12 results match your criteria: "Lake Como Institute[Affiliation]"

Validation of 'total face approach' (TFA) three-dimensional cephalometry for the diagnosis of dentofacial dysmorphisms and correlation with clinical diagnosis.

Int J Oral Maxillofac Surg

October 2024

Maxillofacial Surgery Unit, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy. Electronic address:

Article Synopsis
  • Recent advancements in orthognathic surgery have not yet led to standardized cephalometric analysis for 3D virtual planning.
  • This study aimed to validate the total face approach (TFA) for diagnosing dysmorphia by analyzing various cephalometric points in three areas: vertical and sagittal dimensions, and symmetry.
  • The results indicate a high correlation between the TFA model and clinical assessments, making it a useful tool for guiding diagnoses and surgical planning in maxillofacial surgery.
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Background: Many techniques have been proposed to address post-extraction ridge resorption, which often represents a concern, especially in the esthetic region.

Purpose: The purpose of the present, prospective, multicenter, single cohort study was to investigate, up to 1 year of function, the effectiveness of a protocol for alveolar ridge preservation involving implants with laser-microgrooved surface immediately placed in fresh extraction sockets.

Materials And Methods: Twenty eight patients candidate to tooth extraction in the esthetic zone (site 15-25 and 35-45) were treated by immediate placement of a single laser-microgrooved implants with the adjunct of a highly porous anorganic porcine bone mineral matrix and a collagen wound dressing.

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Increased human life expectancy broadens the alternatives for missing teeth and played a role in the widespread use of dental implants and related augmentation procedures for the aging population. Though, many of these patients may have one or more diseases. These systemic conditions may directly lead to surgical complications, compromise implant/bone healing, or influence long-term peri-implant health and its response to biologic nuisances.

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Maxillary sinus floor elevation, via the lateral approach, is one of the most predictable bone augmentation procedures performed in implant dentistry. but both intra- and postoperative complications can occur, and some of them are severe. Our aim is as follows: To review the pertinent literature on the topic, especially assessing the risk factors related to complications.

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Objective: The aim of this study was twofold: (1) to compare soft tissue measurements of the same distances obtained from 3D computed tomography reconstructions with 2D cephalometric radiograms, (2) to compare data from 3D measurements from direct anthropometry and 2D "norms" for the facial measurements.

Patients And Methods: A total of 40 Caucasian patients that had their CBCT scans for various dental and dentoskeletal reasons were enrolled in this study. All the patients had large field of view (from the forehead to the chin).

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Introduction: Aligners represent a common treatment for orthodontic patients thanks to their countless advantages including aesthetics, comfort, and oral hygiene maintenance; at the same time, they are associated with a reduced number of visits and a low incidence of complications. Although aligners have undergone considerable improvements over time, to date they have limitations in resolving the most serious malocclusions related to transverse maxillary deficiency. The aim of the present study was to retrospectively evaluate an orthodontic protocol (the Nuvola® OP System) which associates a morpho-functional corrector (to be used for 30 min/day) with the aligner, allowing for the treatment of cases that would be difficult or unpredictable with aligners alone.

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Article Synopsis
  • Cephalometry is essential for diagnosing and planning orthodontic surgeries, but 3D cephalometry isn't widely adopted despite the use of CBCT in other dental fields.
  • In a study involving 13 patients, pre- and post-operative 3D cephalometric analysis was conducted using CBCT to assess changes following bimaxillary surgery.
  • The study found that while multiplane 3D Total Face cephalometry helps identify skeletal discrepancies effectively, the superimposition method is easier to use but lacks detailed information on bone movement.
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The aim of this study is to propose a 3D skeletal classification and relative normal values of reference. : from a pool of 271 cone-beam computerized tomography images 108 chin-summit examinations of the skull were selected and divided into 3 traditional skeletal classes. The same Cone-beam Computerized Tomography (CBCT) images were then assessed using the cephalometric multiplanar analysis following the total face approach protocol.

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Management of a neurological lesion involving Canalis Sinuosus: A case report.

Clin Implant Dent Relat Res

February 2021

Department of Biomedical, Surgical, and Dental Sciences, University of Milan, Milan, Italy.

This case report describes the management of a lesion involving the Canalis Sinuosus (CS), that is a bone channel originating from the infraorbital canal below the orbital margin and posterior to the infraorbital foramen and coursing in an anterolateral direction to the anterior wall of the nasal cavity. A female patient, 62y, ASA 1, wearing full mobile dentures, came to our clinic asking for upper jaw rehabilitation. Due to a severe bone atrophy, a graft procedure was performed and the placement of eight implants was planned.

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One-Stage Computer-Guided Customized Management of Skeletal Asymmetry by Concomitant Proportional Condylectomy and Orthognathic Surgery in Patients With Unilateral Condylar Hyperplasia.

J Oral Maxillofac Surg

November 2020

Full Professor, Department Head, Maxillofacial Surgery Department, Academic Hospital of Udine, and Department of Medicine, University of Udine, Udine, Italy. Electronic address:

Purpose: Facial asymmetry associated with unilateral condylar hyperplasia can benefit from condylectomy, which aims to arrest the pathologic condylar growth and restore an appropriate posterior height. However, there are several cases in which condylar hyperplasia is combined with various dentofacial deformities, for which joint surgery has to be accompanied by concomitant orthognathic surgery. The literature is relatively poor of examples in which virtual planning for orthognathic surgery includes the evaluation of condylectomy, which is often manually performed.

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Immediate Versus Delayed Loading of Postextraction Implants: A Long-Term Retrospective Cohort Study.

Implant Dent

December 2017

Associate Professor, Department of Biomedical, Surgical and Dental Sciences, Research Centre for Oral Health, University of Milan, Milan, Italy.

Purpose: To compare the long-term clinical and radiographic outcomes between immediate loading (IL) and conventional loading of implants placed immediately in fresh extraction sockets.

Materials And Methods: Demographic data, implant details, and periapical radiographs of patients were collected. The long-term marginal bone level remodeling and implant survival rate were calculated.

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Buccolingual implant position and vertical abutment finish line geometry: two strictly related factors that may influence the implant esthetic outcome.

Implant Dent

June 2015

*Private Practice, Lake Como Institute, Como, Italy. †Section of Implant Dentistry and Oral Rehabilitation, Department of Biomedical, Surgical and Dental Sciences (Chairman: Prof. R. L. Weinstein), IRCCS, Galeazzi Institute, Milan, Italy; Private Practice, Milan, Italy. ‡Private Practice, West Palm Beach, FL. §Head, Section of Implant Dentistry and Oral Rehabilitation, Department of Biomedical, Surgical and Dental Sciences (Chairman: Prof. R. L. Weinstein), IRCCS, Galeazzi Institute, Milan, Italy; Private Practice, Como, Italy.

Article Synopsis
  • The article discusses a new approach to three-dimensional implant positioning in the esthetic zone, addressing issues of buccal bone resorption.
  • It proposes modifying the abutment finish line geometry from horizontal to vertical, which alters the surgical technique to enhance long-term soft tissue stability.
  • The authors emphasize proper implant alignment according to the natural teeth's emergence angle, showing success in achieving better esthetics and hygiene, but they call for further research to validate their findings.
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