Zygomatic Implant Survival in 9 Ectodermal Dysplasia Patients with 3.5 to 7-year Follow Up

Ectodermal dysplasia syndrome is a complex group of genetic disorders identified by the abnormal development of the ectodermal structures. The aim of this retrospective clinical case series report was to evaluate the outcomes of the ectodermal dysplasia syndrome patients that underwent zygomatic implant surgery. Materials and Methods: A total of 9 ectodermal dysplasia syndrome patients aged between 21 and 56 years (mean age 36.8) with severely atrophic maxilla were included in this study. All the patients were treated with a total of 19 zygomatic implants. The mean follow-up of the patients was 55 months (with a range of 44\u201384 months). The implant survival rate was evaluated as a primary outcome. The intra- and postoperative complications were evaluated as additional criteria for success. Results: The overall implant survival rate was 100% without any complications. Final or provisional prosthesis was delivered on the same day of surgery, which resulted in an improvement of the quality of life of the patients. Conclusion: According to the results of this study, zygomatic surgery can be considered as a viable and safe alternative to conventional treatment modalities for oral rehabilitation of ectodermal dysplasia syndrome patients

Hemifacial microsomia: Case report and literature review

Hemifacial microsomia (HFM) is a sporadic congenital malformation of the craniofacial structures derived from the first and second branchial arches. The incidence of HFM has been reported to range from 1 in 3,0001 to 1 in 26,0002 live births, making HFM the second most common congenital malformation in the face after cleft lip and/or palate. An 11-year-old girl came at Galeazzi Institute (Milan) in January 2017. She presented left hemifacial microsomia with absence of the left ramus of mandible and the left temporomandibular joint (tmj), part of the zygomatic arch, hypoplasia of the lateral and inferior orbital bone and of the zygomatic bone. She also presented a medial canthal dystopia. She underwent to costochondral bone graft and calvaria bone graft for reconstruction of part of the mandible and the TMJ. An emi-Le Fort I, emi-Le Fort III, and sagittal segmental osteotomy of the right mandible were performed to improve the correct occlusion. Traditionally, the costochondral graft has been considered the gold standard for ramus-condyle reconstruction in the pediatric mandible when appropriate. Some studies cite growth unpredictability and ankylosis as concerns with rib. Further studies examining carefully the factors predicting graft growth, such as size of cartilage cap, surgical technique, and postoperative physiotherapy, are warranted

Clinical outcomes of fully and partially threaded zygomatic implants in a cohort of patients with minimum 7.5-year follow-up

OBJECTIVE: The aim of this retrospective case series report was to evaluate the results of oral rehabilitation with extra-sinus zygomatic implant surgery with a minimum follow-up of 7.5 years. PATIENTS AND METHODS: A total of 35 patients with 87 zygomatic implants were included. The mean follow-up period of the patients was 93 months. The zygomatic implant survival and complications were evaluated as criteria for success. RESULTS: There were no implant failures. Overall success rate without complications for zygomatic implant was 88.5%. Complications developed in 4 patients (1 cutaneous fistula and 3 mucositis). According to the results on an implant basis, patients with previously failed conventional implants had greater probability of complications. Patients with quad zygomatic implants had higher incidence of complications than those with two zygomatic implants. Fully threaded implant design was associated with higher incidence of mucositis than partially threaded design. No relation was found between implant success and smoking, prosthesis type, and antagonist dentition. When conducting the analysis using the patient as unit, only the antagonist dentition showed significant difference, the worst outcome being associated with the Toronto resin prosthesis. CONCLUSIONS: Zygomatic implants can be considered as a safe alternative to conventional implant insertions and bone grafting procedures in oral rehabilitation of patients with severely atrophic maxillary bone

One-Dimensional Discrete Stark Hamiltonian and Resonance Scattering by Impurities

A one-dimensional discrete Stark Hamiltonian with a continuous electric field is constructed by extension theory methods. In absence of the impurities the model is proved to be exactly solvable, the spectrum is shown to be simple, continuous, filling the real axis; the eigenfunctions, the resolvent and the spectral measure are constructed explicitly. For this (unperturbed) system the resonance spectrum is shown to be empty. The model considering impurity in a single node is also constructed using the operator extension theory methods. The spectral analysis is performed and the dispersion equation for the resolvent singularities is obtained. The resonance spectrum is shown to contain infinite discrete set of resonances. One-to-one correspondence of the constructed Hamiltonian to some Lee-Friedrichs model is established.Comment: 20 pages, Latex, no figure

