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Biomedical subjects

L Checchi

Publications and source records attributed to L Checchi.

At least 19 recordsLinked to original sources

Clinical significance of holes in gloves for dental use: a spectrophotometric analysis.

The aim of this study on latex dental gloves was to establish whether there is any relationship between faults that are detected by filling with water and the entry of liquid into the gloves during use. Twenty-four gloves of different sizes were examined. Large and small holes randomly distributed on the index, middle, and ring fingers, were made in the gloves. The gloves were filled with water and squeezed to detect the amount of water escaping. A mass spectrophotometer was used with the same gloves to quantify the entry of an aqueous solution of potassium bichromate during work. The filling method was effective for revealing all faults in gloves, but it was not able to determine whether there would be fluid entry through the holes during work. While the size of the holes was not predictive for the amount of liquid entering the glove, adherence of the glove to the hand was. Holes of the same size allowed a greater entry of contaminated liquid in adherent gloves than in looser ones.

Dentists

In vitro growth of periodontal fibroblasts on treated cementum.

The aim of the present study was to assess the ability in vitro of phosphoric and citric acids, applied on human root cementum, to neutralize noxious plaque and calculus and to allow the growth of human gingival fibroblasts. Fibroblasts grown on cementum treated with phosphoric acid appeared typically elongated and aligned parallel to the root surface. Fibroblasts grown on cementum treated with citric acid, in both normal and periodontally diseased teeth, lost their elongated shape, acquiring polygonal borders with irregular cytoplasmic extrusions, and the cell density was significantly lower. These findings suggest that phosphoric acid cleaning of both normal and diseased root surfaces may result in an oriented, high rate of fibroblastic growth with more effective periodontal cellular proliferation than that observed after citric acid treatment.

Cell Division

Cardiovascular effects of local anesthesia with epinephrine in periodontal treatment.

To assess if the association of epinephrine with local anesthesia involves cardiovascular risks, 14 patients undergoing periodontal treatment were observed. Systolic and diastolic blood pressures and mean and maximal heart rates were analyzed. The comparison of basal and postanesthetic periods revealed a trend (nonsignificant) toward an increase in systolic blood pressure and a small, statistically significant increase in diastolic blood pressure; the heart rate increased in only a few patients, and never by more than 10 beats/min. The whole group showed a statistically significant reduction in mean and maximal heart rates from the basal period to an end-session period. Thus, in these patients, the given epinephrine doses resulted in negligible changes in heart rate and blood pressure. The reduction in heart rates at the end of treatment underlines the important role of the autonomic nervous system in the modulation of the cardiovascular response during dental sessions.

Adolescent

Postoperative infections and tetracycline prophylaxis in periodontal surgery: a retrospective study.

The aims of this retrospective study were to assess the incidence of infection after periodontal surgery, in relation to the type of surgical procedure, and the effectiveness of prophylactic tetracycline administration. Nineteen (4.4%) of 445 surgical procedures in patients who were given no tetracycline resulted in signs of infection, while two (3.8%) in patients who were treated with tetracycline resulted in signs of infection. There was no statistically significant difference between these incidences, suggesting that there is no reason for routine tetracycline prophylaxis in periodontal surgery. There was no statistically significant difference in the incidence of infection whether or not bone (ostectomy or osteoplasty) or tooth extraction was involved in the surgical procedure.

Adolescent

[Tartar and periodontal disease--a cofactor in etiopathogenesis].

Calculus may be considered as an aggregate of calcified deposits or deposits that are going to calcify in the oral cavity. From a topographical point of view calculus is classified in supragingival and subgingival calculus. Calculus is composed by inorganic (70-80%) and organic (20-30%) components. Calculus results from calcification of plaque and epithelial cells exfoliated from oral mucosae. Calcification phenomena (carbonic acid theory) are caused by a rapid fall down of salivary acidity when saliva springs out gland ducts. In fact in the mouth there is a lower pressure of carbon dioxide than in the gland ducts. From this fact results that calcium bicarbonate (dissolvable) becomes calcium carbonate (undissolvable) that forms, starting from nucleating particles, calcium carbonate crystals. Then calculus is one of the most important cofactors in the etiology and pathogenesis of periodontal disease: a) it favors plaque growth and stabilizes it to dental and periodontal tissues; b) it favors retention of food debris and hinders dental cleaning; c) it has endotoxins and lets them free slowly; d) it hinders periodontal recovery. From this study it results that scaling and root planing are one of the first steps in periodontal therapy.

Dental Calculus

Sharpening of ultrasonic scalers.

Instruments suitable for removing calculus, plaque and necrotic cementum, which hinder normal periodontal reattachment, are extremely important for successful therapy. The test was carried out in order to see if a standard scaler used for ultrasonic tartar removal maintains its physical features when sharpened. 6 scalers, compatible with piezo-electric generators, were tested and 2 diameters, A and B, weights and resonance frequencies were measured. Scalers no. 2, 3, 4, 5, were sharpened and was used as control. All measurements were taken again at the end of the test. Statistical analysis reveals significant variations, after sharpening, of A diameter (t = 4.14 greater than 3.55, p less than 0.01), B diameter (t = 5.34 greater than 3.355, p less than 0.01) and resonance frequency (t = 2.82 greater than 2.306, p less than 0.05); in contrast, there is no significant change of weights (t = 1.17 less than 2.306, p greater than 0.05). These results suggest that sharpening slightly modifies the physical features of ultrasonic tips, so that sharpening ultrasonic scalers, from a physical point of view, can be carried out, paying attention not to damage the water cooling system.

Dental Scaling

Evaluation of the permeability of latex gloves for use in dental practice.

The aim of this study was to evaluate the permeability of the disposable, nonsterile gloves used in dental practice. A visual inspection and a water-filling test were carried out on seven different brands of gloves. Only five of the seven makes analyzed showed a value of pinch marks statistically not different from 2% (the limit recommended by the American Society for Testing and Materials). Analysis of the gloves with holes revealed that only four makes showed a value statistically not different from 2%. Finally, only three of the seven makes analyzed had a number of defects statistically not different from 2%. It may therefore be stated that the average quality level currently available should be improved to guarantee a safer and more effective protection against oral pathogens in dental practice.

Analysis of Variance

Clinical and morphologic response to interdental brushing therapy.

The interdental papilla is the anatomic site most susceptible to periodontal disease. The gingival epithelium plays an important role as a barrier to protect the underlying connective tissue from exogenous noxious agents. A study was undertaken to evaluate the papillary epithelial response to reconstructive stresses conducted by gingival brushing (oral therapy) and scaling and root planing, intended to induce a keratinization associated with reduction or resolution of connective tissue inflammation. Results showed that patients who prolonged the interproximal hygiene practices for more than 30 minutes a day achieved a satisfactory keratinization of the papillary gingival epithelium.

Dental Plaque

[Normality and pathology of the interdental papilla].

Interdental papilla is the portion of gingiva between two adjacent teeth. It has only recently been correctly described by Cohen. Before this interdental papilla was considered only a gingival trait roughly pyramidal in shape. Furthermore, for a long time, the interdental gingiva function was seen only as deflection of interproximal food debris. Now it is clear that the physiology of the papilla is more complex, that it is a biologic barrier to protect deep periodontal tissues. So it's very important to respect papilla integrity during all dental practice and it may be important to keratinize, by interproximal brushing the col to increase its resistance. Besides, during periodontal disease, the interproximal gingiva changes its morphology and histology, so that it's very useful to analyze it to obtain an exact clinical evaluation of disease.

Gingiva