M. Redemagni , G. Garlini , G. Orsini , F. Rossini
{"title":"Impiego di osso bovino deproteinizzato granulare negli incrementi orizzontali: presentazione di una tecnica non convenzionale","authors":"M. Redemagni , G. Garlini , G. Orsini , F. Rossini","doi":"10.1016/j.ios.2012.03.002","DOIUrl":"https://doi.org/10.1016/j.ios.2012.03.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To assess the efficacy of a non-conventional technique of bone augmentation of an atrophic ridge for subsequent implant positioning. The method, easy to perform and with few complications, uses the periosteum in place of a membrane in combination with a biomaterial.</p></div><div><h3>Materials and methods</h3><p>A patient with a ridge bone defect was treated with a regenerative technique that consists in a muco-periosteal flap with only a crestal incision – without release incisions – in order to preserve the integrity of the periosteum. After performing some drill holes in the cortical bone, granules of heterologous bovine bone were packed over the defect without any membrane. The flap was repositioned over the graft with passive sutures and after eight months the implants were positioned. After 21 months from the graft, a biopsy was performed in order to assess the microscopic features of the regenerated bone.</p></div><div><h3>Results</h3><p>The histological findings showed dense, mature, new regenerated bone with lamellar structure. Residual granules of the biomaterial appeared to be integrated in the new bone without any inflammatory reaction.</p></div><div><h3>Conclusions</h3><p>With the limits of the single investigation, this simplified technique seems to be an alternative method to consider in non-collaborating patients or in front of operative clinical problems. Until now, the association of biomaterials and membranes is the gold standard in bone regeneration techniques for implant therapy.</p></div>","PeriodicalId":100732,"journal":{"name":"Italian Oral Surgery","volume":"11 5","pages":"Pages 288-295"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ios.2012.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91688910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Carini , K. Pavanello , V. Pisapia , G. Gatti , G. Porcaro
{"title":"Osteonecrosi spontanea dei mascellari in relazione all’assunzione di bisfosfonati endovenosi: caso clinico","authors":"F. Carini , K. Pavanello , V. Pisapia , G. Gatti , G. Porcaro","doi":"10.1016/j.ios.2011.09.002","DOIUrl":"https://doi.org/10.1016/j.ios.2011.09.002","url":null,"abstract":"<div><h3>Objectives</h3><p>Osteonecrosis of the jaw (ONJ) is one of the multiple side effects of bisphosphonate therapy. The incidence of ONJ among patients receiving intravenous (IV) bisphosphonates exceeds that recorded in patients treated with oral bisphosphonates. We report a case of spontaneous ONJ related to intravenous administration of bisphosphonates.</p></div><div><h3>Materials and methods</h3><p>We describe a case of spontaneous mandibular osteonecrosis in a female patient who underwent dental surgery before beginning therapy with bisphosphonates.</p></div><div><h3>Results</h3><p>The patient's bone exposure was resolved, which illustrates that prompt, effective treatment can produce cures in patients with ONJ on IV bisphosphonate therapy and with other risk factors.</p></div><div><h3>Conclusions</h3><p>Patients scheduled to undergo IV bisphosphonate therapy should be informed of its potential risks and treated in accordance with a precise therapeutic procedure that includes a dental evaluation before treatment. This approach ensures rapid resolution of possible treatment-related complications via consultation and collaboration of various medical specialists.</p></div>","PeriodicalId":100732,"journal":{"name":"Italian Oral Surgery","volume":"11 5","pages":"Pages 296-302"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ios.2011.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91688916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tecnologia CAD-CAM come strumento per l’ottimizzazione e la semplificazione della riabilitazione complessa","authors":"M. Billi, G. Batalocco","doi":"10.1016/j.ios.2011.12.002","DOIUrl":"10.1016/j.ios.2011.12.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To examine the clinical protocol to make a complex oral rehabilitation supported by implants and teeth by using CAD-CAM technology. This approach allows for a predictable final restauration in few clinical appointments, offering important advantages to clinicians and patients.</p></div><div><h3>Materials and methods</h3><p>Clinical approach to complex cases is crucial in order to reduce treatment time maintaining predictability and a high-quality level of treatment. Scientific literature if on the one side confirms the limits associated with classic techniques of framework casting, on the other side underlines how CAD-CAM technology is a real chance to simplify technical procedures for the making of prosthetic restaurations.</p></div><div><h3>Results</h3><p>After defining the final outline of the prosthetic restaurations, the following clinical sequence consists in final impressions, verification of precision, and passivity of resin prototypes and in the delivery of definitive prosthesis.