A New System for Choosing the Form and Size of Complete Denture Anterior Teeth

Introduction: In the absence of pre-extraction records, the choice of the size an form of anterior complete denture teeth can be extremely subjective. Several clinical and statistical parameters are usually used for choosing the correct size and form of the complete denture anterior teeth. Clinical Innovation: The technique consists of a system that allows the dentist to choose and, if necessary, easily change the dental mold during maxillomandibular recording session. The unique feature of the system is that six teeth of each mold are represented by veneers, which are connected to each other on the lingual surface by a fiber that allows each veneer some degree of movement. Discussion: This…

CAPSAICIN STIMULATION AND NEUROGENIC EXPERIMENTALLY INDUCED INFLAMMATION OF THE HUMAN LABILA MUCOSA

Evaluation of labial microvessels in Sjogren syndrome: A videocapillaroscopic study

Summary Sjogren's syndrome (SS) is a chronic autoimmune rheumatic disease characterized by a progressive lymphocytic infiltration of exocrine glands, especially salivary and lachrymal ones, leading to xerostomia, parotid gland enlargement, and xerophtalmia. SS may occur alone (primary) or in association with almost any of the autoimmune rheumatic diseases (secondary), the most frequent being rheumatoid arthritis. The aim of this study is to describe the capillaroscopic pattern of the labial mucosa in patients with SS. Methods A total of 20 patients affected by SS and 20 healthy controls were examined. The patients with conditions that compromise microcirculation, such as diabetes, hypertens…

THE ROLE OF NEUROMODULATORS (SUBSTANCE P AND CALCITONIN GENE-REòATED PEPTIDE) IN THE DEVELOPMENT OF NEUROGENIC INFLAMMATION IN THE ORAL MUCOSA

B-Lactam antibiotics in daily dentistry practice: a critical review

Human temporomandibular joint morphogenesis

Temporomandibular joint morphogenesis was studied. Ranging in age of fetuses examine was from 6 to 14 weeks’ gestation. Our results showed the condyle so first element that appear between 6° and 8° week (condylar blastema). After a week appear temporal elements. Disk appear at the same time of glenoid blastema and its reaches an advanced differentiation before of the condyle and temporal element, so these don’t effect mechanical compression on mesenchimal where we find the disk. So we think that the disk result of genetic expression and it isn’t the result of mechanical compression. The inferior joint cavity appear to 12 week. The superior joint appear to 13-14 week. In conclusion, the appe…

Management and use of filter masks in the “none-medical” population during the Covid-19 period

Abstract SARS-CoV-2 has become a pandemic disease declared by the World Health Organization, consequently each nation has taken a series of actions managed by the government in order to prevent the spread of this dangerous virus. The most common countermeasure is the use of a mask that should cover the mouth and nose to filter the inhaled and exhaled air. Those masks are medical devices that should be handled properly; unfortunately in our study, observation of the population during the so-called “phase 2″ has very often shown an inappropriate use of any type of mask which reduces its effectiveness. The correct dissemination of adequate information on how to use the mask and the strict cont…

Nf-k B as target of Pharmacological Treatment

Evaluation of Effects of Various Irrigating Solutions on Chemical Structure of Root Canal Dentin Using FTIR, SEM, and EDS: An In Vitro Study

Background: Sequential chemical application for irrigating a root canal during chemomechanical debridement can affect the dentin microstructure. Understanding the effects of various irrigants on chemical properties of dentin can elucidate their effects on physical properties and thereby explain the higher incidence of structural failure in endodontically treated teeth. This in vitro research aimed to compare and evaluate the effects of three different irrigating solutions on the chemical structure of root canal dentin in extracted human teeth. Methods: Forty-eight extracted single-rooted mandibular premolar teeth were sectioned at the cemento–enamel junction by a diamond disc and were…

Multiple sclerosis: oral manifestation and dental implications

CAPILLAROSCOPIC AND HISTOLOGIC EXAMINATION OF THEH UMAN LABIAL MUCOSA: A NEW NON-INVASIVE METHODOLOGY COMPARED WITH THE HISTOLOGICA EXAM

Oral diseases in a patient affected with Prader-Willi syndrome.

Preliminary morpho-structural studies during endodontic treatment with Ni-Ti 55-45 instruments

Penphigus Vulgaris in a mediterranean Young Adult Manifesting as Desquamative Gingivitis

Oral microcirculation in post-menopause: a possible correlation with periodontitis

Objectives: The reduction in the level of oestrogen, typical in menopause, has some effect on the health of the oral cavity. In fact, post-menopausal women present more severe periodontal disease than pre- menopausal women. Numerous factors can be held to be responsible for this increase, among which are the effects of oestrogens on the oral epithelium, on the salivary glands, on bone tissue and on the endothelium. Our double blind study aims to evaluate the possible variations in oral microcirculation in post-menopausal women. Methods: Twenty-seven women in post-menopause (age: Mean ± SD: 57.3 ± 8.73) and 27 women in pre-menopause (age: Mean ± SD: 27.77 ± 3.56) were examined. Oral microcir…

THE ELEVATION OF THE MAXILLARY SINUS: OUR CLINICAL EXPERIENCE

ORAL CAPILLAROSCOPIC: a new diagnostic method.

INFLAMMATORY BOWEL DISEASE AND PERIPHERAL ATRHITIS: MESALAZINA AND PROBIOTICS

The inflammaotory bowel disease (IBD) are a group of inflammatory pathologies of the digestive line with chronicity and recurrent characteristic. The IBDs mostly recognized are the ulcerative colitis and Crohn's disease; they are more frequent in the industrialized countries and among the caucasian populations that among those africans or oriental. The secondary artropaties to IBD recognize a multifactorial genesis in subjects predisposed as a result genetically or environmental factors; a fundamental role of the intestinal dysbiosis they are hypothesized.

LESIONI ORALI E CERVICALI ASSOCIATE A PAPILLOMA VIRUS UMANO

The aim of this review is to carry out a quick excursus on the epidemiological and clinical aspect of oral and cervical lesions induced by human papillomavirus (HPV) infection and on the way this virus is transmitted. HPV infection is transmitted above all through vaginal or anal sexual relations with partners carrying the virus. Also other types of sexual relations, such as oral sex, can be a vehicle of transmission, though much more rarely. In literature there is not enough data proving that oral-genital contact can really be a vehicle of transmission for human papillomavirus. It can be concluded, therefore, that evidences in further studies with a large sample group of patients who pract…

Morphological characteristics of microcirculation in oral lichen planus involving the lateral border of the tongue.

