Minerva dental and oral science最新文献

{"title":"Impact of the dental sector on the environmental pollution: an overview.","authors":"Fulvia Galletti, Cesare D'Amico, Cosimo Galletti, Gabriele Cervino, Vini Mehta, Luca Fiorillo","doi":"10.23736/S2724-6329.25.05152-6","DOIUrl":"https://doi.org/10.23736/S2724-6329.25.05152-6","url":null,"abstract":"<p><p>Dental waste, including metal, plastic, and chemical residues, and high energy and water consumption, significantly contribute to environmental degradation. This review highlights the environmental impact of common dental materials and practices, such as amalgam, resin composites, and disposable plastics. The aim is to examine current evidence, emphasizing mercury pollution, microplastic release, and biomedical waste handling. Moreover, it explores the emerging concept of green dentistry and provides an overview of international regulatory efforts. The paper advocates for sustainable practices in dentistry through prevention, innovation, and informed clinical choices, supported by life cycle assessment approaches.</p>","PeriodicalId":18709,"journal":{"name":"Minerva dental and oral science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023744","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":"Evaluation of the crestal bone expansion obtained with the Magnetic Mallet® during the preparation of the implant site: a case series.","authors":"Domenico Baldi, Jacopo Colombo, Elena Cassinotto, Francesco Bagnasco, Luisa DE Giorgis, Francesca Baldi, Tadeusz Morawiec, Paolo Pesce, Maria Menini","doi":"10.23736/S2724-6329.25.05106-X","DOIUrl":"https://doi.org/10.23736/S2724-6329.25.05106-X","url":null,"abstract":"<p><strong>Background: </strong>The purpose of the study is to evaluate the use of a magnetodynamic instrument (Magnetic Mallet^®, Metaergonomica, Turbigo, Milan, Italy) to perform a horizontal bone expansion in edentulous sites that need to be rehabilitated with a dental implant.</p><p><strong>Methods: </strong>A sample of 15 patients, 11 men and 4 women, age between 39 and 78 years, was analyzed. A total of 18 conical-shaped implants with a diameter of 3.80 mm and a length between 10 and 11.5 mm were inserted in the maxillary region in the area between the lateral incisor and the first upper molar. The patients were treated by two different surgeons. Bone thickness was measured through CBCT before treatment and at 3 months post-surgery.</p><p><strong>Results: </strong>No implant failed and all of them achieved a correct osseointegration. The average pre-surgery bone thickness was 4.36±0.70 mm, it changed to 5.58±1.11 mm after using the Magnetic Mallet^®, finally stabilized at 6.72±1.24 mm with the insertion of the implant. CBCT examination revealed a statistically significant difference in mean bone thickness before treatment and at 3 months post-surgery with a mean bone thickness of respectively 4.39±0.60 mm and 6.97±1.25 mm. Significantly different outcomes were obtained by operators with a different learning curve.</p><p><strong>Conclusions: </strong>At 3 months of follow-up, the Magnetic Mallet^® proved to be a useful tool in the horizontal expansion of the atrophic upper jaw bone crest, along with the preparation of the implant site. A learning curve is necessary to optimize the clinical outcomes. Further studies are needed with a larger patient cohort and a longer follow-up to confirm the present results.</p>","PeriodicalId":18709,"journal":{"name":"Minerva dental and oral science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023722","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":"Are the dermatological cut-off values of commercially available ELISAs for BP180-NC16A appropriate when applied for diagnosis of oral mucous membrane pemphigoid?. Results of a preliminary study.","authors":"Andrea Gabusi, Federica Filippi, Camilla Loi, Lucio Montebugnoli, Cosimo Misciali, Davide B Gissi, Federico Bardazzi","doi":"10.23736/S2724-6329.25.05004-1","DOIUrl":"https://doi.org/10.23736/S2724-6329.25.05004-1","url":null,"abstract":"<p><strong>Background: </strong>Enzyme-linked immunosorbent assay (ELISA) kits for BP180-NC16A use different cutoff levels established for cutaneous bullous pemphigoid (BP). However, in oral mucous membrane pemphigoid (OMMP), circulating antibodies are reported to be less readily detectable than cutaneous BP and there is little evidence that these cut-off levels are suitable for OMMP. This study was performed to explore whether the available cutoff values of anti-BP180-NC16A ELISA used for cutaneous BP are equally effective when applied to OMMP or should benefit from an optimized cut-off value.