Publications by authors named "A Ciardo"
Objectives: This study aimed to investigate periodontal stability and treatment needs in patients under antiresorptive therapy (ART) during supportive periodontal care (SPC), with a focus on medication-related osteonecrosis of the jaw (MRONJ) risk and reasons for tooth loss.
Method And Materials: In this retrospective case-control study, records of 100 stage III/IV SPC patients (50 ART-exposed, 50 unexposed) were analyzed for probing pocket depth (PPD), clinical attachment level (CAL), bleeding on probing (BOP), history of periodontal surgery, tooth loss and MRONJ risk over a period of up to 15 years after active periodontal therapy.
Results: Baseline patient characteristics were similar between ART-exposed and unexposed patients.
Article Synopsis
- The study examined how the experience of examiners affects bone-loss measurements using high-dose (HD) and low-dose (LD) cone beam computed tomography (CBCT) scans.
- Three diagnosticians with different levels of CBCT interpretation expertise evaluated bone-loss across multiple sites on cadaveric heads, conducting two sets of measurements, with training provided to two diagnosticians in between.
- Results showed that training improved measurement accuracy and certainty for less experienced diagnosticians, highlighting the important role that examiner experience plays in the reliability of bone-loss assessment using CBCT.
Objective: To compare the costotransversectomy (CTV) and transpedicular (TP) approaches versus the transfacet (TF) approach for the surgical treatment of calcific thoracic spine herniations (cTDH), in terms of surgical and clinical outcomes.
Background: Surgical approaches for cTDH are debated. Anterior approaches are recommended, while posterolateral approaches are preferred for non-calcific, paramedian, and lateral hernias.
Article Synopsis
- The study compared the periodontal health of splinted posterior teeth against control teeth over a decade of supportive periodontal therapy, assessing if splinting is beneficial for tooth stability.
- After analyzing data from 372 patients, results showed no significant differences in clinical attachment levels and probing pocket depths between splinted and control teeth, although splint fractures were common, with only a 31% survival rate for splints.
- Although splinting could help patients with mobile teeth, it doesn't negatively affect periodontal health, yet the high fracture rate of splints is a concern.
Aim: Conventional root resection in periodontally compromised furcation-involved maxillary molars requires preceding endodontic treatment and is therefore associated with loss of tooth vitality, higher invasiveness, treatment time and costs, and the risk of endodontic complications. Vital root resection (VRR) could overcome these disadvantages while establishing stable periodontal and endodontic conditions. This case series aimed to introduce the concept of one-stage VRR with radicular retrograde partial pulpotomy (VRRretro).
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