Oral lichen planus (OLP) is a chronic mucosal condition commonly encountered in dental practice. Lichen planus is believed to represent an abnormal immune response in which epithelial cells are recognized as foreign, secondary to changes in the antigenicity of the cell surface. It has various oral manifestations. The aim of the study was to evaluate the morphological characteristics of microcirculation of lingual lichen planus (LLP). Twenty patients (10 patients with LLP and 10 healthy patients) were examined by means of videocapillaroscopy. The left margin of the lingual mucosa was examined in each patient. The capillary loop length, loop diameter, and capillary density were analyzed on ev…

PANORAMIC PERIODONTAL CAPILLAROSCOPY: A NEW DIAGNOSTIC METOD

IGIENE ORALE NEI PAZIENTI NON VEDENTI

Photobiomodulation Therapy in the Management of Burning Mouth Syndrome: Morphological Variations in the Capillary Bed

Burning mouth syndrome (BMS) is an idiopathic condition that manifests itself primarily with the onset of a burning sensation. The aim of this research was to perform photobiomodulation therapy (PBM) using a diode laser on the oral mucosa of BMS patients, followed by an objective evaluation of the morphological changes in the vascular bed underlying the mucosa using polarized light videocapillaroscopy. A group of 40 patients were included in the study. The patients were randomly divided into two groups (using simple randomization) as follows: 20 patients were assigned to the laser group and 20 patients were assigned to the placebo group. Each patient of the laser group received eight irradi…

PRELIMINARY OBSERVATIONS ABOUT CAPILLAROSCOPIC AND HISTOLOGIC EXAMINATIONS OF THE HUMAN LABIAL MUCOSA

FRATTURA DI IMPIANTI DENTARI: A CASE REPORT

Periodontal Alteration of the Microcirculation and Hypercholesterolemia: A Possible Correlation?

OBJECTIVE: We evaluated the morphological and parametric characteristics of the periodontal microcirculation in patients diagnosed as having hypercholesterolemia and high levels of low-density lipoprotein (LDL). METHODS: Forty patients were recruited, 20 of whom were affected by hypercholesterolemia and 20 of whom were considered healthy. A videocapillaroscopic examination was carried out on the periodontal mucosa in the proximity of the frenulum (II, V sextant). RESULTS: The difference between the parameters of the hypercholesterolemia group and the control group was evaluated with the Mann-Whitney U-test for non-parametric ordinal data; the level of significance being P < 0.05. The videoc…

Critical Reading of a Scientific Article: Scientific Validity

HODKIN'S DISEASE AND ITS ORAL MANIFESTATIONS

CAPILLAROSCOPIC MORPHOFUNCTIONAL MODIFICATIONS DURING SEPSIS

Study of the microcirculation of oral mucosa in healthy subjects

The research has the following aims: 1: to verify the applicability of capillaroscopic investigation to oral mucosa; 2: to propose oral mucosa as an alternative to the fingernail fold for capillaroscopic investigation; 3: to describe the characteristics of the microcirculation of oral mucosa in healthy subjects. 100 healthy patients were examined. The characteristics of the micro-circulation in the areas of gum mucosa and the mucosa covering of the lower lip were examined using computerised videomicroscopic techniques. For each patient we evaluated the visibility, the course, the density, the tortuosity and any images characteristic of capillary loops, besides the possible presence of micro…

LinguAPP: An m-Health Application for Teledentistry Diagnostics

An Android/iOS application for low-cost mobile devices to aid in dental diagnosis through questionnaire and photos is presented in this paper. The main purposes of our app lie in the ease of use even for nonexperienced users, in the limited hardware requirements that allow a wide diffusion, and in the possibility to modify the questionnaire for different pathologies. This tool was developed in about a month at the beginning of the COVID-19 (SARS-CoV-2) pandemic and is still in use in Italy to allow support to patients without going to the hospital, if not strictly necessary.

SYSTEMIC SCLEROSIS:DESCRIPTION AND DIAGNOSTIC ROLE OF ORAL PHENOMENA

This study was designed to describe and evaluate the eventual prodromic role of the orofacial phenomena encountered in patients suffering from systemic sclerosis. Phenomena preceding the diagnosis and events that occured at the onset of systemic sclerosis were considered. Sclerodermic patients were monitored to implement a secondary preventive plan for controlling oral injuries caused by developing systemic sclerosis.

Diabetic Microagiopathy of Oral Mucosa Depends on Disease Duration and Therapy

Background: Diabetes mellitus is a chronic degenerative systemic disease whose prevalence is increasing. This paper aims to evaluate the effects of diabetic microangiopathy, depending on its duration and the type of treatment administered, by using polarized light videocapillaroscopy of the oral mucosa. Material/Methods: We enrolled 120 subjects: 60 healthy subjects and 60 patients with diabetes mellitus. In turn, patients were divided into 3 subgroups according to the type of diabetes, the duration of the disease, and the type of treatment administered. A videocapillaroscopic examination of the oral mucosa was carried out on the diabetic and healthy subjects. Results: Changes in microcircu…

EVALUATION OF THE CLINICAL AND HISTOLOGICAL EFFECTIVENESS OF ISOTRETIONIN IN THE THERAPY OF ORAL LEUKOPLAKIA.TEN YEARS OF EXPERIENCE: IS MANAGEMENT STILL UP-TO-DATE AND EFFECTIVE?

