280 results match your criteria: "Department of Clinical and Community Sciences.[Affiliation]"

Fracture Resistance of Chairside CAD/CAM Lithium Disilicate Partial and Full Coverage Crowns and Veneers for Maxillary Canines.

Oper Dent

January 2025

Nathaniel C Lawson, DDS, PhD, director of Master of Science in Dental Biomaterials program and associate professor, Department of Clinical and Community Sciences, University of Alabama at Birmingham School of Dentistry, Birmingham, AL, USA.

Objective: This study aimed to assess the fracture resistance of chairside computer assisted design and computer assisted manufacturing (CAD-CAM) lithium disilicate partial and full-coverage crowns and veneers for maxillary canines.

Methods And Materials: Forty-eight restorations for maxillary right canines (12 per group) were designed as follows: (1) partial crown with finish line in the upper middle third; (2) partial crown with finish line in the lower middle third; (3) traditional labial veneer; and (4) traditional full-coverage crown. Restorations were fabricated out of lithium disilicate (Amber Mill, Hassbio) using a chairside CAD-CAM system (Cerec Dentsply Sirona).

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The role of umbilical vein blood flow assessment in the prediction of fetal growth velocity and adverse outcome: a prospective observational cohort study.

Am J Obstet Gynecol

January 2025

Department of Mother and Neonate, Institute for Maternal and Child Health IRCCS Burlo Garofolo, 34137, Trieste, Italy; Department of Medical Surgical and Health Sciences, University of Trieste, 34149, Trieste, Italy.

Background: Identifying fetal growth restriction and distinguishing it from a constitutionally small fetus can be challenging. The umbilical vein blood flow is a surrogate parameter of the amount of oxygen and nutrients delivered to the fetus, providing valuable insights about the function of the placenta. Nevertheless, currently, this parameter is not used in the diagnosis and management of fetal growth restriction.

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Objectives: This case report describes the clinical protocols for the removal of crowns, tooth extraction, immediate implant placement, and cementation of new crowns, all performed under total or partial isolation with a dental dam.

Clinical Considerations: The patient's chief complaint was dissatisfaction with her smile. Radiographic and clinical evaluations led to the recommendation to replace the porcelain-fused-to-metal crowns on the maxillary central and lateral incisors with all-ceramic crowns.

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Use of the Knutson's paste for the treatment of perineal wound dehiscence after vaginal delivery: a single-center clinical experience.

Minerva Obstet Gynecol

November 2024

Unit of Obstetrics, Department of Woman, Child and Neonate, Mangiagalli Center, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Background: The aim of this study was to retrospectively evaluate the therapeutic efficacy of the Knutson's paste, a solution composed of saccharose and povidone-iodine, in the management of perineal dehiscence following repair of post-partum laceration or episiotomy.

Methods: Thirty-seven women with post-partum perineal dehiscence were included in the study, conducted between September 2020 and December 2022. Patients self-applied the Knutson's paste three times per day for 14-21 days.

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Article Synopsis
  • The study investigates how a 3D printed crown material with lower flexural strength but higher ductility impacts enamel wear and fatigue resistance compared to lithium disilicate crowns.
  • The research involved testing both materials in a wear and fatigue testing device using human molar teeth to assess wear and durability over millions of cycles.
  • Results showed that lithium disilicate caused more wear to opposing enamel than the 3D printed material, but both types of restorations exhibited no internal cracks after extensive fatigue testing, indicating similar fracture resistance under load.
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Statement Of Problem: Three-dimensional (3D) printing offers an efficient method of producing occlusal devices; however, their wear resistance is poorly understood.

Purpose: The purpose of this in vitro study was to compare the wear resistance of flexible and rigid 3D printed occlusal device materials with milled and conventionally processed occlusal device materials.

Material And Methods: Blocks (n=8) of 3 flexible 3D printed materials (KeySplint Soft, NightGuard Flex 2, SmileGuard), 2 rigid 3D printed materials (KeySplint Hard, NightGuard Firm 2), 1 milled material (Ceramill A-Splint), 1 thermoform material (Erkoloc-Pro), 1 light-polymerized material (Eclipse Prosthetic Resin), 1 heat-polymerized material (Excel Formula Heat Cure Denture Base Material), and 1 autopolymerized material (Great Lakes Splint Resin Acrylic) were prepared and wet polished with 1200-grit SiC paper.

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From One Heath to One Sustainability: The Role of Contagious Mastitis Pathogens in Decreasing the Dairy Herd Sustainability.

