The purpose of this article was to present a novel clinical workflow for the fabrication of complete dentures using computer-aided design and computer-aided manufacturing (CAD-CAM) technology. The dental technique consists of 3 clinical steps and 2 laboratory phases that result in the production of 2 CAD-CAM milled complete denture bases with prefabricated teeth. The integration of analog and digital procedures and materials maximizes their benefits in the planning and fabrication of complete dentures, with the goal of improving clinical outcomes.
View Article and Find Full Text PDFObjectives: This in-vitro study evaluates the accuracy of modular surgical templates used to fully guide implants in combination with bone reduction, performed by expert and students, for complete arch restorations.
Methods: All the procedures were performed by dental students of the final year and an expert clinician, on twelve edentulous mandible models. A virtual implant planning, simulating a complete arch restoration on six implants were performed.
Eur J Prosthodont Restor Dent
November 2024
Objectives: This study aims to assess the impact of three different strategies of best-fit (BF) alignments of virtual casts on the estimation of the accuracy of intraoral scanner (IOS) in complete-arch scans.
Methods: A maxillary typodont, modified with an Implant Scan Body (ISB) in the retroincisive area, was digitized using a desktop scanner (SW Optor Lab) to obtain a reference STL file. The typodont was then scanned 10 times using two IOSs (Trios4, Itero).
Objectives: To evaluate the accuracy of a new photometric jaw tracking system (JTS) in recording linear vertical movements in the frontal plane at different distances.
Methods: A mandibular plaster cast of a patient was placed on a simulation machine capable of linear movements along two spatial axes. Cyclops JTS (Itaka) was adapted to the plaster cast, while the head frame was attached to the simulation machine.
Objectives: This preliminary study aimed to clinically assess the precision of a novel optical jaw tracking system (JTS) in registering mandibular movements (MMs) of protrusion and mediotrusion.
Methods: Twenty healthy participants underwent recordings using Cyclops JTS (Itaka Way Med) for functional MMs of protrusion and laterotrusion by two trained clinicians. Each subject performed five registrations at different times according to a standardized pattern within one-month period.
Background: Advances in cancer knowledge and surgical techniques over the last decades have enabled plastic surgeons to use muscle-sparing procedures and more conservative approaches for implant-based reconstructions. In this paper, the authors describe an innovative subpectoral/subcutaneous implant pocket that represents an evolution of the classical submuscular technique and they report on the first consecutive hundred patients undergoing this procedure.
Methods: Between April 2019 and May 2022, 100 consecutive patients underwent immediate postmastectomy implant-based reconstruction using the subpectoral/subcutaneous space, for a total of 122 procedures.
Purpose: To evaluate the tensile strength of five different thicknesses of two resin cements placed between two titanium surfaces, before and after aging.
Materials And Methods: One hundred grade-5 titanium models were used, each composed of two surfaces simulating a semiprecision attachment for overdenture and its housing in the framework. Samples were cemented using two different resin cements (SoloCem and OT-Cem).
Clin Implant Dent Relat Res
December 2023
Introduction: Hypohidrotic ectodermal dysplasia (HED) patients suffering of oligo-anodontia require early dental treatment to improve oral functions and reduce social impairment. The aim of this study was to evaluate the skeletal growth, implant and prosthetic survival rate, success, and complications after the rehabilitation with a maxillary denture and an implant-supported overdenture provided by a sliding bar in case of severe hypodontia/anodontia related to HED.
Materials And Methods: This retrospective cohort study began in 2009.
Despite the introduction of targeted (BRAFi/MEKi) and immune checkpoint inhibitors (ICIs) has significantly reduced the recurrence rate and improved the overall survival (OS) of patients with Stage III and IV melanoma, only a percentage will benefit of durable disease control. The aim of this study was to examine whether the levels of circulating tumour DNA (ctDNA) in plasma of advanced melanoma patients undergoing BRAFi/MEKi or ICIs vary according to the patients' survival outcomes (i.e.
View Article and Find Full Text PDFObjectives: The aim of this study was to clinically evaluate the accuracy of a digital axiographic recording system in tracing the sagittal condylar inclination.
Methods: An axiographic examination that records the sagittal condylar path during protrusive/retrusive movement was performed on ten patients. Each subject was registered five different times by two different systems: 1) the Cadiax Gamma Diagnostic 4 computerized system as the control; 2) the Zebris Jaw Motion Analyser+ Optic System as the tested digital axiographic recording system.