Inhalatory anaesthesia Vs. TIVA in oral surgery and laryngectomy with lateral clearing: our experience

Color and photography in the restorative dentistry. A brief communication about color temperature, dental color and the use of light and photography in dental practice

Relevance. Optical properties of dental tissues can be captured by photography, considering the characteristics of the light sources. Therefore photography might become a way to communicate the color and the characterizing aspects of the teeth, reducing the misunderstandings between the dental practice and the laboratory in the project of dental restoration. Purpose. To illustrate some ways of using the current photographic technology to document teeth color correctly, and to be able to communicate it without misunderstandings and to replicate it in a simple way. Materials and methods. The photographs were taken using Nikon D500 digital camera, Nikkor 60 mm 2.8 macro lens, Nikon SB-700 Spee…

Smoking a Dangerous Addiction: A Systematic Review on an Underrated Risk Factor for Oral Diseases

Despite growing knowledge of the adverse effects of cigarette smoking on general health, smoking is one of the most widely prevalent addictions around the world. Globally, about 1.1 billion smokers and over 8 million people die each year because of cigarette smoking. Smoking acts as a source for a variety of oral and systemic diseases. Various periodontal issues such as increased pocket depth, loss of alveolar bone, tooth mobility, oral lesions, ulcerations, halitosis, and stained teeth are more common among smokers. This systematic review was conducted according to the guidelines from PRISMA, and research articles were retrieved from the Web database sources on 31 May 2021. The quality of …

A Vaccine Construction against COVID-19-Associated Mucormycosis Contrived with Immunoinformatics-Based Scavenging of Potential Mucoralean Epitopes

Mucormycosis is a group of infections, caused by multiple fungal species, which affect many human organs and is lethal in immunocompromised patients. During the COVID-19 pandemic, the current wave of mucormycosis is a challenge to medical professionals as its effects are multiplied because of the severity of COVID-19 infection. The variant of concern, Omicron, has been linked to fatal mucormycosis infections in the US and Asia. Consequently, current postdiagnostic treatments of mucormycosis have been rendered unsatisfactory. In this hour of need, a preinfection cure is needed that may prevent lethal infections in immunocompromised individuals. This study proposes a potential vaccine constru…

Correlation of " in vivo" microcirculation and degeneration of the basal cells of the epithelium in lingual lichen planus

Background: Oral lichen planus is an inflammatory chronic disease with an autimmune pathogenesis and unknown etiology that affects oral mucosa, with or without the involvement of the skin and other mucous membranes. The principal histological characteristics are the degeneration of the basal cell layer and the abnormal infiltration of inflammatory cells into the subepithelial layer of connective tissue. Objectives: This study is aimed to appraise if lingual lichen planus (LLP) is sustained by alteration of the oral microcirculation and if this abnormal vascularisation increases the degeneration of basal keratinocytes and the disruption of the basement membrane. Materials and Methods: Fiftee…

CAPSAICIN STIMULATION AND NEUROGENIC EXPERIMENTALLY INDUCED INFLAMMATION OF THE HUMAN LABIAL MUCOSA

Background. The neurogenic inflammation depends on the neuromodulator release by peripheral nervous termi−nations. A series of different studies proved the existence of a neurogenic phlogosis (NP) in different body sites.Only experiences on rat managed to induce NP at the oral mucosa level.Objectives. Inducing NP at the human mucosa level.Material and Methods. Two groups of patients (group A: M/F: 8/7; mean: 41.14 ± 12.4; range: 24–60; group B:M/F: 8/7; mean: 41.21 ± 12.39; range: 23–60) were examined in authors’ laboratory. The NP was experimentallyinduced at the lower lip mucosa level after topically applying capsaicin. The vascular consequences were observedthrough computer videocapillar…

MICROVASCULAR CHARACTERISTICS OF THE HUMAN FILIFORM PAPILLAE:A VIDEOCAPILLAROSCOPIC STDY.

The aim of this study was to observe the microcirculation characteristics of the human filiform papillae in healthy patients in vivo. Twenty healthy patients were examined using lingual capillaroscopy to investigate the characteristics of microcirculation of the human filiform papillae. Visibility, course, tortuosity, as well as the possible presence of microhemorrhages, the average caliber of the capillary loops and the number of visible capillary loops per square millimeter were evaluated for each patient. The investigation was simple, non-invasive and repeatable for each patient. Microcirculation architecture was characterized by a network of capillaries in polygonal mesh with parallel o…

PRENATAL DEVELOPMENT OF TEMPORO-MANDIBULAR JOINTS: STATE OF ART

The aim of this work is to analyze the state of the art of temporo-mandibular joint (MJ) to understand the varoius stage of the development of the same during embryogenesis. Various theories have been analyzed, such as the formation of apoptotic or the important role of growth factors, or the Valencia et studies in which are analyzed to numerous articular diseases in various stage of development. By the aforementioned studies show that many factors, of a different nature, are to be involved in the prenatal developlment of this important joint.

CANALAR REPROCESSING WITH NI-TI INSTRUMENTS: OUR EXPERIENCE.

Implant fracture. Case report

Efficacy of an oral health training programme for visually impaired individuals

The aim of this study was to evaluate the efficacy of an oral health training programme for visually impaired individuals and their families or caretakers. The training programme was based on reliance on the other senses. The study was performed at an institute for the blind in Palermo (Italy). Oral hygiene and health status of 30 visually impaired subjects aged 15-60 years were evaluated by interview and use of the Decayed Missing Filled (DMF) and Simplified Oral Hygiene by Green-Vermillion (OHI-S) indices. Subjects underwent an oral health training programme at the end of which their oral hygiene and health status was once again evaluated. Participants were found to have poor oral hygiene…

PRELIMINARY STUDIES OF MICROCIRCULATORY IN SEPSI ITALIAN JOURNAL OF ANATOMY AND EMBRIOLOGY

Nutrition and oral health

Diet plays a key role in oral disease prevention. The aims of this report were to review the causes and consequences of a poor diet and its interrelationship with oral health. The first signs of micronutrient deficiencies are often manifest in the oral tissues. Consequently, the dentist has a considerable role in the early diagnosis of malnutrition. Furthermore, optimizing oral health is important in maximizing functional capacity to consume a healthful and varied diet. A varied diet is, otherwise, fundamental to save oral health.

Caratteristiche capillaroscopiche del microcircolo labiale di pazienti affetti da tiroidite di Hashimoto.

PRELIMINARY TREATMENT ABOUT MODIFICATON OF THE MORPHOLOGY OF THE TEETH DURING ORTHODONTIC TREATMENT

CANALAR REPROCESSING G WITH NI-TI INSTRUMENTS: OUR EXPERIENCE.

