Tuberculosis Screening of Ukrainian Refugees in Portugal

N/a.

Bimetallic catalyzed synthesis of 2-arylindoles

A bimetallic synthesis of 2-arylindoles from alcohols and anilines is described. The dehydrogenation or oxidation of a secondary alcohol were performed by Ni- and Mn-catalyzed reactions, respectively. The formed ketone was converted into an imine intermediate that was later cyclized to the corresponding 2-arylindole by a Pd-catalyzed oxidative cyclization. A set of 2-arylindoles was prepared, without isolation of the intermediates generated. The compatibility of the catalysts was investigated, and the optimized protocol opens room for the integration of Earth abundant metals and palladium complexes to improve the sustainability of the synthesis of N-heterocycles.

Dry Dosage Forms of Add-Value Bioactive Phenolic Compounds by Supercritical CO2-Assisted Spray-Drying

Every year, grapevine pruning produces huge amounts of residue, 90% of which are from vine shoots. These are a rich source of natural antioxidants, mostly phenolic compounds, which, when properly extracted, can give rise to added-value products. However, their lack of solubility in aqueous media and high susceptibility to thermal and oxidative degradation highly limit their bioavailability. Encapsulation in suitable carriers may have a positive impact on their bioavailability and bioactivity. Previous data on vine-shoot extraction have identified gallic acid (GA) and resveratrol (RSV) as the main phenolic compounds. In this work, model dry powder formulations (DPFs) of GA and RSV using hydroxypropyl cellulose (HPC) as carriers were developed using Supercritical CO₂-Assisted Spray Drying (SASD). A 3² full factorial Design of Experiments investigated the solid and ethanol contents to ascertain process yield, particle size, span, and encapsulation efficiency. Amorphous powder yields above 60%, and encapsulation efficiencies up to 100% were achieved, representing excellent performances. SASD has proven to be an efficient encapsulation technique for these phenolic compounds, preserving their antioxidation potential after three months in storage with average EC50 values of 30.6 µg/mL for GA–DPFs and 149.4 µg/mL for RSV–DPF as assessed by the scavenging capacity of the DPPH radical.

Use of extra-oral scanner for the study of arch form in a sample of Italian adolescents with ideal occlusion

The aim of this study was to evaluate the shape and the average size of the maxillary and mandibular arch in an Italian adolescents' sample with correct occlusion, using the digital technology. The study sample was composed, after the use of an extra-oral scanner and after the application of inclusion and exclusion criteria, by the digitized dental casts of 79 Italian adolescents (39 females and 40 males), aged 14±1 years, with correct occlusion. On each model, both upper and lower, the reference points of the dental arches (FA), of the alveolar bone (WALA ridges) and of the incisal edge of the central incisors were identified. With these points, using a software, fourteen parameters were evaluated for each cast: basal and dental intermolar and inter-canine width, basal and dental molar and canine depth, basal and dental molar and canine ratio, overjet, overbite. Finally, the shape of the arches was assessed, dividing it into ovoid, triangular or square. Chi-square test and Student's T-test for each parameter were adopted with a p<0,05 significance level. The results showed that the ovoid form was the most frequent, followed by the triangular one for the upper arch and by the rectangular one for the lower arch. On the canine level, both upper and lower, both for dental and for basal references, the triangular shape showed the lowest width and ratio values and the highest depth values in comparison with the other two groups. The square one showed the opposite situation, and the ovoid one presented in the intermediate value. On the molar level the trend is quite similar to the canine one. The results obtained maybe suggest that on a significant percentage of the patients of the sample is expected to use a preformed ovoid arch wire, and the data found could be useful to study the adequacy of the arch wires currently on the market or to design new ones. .

GPR55 signalling promotes proliferation of pancreatic cancer cells and tumour growth in mice, and its inhibition increases effects of gemcitabine

The life expectancy for pancreatic cancer patients has seen no substantial changes in the last 40 years as very few and mostly just palliative treatments are available. As the five years survival rate remains around 5%, the identification of novel pharmacological targets and development of new therapeutic strategies are urgently needed. Here we demonstrate that inhibition of the G protein-coupled receptor GPR55, using genetic and pharmacological approaches, reduces pancreatic cancer cell growth in vitro and in vivo and we propose that this may represent a novel strategy to inhibit pancreatic ductal adenocarcinoma (PDAC) progression. Specifically, we show that genetic ablation of Gpr55 in the KRASWT/G12D/TP53WT/R172H/Pdx1-Cre+/+ (KPC) mouse model of PDAC significantly prolonged survival. Importantly, KPC mice treated with a combination of the GPR55 antagonist Cannabidiol (CBD) and gemcitabine (GEM, one of the most used drugs to treat PDAC), survived nearly three times longer compared to mice treated with vehicle or GEM alone. Mechanistically, knockdown or pharmacologic inhibition of GPR55 reduced anchorage-dependent and independent growth, cell cycle progression, activation of mitogen-activated protein kinase (MAPK) signalling and protein levels of ribonucleotide reductases in PDAC cells. Consistent with this, genetic ablation of Gpr55 reduced proliferation of tumour cells, MAPK signalling and ribonucleotide reductase M1 levels in KPC mice. Combination of CBD and GEM inhibited tumour cell proliferation in KPC mice and it opposed mechanisms involved in development of resistance to GEM in vitro and in vivo. Finally, we demonstrate that the tumour suppressor p53 regulates GPR55 protein expression through modulation of the microRNA miR34b-3p. Our results demonstrate the important role played by GPR55 downstream of p53 in PDAC progression. Moreover our data indicate that combination of CBD and GEM, both currently approved for medical use, might be tested in clinical trials as a novel promising treatment to improve PDAC patients' outcome.

The Two by Four appliance: a nationwide cross-sectional survey

AIM

The aim of the study was to investigate how widespread is the use of the 2 x 4 appliance among Italian general dentists and specialists in orthodontics, as well as the type of treatment employed and length of use.