A long-term perspective on deforestation rates in the Brazilian Amazon

Monitoring tropical forest cover is central to biodiversity preservation, terrestrial carbon stocks, essential ecosystem and climate functions, and ultimately, sustainable economic development. The Amazon forest is the Earth’s largest rainforest, and despite intensive studies on current deforestation rates, relatively little is known as to how these compare to historic (pre 1985) deforestation rates. We quantified land cover change between 1975 and 2014 in the so-called Arc of Deforestation of the Brazilian Amazon, covering the southern stretch of the Amazon forest and part of the Cerrado biome. We applied a consistent method that made use of data from Landsat sensors: Multispectral Scanner (MSS), Thematic Mapper (TM), Enhanced Thematic Mapper Plus (ETM+) and Operational Land Imager (OLI). We acquired suitable images from the US Geological Survey (USGS) for five epochs: 1975, 1990, 2000, 2010, and 2014. We then performed land cover analysis for each epoch using a systematic sample of 156 sites, each one covering 10 km × 10 km, located at the confluence point of integer degree latitudes and longitudes. An object-based classification of the images was performed with five land cover classes: tree cover, tree cover mosaic, other wooded land, other land cover, and water. The automatic classification results were corrected by visual interpretation, and, when available, by comparison with higher resolution imagery. Our results show a decrease of forest cover of 24.2% in the last 40 years in the Brazilian Arc of Deforestation, with an average yearly net forest cover change rate of -0.71% for the 39 years considered

2,12-diaza[6]helicene: An efficient non-conventional stereogenic scaffold for enantioselective electrochemical interphases

The new configurationally stable, unsymmetrical 2,12-diaza[6]helicene was synthesized as a racemate and the enantiomers were separated in an enantiopure state by semi-preparative HPLC on chiral stationary phase. Under selected alkylation conditions it was possible to obtain both the enantiopure 2-N-mono- and di-N-ethyl quaternary iodides. Metathesis with bis(trifluoromethanesulfonyl)imide anion gave low-melting salts which were tested as inherently chiral additives to achiral ionic liquids for the electrochemical enantiodiscrimination of chiral organic probes in voltammetric experiments. Remarkable differences in the oxidation potentials of the enantiomers of two probes, a chiral ferrocenyl amine and an aminoacid, were achieved; the differences increase with increasing additive concentration and number of alkylated nitrogen atoms

Current oscillations in a metallic ring threaded by a time-dependent magnetic flux

We study a mesoscopic metallic ring threaded by a magnetic flux which varies linearly in time PhiM(t)=Phi t with a formalism based in Baym-Kadanoff-Keldysh non-equilibrium Green functions. We propose a method to calculate the Green functions in real space and we consider an experimental setup to investigate the dynamics of the ring by recourse to a transport experiment. This consists in a single lead connecting the ring to a particle reservoir. We show that different dynamical regimes are attained depending on the ratio hbar Phi/Phi0 W, being Phi0=h c/e and W, the bandwidth of the ring. For moderate lengths of the ring, a stationary regime is achieved for hbar Phi/Phi0 >W. In the opposite case with hbar Phi/Phi0 < W, the effect of Bloch oscillations driven by the induced electric field manifests itself in the transport properties of the system. In particular, we show that in this time-dependent regime a tunneling current oscillating in time with a period tau=2piPhi0/Phi can be measured in the lead. We also analyze the resistive effect introduced by inelastic scattering due to the coupling to the external reservoir.Comment: 17 pages, 13 figure

Helicity: a non-conventional stereogenic element for designing inherently chiral ionic liquids for electrochemical enantiodifferentiation

Configurationally stable 5-aza[6]helicene (1) was envisaged as a promising scaffold for non-conventional ionic liquids (IL)s. It was prepared, purified, and separated into enantiomers by preparative HPLC on a chiral stationary phase. Enantiomerically pure quaternary salts of 1 with appropriate counterions were prepared and fully characterized. N-octyl-5-aza[6]helicenium bis triflimidate (2) was tested in very small quantities as a selector in achiral IL media to perform preliminary electrochemical enantiodifferentiation experiments on the antipodes of two different chiral probes. The new organic salt exhibited outstanding enantioselection performance with respect to these probes, thus opening the way to applications in the enantioselective electroanalysis of relevant bioactive molecules

Chiral biobased ionic liquids with cations or anions including bile acid building blocks as chiral selectors in voltammetry

Chiral ionic liquids (CILs), or ionic liquids (ILs) with chiral additives, are very attractive chiral media for enantioselective electroanalysis, on account of their high chiral structural order at the electrochemical interphase. A family of molecular salts with CIL properties is now introduced, based on the chiral steroid building block of deoxycholic acid implemented either in the anion or cation. Testing them as chiral additives in a commercial achiral IL, they enable voltammetric discrimination of the enantiomers of a model chiral probe on disposable screen-printed electrodes in terms of peak potential differences, which is the most desirable transduction mode of the enantiorecognition event. The probe enantiomer sequence is the same for all selectors, consistent with their sharing the same chiral building block configuration. This proof-of-concept widens the application fields of bile acid derivatives as chiral selectors, while also enriching the still very few CIL families so far explored for applications in chiral electroanalysis