A Multicultural Demographic Study to Evaluate the Impact of the SARS-CoV-2 Pandemic on the Job Satisfaction across the Dental Industry

ABSTRACT Objective: To evaluate the difference in working conditions as perceived by dentists during the pandemic and their professional satisfaction levels. Material and Methods: An online survey was conducted using the convenience and snowball sampling methods. Two hundred seventy-two respondents across various countries answered information related to socio-demographic data and work satisfaction levels during the SARS-CoV-2 pandemic. Results: 40.1% of dentists reported dissatisfied with their current work, while another 13.6% of dentists fell in the extremely dissatisfied category. 22.8% of dentists were significantly dissatisfied with their current income. Furthermore, 38.4% of the dent…

STUDY OF MICROCIRCULATION IN ORAL LICHEN PLANUS BY VIDEOCAPILLAROSCOPY

Objective. The aim of this study was to evaluate “in vivo” the oral microcirculatory characteristics in patients with oral lichen planus (OLP) and to discover any differences in microcirculation in comparison with healthy patients. Study design. Twenty patients with established diagnosis of OLP and 20 healthy patients were examined in our laboratory by means of contact optical probe videocapillaroscopy. The examined areas for each patient were the right and the left buccal mucosae. Capillary density and total capillary diameter, as well as afferent and efferent loop diameter were studied; the discovery of characteristic (tortuous, branched) loops was also investigated. Results. The results …

Microvascular Characteristics of the Human Interdental Papilla

The aim of this study was to observe the microcirculation characteristics of the human interdental papilla in healthy patients in vivo. Twenty healthy patients were examined. Capillaroscopy was used to investigate the characteristics of microcirculation of the human periodontal mucosa. Visibility, course, tortuosity, as well as the average caliber of the capillary loops and the number of visible capillary loops per square millimeter were evaluated for each patient. The investigation of gingival mucosa revealed capillary loops with a course both parallel and perpendicular to the surface. Our study has pointed out that capillaroscopy is a reliable method to study periodontal microcirculation …

Angiogenesis in oral lichen planus: an in vivo and immunohistological evaluation.

Oral lichen planus (OLP) is an autoimmune disease with an inflammatory pathogenesis. The angiogenetic phenomenon is a mechanism at the base of the pathogenesis of chronic inflammatory processes. The aim of this research is to evaluate the angiogenetic phenomenon, comparing an in vitro method with an in vivo one. Thirty OLP patients and 30 healthy subjects were enrolled in the study. Immunohistochemical analysis of the vascular-endothelial growth factor (VEGF) and vascular-endothelial adhesion molecules were carried out by the means of primary antibodies and anti-CD34, anti-VEGF, anti-CD106 antigen (VCAM-1) and anti-CD54 antigen (ICAM-1). Capillary density and others capillaroscopic paramete…

Herbal Medications in Endodontics and Its Application—A Review of Literature

Herbal products are gaining popularity in dental and medical practice nowadays due to their biocompatibility, higher antimicrobial activity, antioxidant and anti-inflammatory properties. Herbal medicine has experienced rapid growth in recent years due to its beneficial properties, ease of availability, and lack of side effects. As pathogenic bacteria become more resistant to antibiotics and chemotherapeutic agents, researchers are becoming more interested in alternative products and treatment choices for oral diseases. As a result, natural phytochemicals separated from plants and utilized in traditional medicine are suitable substitutes for synthetic chemicals. The aim of this review articl…

Preliminary observation of orthodontics self adhesive cement

The Exponential Rise of Teledentistry and Patient-Oriented Protective Measures in Southeast Asian Dental Clinics: Concerns, Benefits, and Challenges

In the Southeast Asian region, various policies have been advocated by health regulatory bodies that entail protective measures such as face masks, gloves, maintaining distance in public areas, and more. These protective measures are aimed at helping reverse the growth rate of the coronavirus. Dentists in this region have incorporated several changes to their practices to help minimize risks of person-to-person transmission inside dental offices. This narrative review aimed to provide an in-depth overview of the current situation in the Southeast Asian region regarding the use of teledentistry during the pandemic. Teledentistry involves the transfer of patient information across remote dist…

Chronic hyperplastic candidosis: a pilot study of the efficacy of 0.18% isotretinoin.

Management of oral candidiasis depends on an accurate diagnosis, identification and elimination of predisposing factors, and, often, use of antifungal agents. Chronic hyperplastic candidosis (CHC) is considered a premalignant lesion of the oral mucosa, occurring as speckled or homogeneous white lesions. If the lesions are untreated, a minor proportion may become dysplastic and progress to carcinoma. The traditional treatment of this lesion is based on the use of antifungal agents. The aim of this study was to examine the efficacy of 0.18% isotretinoin for treatment of nystatin-resistant candidiasis. Isotretinoin was administered topically twice a day for one month to six patients affected b…

Capillaroscopic and histological examination of the human labial mucosa: a new non invasive methodology compared with the histological exam

Changes of oral microcirculation in chemotherapy patients: A possible correlation with mucositis?

The aim of this investigation is to appraise labial oral microcirculation in chemotherapy patients to clarify the effects of cytotoxic agents on oral microvessels. Twenty-five patients with diagnosis of head and neck tumors were recruited in the study. All the patients were submitted to chemotherapy. Labial oral microcirculation was evaluated on labial mucosa using oral videocapillaroscopy. The statistical significance was checked with the Mann–Whitney U-test (P < 0.05). The analysis of videocapillaroscopic patterns showed statistically significant variations relative to the diameter of the incoming loop; the diameter of the outgoing loop; and loop tortuosity. This study shows that capillar…

PANORAMIC PERIODONTAL CAPILLAROSCPY: A NEW DIAGNOSTIC METHOD

PRELIMINARY TREATMENT ABOUT MODIFICATION OF THE MORFOLOGY OF THE TEETH DURING ORTODONTHIC TREATMENT

Hashimoto's Thyroiditis: Labial Capillary Microscopy

PERIODONTAL PANORAMIC CAPILLAROSCOPY: A NEW DIAGNOSTIC METHOD

VIDEOCAPILLAROSCOPIA DELLA MUCOSA ORALE

Linee guida in ortodonzia e attuale valutazione dei profili di responsabilità

Alla luce della nuova legge entrata in vigore in Italia, si discute il valore protettivo delle linee guida in ortodonzia sotto il profilo medico-legale. OBJECTIVES. In view of the Italian law recently come into force, this study aims at discussing the protective value of orthodontic guidelines in terms of legal medicine. MATERIALS AND METHODS. A review of orthodontic guidelines was conducted, including general orthodontic guidelines as well as specific guidelines for clinical and surgical cases. RESULTS AND CONCLUSIONS. Orthodontic practices envisaging professional liability include diagnosis, prevention, interception, care planning and treatment of all types of malocclusion (even when asso…