</p><p><strong>Methods: </strong>Eighty-one patients with oral blistering diseases were divided into two groups based on the results of histological and direct immunofluorescence analyses: the OMMP group (N.=31) and the non-OMMP control group (N.=50). Antibodies against BP180-NC16A were evaluated using manufacturer's cutoff level (Euroimmun 20 U/mL). A preliminary cutoff specific for BP180 in OMMP was identified by receiver operator characteristic (ROC) curve analysis.</p><p><strong>Results: </strong>A cutoff value of 20 U/mL showed low sensitivity (41.94%) but high specificity (94%). Using ROC curve analysis, a cutoff of 11 U/mL emerged as the optimal cutoff for BP180-OMMP (sensitivity: 70.97%; specificity: 88.7%). Using both cutoff values false-positives cases emerged (pemphigus vulgaris and oral lichen planus).</p><p><strong>Conclusions: </strong>The BP180-NC16A ELISA cutoff values designed for cutaneous BP may not be equally accurate when applied for the diagnosis of OMMP. The use of cut-off values specific for OMMP and a panel of several antigens specific for OMMP may improve the clinical utility of ELISAs; however, problems deriving from low specificity should be acknowledged.</p>","PeriodicalId":18709,"journal":{"name":"Minerva dental and oral science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023734","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":"Diagnostic approach for post-COVID-19 mucormycosis.","authors":"Ankita Mathur, Vishnu T Obulareddy, Praveen K Kamma, Sapna Negi, Snehasish Tripathy, Vini Mehta, Luca Fiorillo","doi":"10.23736/S2724-6329.25.05031-4","DOIUrl":"https://doi.org/10.23736/S2724-6329.25.05031-4","url":null,"abstract":"<p><p>The COVID-19 pandemic, particularly in India, continues to pose a major threat to public health owing to the large number of patients that remain affected. The second wave of COVID-19 has brought with it several opportunistic diseases caused by bacteria and fungi, including mucormycosis, which is a well-known fungal infection primarily encountered in immunocompromised individuals through inhalation. In recent times, mucormycosis has become increasingly common in COVID-19 patients, particularly those with comorbidities such as diabetes, and has been observed to induce secondary infections as it spreads with COVID-19 treatment. Despite its importance, mucormycosis is still poorly studied due to the current priority given to research on treatments, vaccines, and diagnostics. To address this knowledge gap, this study aims to investigate the correlation between mucormycosis and COVID-19 patients and elucidate the molecular mechanism of mucormycosis to improve our understanding of fungal infections in patients who have recently contracted SARS-CoV-2.</p>","PeriodicalId":18709,"journal":{"name":"Minerva dental and oral science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023747","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":"Evidence-based assessment of temporomandibular disorders in complete denture versus partial denture users: a systematic review.","authors":"Jayant Prakash, Tushar Sinha, Hiroj Bagde, Nirupama Rajegowda, Sneha Bhat, Ashwini Dhopte, Marco Cicciù, Giuseppe Minervini","doi":"10.23736/S2724-6329.25.04903-4","DOIUrl":"https://doi.org/10.23736/S2724-6329.25.04903-4","url":null,"abstract":"<p><strong>Introduction: </strong>Dental health and overall well-being are greatly impacted by temporomandibular disorders (TMDs), which encompass a spectrum of illnesses that impact the temporomandibular joint and its surrounding structures. The use of dental prostheses, including complete and partial dentures, is common among individuals with missing teeth. However, the association between denture types and the prevalence of TMD remains a subject of interest and concern in the field of oral health.</p><p><strong>Evidence acquisition: </strong>Relevant databases were comprehensively searched to identify eligible studies. The search strategy included terms related to Temporomandibular joint disorders and dentures. Studies reporting on the prevalence of TMD in denture wearers, categorized as complete or partial, were included. Quality assessment and data extraction were performed following established guidelines. Two reviewers independently screened articles, conducted data extraction and risk assessment. Meta-analysis was carried out using random-effects models, and subgroup analyses were conducted to explore potential sources of heterogeneity.