst.
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Parisella V, Vozza I, Capasso F, Luzzi V, Ierardo G, Nofroni I, Polimeni A. Cephalometric evaluation of the hyoid triangle before and after maxillary rapid expansion in patients with skeletal class II, mixed dentition, and infantile swallowing. Ann Stomatol (Roma) 2012; 3:95-99. [PMID: 23386929 PMCID: PMC3555465] [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: 06/01/2023]
Abstract
BACKGROUND Rocabado's hyoid triangle is the only cephalometric parameter that can assess the effects of orthodontic treatment on tongue posture. AIM To evaluate the restoration of tongue posture and function by conducting a cephalometric assessment of the hyoid triangle before and after rapid maxillary expansion. METHODS Sixty-four healthy patients aged 6-11 years with skeletal class II malocclusion, mixed dentition, and infantile swallowing took part in this study. They submitted to lateral cephalometric radiography before and after orthodontic maxillary rapid expansion, in order to assess the resulting changes in the proportions of the hyoid triangle (following Rocabado's parameters). The cephalometric findings were compared according to sex, age, and divergence using the chi-square McNemar test at the 5% significance level (p<0.05). RESULTS The orthodontic treatment resulted an improvement from skeletal class II malocclusion to class I, with elimination of infantile swallowing in 81.8% of male patients [95% confidence interval (CI)=61.5-92.7%], in 87.1% of patients aged 6-7 years (95% CI=71.1-94.9%). CONCLUSIONS This cephalometric analysis revealed that the hyoid triangle was modified by the orthodontic maxillary expansion, reconditioning of tongue posture and function particularly among male, aged 6-7 years old with skeletal class II malocclusion, mixed dentition, and infantile swallowing.
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Affiliation(s)
- Valeria Parisella
- Oral and Maxillofacial Sciences Department, Sapienza University of Rome
| | - Iole Vozza
- Oral and Maxillofacial Sciences Department, Sapienza University of Rome
| | - Francesca Capasso
- Oral and Maxillofacial Sciences Department, Sapienza University of Rome
| | - Valeria Luzzi
- Oral and Maxillofacial Sciences Department, Sapienza University of Rome
| | - Gaetano Ierardo
- Oral and Maxillofacial Sciences Department, Sapienza University of Rome
| | - Italo Nofroni
- Experimental Medicine Department, Sapienza University of Rome
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Abstract
BACKGROUND Network analysis, a recent advancement in complexity science, enables understanding of the properties of complex biological processes characterized by the interaction, adaptive regulation, and coordination of a large number of participating components. OBJECTIVE We applied network analysis to orthodontics to detect and visualize the most interconnected clinical, radiographic, and functional data pertaining to the orofacial system. MATERIALS AND METHODS The sample consisted of 104 individuals from 7 to 13 years of age in the mixed dentition phase without previous orthodontic intervention. The subjects were divided according to skeletal class; their clinical, radiographic, and functional features were represented as vertices (nodes) and links (edges) connecting them. RESULTS Class II subjects exhibited few highly connected orthodontic features (hubs), while Class III patients showed a more compact network structure characterized by strong co-occurrence of normal and abnormal clinical, functional, and radiological features. Restricting our analysis to the highest correlations, we identified critical peculiarities of Class II and Class III malocclusions. CONCLUSIONS The topology of the dentofacial system obtained by network analysis could allow orthodontists to visually evaluate and anticipate the co-occurrence of auxological anomalies during individual craniofacial growth and possibly localize reactive sites for a therapeutic approach to malocclusion.