Oral microcirculation in post-menopause: a possible correlation with periodontitis

doi: 10.1111/j.1741-2358.2011.00608.x Oral microcirculation in post-menopause: a possible correlation with periodontitis Objectives:  The reduction in the level of oestrogen, typical in menopause, has some effect on the health of the oral cavity. In fact, post-menopausal women present more severe periodontal disease than pre-menopausal women. Numerous factors can be held to be responsible for this increase, among which are the effects of oestrogens on the oral epithelium, on the salivary glands, on bone tissue and on the endothelium. Our double blind study aims to evaluate the possible variations in oral microcirculation in post-menopausal women. Methods:  Twenty-seven women in post-menopau…

Multiple scerosis: oral manifestations and dental implications.

RECENTLY DEVELOPED FOR DENTINAL ADHESIVES IN RESTORATIVE MATERIALS: MORPHOLOGICAL RESULTS

Oral candidiasis and oral hyperplastic candidiasis: clinical presentation

CARATTERISTICHE CAPILLAROSCOPICHE DEL MICROCIRCOLO LABIALE IN PAZIENTI AFFETTI DA TIROIDITE DI HASHIMOTO

Burning Mouth Syndrome

ABSTRACT Background Burning mouth syndrome (BMS) is an atypical orofacial algesic syndrome. The aim of the authors' research was to investigate the morphological characteristics of peripheral blood circulation in patients with BMS in comparison with those of the peripheral blood circulation in healthy people. Methods The authors examined 28 subjects, of whom 14 (10 women and four men) had BMS and 14 (nine women and five men) were healthy control subjects. They performed videocapillaroscopic examination with a capillaroscope with a fiber-optic probe at a magnification of ×200, which allowed them to examine the morphological characteristics within the capillaroscopic area accurately. Results …

PRELIMINARY STUDIES OF MICROCIRCULATORY IN SEPSI

Oral diseases in a patient with Prader-Willy syndrome.

BACKGROUND: A case of Prader-Willi syndrome (PWS) in a 13-year-old girl is reported. The patient presents with systemic and oral manifestations of the disease. Case report The patient shows: obesity, hypotonia, mental retardation, small hands, prominent forehead, strabismus, hypoplastic teeth, poor oral hygiene, caries, oral candidiasis and thick, sticky saliva. This case is reported to underline the importance of the oral and dental problems of these patients. Caries and oral candidiasis are correlated with the reduced secretion of saliva and with poor oral hygiene. The role of paediatric dentistry is considered to be necessary for the prevention of oral complications of this syndrome.

A non-parametric segmentation methodology for oral videocapillaroscopic images

We aim to describe a new non-parametric methodology to support the clinician during the diagnostic process of oral videocapillaroscopy to evaluate peripheral microcirculation. Our methodology, mainly based on wavelet analysis and mathematical morphology to preprocess the images, segments them by minimizing the within-class luminosity variance of both capillaries and background. Experiments were carried out on a set of real microphotographs to validate this approach versus handmade segmentations provided by physicians. By using a leave-one-patient-out approach, we pointed out that our methodology is robust, according to precision-recall criteria (average precision and recall are equal to 0.9…

PRELIMINARY OBSERVATIONS ABOUT CAPILLAROSCOPIC AND HISTOLOGIC EXAMINATIONS OF THE

Endodontic Microbiology: A Bibliometric Analysis of the Top 50 Classics

Background. Citation analysis has emerged to play a significant role in recognition of the most useful areas of research. Endodontic microbiology has been a topic of interest for endodontists as well as periodontists and oral surgeons. This bibliometric analysis is aimed at identifying and reporting the characteristics of the top 50 cited articles on endodontic microbiology. Methods. The articles were identified through a search on Web of Science (WoS), property of Clarivate Analytics database published on endodontic microbiology. The citation information of the selected articles was recorded. The Journal of Endodontics, International Endodontic Journal, Oral Surgery Oral Medicine Oral Path…

A rare case of neuroma of the tongue

"In vivo" evaluation of the vascular pattern in oral peri-implant tissues.

Abstract Introduction The vascularisation of the peri-implant tissue represents the key factor in obtaining a successful result in implantology, since an adequate vascular supply allows wound healing and the presence of numerous growth factors that promote osteogenesis. The aim of this study was to analyse “in vivo” the vascular pattern of the peri-implant mucosa in subjects that received implant treatment. Materials and methods In the study 22 subjects were examined, 11 of whom (test group) received dental implants (Straumann Dental Implant System ® ) while 11 were in the control group; the analysis was performed in the peri-implant masticatory mucosa. The evaluation of the microcirculatio…

ORAL MICROVASCULAR ABNORMALITIES IN PATIENTS WITH RHEUMATOID ARTHRITIS

Microvascular involvement represents one of the first apparent steps in many autoimmune diseases such as rheumatoid arthritis (RA). Early in the disease, peripheral microangiopathy may be easily recognized and studied by videocapillaroscopy. The aim of this study has been to observe the differences in labial microcirculation between healthy patients and patients suffering from RA. A total of 30 healthy patients and 30 patients suffering from RA were examined. The patients with conditions known to compromise microcirculation, such as diabetes, hypertension, or some pharmacological treatments were not included in the study. All the patients were non-smokers. Labial capillaroscopy was used to …

ORAL MUCOSITIS

The standard treatment for malignant neoplasia of the cervicofacial area is surgery in association with radio- and/or chemotherapy. These therapies can cause local and systemic complications. Mucositis is the most common dosecorrelated complication to the oral cavity. It is particularly difficult to treat in patients who are already physically and psychologically exhausted by the tumoral pathology. This study illustrates, through a review of the literature, the attack rate, the pathogenesis and the clinical course of the mucositis, as well as the correct dental approach and clinical- therapeutic management of these patients, with the aim of improving the quality of their lives.