MATERIALS AND METHODS

We conducted a nationwide cross-sectional survey from July 14, 2016 to January 12, 2017 using an online questionnaire of 8 multiple choice questions, created by the SurveyMonkey® Company, on a population of Italian dentists and specialists in orthodontics affiliated with the Italian Society of Paediatric Dentistry (SIOI). This was made to assess how many clinicians knew and used this device in their clinical practice. We included 200 Italian dentists, 99 specialists in orthodontics and 101 general dentists of a mean age of 45 ± 15 years.

RESULTS

Results show that 93.94% of orthodontists have knowledge of and use this device in their clinical practice, while only 51.49% of the general dentists have knowledge of and use it (p<0.001). The 51.92% of dentists and the 52.13% of orthodontists used the 2x4 appliance to treat both space management and incorrect overjet. Most of general dentists and orthodontists combined the 2x4 appliance with pre-adjusted brackets and accessory components such as coil springs and power chains. While most of dentists (45.90%) used the 2x4 in association with appliances for space management, most of specialists (46.15%) applied the 2×4 in combination with both appliances for space management and high-pull headgear. Statistically significant differences were found also for the answers to the question "what is the average time of treatment?" among general dentists: the 32.79% used the 2 x 4 for less than 6 months of treatment, and the 67.21% used the 2 x 4 for more than 6 months of treatment. On the other hand 49.46% of orthodontists used the 2 x 4 for less than 6 months of treatment, and 50.54% of them for more than 6 months of treatment (p=0.041).

CONCLUSIONS

We conclude that the 2 x 4 appliance is widespread among orthodontists and about half of the general dentists, 93.94% and 51.49% (p<0.001) respectively. We found that 67.21% of general dentists used the 2 x 4 for a more than 6 months of treatment. As far as the orthodontists, 49.46% used the device for less than 6 months of treatment and 50.54% of them for more than 6 months of treatment. These differences were statistically significant (p=0.041).

Prevalence of cross-bite in a sample of Italian preschoolers

AIM

To clinically evaluate the prevalence of cross-bite in a sample of 1960 children in our Local Health Unit n. 15 Alta Padovana (Veneto region, Northeast Italy).

METHODS

Study design: A cross-sectional study was carried out in the area of Health District n. 15, Veneto region, including 7,364 children from 3 to 5 years, attending a total of 88 nursery schools A convenience sample of 27 nursery schools (30% of total) was randomly selected, for a total of 2,603 eligible children; of these, 1960 children formed our study base (76%). The day of examination 566 children were absent and 77 did not meet the inclusion criteria by age (less than 3 or more than 5 years old). Anterior cross-bite was considered when one or more primary or permanent mandibular incisors occluded labially to their antagonists. Posterior cross-bite (uni- or bilateral) was considered when the buccal cusps of one or more maxillary teeth was lingual to the buccal cusps of the mandibular teeth of the primary dentition. In this definition, edge to edge occlusion is not regarded as cross-bite. The examination was carried out by two calibrated dentists with children sitting on a dental chair with good operative lighting. The data were recorded in a special clinical chart.

RESULTS

The prevalence of cross-bite was 3.7%. We observed a slight prevalence of cross-bite in females, but with no overall statistical significance.

CONCLUSION

The prevalence of cross-bite in this area was low compared with European and American data.

Prevalence of occlusal traits and orthodontic treatment need in 14 year-old adolescents in Northeast Italy

AIM

Studies on prevalence of malocclusion support the planning and provision of public dental services. The aim of the study was to assess the prevalence of malocclusion and occlusal traits in adolescents aged 14 years from public secondary schools in the area of Health District n.15 - Veneto region, Italy.

STUDY DESIGN

Cross-sectional survey.

METHODS

Out of a randomly selected sample of 1187 subjects, 444 adolescents (55% males, 45% females) were evaluated in the school settings according to the criteria adopted by Brunelle et al. [1996]. Alginate impressions were then taken for 380 students together with a wax bite. The occlusal traits of the cast were analysed and IOTN was established.

RESULTS

The most common occlusal traits measured on casts were overjet >3 mm (48%), overbite >3 mm (39%), midline misalignment (32%), crowding (30%), 99% of the sample showed at least one occlusal trait. Class I molar relationship prevailed (75.5%) and the prevalence of molar asymmetries was 21.9%. The prevalence of anterior and posterior crossbite and open bite was significantly higher in females, while the mean values of overjet and overbite were higher in males. The distribution of IOTN in the study population showed that only 49.5% had no or little need of treatment, and more than one third (35.8%) were assigned a 4 or 5 score.

STATISTICS

Descriptive statistics are expressed as a percentage (± confidence interval) or mean ± standard deviation, according to the nature of the variable.

CONCLUSIONS

These outcomes indicate a high prevalence of the aforementioned occlusal traits and also a high need for orthodontic treatment among adolescents in Northeast Italy.

A population of 1136 HPV DNA-HR positive women: expression of p16(INK4a)/Ki67 Dual-Stain Cytology and cytological diagnosis. Histological correlations and cytological follow up

OBJECTIVE

The objectives of this study were to evaluate, in a selected HR-HPV positive population, the clinical performance of the p16/ki67 immunostaining in all the cytological diagnoses, as a reflex test of triage HPV-cytology, and assess the usefulness of p16/ki67-staining to classify CIN1 according to its risk of progression/regression in order to plan a personalized follow-up.

METHODS

Our analysis was in consecutive cases of 1136 women aged 25-64 years, asymptomatic, HR-HPV DNA HC2 tested positive in a HPV-screening program, from February to December 2011. All the women had a cervical sample, in the Thin Prep, used for cytological diagnosis and for pI6/Ki67 dual- staining. Histological correlations were 442. We studied the follow-up of two years of 387 cases, especially the biological behaviour of 316 low-grade lesions.

