Immediate Loading of Dental Implant After Sinus Floor Elevation With Osteotome Technique: A Clinical Report and Preliminary Radiographic Results

Abstract Edentulous ridges in the posterior maxilla are often compromised by reduced bone volume. This anatomic condition often limits dental implant placement of 10 mm in length without prior or simultaneous sinus augmentation. The osteotome technique is an alternative and conservative technique for sinus floor augmentation and immediate implant placement in the posterior region of the maxillary jaw. According to the relevant literature, the osteotome technique appears to be a predictable and safe method for augmenting bone at the sinus floor and to improve bone density and quality of the implant site sufficiently so that immediate loading is possible. A 46-year-old male patient was referred to the authors to replace the single upper premolar with an implant-supported crown restoration without interfering with the integrity and topography of the adjacent gingival tissues. Only one clinical study analyzed minimally invasive implant and sinus lift surgery with immediate loading. In that case report, the osteotomy was widened to its final diameter using a series of incrementally larger twist drills. In our clinical case, a series of incrementally larger diameter osteotomes improved bone density. This simplified treatment modality can make single tooth implant rehabilitation of the atrophic premolar maxilla region more accessible, and immediate loading is facilitated by improved bone density

PIEZOELECTRIC BONE SURGERY IN THE TREATMENT OF AN OSTEOMA ASSOCIATED WITH AN IMPACTED INFERIOR THIRD MOLAR: A CASE REPORT

Operative removal of impacted mandibular third molars is a common and not riskless surgical procedure. We present an emblematic case of an osteoma closely associated with an impacted third left mandibular molar treated by Mectron Piezosurgery medical ultrasonic device

Is the Mandibular Condyle Involved in Medication-Related Osteonecrosis of the Jaw? Audit of a Single Tertiary Referral Center and Literature Review

Background: Medication-related osteonecrosis of the jaw (MRONJ) may manifest as exposed mandible bone. Recent reviews of the incidence of MRONJ report primarily as exposed cortical bone of the mandibular body, ramus, and symphysis with no reports of condylar involvement. Objective: The aim of this study is to analyze the topographical incidence of MRONJ, comorbidities, demographics data, and clinical characteristics of patients diagnosed with MRONJ between 2014 and 2019 in the Maxillo-Facial Surgery Department University of Campania "Luigi Vanvitelli", and compare these results with published reports. Methods: Data on 179 patients were collected for the study, including gender, age, underlying malignancy, medical history, and specific lesion location-identifying premaxilla and posterior sectors area involvement for the maxilla and symphysis, body, ramus, and condyle area for the mandible. A literature review was performed in order to compare our results with similar or higher sample sizes and find if any condylar involvement was ever reported. The research was carried out on PubMed database identifying articles from January 2003 to November 2020, where MRONJ site distribution was discussed, and data were examined to scan for condylar localization reports. Results: 30 patients had maxillary MRONJ, 136 patients had mandibular MRONJ, and 13 patients had lesions located in both maxilla and mandible. None of the patients reported condylar involvement, neither as a single site nor as an additional localization. Literature review results were coherent to our findings showing no mention of condylar MRONJ. Conclusion: Results do not show reports of condylar involvement in MRONJ. Although the pathophysiology of the disease has not been fully elucidated, two possible explanations were developed: the first one based on the condyle embryogenetic origin; the second one based on the bisphosphonate and anti-resorptive medications effects on the different vascular patterns of the mandible areas

Enhancement of interfacial adhesion between starch and graftedpoly(epsilon-caprolactone)

[EN] The use of a modified poly(Epsilon-caprolactone) (gPCL) to enhance polymer miscibility in films based on ther-moplastic starch (S) and poly(Epsilon-caprolactone) is reported. PCL was functionalized by grafting with maleicanyhdride (MA) and/or glycidyl methacrylate (GMA) by reactive blending in a batch mixer. gPCL basedmaterials were analysed in terms of their grafting degree, structural and thermal properties. Blends basedon starch and PCL (wt. ratio 80:20) with including gPCL (0, 2.5 and 5 wt.%), as a compatibilizer, wereobtained by extrusion and compression moulding, and their structural, thermal, mechanical and bar-rier properties were investigated. Blends containing gPCL evidenced better interfacial adhesion betweenstarch and PCL domains, as deduced from both structural (XRD, FTIR, SEM) and bulk properties (DSC, TGA).Moreover, grafted PCL-based compatibilizers greatly improved functional properties of S-PCL blend films,as pointed out from mechanical performance and higher barrier properties, valuable to meet the foodpackaging requirements.The authors gratefully acknowledge the project MAREA, "Materiali Avanzati per la Ricerca ed il comparto Agroalimentare"-in the frame of National Operative Program (PON 2007-2013) and Ministerio de Economia y Competitividad (Spain) throughout the project AGL2013-42989 for their research financial support. They would like to thank the laboratory of electron microscopy "LaMEST" CNR, in the person of Maria Cristina Del Barone for the kind technical assistance in performing SEM analysis. R. Rodrigo Ortega-Toro thanks the Conselleria de Educacio de la Comunitat Valenciana for the Santiago Grisolia grant (GRISOLIA 2012/001) and to Short-Term Scientific Missions (STSM) from European Cooperation in Science and Technology (COST).Ortega-Toro, R.; Santagata, G.; D Ayala, GG.; Cerruti, P.; Talens Oliag, P.; Chiralt, A.; Malinconico, M. (2016). Enhancement of interfacial adhesion between starch and graftedpoly(epsilon-caprolactone). Carbohydrate Polymers. 147:16-27. https://doi.org/10.1016/j.carbpol.2016.03.070S162714

