0000000000923340
AUTHOR
G. A. Scardina
Diagnostic evaluation of serial sections of labial salivary gland biopsies in Sjögren's syndrome.
OBJECTIVES: Sjögren's syndrome is a chronic inflammatory disease. The detection of chronic inflammatory infiltrates containing >50 lymphocytes (lymphocytic focus) per 4 mm2 tissue in minor salivary gland biopsies is a diagnostic parameter of the disease. The aim of the study was to examine if an increase in the tissue area of a single minor labial salivary gland biopsy through serial histological sections in patients affected by primary Sjögren's syndrome could facilitate the detection of the diagnostic focus score (grades >1 or >2). METHODS: We observed 24 labial salivary gland biopsies from patients affected by primary Sjögren's syndrome, diagnosed according to the clinical-laboratory cri…
Microvascular periodontal alterations: A possible relationship between periodontitis and rheumatoid arthritis.
Abstract BACKGROUND: Microvascular involvements represent one of the first steps in many autoimmune diseases such as rheumatoid arthritis (RA). The aim of this study was to investigate the differences in periodontal microcirculation between healthy subjects and patients suffering from RA. METHODS: Thirty healthy subjects and 30 patients suffering from RA were examined. The patients who showed conditions known to compromise microcirculation, such as diabetes, hypertension, pharmacological treatments, were not included in the group of healthy patients. All the patients were non-smokers. Periodontal capillaroscopy was used to investigate the characteristics of microcirculation. Visibility, cou…
In vivo evaluation of labial microcirculation in diabetics: a comparison with healthy subjects.
AIM: Diabetes mellitus, a systemic chronic disease considered an epidemic by the World Health Organization (WHO) due to the rate of increase in the prevalence of diabetes, is a cause of microvascular and macrovascular complications leading to a significant burden for the individual and society. The aim of this study was to evaluate in vivo the effects of type II diabetes mellitus on the microcirculation of oral mucosa. METHODS: Forty-six subjects, 23 patients with type II diabetes mellitus (10 men, 13 women) and 23 healthy patients (9 men, 14 women) were examined in our laboratory. Oral microcirculation was evaluated on labial mucosa using oral video-capillaroscopy: a diagnostic method that…
VALUE OF INFORMED CONSENT IN AESTHETIC DENTAL PROCEDURES
In the last decade there have been an exponential increase in both the supply and demand for non invasive aesthetic procedures involving the face and the lips to contrast age changes in the perioral area. We briefly report the main non invasive aesthetics treatments in which dentists are involved and the professional liability related to the issues of informed consent. To avoid deontological and judiciary consequences the informed consent has to be obtained by the patient before any clinical procedure and documented in medical record. Recently Italian law no. 219/2017 highlighted the principle of autonomy and self-determination of patient and maximizes an optimal relationship between patien…
Vasodilatation of human gingiva and neurogenic inflammation
BACKGROUND: Neurogenic Inflammation (NI) is the consequence of amyelinic-sensitive neuron activation. Recent studies on rats proved that NI could be experimentally induced by topical capsaicin application. The aim of this study is to evaluate the effects of topical capsaicin application on human periodontal mucosa and to assess if NI might have a role in the pathogenesis of periodontal diseases. METHODS: 15 patients were examined in our laboratory. NI was experimentally induced in the gingival mucosa close to: (1) the interdental papilla corresponding to the upper central incisors; (2) the interdental papilla corresponding to the lower left lateral incisor and canine after ipsilateral nerve…
Capillaroscopic and histologic examination of the human labial mucosa: A new non invasive methodology compared with the histological exam
The aim of our study is to compare the capillaroscopic examination in vivo with the histological examination in vitro of labial microcirculation in healthy subjects. Methods. Twenty-nine subjects (19 females, 10 males; mean±SD age 55.61±2.55; range 45-65 years) were examined in our laboratory. The characteristics of labial microcirculation were examined using computerised videomicroscopic techniques and histological exam. Results. The results obtained with both methods showed some analogies: in fact, the differences in capillary diameter were in the range of ±0.3 µ; regarding capillary density as well, a variation of ±2 capillaries per mm2 was found. Comparing the results obtained with both…
In vivo evaluation of periodontal microcirculatory changes associated with endodontic treatment.