</p><p><strong>Evidence synthesis: </strong>A total of three studies were included in the analysis. Two studies reported TMD to be prevalent in partial denture (PD) in higher proportions as compared to Complete Denture (CD) while another showed CD patients exhibiting greater TMD cases. The results remain inconclusive owing to the limited number of studies and evidence. The quality of the included studies ranged from moderate to low risk.</p><p><strong>Conclusions: </strong>The current evidence regarding the association between denture type and TMD is inconclusive and limited. The heterogeneity of study designs and the lack of standardized assessment tools for TMD diagnosis and denture classification contribute to the variability in findings. This information can help prosthodontists and other dental practitioners improve the general health and oral hygiene of their patients who wear dental prosthesis.</p>","PeriodicalId":18709,"journal":{"name":"Minerva dental and oral science","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023737","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":"Forensic odontology: a comprehensive review of advances and applications in dental forensic medicine.","authors":"Giorgia V Lacasella, Luca Signorini, Andrea Ballini, Maria E Bizzoca, Gennaro Musella, Eleonora Lo Muzio, Nunzio Cirulli, Elisabetta Dimauro, Michele A Karaboue","doi":"10.23736/S2724-6329.25.05187-3","DOIUrl":"10.23736/S2724-6329.25.05187-3","url":null,"abstract":"<p><p>Forensic odontology is essential in medico-legal investigations, aiding in the identification of individuals, particularly in cases involving decomposed or severely damaged remains. Teeth, due to their durability and uniqueness, serve as critical forensic markers. This field also plays a role in age estimation, bite mark analysis, and legal disputes related to dental malpractice. Key forensic dental techniques include comparative dental analysis, radiographic imaging, and DNA extraction from teeth, which offer resistance to environmental degradation. Advanced methods such as aspartic acid racemization, radiocarbon dating, and histological analysis further enhance age estimation accuracy. Bite mark impressions, though controversial, remain relevant in forensic investigations. Additionally, forensic odontology collaborates with anthropology, botany, and entomology to strengthen identification processes. Technological advancements, including digital forensic tools, 3D imaging, and improved DNA analysis, have enhanced the precision of forensic dental identification. Bite mark analysis, while debated, benefits from computer-assisted comparisons. Forensic dentists are increasingly involved in legal cases, particularly in dental malpractice disputes, requiring specialized knowledge to assess liability and damages. Forensic odontology continues to evolve, integrating innovative technologies to improve accuracy and efficiency. Future research will focus on refining identification methods, utilizing AI-driven forensic analysis, and addressing ethical concerns related to DNA usage. Expanding forensic dental expertise in both clinical and legal contexts will be crucial for maintaining the discipline's role in forensic science.</p>","PeriodicalId":18709,"journal":{"name":"Minerva dental and oral science","volume":" ","pages":"273-290"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044398","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":"Unmasking the potential: a historical perspective on the evolution of exfoliative cytology in oral cavity neoplasms.","authors":"Luca Fiorillo, Cesare D'Amico, Francesca Gorassini, Vini Mehta, Giuseppe Minervini, Gabriele Cervino","doi":"10.23736/S2724-6329.24.04857-5","DOIUrl":"10.23736/S2724-6329.24.04857-5","url":null,"abstract":"<p><p>Exfoliative cytology has proven to be a valuable diagnostic tool in the early detection of malignant neoplasms. However, its application in the oral cavity has been met with skepticism and limited investigation due to the perception that clinical examination alone is sufficient for early diagnosis. Nonetheless, recent research efforts have focused on the utility of exfoliative cytology in oral cavity neoplasms, motivated by the high mortality rate associated with oral cancer. This manuscript reviews the historical development of exfoliative cytology in the oral cavity, highlighting key findings and advancements in the field. Early studies demonstrated the presence of neoplastic cells in oral cavity lesions and emphasized the diagnostic potential of cytology. Subsequent research explored different staining methods and observed the differential reaction of oral cavity cells