Il presente lavoro si propone di illustrare le potenzialità e l’ impatto della terapia parodontal... more Il presente lavoro si propone di illustrare le potenzialità e l’ impatto della terapia parodontale nel miglioramento della prognosi parodontale e dello stato diabetico. In particolare, il caso paradigmatico considerato nel presente lavoro illustrerà le fasi non chirurgiche e chirurgiche della terapia di una forma Aggressiva di Parodontite in un soggetto affetto da DM di tipo 1. Le modificazioni a livello prognostico indotte dalla terapia parodontale verranno illustrate in termini di riduzione del livello di rischio individuale per Parodontite, calcolato mediante un metodo di determinazione del rischio da noi recentemente proposto (Farina et al. 2006). A seguito della terapia, il soggetto considerato nel presente caso ha subito un drastico abbattimento del rischio di progressione della propria Parodontite. Il presente lavoro suggerisce (i) la necessità di affiancare l’ attività clinica parodontale con metodi di monitoraggio del rischio che possano obiettivare la necessità e l’ efficacia delle misure preventive e terapeutiche e (ii) l’ importanza di monitorare nei pazienti diabetici il livello sierico di emoglobina glicosilata, coinvolto nella determinazione della risposta alla terapia parodontale e nella comparsa di eventuali recidive della Parodontite
This paper describes the rationale and the operative algorithm of a new method for periodontal ri... more This paper describes the rationale and the operative algorithm of a new method for periodontal risk assessment. This method assembles the risks associated to 5 anamnestic conditions (smoke, diabetes), clinical parameters (number of sites with probing depth higher or equal to 5 mm, Bleeding on Probing Score) and derived parameters (bone loss/age ratio); the method generates an individual risk score, representing the incidence/progress ion probability of periodontal disease. The clinical impact of this method is illustrated by a case report. Risk level was assessed at the first periodontal screening and after causal periodontal therapy. This risk assessment method is rapid, easy to handle and universally fit for any patient. Both the Dentist and the Dental Hygienist ore provided a useful tool that helps to determine whether and to what extent preventive and therapeutic measures decrease the risk of periodontitis-related tooth loss
The present paper describes the rationale and the operative algorithm of a new method for periodo... more The present paper describes the rationale and the operative algorithm of a new method for periodontal risk assessment. The method assembles the risks associated to 5 anamnestic parameters (smoke, diabetes), clinical parameters (number of sites with probing depth major or equal to 5 mm, Bleeding on Probing Score) and derived parameters (bone losslage ratio), and generates an individual risk score, representative of the subject-specific incidence and progression probability of periodontal disease. The clinical impact of the present assessment method is illust rated through the application to a clinical case. Risk assessment was performed at the moment of the first periodontal screening, after causal periodontal therapy and at 1-year recall. The present risk assessment method is rapid, easy-handling and universally applicable to every patient. The dentist and dental hygienist are supported with a useful tool that may help to determine whether and to what extent preventive and therapeutic acts led to a decrease in the risk of periodontitis-related tooth loss
The aim of this study was to characterize the gingival inflammatory response to de novo plaque ac... more The aim of this study was to characterize the gingival inflammatory response to de novo plaque accumulation in subjects treated for aggressive periodontitis (AP). The gingival inflammatory response of the AP subjects was retrospectively compared with that of periodontally healthy individuals (PH) matched for exposure to plaque and of periodontally healthy subjects previously identified as "high responders" (HR) and "low responders" (LR). 13 AP subjects and 26 matched PH subjects participated in a 21-day experimental gingivitis trial. Plaque index (PlI), Gingival index (GI), gingival crevicular fluid volume (GCF) and angulated bleeding score (AngBS) were recorded at days 0, 7, 14 and 21. Cumulative plaque exposure (CPE), i.e. PlI over time, was also calculated. GCF was significantly higher in AP compared with PH group at each observation interval (p< or =0.001). In addition, GCF was significantly higher in AP group compared with either LR or HR groups at each observation interval (p<0.001). These results suggest that susceptibility to gingival inflammation in response to de novo plaque accumulation may be related to susceptibility to periodontitis.
