Antibacterial prophylaxis of surgical site infections in oral surgery: not only and not always systemic antibiotics

Antibacterial prophylaxis is a set of treatment measures, including antibiotic prophylaxis, under surgeon’s responsibility. If local measures are always to be applied, antibiotic prophylaxis administration needs a careful case selection in order to avoid indiscriminate prescription. Local measures include the following: use of sterile instrumentation and special devices to prevent surgical site contamination; good surgical treatment; pre-surgical treatment of acute local infections; pre-surgical calculus removal and perioperative plaque control; post-surgical follow-up. Antibiotic prophylaxis should follow the following five basic principles: only procedures that have high risk of infection need antibiotic prophylaxis; an adequate antibiotic should be chosen; a high dose of antibiotic should be used; the time of administration should be correct; antibiotic activity should be as short as possible

A Case of Inferior Alveolar Nerve Entrapment in the Roots of a Partially Erupted Mandibular Third Molar

[No abstract available

Fibrolipoma of the oral cavity: treatment choice in a case with an unusual location

Fibro-lipoma has been infrequently found in the oral cavity. Clinical and histological features of an unusual case located alongside the lingual cortical of the mandible are reported. A particular surgical approach was used with an intrasulcular incision, since it allowed best access to the pathological tissue, optimal flap repositioning and a lower risk of post-surgical wound dehiscence

An innovative multidisciplinary intervention to prevent and treat child obesity: the Epode Umbria Region OBesity Intervention Study (EUROBIS)

The lifestyle’s fundamental role in the approach to the young people with metabolic problems is now supported by the scientific evidence. However, multidisciplinary (including nutritional, physical activity and psychological aspects) intervention studies conducted on this issue are still lacking. This work aims to reflect on issues concerning the EUROBIS multidisciplinary intervention study, which aims to contrast childhood obesity, addressing the complex nutritional, motor, and psychological aspects to improve children’s lifestyle through the implementation of curative and preventive strategies. The curative, clinical approach already proved to be effective in a significant reduction in body weight, BMI, waist circumference, fat mass, waist circumference/height index, and an improvement of Mediterranean diet adherence and physical activity measures, in subjects with overweight/obesity [1]. Now we present the first results of the preventive project "Let’s improve the Umbrian children lifestyle", a school-based intervention, conducted in 2015-16 school year on first classes of primary schools in Umbria (more than 4000 children) resulting in an improvement in Mediterranean diet adherence and physical activity measures. This study confirms that multidisciplinary lifestyle intervention can improve anthropometric, nutritional and physical activity outcomes and represents the cornerstone to build recommendations with a high level of evidence within the Italian standards of care, although it has demonstrate the difficulties of young people and parents to join it

Mandibular canine transmigration: Aethio-pathogenetic aspects and six newreported cases

Mandibular canine transmigration is a rare dental ectopia that creates surgical, orthodontic, restorative and interceptive problems. Aethiologic and pathogenetic aspects of mandibular canine transmigration are examined through an international literature review. Six new cases are then presented. All of them involve the left canine in women aged between 7 and 32 years. Finally, a pathogenetic theory is elaborated to explain such long and lasting tooth migration. Two main factors contribute to this movement: a pericoronal osteolitic area and a strong and lasting 'vis a tergo' because of the root formation. An early interceptive treatment of mandibular canine migration can avoid tooth extraction as well as complex orthodontic and restorative therapies. © 2008 The Authors Journal compilation. 2008 Blackwell Munksgaard

The central odontogenic fibroma: how difficult can be making a preliminary diagnosis

Central odontogenic fibroma (COF) is a rare benign odontogenic tumor derived from the dental ectomesenchymal tissues. A 16-year-old Caucasian female patient was referred by her dentist for a radiolucent asymptomatic area associated with the crown of the impacted lower right third molar. A preliminary diagnosis of a follicular cyst was supposed. The lesion was surgically removed under general anesthesia together with the impacted tooth. The microscopic diagnosis of the excised tissue revealed an odontogenic fibroma. No clinical or radiographic signs of recurrence were found five years after surgical excision. Despite the various differential diagnoses of homogeneous unilocular and well delimited radiolucencies of the jaws, enucleation with peripheral curettage, without any other pre-operative imaging exams or biopsies, can be considered as the treatment of choice

