The effects of an amine fluoride/stannous fluoride and an essential oil mouthrinse on supragingival plaque regrowth

Effectiveness of a new method of disinfecting the root canal, using Er, Cr:YSGG laser to kill Enterococcus faecalis in an infected tooth model.

Some lasers have demonstrated to provide effective disinfection when used as adjunctive device to the conventional treatment. The aim of this in vitro study was to determine the effectiveness of the erbium, chromium:yttrium scandium gallium garnet (Er, Cr:YSGG) laser by measuring its bactericidal effect inside the root canal experimentally colonized with Enterococcus faecalis. The laser was tested at different irradiation times (30 and 60 s) and energy of impulses (75 and 25 mJ). A total of 52 single-rooted extracted human teeth were endodontically prepared with rotary instrumentation. All were sterilized and inoculated with a suspension of E. faecalis (105 bacteria/ml). The teeth were rand…

Pharmacotherapies for smoking cessation

Background: Tobacco use is the leading preventable cause of premature death worldwide. The physical addiction to nicotine is a key factor in continued tobacco use. The current guidelines for tobacco cessation interventions include a pharmacotherapy program (nicotine replacement therapies and non-nicotine therapies). Health professionals who deliver smoking cessation interventions should give smokers accurate information and advise them on these pharmacotherapies. Objective: To review the pharmacological agents currently used to treat nicotine addiction. Methods: Original papers, reviews and current guidelines on this subject, published in English from 2000 to 2006, were located in the MEDLI…

Efficacia nella rimozione della placca di un nuovo spazzolino manuale (Colgate Omni): valutazione clinica

Efficacia nella rimozione della placca di un nuovo spazzolino manuale: valutazione comparativa in vivo.

La malattia parodontale necrotizzante:un aggiornamento

.Sco po di qu es to lavo ro è qu ello di pr esentare un aggio rnam ento su lla malatti aparodo nta le ne cro ti zza nt e (NPD). Attr averso laba nca dat i ME DLINE /Pu bMed, sono stati selezi onati i lav ori orig inali pubblicati in lingua inglese sull ’arg omento da gennaio 2002 a dicembre 2007. Altre fonti sono state seleziona te da i riferimenti bibliografici citati nei lavori consultati. La NPD è caratterizzata sul piano clinico da necrosi e ulcera zione del margine gengivale e della papilla interdentale, associat e ad alitosi, dolore, sanguinamento gengi vale spontaneo, malessere generale e talvolta febbre. La malattia è particolarmente diffusa nei paesi in via di sviluppo, ma può inso…

Il ruolo dell'igienista dentale nel counselling anti-tabacco

L’igienista dentale e il counselling anti-tabacco

Efficacia clinica di uno spazzolino manuale di nuova generazione. Valutazione comparativa

Efficacia nella rimozione della placca di uno spazzolino manuale di nuova generazione: valutazione clinica comparativa

Effect of hormone replacement therapy (HRT) on periodontal status of postmenopausal women.

Summary Background The risks/benefits balance of hormone replacement therapy (HRT) is controversial. The aim of this study was to assess the periodontal status of a postmenopausal women group receiving HRT and to determine the effects of HRT on clinical measures of periodontal disease. Material/Methods Ninety-one postmenopausal women, 52 taking HRT (HRT+) and 39 not taking HRT (HRT−), completed the study. Clinical parameters measured included visible supragingival plaque, probing pocket depth (PD) and clinical attachment level (CAL). Gingival status was recorded as gingival bleeding on probing (BOP). Previous oral contraceptive use and current and past smoking status were also assessed. Res…

The use of Human Allogenic Graft (HBA) for Maxillary Bone Regeneration: Review of Literature and Case Reports

The use of graft materials is developed from the strong demand to support the complete bone regeneration of the empty socket and to increase the bone volume in treating the atrophies of sites already consolidated and with adverse alveolar bone conditions. A number of graft materials with different origin and mechanism of bone regeneration are available. Autologous graft materials, coming from the same patient, are defined as the gold-standard. The need of a second surgical site and the risk of morbidity and complications may make their use difficult. Human bone allografts (HBA) have been recently introduced, in order to offer an alternative to the autologous grafts. They have demonstrated t…

