1
|
Palaia I, Caruso G, Di Donato V, Vestri A, Napoli A, Perniola G, Casinelli M, Alunni Fegatelli D, Campagna R, Tomao F, D’Aniello D, Antonelli G, Muzii L. Pfizer-BioNTech COVID-19 Vaccine in Gynecologic Oncology Patients: A Prospective Cohort Study. Vaccines (Basel) 2021; 10:vaccines10010012. [PMID: 35062673 PMCID: PMC8780883 DOI: 10.3390/vaccines10010012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 12/20/2021] [Accepted: 12/21/2021] [Indexed: 12/26/2022] Open
Abstract
Objective: To evaluate the safety and immunogenicity of the Pfizer-BioNTech COVID-19 vaccine in gynecologic oncology patients under chemotherapy. Methods: A prospective cohort study including gynecologic oncology women who were under chemotherapy or had completed it within 6 months at the time of the study. All patients received a two-dose schedule of the Pfizer-BioNTech COVID-19 vaccine. Results were compared with a control group of healthy women vaccinated in the same period. Results: Overall, 44 oncologic patients with a mean age of 61.3 ± 10.7 years were enrolled: 28 (63.6%) had ovarian cancer, 9 (20.4%) endometrial, and 7 (16%) cervical. The IgG antibody titer after 1 month from vaccination was low in 9 (20.5%) patients, moderate in 21 (47.7%), and high in 14 (31.8%). The 3-month titer was null in 2 (4.5%) patients, low in 26 (59.1%), moderate in 13 (29.5%), and high in 3 (6.8%). Patients ≥ 50 years reported lower 1-month (p = 0.018) and 3-month (p = 0.004) titers compared with <50 years. Patients with BMI < 30 kg/m2 had a higher 1-month titer compared with BMI ≥ 30 kg/m2 (p = 0.016). Compared with healthy women (n = 44), oncologic patients showed a lower 3-month titer (p < 0.001). None of the patients experienced serious adverse effects. Conclusions: The COVID-19 vaccine was safe and immunogenic in gynecologic oncology patients under chemotherapy. Serological monitoring and further vaccine shots should be considered to boost protection.
Collapse
Affiliation(s)
- Innocenza Palaia
- Department of Maternal and Child Health and Urological Sciences, Policlinico Umberto I, Sapienza University, 00161 Rome, Italy; (I.P.); (V.D.D.); (G.P.); (F.T.); (D.D.); (L.M.)
| | - Giuseppe Caruso
- Department of Maternal and Child Health and Urological Sciences, Policlinico Umberto I, Sapienza University, 00161 Rome, Italy; (I.P.); (V.D.D.); (G.P.); (F.T.); (D.D.); (L.M.)
- Correspondence:
| | - Violante Di Donato
- Department of Maternal and Child Health and Urological Sciences, Policlinico Umberto I, Sapienza University, 00161 Rome, Italy; (I.P.); (V.D.D.); (G.P.); (F.T.); (D.D.); (L.M.)
| | - Annarita Vestri
- Department of Public Health and Infectious Diseases, Policlinico Umberto I, Sapienza University, 00161 Rome, Italy; (A.V.); (D.A.F.)
| | - Anna Napoli
- Department of Molecular Medicine, Policlinico Umberto I, Sapienza University, 00161 Rome, Italy; (A.N.); (M.C.); (R.C.); (G.A.)
| | - Giorgia Perniola
- Department of Maternal and Child Health and Urological Sciences, Policlinico Umberto I, Sapienza University, 00161 Rome, Italy; (I.P.); (V.D.D.); (G.P.); (F.T.); (D.D.); (L.M.)
| | - Matteo Casinelli
- Department of Molecular Medicine, Policlinico Umberto I, Sapienza University, 00161 Rome, Italy; (A.N.); (M.C.); (R.C.); (G.A.)
| | - Danilo Alunni Fegatelli
- Department of Public Health and Infectious Diseases, Policlinico Umberto I, Sapienza University, 00161 Rome, Italy; (A.V.); (D.A.F.)