RESULTS

pI6/Ki67 dual-staining increases the VPP CIN2+ and NPV CIN2+, especially in atrophy/dystrophy, in ASC-US and LSIL. In follow-up of 387 cases, 71 CIN2+ and 316 CIN1, 69 CIN2+, after surgical treatment, had a negative follow up; two cases of CIN2 (p16/ki67-) without invasive treatments, had a spontaneous regression. Among the 316 CIN1, progression was observed in 10 women (4 pI6/Ki67 + and 6 pI6/Ki67 -); regression in 260 women (64 p16/Ki67 + and 196 p16/Ki67-); 46 women had a persistent LSIL (9 pI6/Ki67 + and 37 p16/Ki67-). It seems no significant differences in the biological behaviour in relation to the expression of the two biomarkers.

CONCLUSIONS

pI6/Ki67 immunostaining increases sensitivity of cytology in some diagnostic categories. After follow up of two years, a personalized and adequate treatment does not seem still possible. Further studies and trials are required to improve the management of the cervical lesions in HPV-based screening strategies.

The Italian perspective on fluoride intake in children and adolescents

AIM

This paper represents the outcome of the meetings of the Committee composed by Pedodontists (SIOI - Italian Society of Paediatric Dentistry) and Paediatricians (FIMP - Italian Association of Paediatricians) with the aim to share an evidence- based common approach in caries prevention during childhood and adolescence. The most important topic was an update on fluoride administration methods in order to minimise the risk of fluorosis and maximise its caries-preventive effect.

CONCLUSION

The conclusions of this work are exposed in a synoptic table.

Public community orthodontics in Italy. Description of an experience

AIM

To assess the reliability and simplicity of a method chosen for selecting subjects to be treated in the orthodontic system and for the acceptance of the method by the community.

MATERIALS AND METHODS

490 orthodontic patients received full dental examination. For each patient a table was prepared for the detection of malocclusion in which the occlusal characteristics according to the Norwegian Orthodontic Treatment Index (NOTI), the molar class and the teeth present were recorded. The parents of the examined children completed a questionnaire aimed at identifying their social ranking. In the same questionnaire, how many siblings the patient had was also asked. Each of the three parameters were rated alphanumerically and a score of 1 was given to each child; the sum of three scores gave the final result for the subject. Acceptance of the procedure in the general community was evaluated by the number of complaints received by the Public Relations Office (URP).

RESULTS

The social classes most represented in the sample are "blue collar class" (42.2%) and "white collar class" (35.6%). There was an average of 2.1 children per family (SD=0.6). The distribution of the type and grading of the treatment need was similar throughout the different social classes.

CONCLUSION

The chosen method proved reliable for two reasons: no complaints with the local URP and ease of application of the selected criteria.

Airborne olive pollen counts are not representative of exposure to the major olive allergen Ole e 1

Pollen is routinely monitored, but it is unknown whether pollen counts represent allergen exposure. We therefore simultaneously determined olive pollen and Ole e 1 in ambient air in Córdoba, Spain, and Évora, Portugal, using Hirst-type traps for pollen and high-volume cascade impactors for allergen. Pollen from different days released 12-fold different amounts of Ole e 1 per pollen (both locations P < 0.001). Average allergen release from pollen (pollen potency) was much higher in Córdoba (3.9 pg Ole e 1/pollen) than in Évora (0.8 pg Ole e 1/pollen, P = 0.004). Indeed, yearly olive pollen counts in Córdoba were 2.4 times higher than in Évora, but Ole e 1 concentrations were 7.6 times higher. When modeling the origin of the pollen, >40% of Ole e 1 exposure in Évora was explained by high-potency pollen originating from the south of Spain. Thus, olive pollen can vary substantially in allergen release, even though they are morphologically identical.

Prevention of accidental exposure in radiotherapy: the risk matrix approach

Knowledge and lessons from past accidental exposures in radiotherapy are very helpful in finding safety provisions to prevent recurrence. Disseminating lessons is necessary but not sufficient. There may be additional latent risks for other accidental exposures, which have not been reported or have not occurred, but are possible and may occur in the future if not identified, analyzed, and prevented by safety provisions. Proactive methods are available for anticipating and quantifying risk from potential event sequences. In this work, proactive methods, successfully used in industry, have been adapted and used in radiotherapy. Risk matrix is a tool that can be used in individual hospitals to classify event sequences in levels of risk. As with any anticipative method, the risk matrix involves a systematic search for potential risks; that is, any situation that can cause an accidental exposure. The method contributes new insights: The application of the risk matrix approach has identified that another group of less catastrophic but still severe single-patient events may have a higher probability, resulting in higher risk. The use of the risk matrix approach for safety assessment in individual hospitals would provide an opportunity for self-evaluation and managing the safety measures that are most suitable to the hospital's own conditions.

Age limit for infiltration anaesthesia for the conservative treatment of mandibular first molars. A clinical study on a paediatric population

AIM

The aims of this study were to assess the age limit for infiltration anaesthesia as an effective technique in treating carious lesions of first permanent molars in the paediatric age and if differences exist between males and females.

MATERIALS AND METHODS

A total of 51 teeth from 48 different patients aged between 6 and 14 years were included in the study. The anaesthetic solution used was 1.8 ml of 2% mepivacaine with 1:100000 epinephrine. The effectiveness of anaesthesia was assessed by electrical pulp test after 3, 5, 7 and 10 minutes.

RESULTS

In 56.9% of the treated cases a single mandibular infiltration was sufficient to induce complete pulpal anaesthesia of the tooth to be treated. Under 10 years of age, the infiltration technique was effective in 85.2% of cases. The success rate of anaesthesia also decreased significantly and not linearly in function of age. The success of infiltration anaesthesia was not related to gender.

CONCLUSION

Mandibular infiltration anaesthesia is a successful technique for most patients under 10 years (success rate: 85.2%) especially for the younger ones, with no differences between males and females. After this age that success rate dramatically drops.