The present report describes a minimally invasive technique for transcrestal sinus floor elevatio... more The present report describes a minimally invasive technique for transcrestal sinus floor elevation, namely the Smart Lift technique, which is based on the controlled use of drills and osteotomes. The rationale of this technique is to provide predictable vertical bone augmentation into the sinus cavity by (1) using the existing residual bone as a viable graft and (2) limiting the incidence of membrane perforation and postsurgery morbidity. Surgical steps of the procedure are thoroughly illustrated by means of a paradigmatic case. The Smart Lift procedure was compatible with sinus floor elevation and implant stability for up to 1 year following surgery. No complications occurred during or after surgery. On periapical radiographs, a radiopaque area corresponding to the augmented sinus floor was present above the apical portion of the implant.
AIM to comparatively evaluate costs and specific aspects of oral-health related quality of life (... more AIM to comparatively evaluate costs and specific aspects of oral-health related quality of life (OhRQoL) related to the period between the surgery phase of transcrestal and lateral sinus floor elevation (tSFE and lSFE, respectively) and 6 months after delivery of implant-supported prosthesis. METHODS A bi-center, parallel-arm, randomized trial comparatively evaluating tSFE and lSFE when applied concomitantly with implant placement was conducted. At 6 months after prosthesis delivery, data on cost-associated items related to the post-surgery period and selected aspects of OhRQoL were collected. RESULTS Analyses of costs and quality of life was conducted on 56 patients (tSFE: 28; lSFE: 28) and 54 patients (tSFE: 26; lSFE: 28), respectively. Significantly lower dose of anesthetic (2 vs 3 vials), amount of xenograft (420 mg vs 1975 mg), and duration of surgery (54' vs 86') were observed for tSFE compared to lSFE. No significant differences in the number of additional surgical sessions, postoperative exams, specialist consultations and drug consumption were found between groups. In a limited fraction of patients in both groups, improvements were observed for pain (tSFE: 3.8%; lSFE: 7.4%), comfort in eating any food (tSFE: 11.5%; lSFE: 3.6%), self-consciousness (tSFE: 19.2%; lSFE: 14.3%), and satisfaction about life (tSFE: 19.2%; lSFE: 10.7%). CONCLUSIONS The surgery phase of maxillary sinus floor elevation is characterized by more favorable cost-associated items for tSFE compared to lSFE. Differently, tSFE and lSFE do not differ for either costs related to the post-surgery phases or impact of the implant-supported rehabilitation on specific aspects of OhRQoL.
Aim: To evaluate the impact of supportive periodontal therapy (SPT) on periodontal prognosis, as ... more Aim: To evaluate the impact of supportive periodontal therapy (SPT) on periodontal prognosis, as assessed with a simplified method (UniFe; Trombelli et al. 2009). Material and Methods: At 2 clinical centers, data were retrospectively obtained from the record charts of 109 patients (age range: 22\u201362 years). According to the individual treatment plan, patients had undergone active periodontal therapy (APT) and had been enrolled in a SPT program for a mean period of 5.6 2.2 years. At the completion of APT (T1) and the most recent SPT visit (T2), patient-related periodontal risk scores were calculated according to UniFe on a scale from 1 (low risk) to 5 (high risk). Results: The mean risk score was 3.7 0.9 and 3.7 1.0 at T1 and T2, respectively, with no significant difference between T1 and T2. Also, no significant difference in the distribution of patients according to risk score were observed between time intervals. Patient mobility through risk groups from T1 to T2 was observed, with 21% of patients showing a decrease in risk score (1 score: 16%; 2 scores: 3%; 3 scores: 2%), while 28% showing an increase (+1 score: 26%; +2 scores: 2%). The increase in risk scores was mainly due to an increase in the severity and extension of bone loss and probing depths as well as an increase in full mouth bleeding scores. Conclusion: In general, SPT may be effective in preserving patient-related periodontal prognosis following APT. When occurs, worsening of periodontal prognosis is mainly due to the recurrence of the clinical signs of the disease
to evaluate the association of patient-related and site-specific factors as well as the adopted t... more to evaluate the association of patient-related and site-specific factors as well as the adopted treatment modality with the change in buccal and interdental gingival recession (bREC and iREC, respectively) observed at 6 months following treatment of periodontal intraosseous defects with the Single Flap Approach (SFA). sixty-six patients contributing 74 intraosseous defects accessed with a buccal SFA and treated with different modalities were retrospectively selected. A 2 levels (patient and site) model was constructed, with the 6-month changes in bREC and iREC being regarded as the dependent variables. (1) significant 6-month increases in bREC (-0.6 ± 0.7 mm) and iREC (-0.9 ± 1.1 mm) were observed; (2) bREC change was significantly predicted by pre-surgery interproximal probing depth (PD) and depth of osseous dehiscence at the buccal aspect; (3) iREC change was significantly predicted by pre-surgery, interproximal PD and the treatment modality, with defects treated with SFA in combination with a graft material and a bioactive agent being less prone to iREC increase compared to defects treated with SFA alone. following buccal SFA, greater post-surgery increase in buccal gingival recession must be expected for deep intraosseous defects associated with a buccal dehiscence. The combination of a graft material and a bioactive agent in adjunct to the SFA may limit the postoperative increase in interdental gingival recession.
