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Biomedical subjects

Aldo Giancotti

Publications and source records attributed to Aldo Giancotti.

10 recordsLinked to original sources

Extraction treatment using Invisalign Technique.

The Invisalign method is gaining an increasing interest as an alternative treatment option in adult patients and in difficult orthodontic cases. The aim of this work is to show a class II malocclusion with severe crowding in the upper and lower arches treated with the extraction of the upper first premolars performed by means of Invisalign. The alignment phase was successfully completed but the space closure achieved with crown tipping and without correct root inclination making a further fixed appliance phase necessary.

Adult↗

Maxillary tooth splinting in periodontally compromised patients using fiber-reinforced composite: the Targis-Vectris method.

AIM: To show the Targis-Vectris retention technique, illustrating its features and clinical applications in periodontally compromised patients. METHODS: The Targis-Vectris technique is constituted by an esthetic external layer (Targis) combined with and supported by a metal-free structure (Vectris). An adult female with a full Class II malocclusion and compromised periodontal condition with significant bone loss on the maxillary central incisor was treated. Before debonding, a fiber-reinforced splint was placed on the palatal surface of the maxillary anterior teeth, using the Targis-Vectris method, to permit long-term stability. The final result remained stable at 5 years posttreatment. RESULTS: The correction of the Class II malocclusion took 24 months. The Targis-Vectris method ensured maintenance of tooth position and periodontal condition. CONCLUSION: The Targis-Vectris technique represents a useful procedure for splinting maxillary teeth in selected periodontally compromised patients. The 5-year posttreatment follow-up visit showed no relapse. Correct occlusal relationships are necessary to reduce the risk of breakage.

Adult↗

Treatment of ectopic mandibular second molar with titanium miniscrews.

The use of a Cizeta titanium miniscrew (Cizeta Surgical, Bologna, Italy) for treating an impacted mandibular second molar is presented in this report. The surgical procedure for placing the miniscrew and the subsequent orthodontic management are described, including orthodontic traction with a nickel-titanium closed-coil spring exerting 50 g of force. We concluded that the titanium miniscrew for skeletal anchorage is effective in treating deeply impacted mandibular second molars.

Adult↗

Mandibular pendex spring appliance for use in mixed dentition.

Loss of space in the mandibular arch is a common occurrence due to several different causes such as caries, trauma or iatrogenic damage. This paper describes a new TMA spring used in mixed dentition for space regaining in the mandibular arch. A clinical report is presented and the advantages of the method are discussed.

Cephalometry↗

The use of titanium miniscrews for molar protraction in extraction treatment.

Orthodontic space closure in the mandibular arch by protraction of the mandibular second molars, after the extraction of first molars, may sometimes result in loss of incisor anchorage when using conventional orthodontic procedures. The introduction of miniscrews for immediate loading as orthodontic anchorage, has enlarged treatment possibilities. The authors illustrate their clinical experience in an adult patient treated with the extraction of mandibular first molars and the protraction of second and third molars into the extraction sites. Anchorage control was achieved with the surgical insertion of titanium miniscrews for immediate loading in the cortical bone distal to second bicuspids. Space closure was achieved by means of sliding mechanics according to Bidimensional Technique. The position of lower incisors was maintained preventing any detrimental facial effect.

Adult↗

Clinical treatment of oral manifestations of Beckwith-Wiedeman syndrome in a child.

Orthodontic treatment in a young patient with Beckwith-Wiedeman Syndrome (BWS) is reported and a multidisciplinary approach to the management of this syndrome is reviewed. The patient presented with a tendency to Class III malocclusion, an open-bite and a slight macroglossia, which was treated at an early age by glossotomy. It was decided to monitor growth without treatment and to wait for the best time to begin therapy. It was based only on functional rehabilitation, without any fixed appliances, in which optimum intercuspation of the teeth and the skeletal Class I relationship was achieved and maintained after the retention period of three years. In conclusion the treatment of BWS patients requires a multidisciplinary approach that includes orthodontics, orthopaedics and surgical intervention. It is also necessary to underline the significance of diagnosis at an early age and timely treatment to reduce the development of dento-skeletal alterations.

Adolescent↗

Extraction treatment using a palatal implant for anchorage.

AIM: To describe the use of Straumann Orthosystem implants for orthodontic anchorage. METHODS: The Straumann Orthosystem consists of a titanium palatal implant and connected device, which can be used when absolute anchorage is required. In the present study the implant was placed in the midline at the junction of the alveolar process and hard palate. The implant was osseointegrated 13 weeks after placement. A palatal arch attached to the implant and upper first molar bands was used to provide stationary anchorage in a 23 year-old female with protruding upper anterior teeth and moderate crowding of both arches. CONCLUSION: A palatal implant provides stationary anchorage for retraction of anterior maxillary teeth.

Adult↗