A rare case of unerupted second deciduous molar located inferior to the second premolar: case report

AIM

Tooth eruption is defined as the movement of a tooth from its site of development within the alveolar process to its functional position in the oral cavity [Massler et al., 1941]. The process of tooth eruption can be divided into different phases: pre-eruptive bone stage, alveolar bone stage, mucosal stage, preocclusal stage, occlusal stage and maturation stage [Andreasen et al., 1997]. Any disturbance in these phases can lead to eruptive anomalies. The incidence of unerupted teeth is usually higher among permanent teeth than among deciduous ones [Walker et al., 2004; Otsuka et al., 2001; Amir et al., 1982; Broadway, 1976; Pinborg et al., 1970]. Of the primary teeth reported as unerupted, second primary molars are the teeth most frequently involved [Walker et al., 2004; Otsuka et al., 2001; Bianchi et al., 1991; Ranta et al., 1988; Tsukamoto et al., 1986; Amir et al., 1982], followed by primary central incisors [Otsuka et al., 2001].

CASE REPORT

This paper presents a case of inversion of the intraosseous position of a second unerupted deciduous molar and the succedaneous second premolar.

Experimental evaluation of two methodologies for the restoration of crown fracture in permanent anterior teeth

AIM

The purpose of this study is to compare, by means of mechanical tests, the resistance of two types of dental restoration in the uncomplicated crown fracture of human permanent maxillary central incisor: rebonding of the fractured tooth fragment and application of ceramic veneers.

MATERIALS AND METHODS

Thirty human maxillary central incisors were divided into three groups of ten teeth each. The teeth of the first group (Group A) were kept intact and used as controls, while the remaining teeth were sectioned, in order to simulate a crown fracture, and restored respectively with either the rebonding of the fragment (Group B) or with the use of ceramic veneers (Group C). All samples underwent mechanical tests by means of a universal test machine.

RESULTS

The mean resistance to fracture recorded is respectively 425.2N for Group A, 233.3N for Group B, and 347.3N for Group C. One-way ANOVA analysis demonstrates statistical significance for at least one couple of values (Group B compared to Group A). The group of restorations with rebonding of fractured fragments has a mean value of resistance to fracture that is lower than both intact teeth and teeth restored with ceramic veneers. The resistance of teeth with rebonded restorations is 54.9% of that of, intact teeth, and resistance increases for teeth restored with ceramic veneers (81.8% of that of intact teeth).

CONCLUSION

Ceramic veneers showed a higher resistance than rebonding and resulted to be more reliable in case of further trauma.

Caries experience in 14-year-olds from Northeast Italy. Is socioeconomic-status (SES) still a risk factor?

AIM

Prevalence and severity of dental caries in 14-year-olds of Northeast Italy were estimated, evaluating the dependence to SES.

MATERIALS AND METHODS

An epidemiological survey was performed among a randomised cluster sample of 560 (290 M and 270 F) 14-year-olds attending secondary schools, to evaluate DMFS following WHO indications. Association between caries occurrence and SES was evaluated in a logistic regression model. To account for high proportion of zero scores (DMFS and DS distribution highly positively skewed) data was moreover modelled with negative binomial regression and zero-inflated models.

RESULTS

Caries prevalence was 63.4% with a mean DMFS of 3.0 ± 3.8. A significant trend between means was observed regarding DS in the different SES levels: z = 2.22 p = 0.03 (occupational level) and z = 3.45 p<0.01 when SES was based on educational level. The Negative Binomial Regression model resulted more appropriate than the Poisson model because the dispersion parameter was significantly different from zero (alpha=1.5, 95% CI=1.3-1.8). Working class status showed significant association with DMFS (p=0.04) while using DS as dependent variable, working class subjects and subjects with medium-low and low educational level, showed a statistically significant association.

CONCLUSION

Socioeconomic status is still a predictor for dental decay in the Italian 14-year-olds.

Social differences in tooth decay occurrence in a sample of children aged 3 to 5 in north-east Italy

OBJECTIVE

To correlate the occurrence of tooth decay with a social class indicator (occupational level) and the immigrant status in a sample of pre-school children in Veneto region.

BASIC RESEARCH DESIGN

Cross-sectional survey.

CLINICAL SETTING

Twenty nursery schools in the area of Health District n.15.

PARTICIPANTS

A total of 1,410 children aged 3 to 5 years old visited between September 2005-May 2006.

OUTCOMES

Occurrence of dental caries into dentine threshold was made visually and confirmed with a probe when necessary by two calibrated examiners. Information on immigrant status and occupational level of parents was obtained by a questionnaire. Children were categorized as immigrant or non-immigrant on the basis of their mother's country of origin. Means and standard deviation were calculated for continuous variables; for categorical variables the results were provided as proportions. Comparisons between groups were made using Pearson chi-square test. The association between caries occurrence and the independent variables gender, age, immigrant status and family social class was evaluated by means of a logistic regression model.

RESULTS

Caries occurrence was higher among children from lower social class families (1.7 +/- 3.2) than among children from higher social class (0.8 +/- 2.1). The prevalence of dental caries in immigrant preschool children was significantly higher than in indigenous ones (15% vs 40%; p = 0.000) while the severity in immigrants was almost 4 times higher (2.2 +/- 3.6 vs 0.6 +/- 1.8).

CONCLUSIONS

Our data on preschoolers confirm the worldwide literature shared statement that social class as well as immigration status are determinants of oral health.

Tooth fragment reattachment through the use of a nanofilled composite resin

AIM

The purpose of this study is to evaluate resistance to fracture with static tests of dental fragments reattached through the use of different light-curing composite resins. For this purpose 40 bovine inferior incisors were utilised, which were randomised into 4 groups; one control group and 3 experimental groups.