to radiation therapy. The diagnostic accuracy of exfoliative cytology was reported to be as high as 92%, with a significant number of cases diagnosed as carcinomas without any clinical suspicion. The technique also proved valuable in identifying precancerous and dysplastic lesions and obviating the need for unnecessary biopsies. The manuscript delves into the difficulties encountered in sampling techniques and stresses the significance of appropriate specimen collection and handling. Various staining methods, including Papanicolaou and acridine orange, were utilized for cytological analysis. The manuscript emphasizes the extensive use of exfoliative cytology in oral cavity examinations and stresses the importance of recognizing it as a crucial diagnostic tool. Various studies have reported high positivity rates and the detection of clinically unsuspected malignant lesions. The authors recommend extensive use of exfoliative cytology in routine practice and underscore the necessity of proper sampling and evaluation techniques.</p>","PeriodicalId":18709,"journal":{"name":"Minerva dental and oral science","volume":" ","pages":"241-256"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143008367","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":"Impact of invasiveness of dental treatment history on anxiety expression in recall patients.","authors":"Ramiar Karim, Christian H Splieth, Julian Schmoeckel","doi":"10.23736/S2724-6329.25.05122-8","DOIUrl":"https://doi.org/10.23736/S2724-6329.25.05122-8","url":null,"abstract":"<p><strong>Background: </strong>To analyse the association between the likelihood of expressing dental anxiety in children based on parental report and the invasiveness of dental treatment history along with the acceptance of the accompanying fluoride treatment.</p><p><strong>Methods: </strong>A total of 70 healthy children (7.1±1.9 years, 27 female) who presented for a recall visit to the Specialised Pedodontics Department were included in this study. This questionnaire-based study involved parentel assessment of the frequency of the child's expression of dental anxiety at home (always/often/sometimes as frequent dental anxiety expression vs. rarely/never as no history of dental anxiety expression) using 5-point Likert-Scale. The invasive treatment history was based on the child's dental record including extraction, fillings, space maintainer, nitrous oxide sedation and general anaesthesia, while non-invasive therapies included dental prophylactic services and fissure sealant.</p><p><strong>Results: </strong>According to the parents' report 29 (41.4%) of the 70 children expressed their dental anxiety at home. The majority (N.=27, 93%) of these 29 children had an invasive dental history (P=0.009, Chi-square Test), and showed to be anxious based on their previous dental records (P=0.003, Chi-square Test). Almost all children (18 out of 19 children, 95%) who complained on the taste after applying the fluoride varnish have had previous dental visits with an invasive treatment history (P=0.083, Chi-square Test).</p><p><strong>Conclusions: </strong>The likelihood of expressing dental anxiety at home in recall children of a specialised dental practice is relatively high, which is clearly associated with history of invasive dental procedures. Dentists should keep in mind that there is a correlation of invasive treatment history and dental anxiety which affects also the children in the recall phase. Additionally, children with a history of non-invasive dental procedures (preventive measures) have an improved acceptance of the taste of fluoride varnish.</p>","PeriodicalId":18709,"journal":{"name":"Minerva dental and oral science","volume":"74 4","pages":"232-240"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144743139","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":"Obstructive sleep apnea syndrome indexes in patients treated with oral appliances with different vertical dimension: a preliminary study.","authors":"Luca Levrini, Jovana Kozokic, Nicola Giannotta, Elena F Bernardini, Alessandro Deppieri, Maria Sparaco, Rodolfo F Mastrapasqua, Stefano Saran","doi":"10.23736/S2724-6329.25.05097-1","DOIUrl":"10.23736/S2724-6329.25.05097-1","url":null,"abstract":"<p><strong>Background: </strong>Mandibular reposition devices (MRDs) are a viable option for addressing snoring and mild to moderate obstructive sleep apnea syndrome (OSAS) as another possibility to continuous positive airway pressure (CPAP) ventilation during sleep. The aim of the study was to evaluate the efficacy of OSAS MRDs with variation in vertical dimension, considering the OSAS indexes: Apnea Hypopnea Index (AHI), Oxygen Desaturation Index (ODI) and Snoring Index.