Pathogens

October 2024

One Health Unit, Department of Biomedical, Surgical and Dental Sciences, School of Medicine, University of Milan, Via Pascal 36, 20133 Milan, Italy.

Economic, social, and environmental sustainability are the results of efforts aiming to improve all aspects of milk production, respecting animal welfare and improving herd health. An epidemiological study was designed to assess the role of contagious pathogens ( and ) in a cohort of 120 dairy herds located in the southern regions of Italy. Milk quality was assessed using certified methods, and the prevalence of mastitis pathogens in bulk tank milk was determined using quantitative polymerase chain reaction.

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Comparing the Performance of Automatic Milking Systems through Dynamic Testing Also Helps to Identify Potential Risk Factors for Mastitis.

Animals (Basel)

September 2024

One Health Unit, Department of Biomedical, Surgical and Dental Sciences, School of Medicine, University of Milan, Via Pascal 36, 20133 Milan, Italy.

Automatic milking systems (AMSs) are revolutionizing the dairy industry by boosting herd efficiency, primarily through an increased milk yield per cow and reduced labor costs. The performance of milking machines, whether traditional or automated, can be evaluated using advanced vacuum meters through dynamic testing. This process involves scrutinizing the system and milking routine to identify critical points, utilizing the VaDia™ logger (BioControl AS, Rakkestad, Norway).

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Purpose: To compare mechanical, optical, and physical properties of denture base materials fabricated with various 3D printing systems to reference milled and conventionally heat-processed denture base materials.

Materials And Methods: Specimens of denture base materials were either 3D-printed (DLP in-office printer, CLIP laboratory printer, or material jetting laboratory printer), milled, or heat processed. 3-point bend flexural strength testing was performed after 50 hours of water storage following 1hour of drying (dry testing) or in 37°C water (wet testing).

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Retroperitoneal vs transperitoneal approach for nonruptured open conversion after endovascular aneurysm repair.

J Vasc Surg

January 2025

Department of Surgery, Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA. Electronic address:

Objective: Several studies comparing the transperitoneal (TP) and retroperitoneal (RP) approach for abdominal aortic aneurysm (AAA) repair suggest that the RP approach may result in lower rates of perioperative mortality and morbidity. However, data comparing these approaches for open conversion are lacking. This study aims to evaluate the association between the type of approach and outcomes following open conversion after endovascular aneurysm repair (EVAR).

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Article Synopsis
  • The Manta Vascular Closure Device, designed for closing large-bore arterial accesses, was evaluated to see if it performs as well as the ProGlide device in terms of achieving hemostasis after endovascular procedures.
  • A retrospective study was conducted on 524 cases of (T)EVAR procedures between January 2021 and April 2023, comparing outcomes of 355 procedures using Manta versus 169 using ProGlide.
  • Results showed similar complication rates and effectiveness for both devices, although Manta had a statistically larger sheath size, indicating that both are viable options for vascular closure.
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Glyphosate, an herbicide largely used in various contexts, can have adverse effects on human health. Although it is currently the most applied pesticide worldwide, few studies evaluated the extent of human exposure via biomonitoring. To expand such information, biological monitoring of exposure to glyphosate was conducted.

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Computer-aided design and computer-aided manufacturing (CAD/CAM) dentistry have significantly changed workflows in recent years. Restorations and devices can now be digitally designed and 3D-printed for dental care purposes. This clinical case report provides straightforward protocols for the digital design and 3D manufacture of gingivectomy and tooth preparation guides.

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Practice-based research in dentistry: Exploring methodologies, benefits, and challenges.

J Oral Rehabil

August 2024

Department of Clinical and Community Sciences, School of Dentistry, National Network Director, National Dental PBRN, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Background: Practice-Based Research Network (PBRN) studies typically assess the effectiveness of clinical interventions in settings that match real-world conditions. Dental PBRNs have the capacity to amass, identify, and analyze vast amounts of data from patient populations that include diverse racial, ethnic, socio-economic, and geographic backgrounds. These dental studies encompass a broad spectrum of healthcare aspects, including prevention, diagnosis, symptom and disease treatment, quality enhancement, and care coordination.

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Background: In carefully selected patients with an arthritic valgus knee, distal femoral osteotomy (DFO) can improve symptoms at medium- to long-term follow-up, reducing osteoarthritis progression. To date, there is no clear evidence in the current literature regarding the role of postoperative joint line obliquity (JLO) in valgus deformity correction.

Purpose: To assess the clinical and radiological outcomes of medial closing-wedge DFO (MCW-DFO) for the treatment of valgus knees, considering both tibial- and femoral-based deformities, as well as to verify the efficacy and safety of MCW-DFO according to JLO boundaries (≤4°).