MATERIALS AND METHODS

All teeth of the 3 experimental groups were sawed at 3 mm from the incisal margin, and the respective fragments were then reattached utilizing different composite resins: in group 2_EI the hybrid composite Tetric EvoCeram (Ivoclar Vivadent AG) was used, in group 3_ZI the hybrid composite FiltekTM Z250 (3M ESPE) was used, and in group 4_SN the nanofilled composite FiltekTM Supreme (3M ESPE) was used. After reattachment, on each tooth were performed a chamfer on the buccal surface and an overcontour on the lingual surface along the fracture line, which were then filled with the composite resin corresponding to the respective group. Finally, all teeth were embedded in plaster blocks, and a force was applied on the buccal surface.

RESULTS

All teeth in groups 2, 3, and 4 showed a significant loss of resistance to fracture compared to the teeth of the control group (P<0.0001). Resistance to fracture of the teeth belonging to groups 2_EI and 3_ZI was 37.35% and 47.35% of that of intact teeth respectively; in group 4_SN resistance to fracture reached 60.05%. Teeth of group 2 exhibited values of resistance to fracture statistically significant from those of group 4 (P=0.024), but no difference was found between group 2 and group 3 (P=0.298). The difference in resistance between group 3 and group 4 was not statistically significant (P=0.199).

CONCLUSION

Static test showed that reattachment of coronal fragments do not restore resistance to fracture to the value of intact teeth. Resistance to fracture in in vitro studies is influenced by the type of composite resin utilised.

Oral health and malocclusion in 10-to-11 years-old children in southern Italy

AIM

This study had two main goals: the evaluation of caries experience in permanent teeth and the analysis of malocclusion prevalence.

STUDY DESIGN

Observational cross-sectional survey.

METHODS

The sample consisted of all the 5th graders of 'Gio Leonardo di Bona', the only Public School in Cutro, a small urban area in Southern Italy (10,000 inhabitants). The clinical examination was performed by a trained dentist at the school infirmary, and no radiographs, study casts, or previous written records of the children were available. DMFS-DMFT and Index of Orthodontic Treatment Need (IOTN) were used to fulfil the study objectives. After the examination, parents received a report on presence/absence of dental caries and possible orthodontic treatment need. Statistics All data were analysed with StatView and Stata 8.0 software. The Chi-square test was applied to compare prevalence rates. The Chi-square linearity was used to evaluate whether caries and malocclusion prevalence changed with a steady trend with reference to sex.

RESULTS

The 94% (n. 97) of the whole sample gave a positive consent to the screening. The overall mean of DFS was 4.30 (4.74 SD) while the mean of DFT was 2.60 (2.03 SD). The 22.7% of the sample had DFS/T = 0. Statistically significant difference between genders according to DFS (p = 0.017) and DFT (p = 0.002) distribution was found, being females' significantly lower than males'. Using the DHC-IOTN, 51.6% of the children were assigned to the no/little need, 26.8% to borderline need and 21.6% to a great need for orthodontic treatment. There was no statistically significant difference by gender according to distribution of occlusal traits (p> 0.05), except in the anterior cross bite, being males significantly more affected (p = 0.030).

CONCLUSIONS

We believe that oral health and orthodontic surveys performed on a higher number of patients at an early age are critical in order to enhance early treatment, thus avoiding severe malocclusions and progression of dental caries. The results of our study indicate that 21.6% of the sample had an objective orthodontic treatment need (grades 4-5 DHC-IOTN). The single Aesthetic Component (AC) score of the IOTN failed to identify orthodontic treatment needs in our sample: only 13% rated themselves as being in categories 5-10 (great aesthetic need for treatment). With reference to dental caries, males had a mean DFT (3.20) higher than the WHO's 2000 Oral Health Goal for 12-years-olds (DFT = 3) while females (DFT = 1.96) were significantly under this target. The children were advised to undergo regular examinations and to change their lifestyle habits.

Oral health problems and needs in nursing home residents in Northern Italy

OBJECTIVE

To describe the oral health status and treatment needs of a sample of elderly people residing in nursing homes in Northern Italy.

RESEARCH DESIGN

a sample of 595 elderly residents (mean age 83.2+/-9.2 yrs), with adequate cognitive skills were examined by six calibrated dentists.

RESULTS

The sample (82% women) was divided into two groups: edentulous (43%) and dentate. In the edentulous group 58% wore dentures in both jaws, 8% in only one jaw and 34% had no dentures. The main problems were dirty or loose dentures and poor oral hygiene. In the dentate group the mean number of teeth was 8.4+/-7.4, 53% wore dentures (removable, fixed or a combination). Poor oral hygiene was found in 86%, root caries in 51% and coronal caries in 46%. Their main needs were professional cleaning (72%), oral hygiene instructions (62%) and tooth/root extractions (56%). While normative needs were noted for 82% of the whole sample, oral treatment needs were accurately perceived by only 20% of residents, poorly by 24%, while 46% indicated that they had no oral treatment needs.

Dental caries in children with asthma undergoing treatment with short-acting beta2-agonists

AIM

This study sought to evaluate possible higher risk for dental caries among asthmatic children undergoing treatment with short-acting beta2-agonists.

METHODS

Dental clinical assessments, saliva analysis and a questionnaire survey were carried out on 60 children aged 6-12, of whom 30 were asthmatic subjects undergoing treatment with short-acting beta2-agonists and 30 were used as controls. The obtained data for DMFT/dmft scores, Silness-Löe plaque index, buffer capacity and bacteria counts for Streptococcus mutans and Lactobacillus in the saliva, oral hygiene and dietary habits were compared using Student t-test and Pearson chi-square test.

RESULTS

We registered a higher DMFT score among asthmatics of 1.2-/+1.8 (SD) and 0.3-/+0.8 among non-asthmatic patients (p<0.05), while comparison of dmft scores between the examined groups showed not significant (Student t-test). Saliva analysis revealed lower buffer capacity in 43.3% of the asthmatic children, followed by higher cariogenic bacteria counts in their saliva (p<0.05 Student t-test). These results show the lower plaque index in the asthmatic group (1.6+/-0.4) compared with the control (2.1+/-0.3). Asthmatic children expressed better oral-health habits with more frequent tooth- brushing and usage of fluorides.