ObjectivesThe aim of the study was to evaluate and classify benign bone tumors of the oral cavity... more ObjectivesThe aim of the study was to evaluate and classify benign bone tumors of the oral cavity, such as exostoses and tori.
The aim of this study was to characterize the gingival inflammatory response to de novo plaque ac... more The aim of this study was to characterize the gingival inflammatory response to de novo plaque accumulation in subjects treated for aggressive periodontitis (AP). The gingival inflammatory response of the AP subjects was retrospectively compared with that of periodontally healthy individuals (PH) matched for exposure to plaque and of periodontally healthy subjects previously identified as "high responders" (HR) and "low responders" (LR). 13 AP subjects and 26 matched PH subjects participated in a 21-day experimental gingivitis trial. Plaque index (PlI), Gingival index (GI), gingival crevicular fluid volume (GCF) and angulated bleeding score (AngBS) were recorded at days 0, 7, 14 and 21. Cumulative plaque exposure (CPE), i.e. PlI over time, was also calculated. GCF was significantly higher in AP compared with PH group at each observation interval (p< or =0.001). In addition, GCF was significantly higher in AP group compared with either LR or HR groups at each observation interval (p<0.001). These results suggest that susceptibility to gingival inflammation in response to de novo plaque accumulation may be related to susceptibility to periodontitis.
PURPOSE No information is available on the perception of the quality of care in patients treated ... more PURPOSE No information is available on the perception of the quality of care in patients treated for periodontitis. The purpose of this article was to assess how periodontitis-affected patients perceive the quality of periodontal treatment (PT) and to measure the factors which may influence it. MATERIALS AND METHODS 306 subjects who completed PT were invited to participate. Questionnaires and visual analogic scales (VAS) evaluating perception of quality of care, symptoms, and oral health related quality of life (OHRQoL) were handed out. Oral and periodontal indicators were collected before and after treatment. The impact of different factors on perception of quality was assessed with a regression model. RESULTS Quality evaluation was high yet unrelated for both patients and clinicians (p = 0.983). Quality was negatively influenced by the number of residual oral infections (p < 0.001), patient's age (p = 0.07) and presence of residual pain at completion of PT (p = 0.02). Profe...
The present report describes a minimally invasive technique for transcrestal sinus floor elevatio... more The present report describes a minimally invasive technique for transcrestal sinus floor elevation, namely the Smart Lift technique, which is based on the controlled use of drills and osteotomes. The rationale of this technique is to provide predictable vertical bone augmentation into the sinus cavity by (1) using the existing residual bone as a viable graft and (2) limiting the incidence of membrane perforation and postsurgery morbidity. Surgical steps of the procedure are thoroughly illustrated by means of a paradigmatic case. The Smart Lift procedure was compatible with sinus floor elevation and implant stability for up to 1 year following surgery. No complications occurred during or after surgery. On periapical radiographs, a radiopaque area corresponding to the augmented sinus floor was present above the apical portion of the implant.
Objectives The present study was performed to comparatively evaluate the peri-implant bone stabil... more Objectives The present study was performed to comparatively evaluate the peri-implant bone stability and conditions of marginal tissues at 3 years following transcrestal and lateral sinus floor elevation (tSFE and lSFE, respectively). Materials and methods Patients included in a parallel-arm randomized trial comparatively evaluating tSFE and lSFE were recalled at 3 years post-surgery. Twenty-one and 24 patients in tSFE and lSFE groups, respectively, participated in the follow-up visit. Peri-implant bone support was evaluated as the proportion of the entire implant surface in direct contact with the radiopaque area (totCON%) on 3-year periapical radiographs. The conditions of the marginal peri-implant tissues at 3-year visit were classified as peri-implant health, peri-implant mucositis, or peri-implantitis. Results At 3 years, both groups showed an implant survival rate of 100%. Median totCON% was stable at 3 years, being 100% in both groups (p = 0.124). Peri-implant health and muco...