Panoramic Periodontal Capillaroscopy - a New Diagnostic Method

Smoking Habit and Oral Health in Women

MICROCIRCULATION AND SEPSIS

La diagnosi precoce della sclerosi sistemica progressiva

BACKGROUND: The study considers the oro-facial manifestations occurring in a group of patients suffering from progressive systemic sclerosis, evaluating their predictive role and monitoring the systemic disease. METHODS: 34 patients with systemic sclerosis were examining: 30 women, 4 men, at the Department of Dental Sciences, Palermo University, from July 1998 to March 2001. All patients were positive for the diagnostic criteria of scleroderma.1 For each patient we considered: observation of any changes in soft tissues of the oral cavity; evaluation of possible xerostomia; evaluation of any fungal infections; presence of prosthetic sores in patients wearing dentures; DMFS evaluation; evalua…

THE ELEVATION OF THE MAXILLARY SINUS. OUR CLINICAL EXPERIENCE. BULLETIN DU GROUPEMENT INTERNATIONAL POUR LA RECHERCHE SCIENTIFIQUE EN STOMATOLOGIE ET ODONTOLOGIE

Appraisal and promotion of the oral health in a group of visually impaired patients.

PRELIMINARY OBSERVATIONS ABOUT CAPILLAROSCOPIC AND HISTOLOGIC EXAMINATIONS OF THE HUMAN LABIAL MUCOSA. SURGICAL RADIOLOGIC ANATOMY

Sistematica terapeutica delle infezioni micotiche del cavo orale

Obiettivi. Effettuare una revisione sistematica sui farmaci disponibili per il trattamento della candidosi orale in modo da scegliere la terapia più adeguata. Materiali e metodi. La candidosi orale rappresenta una causa sempre più frequente di infezione che può in taluni casi compromettere la qualità della vita del paziente. L’alta incidenza della candidosi orale può essere correlata con una molteplicità di fattori predisponenti che favoriscono la conversione della Candida da commensale a parassita. Alcuni fattori che contribuiscono a questo incremento sono rappresentati dai trattamenti antibiotici ad ampio spettro, dalla terapia con glucocorticoidi, dall’aumento dei pazienti severamente im…

Viability and integrity of cell present in particulate bone collected during the preparation of the implant site: a preliminary study

Aim: The aim of this study was to evaluate viability and integrity of cells (Osteoblasts and Osteocytes) present in the particulate bone (Bone Chips), obtained during the preparation of the implant site. Methods: Four patients aged between the IV and the VI decade presenting edentulous areas class III of Cawood and Howell were selected. All patients suffering from systemic and oral diseases and smoking were excluded. The surgeries were performed with the conventional technique, full-thickness flap, and the implant sites were prepared with large coils calibrated burs mounted on surgical micromotor at a speed of 600 rpm and external irrigation of saline solution previously cooled . The partic…

Changes of oral microcirculation in chemotherapy patients: A possible correlation with mucositis?

The aim of this investigation is to appraise labial oral microcirculation in chemotherapy patients to clarify the effects of cytotoxic agents on oral microvessels. Twenty-five patients with diagnosis of head and neck tumors were recruited in the study. All the patients were submitted to chemotherapy. Labial oral microcirculation was evaluated on labial mucosa using oral videocapillaroscopy. The statistical significance was checked with the Mann-Whitney U-test (P < 0.05). The analysis of videocapillaroscopic patterns showed statistically significant variations relative to the diameter of the incoming loop; the diameter of the outgoing loop; and loop tortuosity. This study shows that capillar…

RECENTLY DEVELOPED FOR DENTINAL ADHESIVES IN RESTORATIVE MATERIALS

Valutazioni cliniche e strumentali di fratture di impianti dentali

Videocapillaroscopy of the Oral Mucosa in Patients with Diabetic Foot: Possible Diagnostic Role of Microangiopathic Damage?

Introduction: Diabetic foot represents one of the most serious and expensive complications of diabetes and is subject to a high percentage of amputations that are almost always preceded by ulcers ascribable to neuropathy and/or vasculopathy. Videocapillaroscopy (VCS) can be a valuable aid in order to uncover morpho-structural anomalies in the vascular bed, both at the level of the oral mucosa and at the level of the terminal vessels of the lower limb. Materials and methods: Sixty subjects divided into 4 groups were enrolled: 15 healthy subjects; 15 patients with diabetes for more than 10 years without ulcerative foot lesions; 15 patients with neuropathic diabetic foot (clinical diagnosis, M…

CAPSAICIN STIMULATION AND NEUROGENIC EXPERIMENTALLY INDUCEND INFLAMMATION OF THE HUMAN LABIAL MUCOSA

Vascolarization of Peri-Implant Tisues:Literature Review

PRELIMINARY TREATMENT ABOUT MODIFICATION OF THE MORPHOLOGY OF THE THEETH DURING ORTHODONTIC TREATMENT

Introduction of a system for choosing and placing the anterior teeth of complete dentures.

Flow evaluation of red blood cells in capillaroscopic videos

We aim at describing a non-parametric approach to evaluate blood cells velocity in oral capillascopic videos. The proposed methodology is based on the application of standard optical flow algorithms and it is part of a general environment to support during the diagnostic process for evaluating peripheral microcirculation in real time. We validated our approach versus handmade measurements provided by physicians. Results on real data pointed out that our system returns an output coherent to these latter observations.

PRELIMINARY TREATMENT ABOUT MODOFICATION OF THE MORPHOLOGY OF THE TEETH DURING ORTHODONTIC TREATMENT

Oral manifestation of Kawasaki disease

CEFACLOR INDUCED PEMPHIGUS VULGARIS

Pemphigus is a chronic disease with an outcome that is not without risk. It is characterised by loss of the intraepithelial cell-cell relationship (acantholysis). Underlying the disease is an autoimmune disorder in which the desmosomes are damaged by antibodies directed against particular molecules called desmogleins (particularly 3 and 1). Various types of pemphigus have been described with different antibody profiles and clinical signs. In the present paper, a case of pemphigus vulgaris associated with the medication cefaclor monohydrate is reported. Histological and immunological evaluation of the biopsy sample led to a diagnosis of pemphigus vulgaris. The patient, who was not hospitalis…

Permanence of Modifications in Oral Microcirculation in Ex-Smokers.