The purpose of this study was to investigate in vivo the gingival microcirculatory changes associated with endodontic treatment using the continuous wave of condensation technique. MATERIALS AND METHODS: Twenty necrotic one canal roots of 20 cooperative patients of both sexes, aged between 20 and 43 years, were selected. All patients were examined by capillaroscopy before, immediately after endodontic treatment, and after 7 days. The last examination was carried out by the same operator, and repeated twice for each examined area: masticatory, buccal and labial mucosa corresponding to the endodontically treated root. All canals were prepared using a simultaneous technique with Ni-Ti files (M…
Rapid palatal expansion: the role of microcirculation
Transverse palate modifications fall under expansive orthopedic therapy of the upper maxilla. The only practical approach to the problem on the transverse plane is that of performing the expansion of the maxillary arch through an opening of the median palatal suture. It is important to understand the changes of the vascular network in midpalatal suture following the starting of rapid maxillary expansion. It is critical to maintain the blood supply and circulation for the osteogenesis and bone remodeling after the expansion. The aim of this research was to evaluate the effects of rapid orthopedic expansion (REP) at the microcirculatory level through capillaroscopic examination. METHODS: Fift…
Oral necrotizing microvasculitis in a patient affected by Kawasaki disease
Kawasaki disease (KD) was first described in 1967 by Kawasaki, who defined it as ?mucocutaneous lymph node syndrome?. KD is an acute systemic vasculitis, which mainly involves medium calibre arteries; its origin is unknown, and it is observed in children under the age of 5, especially in their third year. The principal presentations of KD include fever, bilateral nonexudative conjunctivitis, erythema of the lips and oral mucosa, changes in the extremities, rash, and cervical lymphadenopathy. Within KD, oral mucositis ? represented by diffuse mucous membrane erythema, lip and tongue reddening and lingual papillae hypertrophy with subsequent development of strawberry tongue ? can occur both i…
Sjögren Syndrome and Periodontal Disease: State of the Art and Narrative Review of Current Literature
Purpose of Review and Recent Findings: Sjögren syndrome (SS) is a systemic autoimmune disease characterized by exocrine gland dysfunction: xerostomia and xerophthalmia are the main symptoms. The reduction of salivary flow rate causes a dysbiosis of oral environment that may increase the risk of periodontal disease. The purpose of this narrative review was to analyze the current evidence of scientific literature on the relationship between periodontal disease and the Sjögren syndrome. Material and Methods: A search on MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and Web of Science databases was conducted to find all pertinent articles published. The searches were confined…
Periodontal morphological microcirculation in Oral Lichen Planus
This study aimed at evaluating possible differences in the vascular pattern (of periodontal mucosa microcirculation) between healthy patients and patients suffering from PLP (periodontal lichen planus). Fifty-four patients (27 patients suffering from PLP and 27 healthy patients) were examined by means of videocapillaroscopy. The following area was examined for each patient: periodontal mucosa corresponding to 1.1 and 2.1. The following parameters were analyzed on every capillaroscopic image: capillary loop length, loop diameter, capillary tortuosity, capillary density, avascular areas, possible microhaemorrhages, distinctive morphology. The results obtained using videocapillaroscopic softwa…
Tiroiditis de Hashimoto: Microcirculación Lingual y Labial en Pacientes Afectados por Macroglosia
The aim of this study is to estudy lingual and labial microcirculation differences among healthy subjects and those with Hashimoto's thyroiditis affected by macroglossia. Twenty healthy patients and 20 patients suffering from Hashimoto's thyroiditis were examined. Labial and lingual capiUaroscopy were used to investigate the characteristics of microcirculation. For each patient we evaluated visibility, course, tortuosity and the possible presence of microhaemorrhages, average calibre of capillary loops and the number of visible capillary loops per square millimetre. The investigations of the labial and lingual mucous were simple, non invasive and repeatable for each patient. In Hashimoto's …