Il presente lavoro si propone di illustrare le potenzialità e l’ impatto della terapia parodontal... more Il presente lavoro si propone di illustrare le potenzialità e l’ impatto della terapia parodontale nel miglioramento della prognosi parodontale e dello stato diabetico. In particolare, il caso paradigmatico considerato nel presente lavoro illustrerà le fasi non chirurgiche e chirurgiche della terapia di una forma Aggressiva di Parodontite in un soggetto affetto da DM di tipo 1. Le modificazioni a livello prognostico indotte dalla terapia parodontale verranno illustrate in termini di riduzione del livello di rischio individuale per Parodontite, calcolato mediante un metodo di determinazione del rischio da noi recentemente proposto (Farina et al. 2006). A seguito della terapia, il soggetto considerato nel presente caso ha subito un drastico abbattimento del rischio di progressione della propria Parodontite. Il presente lavoro suggerisce (i) la necessità di affiancare l’ attività clinica parodontale con metodi di monitoraggio del rischio che possano obiettivare la necessità e l’ efficacia delle misure preventive e terapeutiche e (ii) l’ importanza di monitorare nei pazienti diabetici il livello sierico di emoglobina glicosilata, coinvolto nella determinazione della risposta alla terapia parodontale e nella comparsa di eventuali recidive della Parodontite
This paper describes the rationale and the operative algorithm of a new method for periodontal ri... more This paper describes the rationale and the operative algorithm of a new method for periodontal risk assessment. This method assembles the risks associated to 5 anamnestic conditions (smoke, diabetes), clinical parameters (number of sites with probing depth higher or equal to 5 mm, Bleeding on Probing Score) and derived parameters (bone loss/age ratio); the method generates an individual risk score, representing the incidence/progress ion probability of periodontal disease. The clinical impact of this method is illustrated by a case report. Risk level was assessed at the first periodontal screening and after causal periodontal therapy. This risk assessment method is rapid, easy to handle and universally fit for any patient. Both the Dentist and the Dental Hygienist ore provided a useful tool that helps to determine whether and to what extent preventive and therapeutic measures decrease the risk of periodontitis-related tooth loss
The present paper describes the rationale and the operative algorithm of a new method for periodo... more The present paper describes the rationale and the operative algorithm of a new method for periodontal risk assessment. The method assembles the risks associated to 5 anamnestic parameters (smoke, diabetes), clinical parameters (number of sites with probing depth major or equal to 5 mm, Bleeding on Probing Score) and derived parameters (bone losslage ratio), and generates an individual risk score, representative of the subject-specific incidence and progression probability of periodontal disease. The clinical impact of the present assessment method is illust rated through the application to a clinical case. Risk assessment was performed at the moment of the first periodontal screening, after causal periodontal therapy and at 1-year recall. The present risk assessment method is rapid, easy-handling and universally applicable to every patient. The dentist and dental hygienist are supported with a useful tool that may help to determine whether and to what extent preventive and therapeutic acts led to a decrease in the risk of periodontitis-related tooth loss
The aim of this study was to characterize the gingival inflammatory response to de novo plaque ac... more The aim of this study was to characterize the gingival inflammatory response to de novo plaque accumulation in subjects treated for aggressive periodontitis (AP). The gingival inflammatory response of the AP subjects was retrospectively compared with that of periodontally healthy individuals (PH) matched for exposure to plaque and of periodontally healthy subjects previously identified as &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;high responders&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; (HR) and &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;low responders&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; (LR). 13 AP subjects and 26 matched PH subjects participated in a 21-day experimental gingivitis trial. Plaque index (PlI), Gingival index (GI), gingival crevicular fluid volume (GCF) and angulated bleeding score (AngBS) were recorded at days 0, 7, 14 and 21. Cumulative plaque exposure (CPE), i.e. PlI over time, was also calculated. GCF was significantly higher in AP compared with PH group at each observation interval (p&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; or =0.001). In addition, GCF was significantly higher in AP group compared with either LR or HR groups at each observation interval (p&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001). These results suggest that susceptibility to gingival inflammation in response to de novo plaque accumulation may be related to susceptibility to periodontitis.