Background: The aim of this study was to assess the long-term effects of smoking and to investigate the permanence of this damage to the oral microcirculation. Material/Methods: We recruited 75 patients and divided them into 3 groups: group 1 was composed of 25 healthy non-smokers, group 2 was composed of 25 healthy current smokers, and group 3 was composed of 25 healthy ex-smokers. Video-capillaroscopic examination was performed on all patients. The video-capillaroscopic investigation was performed on patients in sitting position, always with the same light source, at the same room temperature (23°C), in the morning, with the same operator (GAS), and was repeated many times for every area …

PANORAMIC PERIODONTAL CAPILLAROSCOPY: A NEW DIAGNOSTIC METHOD. ITALIAN JOURNAL OF ANATOMY AND EMBRYOLOGY

PEMPHIGUS VULGARIS IN A MEDITERRANEAN YOUNG ADULT MANIFESTING AS DESQUAMATIVE GINGIVITIS

ORTODONZIA PREPROTESICA-UPRIGHTING MOLARE MEDIANTE DISPOSITIVO MODIFICATO

ETIOPATOGENESI DEL DOLORE MAXILLO-FACCIALE = Le possibili cause di dolore del distretto oro-facciale

Oral tissue damage and mucositis pain can be a significant problem for patients. The frequency and severity of these problems can vary significantly from patient to patient. Oral complications primarily are associated with discomfort and interference with oral function. Oral tissue damage and pain can result from a number of different processes. There are many types of pain and many locations to get pain. The body uses pain to tell the brain that something is wrong. Never ignore pain. Any type of pain symptom needs prompt professional medical advice for diagnosis of the underlying cause of the pain.

INFIAMMAZIONE NEURO-MEDIATA E PATOLOGIE DELLA MUCOSA LINGUALE: UN'IPOTESI EZIOPATOGENETICA

The nervous system contributes to the pathophysiology of peripheral inflammation and a neurogenic component has been implicated in many inflammatory disease, including oral diseases. Neurogenic inflammation should be regarded as a protective mechanism wich forms the first line of defense and protects tissue integrity. However, prolonged noxius stimulation may result in the inflammatory response. This review focuses on the evidence suggesting that neuropeptides have a pivotal role in the complex cascade of chemical activity associated with oral diseases. The pathophysiology is complex and neuropeptides are not solely responsible for the initiation and progression of the disease. However, sin…

Mantenimento della salute orale nei pazienti non vedenti: valutazione dell'efficacia dei programmi di istruzione

Il moderno approccio alla diagnostica radiografica per immagini in odontoiatria

Oral microcirculation observed in vivo by videocapillaroscopy: a review

Capillaroscopy is a non-invasive diagnostic technique that is fundamental in viewing peripheral circulation and in studying microangiopathies. The morphological study of microcirculat ion is of fundamental importance, mainly because the microvascular bed is directly involved in the etiopathogenesis of autoimmune disorders and acute and chronic inflammatory pathological conditions. The value of capillaroscopic investigation as a diagnostic means in cases of peripheral microcirculation disorders has been confirmed by numerous studies. Other studies used capillaroscopic investigations to evaluate microcirculation damage not as a complication of disease (diabetes), but as its initial stage, and…

Anatomical evaluation of oral microcirculation: capillary characteristics associated with sex or age group.

Abstract Background There are various types of oral mucosa specific to different parts of the mouth and each of these has a unique histological structure. The variations in the epithelial structure are consistently related to observable differences in the underlying microcirculation: i.e. differences in the course, conformation, and density of capillaries. The aim of this research has been to investigate oral microcirculatory differences between men and women as well as between various age groups, in order to map the oral mucosa, and to highlight changes occurring during aging. Methods A total of 45 healthy subjects were enrolled for this study (12 men and 33 women; mean age 60.37; range 30…

Burning mouth syndrome: is acupuncture a therapeutic possibility?

Burning mouth syndrome is a chronic pathology of unknown ethiopathogenesis. The aim of this study was to evaluate whether acupuncture can produce a reduction of the burning sensation by influencing the oral microcirculation. METHODS: Thirty patients (10 male and 20 female; mean age +/- SD = 65.4 +/- 2.17) and 30 healthy subjects (10 male and 20 female; mean age +/- SD = 62.06 +/- 6.72) were recruited for the study. The patients were treated with acupunctural techniques based on traditional Chinese medicine. Microcirculation was observed in vivo using videocapillaroscopy at three different times: t(0)) in the absence of acupuncture; t(1)) 1 minute after the insertion of the needles; and t(2)…

A window on surgery and orthodontics: PREFACE

Not available

Evaluation of the serum levels of retinol in patients affected by leukoplakia and oral lichen planus: a statistical analysis.

VASCULARIZATION OF PERI IMPLANT TISSUES: LITERATURE REVIEW

Lesione ulcerativa della mucosa orale: diagnosi di un caso clinico.

Le stomatopatie possono avere manifestazioni cliniche differenziabili, ma in alcuni casi sono sovrapponibili. In quest’ultima evenienza la diagnostica differenziale ha un ruolo di primo piano al fine di giungere ad una corretta diagnosi e quindi ad un corretto management terapeutico. Da questo punto di vista le classificazioni delle stomatopatie devono consentire un percorso diagnostico razionale. I metodi classificativi non vanno considerati come meri elenchi ma devono consentire ai clinici un linguaggio comune ed un algoritmo diagnostico ragionato e quindi corretto. Gli autori presentano un suggestivo caso clinico di lesione ulcerativa della mucosa orale che a prima impressione poteva ind…

CANALAR REPROCESSING WITH NI-TI INSTRUMENTS: OUR EXPERIENCE ITALIAN JOURNAL OF ANATOMY AND EMBRIOLOGY

L'ESAME CAPILLAROSCOPICO ORALE: NUOVA METODICA DIAGNOSTICA

The morphological-functional study of microcirculation is of fundamental importance; in fact, the microvascular bed is directly involved both in autoimmune etiopathogenesis pathologies, and in acute and chronic inflammatory etiopathogenesis pathologies. Oral capillaroscopy is a very stimulating method for studying microcirculation, because of the possibility of studying small vessels in vivo by means of a microscope. Today, it is becoming more reliable thanks to the improvement of the observation tools (photography, videomicroscopy).