CONCLUSION

The results from our study suggest a higher caries-susceptibility among asthmatic children undergoing treatment with short-acting beta2-agonists, but a clear association between these drugs, salivary changes and dental caries among children, still remains to be demonstrated.

Preschool children and relative analgesia: satisfaction grading through a verbal questionnaire

AIM

The aim of the study was to assess 100 preschool children's satisfaction grading of relative analgesia (RA) after completing dental treatment by collecting their opinion on this technique through a verbal questionnaire.

METHODS

After completing dental care a simple verbal questionnaire (3 questions) was administered by the operator. The questionnaire investigated: 1) patient's satisfaction about the sedation treatment; 2) patient's agreement to re-experiment the technique and 3) patient's emotions while sedated. Moreover, following treatment, each child was invited to make a drawing on the experience.

RESULTS

Data obtained were classified in 3 groups: group 1 (87% of children) appreciated RA and would agree to repeat the experience; group 2 (4% of the sample) did not answer the verbal questionnaire and group 3 (9%) did not enjoy the sedation technique. Only 15 children completed a drawing; conducting a psychological analysis through C.R. Rogers' theory of Person Centred Approach coupled with the handwriting analysis methodology defined by Girolamo Moretti, positive features were found in the majority of the drawings (13 out of 15).

CONCLUSION

The majority (87%) of the sample appreciated to experience nitrous oxide inhalation sedation and would undergo a further appointment under RA.

Preschoolers' dental caries experience and its trend over 20 years in a North-East Italian Health District

AIM

To describe dental caries occurrence among preschool children in a Health District in the North-East of Italy by age, gender and immigrant background; 2) to plot a trend of primary dentition dental caries over a 20 year time span.

STUDY DESIGN

Observational cross-sectional survey.

METHODS

41 out of 88 kindergartens were randomly selected, originating a sample of 3470 preschoolers out of 7,061 overall school attenders. Dentinal caries occurrence was evaluated by 2 calibrated examiners at school on 2,524 3-5-year-olds from October 2004 to June 2005. The participants were divided into 2 subgroups depending on the country of origin of their mothers: non-western (IG or immigrant group) and western (WG). Two previous surveys performed in the same area were used to plot a trend over a 20 year period.

STATISTICS

Comparisons between groups were made using the Pearson chi-squared test and caries risk estimation was established by logistic regression analysis to assess the influence of sex, age and ethnicity (independent variables) on caries experience (dependent variable). Risk was summarised as odds ratio plus 95% CI.

RESULTS

Prevalence (%) and severity (mean dmft +/- SD) increased by age (15% - 0.6 +/- 1.9 at 3 years of age; 25% - 1.1 +/- 2.6 at 4; 32% - 1.3 +/- 2.7 at 5) and were significantly different (p<0.01) between the two groups: 23% (WG) vs 54% (IG) and 0.9 +/- 2.2. (WG) vs 3.4 +/- 4.3. The level of untreated caries was high: 88.9% in WG vs 97.1% in IG. From 1984 to 2004 prevalence and severity of dental caries declined at all examined ages.

CONCLUSION

The current dental scores in preschoolers are low and similar to those reported in other Western European countries. These good scores have been achieved through a strong decline occurred over the last two decades. As regards the Italian recent social phenomenon of immigration, nowadays being an immigrant child is a strong determinant of dental caries.

National Italian Guidelines for caries prevention in 0 to 12 years-old children

AIM

Oral and dental health improved tremendously over the last fifty years in Italy but still prevalence of dental caries in children remains a significant clinical problem. This report describes the National Italian Guidelines for caries prevention.

METHODOLOGY

A panel of experts coordinated by the Italian Society of Paediatric Dentistry (SIOI) planned to elaborate the national Italian guidelines for caries prevention in children. The structure of the guidelines has been planned to follow the principles of modern caries treatment and management as well as science based dentistry. The main procedure was based on a hierarchic evaluation of literature.

CONCLUSION

The guidelines are planned for dentist working in primary dental care, however, they are also designed to be of interest for other care professionals such as paediatricians, gynecologists, pharmacists and general medical practitioners and also for parents and/or guardians of the children.

Comparative evaluation of different techniques of surface preparation for occlusal sealing

AIM

Aim of this experiment is the efficacy evaluation of three different types of surface preparation techniques by microleakage assessment of two different sealing materials.

MATERIALS AND METHODS

Sixty teeth were used for the experiment: half were treated with Admira seal (Voco) and the remaining half with Delton FS+ (Dentsply). Each group was then divided into three subgroups, which underwent three different preparation techniques before sealant placement: mechanical brushing, air abrasion and Intensive bur FG 40D4, respectively. After immersion of the specimens in methylene blue solution, the degree of microleakage was assessed by mean of optic microscope.

RESULTS

Results show no microleakage in samples treated with air abrasion, followed by the samples treated with mechanical brushing. The teeth prepared by bur treatment before sealant application show a significant number and degree of marginal infiltration.

CONCLUSION

It can be concluded that air abrasion technique is able to guarantee a reliable seal of occlusal surfaces.

Prevalence and severity of dental caries in 5- and 12-year old children in the Veneto Region (Italy)

OBJECTIVES

To evaluate the occurrence of dental caries among 5- and 12-year-old children in Northeastern Italy and to compare dental status between immigrants and native-born children.

BASIC RESEARCH DESIGN AND PARTICIPANTS

A cross-sectional survey of 260 5-year-olds and 862 12-year-olds was carried out between October 2003 and May 2004. Dental caries were diagnosed at the caries into dentine (D3) threshold. Differences in dental health status were compared between immigrant and native-born children for both age groups.