Biodegradable mulching spray for weed control in the cultivation of containerized ornamental shrubs

Abstract Background Weed control represents a major issue in plant cultivation in containers. Manual weed control is very expensive and the use of chemical herbicide or plastic mulch films has a large environmental impact. The aim of this study was to test the efficacy of an experimental biodegradable chitosan-based mulching spray in controlling weed growth in containers. This research also studied the effect of this mulch on the growth of Viburnum lucidum Mill. plants to test for possible phytotoxic effects. Results The study compared a total of six treatments derived from three types of weed control (no weed control; herbicide, oxadiazon; mulching spray) applied in containers either filled only with the sterile substrate or filled with the sterile substrate and then artificially inoculated with seeds of the weed species [Sonchus asper (L.) Hill subsp. asper and Epilobium montanum L.]. The mulch controlled the weeds effectively for more than 2 months after its application even under severe weed infestation. The mulching spray controlled the emergence of S. asper more efficiently than E. montanum plants, probably because the latter has a stronger capacity to penetrate the mulch film during emergence. Conclusions Three months after its application, the mulch started to degrade and this allowed some weeds to emerge in the containers, but, in general, the mulch performed better than the herbicide. The chitosan-based mulch did not have any negative effective on the growth of V. lucidum plants

Poly (Lactic Acid)/Thermoplastic Starch Films: Effect of Cardoon Seed Epoxidized Oil on Their Chemicophysical, Mechanical, and Barrier Properties

In this work, biodegradable films based on poly (lactic acid) (PLA) and corn thermoplastic starch (TPS), additivated with epoxidized cardoon oil plasticizer (ECO) at 3% by weight with respect to PLA mass fraction, were prepared by melt extrusion process and compression molding. The effect of ECO on structural, thermal, mechanical, barrier, and spectral optical properties of the films was investigated. Spectroscopic analysis evidenced the development of physical interaction between oil and polymers, mainly PLA. In addition, no oil migration occurrence was detected after six months of film preparation, as evidenced by oil mass evaluation by precipitation as well as by 1H-NMR methods, thus highlighting the good inclusion of oil inside the polymeric network. The plasticizing action of the oil induced a lean improvement of the interfacial adhesion between hydrophobic PLA and hydrophilic TPS, particularly accentuated in PLA80_ECO composition, as evidenced by morphological analysis of blend fracture surfaces. TGA data underlined that, differently from TPS-based films, PLA-based systems followed one degradative thermal profile suggesting a slight compatibilization effect of epoxidized oil in these films. The shifting of Tg values, by differential scanning calorimetry (DSC) analysis, indicated a weak miscibility at molecular level. Generally, in the investigated blends, the phase separation between PLA and TPS polymers was responsible for the mechanical properties failing; in particular, the tensile strength evidenced a negative deviation from the rule of mixtures, particularly marked in TPS-based blends, where no physical entanglements occurred between the polymers since their immiscibility even in presence of ECO. The epoxidized oil strongly improved the barrier properties (water vapor permeability (WVP) and oxygen permeability (O2P)) of all the films, likely developing a physical barrier to water and oxygen diffusion and solubilization. With respect to neat PLA, PL80 and PL80_ECO films evidenced the improvement of surface wettability, due to the presence of polar groups both in TPS (hydroxyl residues) and in epoxidized oil (oxirane rings). Finally, following to the conditioning in climatic chamber at T = 25 °C and RH = 50%, PLA80 film became opaque due to TPS water absorption, causing a light transmittance decreasing, as evidenced by spectral optical analysis

Sprayable polysaccharide-based fiber reinforced emulsions for environmentally sound plasticulture

The increasing demand for mulching and solarization in agriculture is posing serious problems of environmental concerns. Practically all these films are collected by the farmers and left on the ground borders to be incinerated. The same collection by the farmer is difficult; these films being thinner and damaged, their removal through automatic means is almost impossible. The research has focused on an innovative approach where a sort of sprayable water-based varnish is applied on soil. Such varnish, made of biodegradable polysaccharides mixture, contains biodegradable plasticizers to allow the film to remain elastic for the time needed. Moreover, a set of fibrous natural fillers have been tested, which can be mixed in the varnish or can be preventively applied on soil. The agronomic performances have been measured, together with mechanical properties and degradation behavior. The results seem to confirm the technical feasibility of such approach in developing a sustainable plasticulture. Copyright © 2006 WILEY-VCH Verlag GmbH & Co. KGaA

Resection of costal exostosis using piezosurgery associated with uniportal video-assisted thoracoscopy.

We report a case of a 35-year-old woman affected by costal exostosis, originating from the posterior arc of the left fifth rib, who complained of a persistent intractable neuralgia in the left T5 dermatome. Both pain and the risk of visceral injury led us to resect exostosis. The procedure was performed using a uniportal videothoracoscopic approach without additional incisions. For bone resection, we used Piezosurgery, a soft tissue-sparing system based on ultrasound vibrations. Piezosurgery allowed the complete resection of exostosis without injuring the intercostal nerve and vessels. The histologic analysis confirmed the diagnosis of osteochondroma and showed no sign of malignancy. The patient was discharged 2 days after the operation. Considering the lack of symptoms, the low risk of degeneration, and the absence of recurrence at 12-month follow-up, the simple resection of exostosis without performing a more extensive rib resection was judged to be optimal