| | - Roberta Campagna
- Department of Molecular Medicine, Policlinico Umberto I, Sapienza University, 00161 Rome, Italy; (A.N.); (M.C.); (R.C.); (G.A.)
| | - Federica Tomao
- Department of Maternal and Child Health and Urological Sciences, Policlinico Umberto I, Sapienza University, 00161 Rome, Italy; (I.P.); (V.D.D.); (G.P.); (F.T.); (D.D.); (L.M.)
| | - Debora D’Aniello
- Department of Maternal and Child Health and Urological Sciences, Policlinico Umberto I, Sapienza University, 00161 Rome, Italy; (I.P.); (V.D.D.); (G.P.); (F.T.); (D.D.); (L.M.)
| | - Guido Antonelli
- Department of Molecular Medicine, Policlinico Umberto I, Sapienza University, 00161 Rome, Italy; (A.N.); (M.C.); (R.C.); (G.A.)
| | - Ludovico Muzii
- Department of Maternal and Child Health and Urological Sciences, Policlinico Umberto I, Sapienza University, 00161 Rome, Italy; (I.P.); (V.D.D.); (G.P.); (F.T.); (D.D.); (L.M.)
| |
Collapse
|
2
|
Frascaria M, Pietropaoli D, Casinelli M, Cattaneo R, Ortu E, Monaco A. Neutral zone recording in computer-guided implant prosthesis: A new digital neuromuscular approach. Clin Exp Dent Res 2019; 5:670-676. [PMID: 31890304 PMCID: PMC6934335 DOI: 10.1002/cre2.233] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Revised: 07/09/2019] [Accepted: 07/16/2019] [Indexed: 11/26/2022] Open
Abstract
Background Neutral zone (NZ) is a specific area in the oral cavity where muscular opposite forces are null. NZ represents the ideal zone for prosthesis placement. In this study, we compared digital implant planning using conventional technique and using NZ registration through piezography. Methods Sixty-tree implants were digitally planned. Angular deviation differences between traditional planned and NZ-planned implants were calculated. In addition, interferences with soft tissues (i.e., tongue and cheeks) were evaluated. Results We observed a significant difference between traditional technique and piezographic approach in terms of implants angulation (p = .003), independent of site. A 4.7% of the planned abutments with traditional technique were placed outside the NZ, causing conflict with soft tissues in the digital model. Conclusions Compared with traditional technique, piezography allows a significantly different exploitation of the nonconflict area, which potentially translates into better management of soft tissues and improved functionality of the implants.
Collapse
Affiliation(s)
- Massimo Frascaria
- Department of Life, Health and Environmental Sciences, San Salvatore HospitalUniversity of L'AquilaL'AquilaItaly
| | - Davide Pietropaoli
- Department of Life, Health and Environmental Sciences, San Salvatore HospitalUniversity of L'AquilaL'AquilaItaly
| | - Matteo Casinelli
- Department of Life, Health and Environmental Sciences, San Salvatore HospitalUniversity of L'AquilaL'AquilaItaly
| | - Ruggero Cattaneo
- Department of Life, Health and Environmental Sciences, San Salvatore HospitalUniversity of L'AquilaL'AquilaItaly
| | - Eleonora Ortu
- Department of Life, Health and Environmental Sciences, San Salvatore HospitalUniversity of L'AquilaL'AquilaItaly
| | - Annalisa Monaco
- Department of Life, Health and Environmental Sciences, San Salvatore HospitalUniversity of L'AquilaL'AquilaItaly
| |
Collapse
|
3
|
Frascaria M, Casinelli M, Mauro S, M D'Amario M, Gatto R, Marzo G. Aesthetic rehabilitation in a young patient using a minimally invasive approach. A multidisciplinary case report. Eur J Paediatr Dent 2016; 17:234-238. [PMID: 27759414] [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
BACKGROUND Optimal integration and long-term stability of oral rehabilitations require correct diagnostic approach, appropriate pre-prosthetic treatments and accurate therapeutic protocols. Technology provides devices to optimise therapeutic results, according to biologic constraints and aesthetic parameters. CASE REPORT The present report describes a multidisciplinary management in a young patient affected by lateral incisor agenesis, including pre-prosthetic orthodontic treatment and restorative and implant-supported prosthetic rehabilitation. Minimally invasive clinical procedures with veneer restorations and flapless implant placement, followed by immediate prosthesis delivery, are carried out. Tridimensional diagnostic data and dedicated software were used for treatment planning, allowing to achieve optimal results.