The present report describes a minimally invasive technique for transcrestal sinus floor elevatio... more The present report describes a minimally invasive technique for transcrestal sinus floor elevation, namely the Smart Lift technique, which is based on the controlled use of drills and osteotomes. The rationale of this technique is to provide predictable vertical bone augmentation into the sinus cavity by (1) using the existing residual bone as a viable graft and (2) limiting the incidence of membrane perforation and postsurgery morbidity. Surgical steps of the procedure are thoroughly illustrated by means of a paradigmatic case. The Smart Lift procedure was compatible with sinus floor elevation and implant stability for up to 1 year following surgery. No complications occurred during or after surgery. On periapical radiographs, a radiopaque area corresponding to the augmented sinus floor was present above the apical portion of the implant.
AIM to comparatively evaluate costs and specific aspects of oral-health related quality of life (... more AIM to comparatively evaluate costs and specific aspects of oral-health related quality of life (OhRQoL) related to the period between the surgery phase of transcrestal and lateral sinus floor elevation (tSFE and lSFE, respectively) and 6 months after delivery of implant-supported prosthesis. METHODS A bi-center, parallel-arm, randomized trial comparatively evaluating tSFE and lSFE when applied concomitantly with implant placement was conducted. At 6 months after prosthesis delivery, data on cost-associated items related to the post-surgery period and selected aspects of OhRQoL were collected. RESULTS Analyses of costs and quality of life was conducted on 56 patients (tSFE: 28; lSFE: 28) and 54 patients (tSFE: 26; lSFE: 28), respectively. Significantly lower dose of anesthetic (2 vs 3 vials), amount of xenograft (420 mg vs 1975 mg), and duration of surgery (54' vs 86') were observed for tSFE compared to lSFE. No significant differences in the number of additional surgical sessions, postoperative exams, specialist consultations and drug consumption were found between groups. In a limited fraction of patients in both groups, improvements were observed for pain (tSFE: 3.8%; lSFE: 7.4%), comfort in eating any food (tSFE: 11.5%; lSFE: 3.6%), self-consciousness (tSFE: 19.2%; lSFE: 14.3%), and satisfaction about life (tSFE: 19.2%; lSFE: 10.7%). CONCLUSIONS The surgery phase of maxillary sinus floor elevation is characterized by more favorable cost-associated items for tSFE compared to lSFE. Differently, tSFE and lSFE do not differ for either costs related to the post-surgery phases or impact of the implant-supported rehabilitation on specific aspects of OhRQoL.
Aim: To evaluate the impact of supportive periodontal therapy (SPT) on periodontal prognosis, as ... more Aim: To evaluate the impact of supportive periodontal therapy (SPT) on periodontal prognosis, as assessed with a simplified method (UniFe; Trombelli et al. 2009). Material and Methods: At 2 clinical centers, data were retrospectively obtained from the record charts of 109 patients (age range: 22\u201362 years). According to the individual treatment plan, patients had undergone active periodontal therapy (APT) and had been enrolled in a SPT program for a mean period of 5.6 2.2 years. At the completion of APT (T1) and the most recent SPT visit (T2), patient-related periodontal risk scores were calculated according to UniFe on a scale from 1 (low risk) to 5 (high risk). Results: The mean risk score was 3.7 0.9 and 3.7 1.0 at T1 and T2, respectively, with no significant difference between T1 and T2. Also, no significant difference in the distribution of patients according to risk score were observed between time intervals. Patient mobility through risk groups from T1 to T2 was observed, with 21% of patients showing a decrease in risk score (1 score: 16%; 2 scores: 3%; 3 scores: 2%), while 28% showing an increase (+1 score: 26%; +2 scores: 2%). The increase in risk scores was mainly due to an increase in the severity and extension of bone loss and probing depths as well as an increase in full mouth bleeding scores. Conclusion: In general, SPT may be effective in preserving patient-related periodontal prognosis following APT. When occurs, worsening of periodontal prognosis is mainly due to the recurrence of the clinical signs of the disease
to evaluate the association of patient-related and site-specific factors as well as the adopted t... more to evaluate the association of patient-related and site-specific factors as well as the adopted treatment modality with the change in buccal and interdental gingival recession (bREC and iREC, respectively) observed at 6 months following treatment of periodontal intraosseous defects with the Single Flap Approach (SFA). sixty-six patients contributing 74 intraosseous defects accessed with a buccal SFA and treated with different modalities were retrospectively selected. A 2 levels (patient and site) model was constructed, with the 6-month changes in bREC and iREC being regarded as the dependent variables. (1) significant 6-month increases in bREC (-0.6 ± 0.7 mm) and iREC (-0.9 ± 1.1 mm) were observed; (2) bREC change was significantly predicted by pre-surgery interproximal probing depth (PD) and depth of osseous dehiscence at the buccal aspect; (3) iREC change was significantly predicted by pre-surgery, interproximal PD and the treatment modality, with defects treated with SFA in combination with a graft material and a bioactive agent being less prone to iREC increase compared to defects treated with SFA alone. following buccal SFA, greater post-surgery increase in buccal gingival recession must be expected for deep intraosseous defects associated with a buccal dehiscence. The combination of a graft material and a bioactive agent in adjunct to the SFA may limit the postoperative increase in interdental gingival recession.