Plaque removal efficacy of power and manual toothbrushes: a comparative study

The aim of this study was to compare the plaque removal efficacy of a new oscillating/rotating/pulsating toothbrush [Oral-B® Professional Care® 8500 (PC 8500)] with two manual toothbrushes [Oral-B® CrossAction™ Vitalizer (CAV) and Oral-B® Indicator™ (IND), respectively]. The safety of the PC 8500 was also assessed. The study was a single-use, observer-masked, randomised 3×3 Latin square crossover design balanced for carryover effects. The enrolled subjects (n=66) refrained from brushing for 23–25 h before each clinical examination. Plaque scores were recorded before and after brushing with the allocated toothbrush using the Turesky et al. modification of the Quigley and Hein plaque index. T…

Attitudes of Italian dental and dental hygiene students to tobacco-use cessation (TUC)

Tobacco use by adolescents and young adults: oral health effects and cessation strategies

Background: The use of smoking and smokeless tobacco worldwide has greatly increased in recent years, especially among adolescent boys and young men. Tobacco use can produce a wide range of negative effects on oral tissues, including periodontal tissue destruction and the onset of oral pre-malignant lesions. In the United States, major gains have been made to reduce smoking among adults. Similar gains, however, have not been realized with adolescents. In recent years, substantial interest has been directed to tobacco cessation studies with adolescents. The previously limited interest in adolescent cessation programs was attributable in large part to the mistaken assumptions that: (1) adoles…

Efficacia nella rimozione della placca e profilo di sicurezza di un nuovo spazzolino elettrico: valutazione comparativa in vivo.

The combination of laser-assisted surgery with PRP for the treatment of BRONJ in cancer patient. A pilot study

Aim. Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a well-known potential complication of bisphosphonates (BPs) therapy and its treatment could reckon on different approaches. Recently, encouraging results for BRONJ were showed from some clinical studies using Er, Cr: YSGG laser-assisted surgery. Platelet-Rich Plasma (PRP), a new approach to promote tissue regeneration and healing, may be a promising complementary therapy. The aim of this pilot study is to study the effectiveness, in terms of clinical healing, of a combined treatment (laserassisted surgery and topical PRP) for BRONJ in a group of cancer patients. Methods. Ten oncological patients (3 males, 7 females; aged 69-89…

Diode laser treatment of a large oral hemangioma

Background. Several options can be taken into account to treat hemangiomas; the most considered is the surgical excision, although total removal is not always possible, especially for large lesions, since vital structures can be involved. Another treatment includes the diode laser therapy. Objectives. The aim of this study was to report a clinical case of micro-invasive treatment of a large oral hemangioma in the buccal mucosa using a 900 nm diode laser. Case report. A 49-year-old female patient was referred to our sector of oral medicine reporting difficult chewing, swelling, and occasionally bleeding, from a congenital neoformation. Clinical examination revealed a dark blue and multiglobu…

Il trattamento micro-invasivo degli emangiomi orali effettuato con laser a diodi: due case-report

Assessment of tobacco dependence education in Italian Dental Hygiene programs

Counselling anti-fumo: indagine su conoscenze e competenze di un campione di studenti di Odontoiatria e di Igiene dentale

Traumatic dental injuries: preventive and public health approaches

Dental trauma can involve injuries to hard tissues and pulp, to periodontal tissues, to bone tissue, and to gingiva and oral mucosa. The aetiology of dental injuries is multi-factorial as they are caused by a complex array of individual clinical factors and social/environmental determinants. Traumatic dental injuries are mainly sustained during sports, through accidents and as a direct result of violence. The prevalence of traumatic dental injuries is not high but there is evidence that the incidence in children’s teeth is increasing. Primary prevention of traumatic dental injuries addresses the control of preventable risk factors through the early treatment of large overjet, the provision …

The effects of sugar-free chewing gums on dental plaque regrowth: a comparative study