Background: In some clinical cases, full-arch impression could be difficult to take correctly with the digital way. Patients with high flow salivary rate or with difficulties in mouth opening can still benefit from a conventional impression with elastomer materials that can be directly or indirectly digitized. The aim of this study was to compare the accuracy and precision of two different intraoral scanners (IOSs) and an impression material with scannable properties, by means of three-dimensional analysis of a complete dental arch.
View Article and Find Full Text PDFHidradenitis suppurativa (HS) is a chronic, debilitating, recurrent, auto-inflammatory disease of the pilosebaceous units of the skin. The axillary region is the most affected anatomical site and its reconstructive options include skin grafts, local random plasties, regional axial flaps, and regional perforator flaps. The main aim of this systematic review is to identify the best surgical technique for axillary reconstruction in the context of HS, in terms of efficacy and safety.
View Article and Find Full Text PDFIntroduction: A peripheral rim of globules represents a marker of the horizontal growth phase in nevi and is a common feature in children and adolescents. The observation of melanocytic lesions with peripheral globules (MLPGs) in adulthood deserves more attention, since melanoma may exhibit this feature, albeit rarely. Risk-stratified management recommendations considering a global clinical approach are still missing.
View Article and Find Full Text PDFBackground: Macroscopic alterations of the affected rotator cuff (RC) are undoubtedly linked to microscopic changes, but they may underestimate the actual degree of the disease. Moreover, it remains unclear whether preoperative structural RC changes may alter clinical outcomes.
Methods: Supraspinatus tendon and muscle samples were collected from 47 patients undergoing RC surgery.
Eur J Dent
October 2023
Objective: The aim of this study was to investigate by finite element method analysis the behaviour of a three-implant mandible Toronto framework made by three different materials, with two abutment systems and two loading conditions.
Materials And Methods: Three implants were virtually inserted in a mandible model in positions 3.6, 4.
Post mastectomy reconstruction is nowadays an integral part of breast cancer treatment, usually performed in the immediate setting. Among women with hereditary gastric and breast cancer syndromes, three different scenarios can be identified. First, healthy women seeking for prophylactic mastectomies.
View Article and Find Full Text PDFIn full-arch implant rehabilitations, when the anterior screw abutment channel compromises the aesthetic of the patient, the OT-Bridge system used with its Seeger rings may provide the necessary retention of the prosthesis. However, no studies have evaluated the forces generated at the Seeger level during loading. This Finite Element Analysis aims to investigate the mechanical behavior of Seeger rings in a mandibular model with four implants and an OT-Bridge system, used without one or two anterior prosthetic screws.
View Article and Find Full Text PDFBackground: Nasal septal deviation (NSD) is one of the most prevalent upper airway diseases causing airway obstruction, and it can negatively impact patients' quality of life (QoL).
Objective: The aim of this study was to determine the risk of anxiety and depression mood disorders in patients with NSD.
Methods: A systematic review and meta-analysis was performed according to the PRISMA statement.
Background: Osteoarthritis (OA) and vertebral fractures at the lumbar spine lead to an overestimation of bone mineral density (BMD). Recently, a new approach for osteoporosis diagnosis, defined as radiofrequency echographic multi-spectrometry (REMS), represents an innovative diagnostic tool that seems to be able to investigate bone quality and provide an estimation of fracture risk independent of BMD. The aim of this paper was to evaluate whether the use of REMS technology can favor the diagnosis of osteoporosis in subjects with an apparent increase in BMD.
View Article and Find Full Text PDFThe aim of this study was to evaluate the stability of prosthetic screws after applying cyclic loadings in an "all-on-four" rehabilitation model with the OT Bridge system. The model was tested both with and without anterior screws. Four implant analogues following the "all-on-four" concept were inserted in an edentulous mandibular resin model.
View Article and Find Full Text PDFActinic keratosis (AK) is a chronic skin disease in which clinical and subclinical cutaneous lesions coexist on sun-exposed areas such as the head and neck region and the extremities. The high prevalence of AK means the disease burden is substantial, especially in middle-aged and elderly populations. Evidence indicates that AK may progress into invasive cutaneous squamous cell carcinoma, so the European guidelines recommend treatment of any AK regardless of clinical severity.
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