RESULTS

Among 5-year-old children, mean dmft was 1.45 (SD=2.69), SiC=4.31, 65.8% had no caries. Immigrant 5-year-olds (6.2%) scored more poorly than their Italian counterparts: mean dmft was 5.12 (vs. 1.21; p<0.001) and only 25.0% were caries free (vs. 68.4%; p<0.001). Among 12-year-olds, mean DMFT was 1.44 (SD=2.00), SiC=3.88, 55.1% had DMFT=0: 5.6% also had poorer dental status: mean DMFT was 3.23 (vs. 1.33; p<0.001), SiC=6.69 (vs. 3.66), and only 17.1% had DMFT 0 (vs. 56.8%).

CONCLUSIONS

The prevalence of dental caries and care obtained for both age groups are similar to those of other industrialised countries. When our results for 12-year-olds were compared with those of two previous surveys (1984 and 1994), a major decline in the prevalence of dental caries was observed. Being immigrant was a strong determinant in caries occurrence.

Oral health inequalities in preschool children in North-Eastern Italy as reflected by caries prevalence

AIM

To investigate dental caries experience among preschool children aged 3-5 years living in 2 Health Districts in North- Eastern Italy and to compare caries experience between indigenous and immigrant children.

STUDY DESIGN

Cross-sectional observational survey. METHODS AND STATISTICS: In this study 4,198, 3-5-year-old children, drawn from a total population of 9,829 were asked to participate. The examinations were performed at school between October 2004 and June 2005 and only lesions that penetrate the dentine were recorded (according to the BASCD criteria, 1997), by 2 calibrated examiners using artificial light, mouth mirrors and dental probes. The participants were categorised into 2 subgroups according to the country of origin of their mothers: indigenous mothers, almost all born in Italy, plus a very small number of mothers born in other highly developed western countries--"western origin"--(Nordic countries, Western Europe, North America, New Zealand and Australia), and immigrant mothers from Eastern Europe, Asia, Africa, Turkey, South and Central America, "non-western origin". Comparisons between groups were made using Pearson chi-squared test. Caries risk estimation was established by logistic regression analysis to assess the influence of gender, age and ethnicity on caries experience. Risk was summarised as odds ratio plus 95% CI.

RESULTS

A total of 3,401 pre-school children were examined. The overall prevalence of dentinal caries was: 15.4% in 3-year-olds, 24.2% in 4-year-olds and 31.1% in 5-year-olds. At the same ages, children of immigrant mothers ("non-western origin") showed a significantly higher prevalence of caries compared with their counterparts of "western origin". As expected, older children had more caries. "Non-western origin" had a negative effect on caries experience.

CONCLUSIONS

Inequalities associated with mothers with an immigrant background were observed in the distribution of caries experience among the children. These children represent the first generation settling in and growing up in Italy, and their dental status-related data are comparable to those observed at the same ages in first generation "non-western" children living in other industrialised countries.

Dental caries experience in preschool children in Veneto region (Italy)

OBJECTIVES

The aim of this study was to assess the dental caries experience in deciduous dentition among preschool children attending nursery-schools in the area of Ulss n.15 of Veneto Region (Italy).

BASIC RESEARCH DESIGN AND PARTICIPANTS

A cross sectional survey in maternal schools in an area of North-East of Italy was carried out between October 2002 to May 2003 enrolling 1,006 2-6 year-old children randomly selected. WHO diagnostic criteria for dental caries were adopted; dmft and SiC indices were used to measure the severity of the disease. In this paper the "umbrella" term ECC to define caries in primary dentition prior to eruption of permanent teeth (Horowitz, 1998) was used as well.

RESULTS

ECC prevalence and mean dmft by age were: 3 years: 13.28% and 0.53 (SD +/- 1.83); 4 years: 18.95 % and 0.83 (SD +/- 2.24) ; 5 years: 26.9% and 1.34 ( SD +/- 2.8). SIC index values were 1.6 at 3 years, 2.4 at 4 years and 4 at 5 years.

CONCLUSIONS

The prevalence of dental caries increased with age: the mean dmft increased 2 1/2 times (0.53 to 1.34) and the percentage of children affected by caries doubled (13.28% to 26.9%) between ages 3 and 5 years. Comparing the data for 4 year-old children with those of two surveys carried out in the same area in the last two decades, it is concluded that as in the other industrialised countries, dental caries in preschool children of this area of North-East of Italy has declined.

Weed control in rice with metham-sodium

Metam-sodium is a soil fumigant with herbicidal properties. A field experiment was conducted in 2000 at Copiano (Pavia, Italy) to determine the efficacy of three rates of metam-sodium (300, 450 and 600 l/ha) at three different planting times (5, 12 and 18 days after chemical treatments) for the control of weeds in rice cultivation. The study mainly focused on the control of red rice (Oryza sativa var. selvatica), a weed which is worldwide distributed in rice fields and difficult to eradicate Test design was a split-plot with four replications. The main plot size was 13, 5 by 15 m and the subplot size was 13, 5 by 5 m. The chemical treatments were carried out as pre-sowing. Two days after chemical treatments, all field plots were flooded with 10 cm of water as practiced locally. An early variety of rice (Loto) was sown at 150 kg/ha. Weed control was visually evaluated as a percentage of ground covering by all weeds and by each weed individually at three, four and five weeks after treatments. Observations were made also on rice selectivity, and rice grain yield was assessed at the end. Metam-sodium did not injure the rice plants. Metam-sodium at 450 l/ha controlled 100%, 97% and 92% of red rice at the first, second and third observations, respectively. Good results were also obtained with metam-sodium at 300 and 600 l/ha, which controlled 94 to 82% of red rice during the season. Echinochloa crus-galli was better controlled with the higher rates of metam-sodium, particularly in the early part of the season. Metam-sodium did not show enough efficacy in this study against Heteranthera reniformis, Bulboschoenus maritimus and Lindernia spp. The best rice grain yield was obtained with all rates of metam-sodium, when rice was sown 5 days after treatment.