Collapse
Affiliation(s)
- M Frascaria
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - M Casinelli
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - S Mauro
- Private Practice in L'Aquila, Italy
| | - M M D'Amario
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - R Gatto
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - G Marzo
- Department of Life, Health and Environmental Sciences, Division of Implantology and Prosthetic Dentistry, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| |
Collapse
|
4
|
D'Arcangelo C, Vanini L, Casinelli M, Frascaria M, De Angelis F, Vadini M, D'Amario M. Adhesive Cementation of Indirect Composite Inlays and Onlays: A Literature Review. Compend Contin Educ Dent 2015; 36:570-578. [PMID: 26355440] [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: 06/05/2023]
Abstract
The authors conducted a literature review focused on materials and techniques used in adhesive cementation for indirect composite resin restorations. It was based on English language sources and involved a search of online databases in Medline, EMBASE, Cochrane Library, Web of Science, Google Scholar, and Scopus using related topic keywords in different combinations; it was supplemented by a traditional search of peer-reviewed journals and cross-referenced with the articles accessed. The purpose of most research on adhesive systems has been to learn more about increased bond strength and simplified application methods. Adherent surface treatments before cementation are necessary to obtain high survival and success rates of indirect composite resin. Each step of the clinical and laboratory procedures can have an impact on longevity and the esthetic results of indirect restorations. Cementation seems to be the most critical step, and its long-term success relies on adherence to the clinical protocols. The authors concluded that in terms of survival rate and esthetic long-term outcomes, indirect composite resin techniques have proven to be clinically acceptable. However, the correct management of adhesive cementation protocols requires knowledge of adhesive principles and adherence to the clinical protocol in order to obtain durable bonding between tooth structure and restorative materials.
Collapse
Affiliation(s)
- Camillo D'Arcangelo
- Department of Restorative Dentistry, School of Dentistry, University G. D'Annunzio, Chieti, Italy
| | | | - Matteo Casinelli
- Unit of Restorative Dentistry, Department of Life, Health and Environmental Sciences, School of Dentistry, University of L'Aquila, L'Aquila, Italy
| | | | | | | | | |
Collapse
|
5
|
Frascaria M, Casinelli M, Marzo G, Gatto R, Baldi M, D'Amario M. Digital Implant Planning for a Minimally Invasive Surgery Approach: A Case Letter of a Full-Arch Rehabilitation. J ORAL IMPLANTOL 2015; 41:205-8. [DOI: 10.1563/aaid-joi-d-12-00232] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Massimo Frascaria
- Division of Implantology and Prosthetic Dentistry, Department of Clinical Medicine, Public Health, Life and Environment Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - Matteo Casinelli
- Division of Implantology and Prosthetic Dentistry, Department of Clinical Medicine, Public Health, Life and Environment Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - Giuseppe Marzo
- Division of Implantology and Prosthetic Dentistry, Department of Clinical Medicine, Public Health, Life and Environment Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - Roberto Gatto
- Division of Implantology and Prosthetic Dentistry, Department of Clinical Medicine, Public Health, Life and Environment Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - Mario Baldi
- Division of Restorative Dentistry, Department of Clinical Medicine, Public Health, Life and Environment Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| | - Maurizio D'Amario
- Division of Restorative Dentistry, Department of Clinical Medicine, Public Health, Life and Environment Sciences, Dental Clinic, University of L'Aquila, L'Aquila, Italy
| |
Collapse
|
6
|
Casinelli M. Prescription writing. R I Med J (1976) 1988; 71:261. [PMID: 3217693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
|
7
|
Casinelli M. Beyond expectations. J Am Pharm Assoc 1971; 11:434-5. [PMID: 5171212 DOI: 10.1016/s0003-0465(16)31724-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
|