</p></div><div><h3>Conclusions</h3><p>The use of this new technology on the one side gives clinicians and patients the chance to finalize complex rehabilitations with more predictability and reduced treatment times, on the other side allows dental technicians to simplify the fabrication of high quality frameworks.</p></div>","PeriodicalId":100732,"journal":{"name":"Italian Oral Surgery","volume":"11 5","pages":"Pages 280-287"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ios.2011.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74271880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In tema di sedazione cosciente","authors":"Danilo A. Di Stefano","doi":"10.1016/j.ios.2012.03.003","DOIUrl":"10.1016/j.ios.2012.03.003","url":null,"abstract":"","PeriodicalId":100732,"journal":{"name":"Italian Oral Surgery","volume":"11 5","pages":"Pages 1-3"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ios.2012.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83336803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bone splitting con espansori conici filettati: nuove prospettive","authors":"M. Andreasi Bassi , D.A. Di Stefano","doi":"10.1016/j.ios.2011.03.003","DOIUrl":"10.1016/j.ios.2011.03.003","url":null,"abstract":"<div><h3>Objectives</h3><p>In the present paper, the authors evaluate the clinical effectiveness of a new threaded conical expanders kit in bone splitting procedures.</p></div><div><h3>Materials and methods</h3><p>In 2008-2009, the authors used cone-shaped threaded expanders to insert 25 implants in 14 patients (5 males and 9 females; mean age 48.7<!--> <!-->±<!--> <!-->9.74 years). Twelve submerged implants were placed in the upper jaw and 13 in the lower jaw. All were exposed after 4-5 months and prosthetically finalized within 1 month of exposure. Clinical and radiographic follow-up examinations were made 3 and 12 months after prosthetic finalization.</p></div><div><h3>Results</h3><p>None of the treated cases were associated with intra- or postoperative complications. All the implants were found to be osseointegrated at the time of exposure. Follow-up clinical examinations revealed that both the hard and soft tissues around the implants were in good condition.</p></div>","PeriodicalId":100732,"journal":{"name":"Italian Oral Surgery","volume":"11 5","pages":"Pages 140-153"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ios.2011.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83963134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Umberto Romeo, Gaspare Palaia, Alexandros Galanakis, G. Gaimari, R. L. Giudice, Gianluca Tenore, A. D. Vecchio
{"title":"Tumore a cellule granulari della lingua: due casi clinici trattati con laser","authors":"Umberto Romeo, Gaspare Palaia, Alexandros Galanakis, G. Gaimari, R. L. Giudice, Gianluca Tenore, A. D. Vecchio","doi":"10.1016/J.IOS.2011.11.003","DOIUrl":"https://doi.org/10.1016/J.IOS.2011.11.003","url":null,"abstract":"","PeriodicalId":100732,"journal":{"name":"Italian Oral Surgery","volume":"58 1","pages":"90-95"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85113403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chirurgia implantare computer guidata: software, modelli stereolitografici e guide chirurgiche","authors":"M. Rinaldi","doi":"10.1016/j.ios.2011.06.003","DOIUrl":"10.1016/j.ios.2011.06.003","url":null,"abstract":"<div><h3>Objectives</h3><p>Computer-guided implantology is a recent technological advance that is being used increasingly throughout the world. This article describes the clinical applications of this technology.</p></div><div><h3>Materials and methods</h3><p>Interactive computer processing of digital data obtained via computed tomography provides clinicians with a precise anatomical picture that can be used to tailor the prosthesis. The treatment plan is elaborated on a computer with dedicated software that positions the implants on 3-dimensional CT images. Stereolithography is used to create anatomical models and surgical guides, which allow the plan to be transferred to the patient. Implant sites were prepared with surgical instruments created specifically for computer-guided implantology. In this article we will examine a series of actual clinical cases that illustrate the main applications of this technology. The study was conducted in accordance with the principles of the Declaration of Helsinki, and informed consent was obtained from all participants.</p></div><div><h3>Results and conclusions</h3><p>Computer-guided technology offers enormous advantages in the 3-dimensional design of tilted implants (graftless), in the positioning of flapless implants, and in immediate-loading procedures. As a result, it is often identified with these applications. In our opinion, however, computerized planning and stereolithographic anatomical models are also highly useful during the planning and execution of reconstructive procedures in patients with severe bone atrophy. Therefore, these approaches can be applied in all clinical situations, and they always offer great advantages.</p></div>","PeriodicalId":100732,"journal":{"name":"Italian Oral Surgery","volume":"11 5","pages":"Pages 63-73"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ios.2011.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86983277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Rapani , C. Rapani , G. Di Gregorio , V. Perrotti , G. Iezzi