</p><p><strong>Methods: </strong>Eleven patients with different level of OSAS were enrolled in this study. The patients in the study were evaluated at three different times (T0, T1, T2). At T0 the patients underwent a basal polysomnography (PSG) without any oral appliance. At T1, the PSG was executed using MRD at 70% of protrusion and a vertical dimension consequent of protrusion. The vertical dimension determined by a protruded position is the one that is caused by the repositioning of the mandible. At the T2, the patients used the same appliance with 70% of protrusion, adding a uniform 6-mm bite resin plane between the existing upper and lower splints of the MRD, in the lateral area. The patients enrolled in this study did not tolerate the CPAP. T-test for paired samples was used to assess the possible statistical differences between AHI and ODI (T0, T1 and T2). The snoring indexes were analyzed through Friedman test for corelated sample.</p><p><strong>Results: </strong>The mean value of AHI (T0) was 30.17±19.51. The mean AHI of T1 was 10.60±9.35, while the mean value of T2 was 5.41±3.25. The mean value of ODI (T0) was 29.02; SD±20.74. The mean ODI of T1 was 10.46±9.48, while the mean value of T2 was 5.40±3.41. Analyzing AHI and ODI, there was a significant statistical difference between T0 and T1 (P<0.05), between T1 and T2 (P<0.05) and between T0 and T2 (P<0.05). There was not any statistical difference for snoring indexes between T0, T1 and T2. (P>0.05).</p><p><strong>Conclusions: </strong>According to the results of this study, the major improvement of AHI and ODI is reached through the usage of MRD with an increase of vertical dimension. Considering all the limits of the study, it is possible to affirm that research should still take account of the vertical dimension as a possible factor when treating OSAS with oral appliance.</p>","PeriodicalId":18709,"journal":{"name":"Minerva dental and oral science","volume":" ","pages":"223-231"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079116","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":"The use of water flosser in implant-supported fixed prosthesis: a narrative review and the opinion of Italian dental hygienists.","authors":"Alessia M Iommiello, Paolo Pesce, Consuela Sanavia, Francesca Arata, Vito C Caponio, Domenico Baldi, Marco Migliorati, Maria Menini","doi":"10.23736/S2724-6329.25.05105-8","DOIUrl":"10.23736/S2724-6329.25.05105-8","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of the present study was to evaluate the opinion of Italian dental hygienists about the use of domiciliary water flosser for the oral hygiene of implant-supported fixed prostheses.</p><p><strong>Evidence acquisition: </strong>A narrative review of the literature is presented, and a digital questionnaire was shared on Facebook professional groups to be anonymously filled by Italian dental hygienists. A descriptive analysis of the answers was conducted.</p><p><strong>Evidence synthesis: </strong>Three hundred thirty-three dental hygienists participated of which 34% have worked for 0-5 years, 27.4% for 6-10 years, 26.81 27% for 10-20 years, and 11.14% for more than 20 years. Water flosser was recommended by the 49,7%. A small proportion of respondents, the 7.83%, thought that this intervention could cause emphysema/abscesses, while the 43.98% and the 36.75% believed respectively that it was either ineffective in the plaque removal or even it could push the biofilm under the gums. The 12.35% believed that the water flosser could cause gum recession, was difficult to use (20.48%) and it could damage the prosthodontic and implant components (1.2%). These information were acquired from textbooks (31.63%), web (25%), universities courses (57.23%), companies (25.6%), other courses (38.25%) and personal experience (6.33%). The 48.2% of the hygienists reported that they were often asked from their patients about water flosser, 47.3% rarely, 1.25% always and 3.3% never.</p><p><strong>Conclusions: </strong>Although the scientific literature supports the use of water flosser in terms of efficacy and safety, Italian dental hygienists rarely recommend it for home oral hygiene of implant-supported prostheses mainly because they consider it ineffective or even dangerous.</p>","PeriodicalId":18709,"journal":{"name":"Minerva dental and oral science","volume":" ","pages":"257-265"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187363","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}