Oral capillaroscopy: our experience

Capillaroscopy has now definitely become an important and indispensable exam in the area of diagnosing vasculopathies and in particular micro angiopathies. The type of damages connected to these anatomy pathologies regarding the actual micro vascular unit work in a functional pathogenic of an extreme importance, in conditioning the course and the eventual aggravation of micro angiopathies properly called vasculity and also of macro angiopaties. In all, this underlines the great importance achieved by using certain instrumental exams which complements the clinical research, exactly because of the valid elements which have been given for a complete and precise morphological valuation for the …

The Use of Hall's Technique Preformed Metal Crown (HTPMC) by Pediatric Dentists in Malaysia

Introduction. Hall’s technique preformed metal crown (HTPMC) has been used widely by pediatric dentists in developed countries as a new approach for managing decayed primary molars without local anesthesia, caries removal, and tooth preparation. Currently, inadequate information is available regarding the implementation of this technique (HTPMC) in Malaysia. This study is aimed at evaluating the implementation of HTPMC by Malaysia’s pediatric dentists and identify the co-occurrence frequencies of the HTPMC implementation with the respondents’ demographic profile. Materials and Methods. A cross-sectional questionnaire-based research was conducted among 65 pediatric dentists in Malaysia. Onli…

Microcirculation in the healing of surgical wounds in the oral cavity.

Abstract. The aim of this research is to evaluate in vivo the characteristics of microcirculation after taking a biopsy sample from the oral mucosa. 20 patients were recruited to the study and all underwent an oral mucosa biopsy for the excision of benign neoformations. The modifications in the oral microcirculation were evaluated in vivo in correspondence to the surgical site through videocapillaroscopy at three different times: 30 min before the biopsy; 48 h after the biopsy; and 7 days after the biopsy. The statistical significance was checked with the Mann–Whitney U-test (P < 0.05). The analysis of videocapillaroscopic patterns showed statistically significant variations relative to the…

La guarigione della ferita chirurgica nel cavo orale

OBJECTIVES The aim of the study is to describe the physiological mechanism of healing of the surgical wound of the oral cavity and to present the systemic and local factors that can influence it. MATERIALS AND METHODS Hemostasis starts with the activation of the platelets and the coagulation cascade which carry out the vascular constriction and the formation of the fibrin clot which stops the blood loss and provides a temporary scaffold for the migration and anchoring of the cells that will reach the subsequent stages. The clot and surrounding injured tissue begin to release pro-inflammatory cytokines and growth factors such as tranforming growth factor-β (TGF-β), platelet-derived growth fa…

APPRAISAL AND PROMATION OF THE ORAL HEALTH IN A GROUP OF VISUALLY IMPAIRED PATIENTS

FRATTURA DI IMPIANTI DENTARI. CASO CLINICO

Patologie della mucosa orale

Un contributo innovativo allo studio di una disciplina odontoiatrica in continua evoluzione. L’obiettivo è quello di fornire al lettore, sia esso studente o professionista, una guida chiara del management diagnostico e terapeutico di patologie spesso multidisciplinari o sulle quali verte il rischio di trasformazione neoplastica. Frutto di anni di esperienza clinica, il testo intende dare un apporto alla formazione di un odontoiatra e di un medico attento e consapevole, ed erudire chiunque si accosti all’avvincente e complesso campo delle patologie della mucosa orale. Pietro Messina è professore ordinario dell’Università degli Studi di Palermo. Le discipline mediche di suo principale interes…

MICROCIRCULATORY ABNORMALITY QUANTIFICATION IN PATIENTS WITH SYSTEMIC SCLEROSIS USING LABIAL VIDEOCAPILLAROSCOPY

Burning mouth syndrome: An evaluation of in vivo microcirculation

Background. Burning mouth syndrome (BMS) is an atypical orofacial algesic syndrome. The aim of the authors’ research was to investigate the morphological characteristics of peripheral blood circulation in patients with BMS in comparison with those of the peripheral blood circulation in healthy people. Methods. The authors examined 28 subjects, of whom 14 (10 women and four men) had BMS and 14 (nine women and five men) were healthy control subjects. They performed videocapillaroscopic examination with a capillaroscope with a fiber-optic probe at a magnification of ×200, which allowed them to examine the morphological characteristics within the capillaroscopic area accurately. Results. The ca…

OSTEONECROSIS OF THE JAW: AN UNUSUAL CASE REPORT

Multiple Sclerosis: Oral Manifestations and Dental Implications

VASIDILATATION OF HUMAN GINGIVA AND NEUROGENIC INFLAMMATION

ORTODONZIA PREPROTESICA. UPRIGHTING MOLARE MEDIANTE DISPOSITIVO MODIFICATO

ATTI S.I.D.O.

Introduction The first clinical use of rapid maxillary expansion (RME) was described over a century ago by Emerson C. Angell in 1860.1 Since then, numerous appliances have been designed to apply orthopedic forces during expansion, thus limiting movement of teeth and maximizing skeletal displacement. However, a component of orthodontic effects following RME has been described by numerous authors. A relevant concern in this regard is represented by the possible periodontal consequences of RME because of risk of damage to the buccal cortical plate of alveolar bone in the correspondence of anchorage teeth and/or the development of recessions.Most investigations have analyzed the dentoskeletal e…

INDAGINE VIDEOCAPILLAROSCOPICA: APPLICAZIONI IN MEDICINA ORALE

MACROLIDES ANTIBIOTICS IN ODONTOSTOMATOLOGICAL PRACTICE:PAST. PRESENT AND FUTURE

VALUTAZIONI CLINICHE E STRUMENTALI DI FRATTURE DI IMPIANTI DENTALI: PRESENTAZIONE DI UN CASO CLINICO

EFFECTS OF A FERRIC OXALATE DENTIN DESENSITIZER: SEM ANALYSIS