Vitamin E in early stages of sea bass (Dicentrarchus labrax) development

This study reports titration of vitamin E levels in the sea bass (Dicentrarchus labrax) using high-pressure liquid chromatography. The first part of the work is devoted to vitamin E detection in: (1) plasma of maturing females and males characterized by different body sizes; (2) seminal fluid and eggs; and (3) developing embryos of sea bass fed with vitamin E. In the second part of the study, variations of vitamin E levels during larval development are analyzed. The results show a direct correlation between plasma vitamin E content and body size for both adult male and female sea bass. High vitamin E levels were found in seminal fluid, in eggs before and after fertilization, and in embryos during development and at hatching, whereas vitamin E level was low in dead embryos and in embryos with limited survival. During larval development, the vitamin E content decreased slowly but steadily during the first four days of larval growth; subsequently, it progressively increased from day 9 to day 40. In teratogenic larvae, vitamin E content was significantly higher than in normal larvae. This study provides evidence on how vitamin E exerts an antioxidant defense in sea bass reproduction.

A comparison of a reformulated potassium citrate desensitising toothpaste with the original proprietary product

OBJECTIVES

The recent tendency for toothpaste manufacturers to combine active ingredients for benefits to a number of oral problems requires that such combinations do not vitiate the action of any one agent. The aim of this study was to compare the desensitising effects of a modified formulation with the established product.

MATERIALS AND METHODS

The study was a randomised, double blind, two treatment parallel design comparing an existing potassium citrate toothpaste product (Positive Control) with the same formulation to which triclosan and zinc citrate had been added (Test). A total of 56 subjects with dentine hypersensitivity (DH) completed the 8 week study period. At baseline, days 14 and 56 visual analogue scale scores were recorded by the subjects in response to air evaporative and cold water stimuli.

RESULTS

Both groups showed improvements, mostly statistically significant, from baseline to day 14 and through to day 56. Most data favoured the Test paste but differences were, for the most part, not significant.

CONCLUSIONS

It is concluded that the addition of known anti-plaque agents to an established potassium salt based desensitising toothpaste did not adversely affect the activity of the product in the treatment of DH.

Comparison of data on Early Childhood Caries (ECC) with previous data for Baby Bottle Tooth Decay (BBTD) in an Italian kindergarten population

AIM

This was to assess the prevalence of Early Childhood Caries (ECC) among preschool children attending nursery schools and to compare the results with those of a previous survey where the investigators used the term and diagnosis for Baby Bottle Tooth Decay (BBTD) syndrome.

METHODS

A cross-sectional survey of 1006 children aged 1-6 years was carried out. WHO recommendations for oral health surveys were used for caries diagnosis (non cavitated lesions were excluded). In addition, a comparison was made for prevalence of ECC between immigrant and native born children. Data were compared for ECC in the present survey with BBTD data in a previous study (1994) in the same area with a sample of 401 children aged 4 years. All examinations were by one examiner (Cohen's Kappa=0.96).

RESULTS

Of the 1006 children originally selected 52 children aged more than 71 months were excluded according to published ECC definition and diagnostic criteria. The overall sample was 29 children aged <36 months; 271 aged 3 years; 364 aged 4 years and 290 aged 5 years. ECC was diagnosed in 19.7% of the overall sample. The prevalence of ECC (and S-ECC) were respectively by age: <36 months S-ECC=17.2%; at 3 years: 13.28% (6.64%); at 4 years: 18.95% (9.34%); at 5 years: 26.9% (12.75%). In the native born children (916) the ECC was 18.34%, while in immigrants (38) it was 52.63% (p<0.001). In 1994 the prevalence of BBTD syndrome was 11.9% and in the present study 6.5%.

CONCLUSION

The ECC prevalence, as, ECC and severe (S-ECC),increased with age. In immigrant children ECC was 3 times (S-ECC 6 times) more frequent than in native born. Using the BBTD diagnosis the prevalence had dropped from 11.9% in 1994 to 6.5% in the present survey.

Effects of water management and herbicide treatments on red rice control

Two field experiments were conducted in 1999 and 2000 at Zeme (Pavia, Italy) to determine the effects of water managements and herbicide treatments on red rice control. In the first experiment, all plots were flooded 10-13 cm deep from April 1 to May 17 in 1999 and from April 3 to May 6 in 2000. At the same time, in the second experiment, the plots were alternately drained-flooded. At the end of water management, all plots of both experiments were drained and sprayed with herbicides to control the emerged red rice plants. In both years were applied: Propaquizafop 78 g a.i.ha-1, Cycloxydim at 300 and 400 g a.i. ha-1; Dalapon at 15.300 Kg a.i. ha-1; Quizalofop-ethyl at 100 g a.i. ha-1. Six days after the chemical treatments, all field plots were flooded 10 cm deep and three days later, an early variety of rice (Loto) was sown at 150 Kg ha-1. Seedling emergence was reduced by lack of oxygen (especially from seeds covered with soil in flooded condition). In alternately drained-flooded soil, the red rice emerged and developed from seeds located in the top 4-5 cm. In flooded condition, no red rice plants emerged from seeds at more than 1 cm depth. In both experiments, the density of red rice plants increased during the season in the untreated check and in the plots where treatments were ineffective or performed poorly. The best red rice control, both in submerged and in alternately drained-flooded soil, was obtained with Quizalofop-ethyl (100 g a.i./ha), Cycloxydim (300 and 400 g a.i.ha-1) and Propaquizafop (78 g a.i.ha-1). These herbicides controlled 90-99% of red rice. Partial control of red rice resulted with the other chemical treatments. The shattered grains of red rice were reduced in both experiments by the herbicide treatments. Grain yield reflected the level of red rice control. In fact, the highest commercial grain yields were obtained with Quizalofop-ethyl, Propaquizafop, and Cycloxydim (400 g a.i.ha-1), in both years and experiments. The red rice percentages of the total yields resulted about 3.6-5.7% with all chemical treatments except Dalapon, which was not much effective.