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Comparison of factors associated with the evidence-practice gap as perceived by Japanese and Brazilian dentists.

J Dent

October 2024

Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Room SDB 109, 1720 Second Avenue South, Birmingham, AL 35294-0007, USA.

Article Synopsis
  • The study aimed to identify and compare factors contributing to the evidence-practice gap (EPG) in dentistry between Japan and Brazil as perceived by dentists and explore mechanisms to address the gap.
  • A web-based questionnaire was used to collect data from 136 Japanese and 110 Brazilian dentists, focusing on factors causing the EPG.
  • Results showed common issues in both countries, like prioritizing personal experiences over evidence, but also highlighted country-specific challenges, with recommendations for improving evidence-based dentistry (EBD) education and resources tailored to each country's context.
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The Italian guidelines on non-invasive and invasive prenatal diagnosis: Executive summary of recommendations for practice the Italian Society for Obstetrics and Gynecology (SIGO).

Eur J Obstet Gynecol Reprod Biol

September 2024

Department of Women's and Children's Health, Women's Health Area, Fondazione IRCCS Policlinico Universitario Agostino Gemelli, Rome, Italy; Director of Fetal Medicine and Prenatal Diagnosis UOC, Di Venere Hospital, ASL BA, Bari, Italy.

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Background And Aims: Physical performance is a major contributor of mobility and independence during older life. Despite a progressive decline in musculoskeletal function starts from middle age, several factors acting during the life-course can negatively influence musculoskeletal functional capacities. Lifestyle interventions incorporating nutrition and physical exercise can help maximizing the muscle functional capacities in early life as well as preserving them later in life.

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Immature Surfactant Protein B Increases in the Serum of Patients with Calcific Severe Aortic Stenosis.

Int J Mol Sci

June 2024

Unit of Functional Proteomics, Metabolomics, and Network Analysis, Centro Cardiologico Monzino IRCCS, 20138 Milan, Italy.

Article Synopsis
  • Valvular disease affects many people worldwide and is linked to pulmonary venous hypertension, which disrupts gas exchange.
  • A study involving 44 patients (36 needing aortic valve replacement, 8 requiring a second surgery) and 10 healthy controls found that those with recurrent surgery had higher levels of immature surfactant protein B (proSP-B).
  • The findings suggest that proSP-B could be a useful marker for assessing damage to the alveolar-capillary membrane in patients with valvular heart disease.
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Purpose: This study explored themes previously identified as central to holistic professional school success, as related to traditional academic achievement, resilience, and grit measures.

Methods: This cross-sectional study surveyed third- and fourth-year US dental students. Items addressed themes previously identified as central to professional school success, including need for cognition, patient ownership, collective orientation, grit, and resilience.

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How to Improve Surveillance Program for Shiga Toxin-Producing (STEC): Gap Analysis and Pilot Study.

Pathogens

June 2024

One Health Unit, Department of Biomedical, Surgical and Dental Sciences, School of Medicine, University of Milan, Via Pascal 36, 20133 Milan, Italy.

Several pathotypes of enteric have been identified. The group represented by Shiga toxin-producing (STEC) is of particular interest. Raw milk and raw milk products are significant sources of STEC infection in humans; therefore, identifying pathogens at the herd level is crucial for public health.

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Fracture resistance of CAD/CAM milled versus direct hand-made interim laminate veneers.

Saudi Dent J

June 2024

Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Berne, BE, Switzerland.

Background: Comparative studies of interim veneer restorations crafted using subtractive computer-aided manufacturing (s-CAM) milling technology and traditional direct hand-made approaches are needed.

Purpose: This comparative in vitro study evaluated the fracture resistance of two types of provisional veneer restorations for maxillary central incisors: milled (s-CAM) and traditional direct hand-made bis-acryl veneers.

Materials And Methods: Fifty maxillary right central incisor veneers (25 specimens per group) were fabricated and divided according to the fabrication method: (1) s-CAM milled (Structure CAD, VOCO Dental); and (2) hand-made (Protemp Plus, 3M).

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Objective: The Global Registry for Endovascular Aortic Treatment (GREAT) is an International prospective multicenter registry collecting real-world data on performance of Gore aortic endografts. The purpose was to analyze the long-term outcomes and patient survival rates, as well as device performance in patients undergoing thoracic endovascular aortic repair for acute and chronic and complicated or uncomplicated type B aortic dissection (TBAD).

Methods: From August 2010 to October 2016, 5014 patients were enrolled in the GREAT registry.

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