Abstract Sugar-free chewing gum has been claimed to be a useful means of reducing dental plaque accumulation. The incorporation of additives, such as enzymes, abrasives and divalent metal ions, into gum formulations might improve their antiplaque activity, particularly at the buccal and lingual surfaces of the teeth. Objectives The aim of this study was to investigate the plaque inhibitory effects of three sugar-free chewing gums each containing lactoperoxidase (LP), micro granules of silicon dioxide (SD), and zinc gluconate (ZG). Methods The study was an observer-masked, randomized cross-over design balanced for carryover effects, involving 12 healthy volunteers in a 4-day plaque regrowth …

A SIMPLE SURGICAL-MEDICAL PROTOCOL TO CARRY OUT DENTAL EXTRACTIONS IN PATIENTS IN THERAPY WITH BISPHOSPHONATES: OUR EXPERIENCE

Aim. Bisphosphonate Related OsteoNecrosis of the Jaw (BRONJ) is described as an adverse event related to amino-bisphosphonate (NBP) therapy, occurring as a result of reduced bone resorption and bone turnover. One of the most significant risk factor associated with the onset of BRONJ is tooth extraction even if not yet supported by definitive scientific evidences. The aim of this study is to propose a simple surgical/medical protocol to carry out dental extractions in patients in therapy with NBPs in order to minimize the BRONJ risk. Materials and methods. Eighty-eight patients currently or previously treated with NBPs were selected for extractions of compromised teeth. Patients were divided…

Attitudes of Italian dental and dental hygiene students toward tobacco-use cessation

Objective: The aim of this study was to investigate the smoking habits of Italian dental and dental hygiene students and to assess their knowledge on the health effects of cigarette smoking and their attitudes toward tobacco-use cessation (TUC) in dental practice. Materials and methods: Data was collected from 220 students attending the Dental and Dental Hygiene Schools (DS and DHS, respectively) at the University of Palermo (Italy). Results: The percentage of smokers amongst DS and DHS students was similar (32.78% vs. 32.5%) with 67.77% of DS students and 77.5% of DHS agreeing that the damages to health caused by smoking were covered in their didactic course work. A high percentage of DS (…

The Effects of an Essential Oil and an Amine Fluoride/Stannous Fluoride Mouthrinse on Supragingival Plaque Regrowth

Background: The side effects of chlorhexidine (CHX) have stimulated the search for alternative antiplaque agents such as amine fluoride/stannous fluoride (ASF) and essential oils (EO). The aim of the study was to investigate the plaqueinhibiting effects of two commercially available mouthrinses containing ASF and EO, respectively. Methods: The study was an observer-masked, randomized, 5 · 5 Latin square cross-over design, balanced for carryover effects, involving 15 volunteers in a 4-day plaque regrowth model. A 0.12% CHX rinse and a saline solution served as positive and negative controls, respectively. On day 1, subjects received professional prophylaxis, suspended oral hygiene measures, …

The effects of two essential oil mouthrinses on supragingival plaque regrowth: a comparative in vivo study

Periodontal status in postmenopausal women receiving hormone replacement therapy (HRT)

Valutazione dell'efficacia clinica dello spazzolino elettrico Oral-B Professional Care 8500

The surgical treatment of mandibular peripheral calcifying epithelial odontogenic tumour (pindborg tumor) with Er,Cr:YSGG laser: a case report.”

Treatment of post-surgical scars of cheek’s mucosa with Er, Cr: YSGG laser

Background. Bulkiness and unsightly scarring are very common complaints after oral cancer surgical treatment. The scar of cheek can give complications such as: reduced mouth opening or interference with mastication. Both of these complications are particularly sources of discomfort for patient and may cause additional trauma to the treated mucosa.There are several ways to reduce these complications: the most widely used is surgical excision of the scar but this treatment often requires more invasive surgery. Case report. A 58-year-old male patient, treated surgically for a carcinoma in situ in the right cheek, reported to our oral medicine sector after this excision. The patient manifested …

Preliminary study about the efficiency of diode laser compared with retraction cords used for exposing the finishing lines of dental abutments before the optic impression

Efficacia clinica e sicurezza dello spazzolino elettrico Oral-B Professional Care 8500