{"title":"Impianti angolati nella pratica clinica","authors":"M. Rapani , C. Rapani , G. Di Gregorio , V. Perrotti , G. Iezzi","doi":"10.1016/j.ios.2012.01.004","DOIUrl":"10.1016/j.ios.2012.01.004","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of this paper is to show an alternative way for an implant prosthetic planning with tilted implants which allows to obtain a good functional and aesthetic work as well. Tilted implants have changed implant prosthetic planning in the last ten years. The placement of off-axis implants, regarded as a mistake in the past, nowadays allows to place implant when a peri-implant surgery is a high risk surgery or is not applicable.</p></div><div><h3>Materials and methods</h3><p>The authors revised the international literature about tilted implants, by manual and electronic way, in the last ten years. Articles selected and included in this study were clinical and experimental papers, where most of the implants placed were tilted and the success and survival rate were studied in relation to the placement of off-axis implants and the prosthetic load.</p></div><div><h3>Results and conclusion</h3><p>International literature suggests that tilted implants could be a good alternative to avoid an advanced surgery or some surgery risks. The high reliability of tilted implants was shown in most of the experimental studies and, moreover, the excellent clinical results would allow for the introduction of tilted implants in clinical practice.</p></div>","PeriodicalId":100732,"journal":{"name":"Italian Oral Surgery","volume":"11 5","pages":"Pages 22-35"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ios.2012.01.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88590806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Porcaro , F. Pirrone , C. Bucalo , L. Barbano , G. Gatti
{"title":"Gestione anestesiologica e perioperatoria di un caso di sindrome di Brugada","authors":"G. Porcaro , F. Pirrone , C. Bucalo , L. Barbano , G. Gatti","doi":"10.1016/j.ios.2011.05.002","DOIUrl":"https://doi.org/10.1016/j.ios.2011.05.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe the perioperative management of a patient with Brugada syndrome who underwent tooth extraction under assisted local anesthesia.</p></div><div><h3>Materials and methods</h3><p>In the case reported here, the cardiologist performed an electrocardiogram and selected the form of anesthesia and perioperative management strategy in collaboration with the anesthesiologist. The dental procedure was carried out in the operating room.</p></div><div><h3>Results</h3><p>This case was managed with a team of different specialists to avoid complications that would not be manageable in a dental practice.</p></div><div><h3>Conclusions</h3><p>Brugada syndrome is a life-threatening condition. Although its incidence is low, dentists must be aware of this syndrome because it requires special pre-, intra-, and postoperative care.</p></div>","PeriodicalId":100732,"journal":{"name":"Italian Oral Surgery","volume":"11 5","pages":"Pages 234-240"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ios.2011.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91688914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Applicazioni cliniche della GBR in differenti difetti di cresta alveolare","authors":"M. Mazzella, C. Porciello, A. Mazzella","doi":"10.1016/j.ios.2009.12.001","DOIUrl":"https://doi.org/10.1016/j.ios.2009.12.001","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe clinical approach in the treatment of the most common ridge defects in implant dentistry on the basis of scientifically validated techniques.</p></div><div><h3>Materials and methods</h3><p>Guided bone rigeneration (GBR) with barrier membranes can be used in different alveolar bone defects. The knowledge of biological events priming guided bone regeneration is fundamental. When defect morphology does not allow a spontaneous regeneration, classification of edentulous ridge defect is necessary to choose the appropriate surgical protocol.</p></div><div><h3>Results</h3><p>The authors report some cases to show the results that can be obtained by GBR and inserting fixtures in a prosthetically driven way so that no compromise is needed.</p></div><div><h3>Conclusions</h3><p>The cases reported were treated by a validated and reproducible protocol and demonstrate that the amount of obtainable GBR is not only determined by defect anatomy but also by the tent effect that can be provided by a correctly shaped titanium reinforced Gore-Tex<sup>®</sup> membrane.</p></div>","PeriodicalId":100732,"journal":{"name":"Italian Oral Surgery","volume":"11 5","pages":"Pages 127-139"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ios.2009.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91636658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}