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Affiliation(s)
- P Auconi
- CNR Centre for Statistical Mechanics and Complexity, Physics Department, Sapienza University of Rome, Rome, Italy
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Luzzi V, Guaragna M, Ierardo G, Saccucci M, Consoli G, Vestri AR, Polimeni A. Malocclusions and non-nutritive sucking habits: a preliminary study. Prog Orthod 2011; 12:114-8. [PMID: 22074835 DOI: 10.1016/j.pio.2011.03.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2010] [Revised: 03/21/2011] [Accepted: 03/25/2011] [Indexed: 10/28/2022] Open
Abstract
OBJECTIVE This study investigated the non-nutritive sucking habits in a sample of patients with malocclusions at the Unit of Pediatric Dentistry of the "Sapienza", University of Rome. MATERIALS AND METHODS 81 children (average age 5.9 years) were examined from January to December 2008. All children showed typical malocclusions that could be associated with non-nutritive sucking habits (pacifier or finger). Increased overjet (OVJ), anterior openbite (OPB), and posterior crossbite (CRB) were recorded in this survey. A questionnaire was directed to parents. RESULTS At the first examination 40.4% of pacifier users over 24 months were affected by an anterior OPB, 50% by a posterior CRB and 39.4% by an increased OVJ. Moreover, 40.4% of the children with finger or thumb sucking behavior were affected by an anterior OPB, 29.2% by a posterior CRB, and 42.4% by an increased OVJ. CONCLUSIONS No statistically significant associations could be detected between the non-nutritive sucking habits and the malocclusions. There was no difference in type of habit in children who presented an anterior OPB, while there was a higher prevalence rate of children with a posterior CRB who had sucked the pacifier and of children with increased OVJ who had sucked their finger.
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Affiliation(s)
- Valeria Luzzi
- Department of Oral and Maxillo-Facial Sciences, Director Prof. A.Polimeni, Unit of Paediatric Dentistry, Sapienza University of Rome, Italy.
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Sfasciotti GL, Marini R, Bossù M, Ierardo G, Annibali S. Fused upper central incisors: management of two clinical cases. Ann Stomatol (Roma) 2011; 2:40-44. [PMID: 22545188 PMCID: PMC3314315] [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: 05/31/2023]
Abstract
This paper reports the management of two clinical cases, in which the upper right central incisor was fused with a supernumerary tooth and the upper left central incisor was macrodontic. A radiographic examination revealed that the fused teeth had two separate roots. Hemisectioning of the fused teeth was performed, the supernumerary portion was extracted and the remaining part was reshaped to remove any sharp margins and to achieve a normal morphology. The macrodontic central incisors were not treated. At 12-months post-surgery there were no periodontal problems and no hypersensitivity. Orthodontic treatment was performed to appropriately align the maxillary teeth and to correct the malocclusion.
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Affiliation(s)
- Gian Luca Sfasciotti
- Corresponding author: Dott. Gian Luca Sfasciotti, Via Famiano Nardini 1/e, 00162 Rome, Italy, Phone/Fax +39068610788, E-mail:
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Ierardo G, Luzzi V, Panetta F, Sfasciotti GL, Polimeni A. Noonan syndrome: A case report. Eur J Paediatr Dent 2010; 11:97-100. [PMID: 20635845] [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: 05/29/2023]
Abstract
AIM Noonan syndrome is a rare genetic alteration; the responsible gene is located on the long arm of chromosome 12. CASE REPORT The authors examined a caucasic girl of eight years with Noonan syndrome. The patient had systemic problems, such as: otitis, heart trouble, language disturbances and asymmetry of the lower limbs. Light mental delay was also found. She had the bad habit of sucking the lower lip. The treatment plan was extraction of some teeth, sealing of first molars and orthodontic treatment with functional appliance.
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Affiliation(s)
- G Ierardo
- Sapienza University of Rome, Italy, Department of Paediatric Dentistry
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Ierardo G, Bossù M, Tarantino D, Trinchieri V, Sfasciotti GL, Polimeni A. The arginine-deiminase enzymatic system on gingivitis: preliminary pediatric study. Ann Stomatol (Roma) 2010; 1:8-13. [PMID: 22238699 PMCID: PMC3254373] [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: 05/31/2023]
Abstract
AIM.: The lactic bacteria are Gram-positive microorganisms with coccus or stick shape, which share a number of physiological and biochemical properties. Several experimental evidences suggest the possibility of using lactic acid bacterial as a preventive or therapeutic potential approaches, alternative or complementary to prevention or treatment protocols currently followed in several pathological conditions. Lactobacillus brevis is able, through the arginine-deiminase activity, to subtract the substrate (arginine) to nitric oxide synthase, and to inhibit in vitro generation of nitric oxide from rat's peritoneal macrophages. These data led us to study the in vivo L. brevis anti-inflammatory effect choosing as experimental model the gingivitis. MATERIALS AND METHODS.: In our study were examined 21 subjects, 16 males and 5 females, aged between 5 and 12 years, with marginal gingivitis problems who have been given chewing gum containing the principle to test in measure of three per day. RESULTS.: At the time T1, after treatment, 18 patients no longer showed inflammation; 2 of them had a slight inflammation and only 1 patient still showed a moderate inflammation. CONCLUSIONS.: From our research, as confirmed by clinical and laboratory investigation, results an effective anti-inflammatory action of arginine-deiminase system that some bacteria possessing.