Assessment of tobacco dependence curricula in Italian dental hygiene schools

The aim of this study was to assess the level of tobacco dependence education offered by Italian dental hygiene programs. A fifty-question survey was mailed to the thirty-one active public and private dental hygiene programs in Italy during the 2008-09 academic year. The survey assessed faculty confidence in teaching tobacco treatment, which courses contained tobacco dependence content, the number of minutes spent on specific content areas, and the level of clinical competence that dental hygiene graduates should be able to demonstrate. Surveys were returned by sixteen programs for a response rate of 52 percent. Respondents indicated tobacco dependence education was included in clinic or cl…

The role of oral health professionals in tobacco cessation

Tobacco is the major independent risk factor for the development of oral cancer and potentially malignant lesions. It is also involved in the pathogenesis of periodontal disease. The members of the dental team can play an effective role in tobacco preventing and cessation as they provide preventive and therapeutic services to a basically healthy population on a regular basis. In this paper, the authors present specific strategies to guide oral health professionals (i.e. dentist and dental hygienist) providing smoking cessation interventions. The “Five A’s” strategic approach represents a brief and effective protocol for smoking cessation that members of dental team can use with all patients…

Minimally invasive approach to eliminate pyogenic granuloma using Er, Cr: YSGG laser

Backgroung. PG or granuloma pyogenicum is a common tumor like growth of the oral cavity that is considered to be of non-neoplastic nature, arising commonly as a result of constant low grade trauma and poor oral hygiene and in few instances because of hormonal disturbances. Since it is a benign lesion, choice of treatment is surgical excision with removal of underlying cause if any. A newer treatment modality using laser has been reported. Case report. A 16-year-old male patient reported to our sector of oral medicine with the chief complaint of intra-oral painless growth since four months. Past history and medical history did not reveal any relevant information. He was taking no medication …

Platelet-rich plasma (PRP) in dental and oral surgery: from the wound healing to bone regeneration

Platelet-rich plasma (PRP) is a new approach to tissue regeneration and it is becoming a valuable adjunct to promote healing in many procedures in dental and oral surgery, especially in aging patients. PRP derives from the centrifugation of the patient's own blood and it contains growth factors that influence wound healing, thereby playing an important role in tissue repairing mechanisms. The use of PRP in surgical practice could have beneficial outcomes, reducing bleeding and enhancing soft tissue healing and bone regeneration. Studies conducted on humans have yielded promising results regarding the application of PRP to many dental and oral surgical procedures (i.e. tooth extractions, per…

Hastening of wound healing of mucosa by means of aminoacids combined to sodium hyaluronate after oral biopsy: an open trial.

Sodium hyaluronate has been widely used in order to promote wound healing in oral cavity for its anti-inflammatory effects. Aim of this clinical trial was to evaluate the efficacy of aminoacids added to topical sodium hyaluronate, in minor oral surgery. After surgery by means of Quantic molecular resonance scalpel, in 27 patients a gel with sodium hyaluronate has been applied directly on the surgical wound, in order to favorite healing by secondary intention. Furthermore, gel has been applied 3-4times/day, after meals and oral hygiene. Hemostatic effect, edema and pain symptoms by VAS (Visual Analogue Scale;0-100), and clinical healing (full, partial, absent) have been evaluated at T#1(2hrs…

Effetto sulla formazione della placca batterica in vivo di collutori contenenti fluoruro amminico/fluoruro stannoso e oli essenziali

Plaque removal efficacy of an electric toothbrush: a comparative study.

Conservative Surgical Treatment of Bisphosphonate-Related Osteonecrosis of the Jaw with Er,Cr:YSGG Laser and Platelet-Rich Plasma: A Longitudinal Study

Introduction. The management of bisphosphonate-related osteonecrosis of the jaw (BRONJ), with no evidence-based guidelines, remains controversial. We aimed to evaluate the efficiency of a conservative surgical treatment combining Er,Cr:YSGG laser and platelet-rich plasma (PRP) for the treatment of BRONJ in cancer patients. Methods. We performed a longitudinal cohort study. Inclusion criteria were (1) age ≥ 18 years; (2) cancer diagnosis; (3) treatment with NBP because of the underlying cancer. Results. We consecutively recruited ten patients diagnosed with BRONJ in stage I or II. These patients underwent a surgical laser-assisted therapy together with autologous PRP. At the latest follow-up…