ObjectivesThe aim of the study was to evaluate and classify benign bone tumors of the oral cavity... more ObjectivesThe aim of the study was to evaluate and classify benign bone tumors of the oral cavity, such as exostoses and tori.
The aim of this study was to characterize the gingival inflammatory response to de novo plaque ac... more The aim of this study was to characterize the gingival inflammatory response to de novo plaque accumulation in subjects treated for aggressive periodontitis (AP). The gingival inflammatory response of the AP subjects was retrospectively compared with that of periodontally healthy individuals (PH) matched for exposure to plaque and of periodontally healthy subjects previously identified as &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;high responders&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; (HR) and &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;low responders&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; (LR). 13 AP subjects and 26 matched PH subjects participated in a 21-day experimental gingivitis trial. Plaque index (PlI), Gingival index (GI), gingival crevicular fluid volume (GCF) and angulated bleeding score (AngBS) were recorded at days 0, 7, 14 and 21. Cumulative plaque exposure (CPE), i.e. PlI over time, was also calculated. GCF was significantly higher in AP compared with PH group at each observation interval (p&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; or =0.001). In addition, GCF was significantly higher in AP group compared with either LR or HR groups at each observation interval (p&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.001). These results suggest that susceptibility to gingival inflammation in response to de novo plaque accumulation may be related to susceptibility to periodontitis.
PURPOSE No information is available on the perception of the quality of care in patients treated ... more PURPOSE No information is available on the perception of the quality of care in patients treated for periodontitis. The purpose of this article was to assess how periodontitis-affected patients perceive the quality of periodontal treatment (PT) and to measure the factors which may influence it. MATERIALS AND METHODS 306 subjects who completed PT were invited to participate. Questionnaires and visual analogic scales (VAS) evaluating perception of quality of care, symptoms, and oral health related quality of life (OHRQoL) were handed out. Oral and periodontal indicators were collected before and after treatment. The impact of different factors on perception of quality was assessed with a regression model. RESULTS Quality evaluation was high yet unrelated for both patients and clinicians (p = 0.983). Quality was negatively influenced by the number of residual oral infections (p < 0.001), patient's age (p = 0.07) and presence of residual pain at completion of PT (p = 0.02). Profe...
The present report describes a minimally invasive technique for transcrestal sinus floor elevatio... more The present report describes a minimally invasive technique for transcrestal sinus floor elevation, namely the Smart Lift technique, which is based on the controlled use of drills and osteotomes. The rationale of this technique is to provide predictable vertical bone augmentation into the sinus cavity by (1) using the existing residual bone as a viable graft and (2) limiting the incidence of membrane perforation and postsurgery morbidity. Surgical steps of the procedure are thoroughly illustrated by means of a paradigmatic case. The Smart Lift procedure was compatible with sinus floor elevation and implant stability for up to 1 year following surgery. No complications occurred during or after surgery. On periapical radiographs, a radiopaque area corresponding to the augmented sinus floor was present above the apical portion of the implant.
Objectives The present study was performed to comparatively evaluate the peri-implant bone stabil... more Objectives The present study was performed to comparatively evaluate the peri-implant bone stability and conditions of marginal tissues at 3 years following transcrestal and lateral sinus floor elevation (tSFE and lSFE, respectively). Materials and methods Patients included in a parallel-arm randomized trial comparatively evaluating tSFE and lSFE were recalled at 3 years post-surgery. Twenty-one and 24 patients in tSFE and lSFE groups, respectively, participated in the follow-up visit. Peri-implant bone support was evaluated as the proportion of the entire implant surface in direct contact with the radiopaque area (totCON%) on 3-year periapical radiographs. The conditions of the marginal peri-implant tissues at 3-year visit were classified as peri-implant health, peri-implant mucositis, or peri-implantitis. Results At 3 years, both groups showed an implant survival rate of 100%. Median totCON% was stable at 3 years, being 100% in both groups (p = 0.124). Peri-implant health and muco...
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