Oral health literacy: how much Italian people know about the dental hygienist

People with poor OHL have the highest level of oral diseases and the worst oral treatment results. The main aim of the present study was to investigate the degree of knowledge of the role of the dental hygienist in patients who go to a public dental facility for the first time. A semi-structured questionnaire was administered to the patients with the “face-to-face” mode during a 12-month period. The principal component analysis, the general linear model and the chi-square test were used for the statistical analysis. A total number of 900 questionnaires were completed. Sixty-seven per cent of patients know that a specific degree is needed to practice dentistry and 93.1% of them know that a specific educational qualification is required to practice the dental hygienist profession. Sixty-three per cent of the subjects were aware of dental hygienist’s activities. There is no patient preference of gender as far as both dentist (84.11%) and dental hygienist (85.11%) are concerned. Seventy-five per cent of patients claimed to know what “dental hygiene” means and 65% of them believed that a good level of oral hygiene was important for oral disease prevention. Both qualification and marital status of patients are significantly associated with the patient’s level of knowledge of the dental hygienist profession. Patients with “High” scholastic qualifications showed significantly higher scores than those with “Low” qualifications. Married patients have less knowledge than widows/widowers, while divorced patients have greater knowledge than widows/widowers. Patients’ educational qualification itself only partially justifies the apparent high level of knowledge of patients about the dental hygienist’s role

Surgical uprighting and repositioning of unerupted molars : features and findings of a retrospective sample

Surgical uprighting and repositioning have been proposed to obtain a correct alignment of unerupted permanent molars. A retrospective clinical study was performed to verify the effectiveness of these techniques. In order for a case to be included in th

Is telephone follow-up really effective in early diagnosis of inflammatory complications after tooth extraction?

To establish whether telephone follow-up is really able to intercept post-extraction complications and to evaluate the degree of patient satisfaction with this kind of post-surgical monitoring. Six hundred and thirty-eight patients were enrolled and randomly assigned to a test or control group. Test group patients were monitored by telephone follow-up 24 and 72 hours after surgery to investigate the presence of local symptoms that are frequently associated with surgical wound infection and inflammation. Both test and control group patients were examined 7 days at suture removal. Patients with systemic diseases, those in which intra-operative accidents occurred during surgery and those for whom extraction suture was not required, were excluded. At least one complication among alveolar osteitis, alveolar inflammation, alveolar infection and dehiscence involved 15.70% of the patients in the test group and 30.70% of the patients in the control group and telephone follow-up proved to be useful in early identification of anomalies in the post-extraction wound healing process. Comparable results were recorded in all extraction subgroups divided according to the type (surgical and non-surgical) and the number (single and multiple) of extractions performed in the same session. Telephone follow-up showed an 8.60 ± 1.17 (0 to 10 score scale) average acceptance. All cases of alveolar osteitis and infection occurred in patients who underwent antibiotic prophylaxis. Telephone follow-up seems to allow early detection of any possible wound healing complications, it is widely accepted by patients and it could therefore be considered a valid method for wound healing monitoring after tooth extractions, due to its effectiveness, feasibility and low costs

At slaughtering and post mortem characteristics on Traditional market ewes and Halal market ewes in Tuscany

Abstract Background The aim of this work was the comparison between the carcass and the meat ewes of the regional Traditional market and the Islamic religious (Halal) market. Methods Thirty and 20 at the end of career traditional market and Halal market ewes were slaughtered following the EC (European Council, 2009) animal welfare guidelines. Live weight of ewes was taken and dressing percentage of carcasses was calculated. On every carcass zoometric measurement and the evaluation trough the EU grid rules were performed. On the Musculus longissimus thoracis of 12 Traditional market carcasses and 11 Halal market carcasses the physical-chemical and nutritional analysis were performed. Consumer tests for liking meat ewe were performed in order to find consumer’s preference level for Traditional and Halal markets ewe meat. Considering as fixed factor the ewe meat market (Traditional and Halal), results were submitted to oneway Analysis of Variance (ANOVA) and to Principal Component Analysis (PCA). Results The Halal market ewes have shown lower dressing percentages (42.91 ± 0.82 vs 46.42 ± 0.69) and lower conformation score (4.5 ± 0.5 vs 7.8 ± 0.4). The Halal market meat showed higher cooking loss in oven (37.83 ± 1.20 vs 32.03 ± 1.15 %), lesser Chroma value (18.63 ± 0.70 vs 21.84 ± 0.67), and lesser Hue angle value (0.26 ± 0.02 vs 0.34 ± 0.02). This product had also lower fat percentage (4.2 ± 0.4 vs 7.09 ± 0.4). The traditional market meat had higher percentage in monounsatured fatty acids (MUFA) (43.84 ± 1.05 vs 38.22 ± 1.10), while the Halal market meat had higher percentage in ω3 poliunsatured fatty acids (PUFA) (5.04 ± 0.42 vs 3.60 ± 0.40). The consumer test showed as the ewe meat was appreciate by the consumers. Conclusions Both meat typologies have shown good nutritional characteristics. The traditional market meat had higher MUFA composition, and a better MUFA/satured fatty acids (SFA) ratio, while the Halal market meat had higher PUFA composition. These results were also supported by the PCA. The consumers preferred the traditional market meat