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Affiliation(s)
| | | | | | | | | | - Antonella Polimeni
- Corresponding author: Prof. Antonella Polimeni, Via A. Serranti, 49 - 00136 Rome, Italy, Tel. +39 06 35453539, E-mail:
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Luzzi V, Ierardo G, Consoli G, Guaragna M, Coloni C, Polimeni A. [Clinical and radiographic association between tooth agenesis and systemic pathology on a group of children from U.O.C. of paediatric dentistry of Sapienza University, Rome]. Ann Ig 2010; 22:61-67. [PMID: 20476664] [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: 05/29/2023]
Abstract
The aim of this work is to identify the association between tooth agenesis and systemic pathologies in paediatric patients. The Authors used clinical case-history and orthopanoramic rx of paediatric patients between 5 and 12 years old, gone to U.O.C. of Paediatric Dentistry, from genuary 2006 to genuary 2009. It resulted that 9.1% of 1190 children presented tooth agenesis and in this group the Authors put in evidence a percentage of 41.5% with syndromes or orofacial diseases.
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Affiliation(s)
- V Luzzi
- Dipartimento di Scienze Odontostomatologiche, Sapienza Università di Roma
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Capasso F, Panetta F, Ierardo G, Parisella V, Polimeni A. Klinefelter syndrome: Case report. Oral Implantol (Rome) 2009; 2:27-36. [PMID: 23285366 PMCID: PMC3415345] [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: 06/01/2023]
Abstract
OBJECTIVES.: The aim of this work is to describe the problems of child dentistry affected by Klinefelter's syndrome. METHODOS.: Through the presentation of a clinical case that was followed by a Pediatric Dentistry, University Sapienza of Rome. RESULT.: Interceptive therapy aims to eliminate the functional interference that occurs during growth. CONCLUSION.: For this reason it's a must for the dentist to carefully monitor the oral health of the small patient immediately.
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Affiliation(s)
- F Capasso
- University Sapienza of Rome, Italy, Department of Pediatric Dentistry
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Ierardo G, Luzzi V, Vestri A, Sfasciotti GL, Polimeni A. Evaluation of customer satisfaction at the Department of Paediatric Dentistry of "Sapienza" University of Rome. Eur J Paediatr Dent 2008; 9:30-36. [PMID: 18380528] [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: 05/26/2023]
Abstract
AIM Healthcare facility management requires the optimisation of the quality of services offered. METHODS The Authors adopted a questionnaire as a means to assess customer satisfaction and needs. The Questionnaire has been designed to address adults, i.e., parents or guardians of children attending the Paediatric unit as patients. To estimate their degree of satisfaction, either regarding the environment where children are treated or about the direct interactions between the parents and the structure (waiting room, waiting time, treatment time and time needed to make the payments, costs, etc.), the questionnaire was submitted to a sample of approximately 600 customers, between March and June of 2005. RESULTS On one hand results provide a pleasant confirmation on customers' perception of the service, especially regarding the direct relationship between the parties; on the other, they highlight aspects that could be improved (waiting room, optimisation of waiting time), distinguishing between factors that need extra funding to be implemented, and those that, instead, could be simply improved through a better and more efficient organisation of labour and time. CONCLUSION The present analysis and previous experiences confirm that appraisal of the degree of customers' satisfaction by means of questionnaires is a valid and necessary instrument for the quality improvement of a healthcare service. Doing so, economic and human resources can be more efficiently allocated.
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Affiliation(s)
- G Ierardo
- Department of Paediatric Dentistry, La Sapienza University of Rome, Rome, Italy
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