Biomedical subjects
Publications and source records attributed to S Sapino.
The efficacy of misoprostol in protecting gastric mucosa during postoperative NSAID therapy was assessed in a sample group of 112 patients of both sexes suffering from gastric pathologies for which they had undergone oral surgery. The analysis of the results confirms the therapeutic efficacy of misoprostol which enabled these patients to conclude the recommended treatment.
Suture techniques are a fundamental aspect of surgical practice in terms of the successful outcome of the operation. Even in dentistry it is important to have a clear idea of the method and the type of thread used. This paper lists the types of suture threads most commonly available today, the main techniques used and, on the basis of the authors' personal experience, explains a method used for oral surgery.
In this, the second part of the paper, the main clinical tests available today for carrying out early diagnosis of carioreceptivity are reviewed. On its own, measurement of the DMF-T index can classify an individual as carioactive or evaluate his "experience of caries", but it does non determine with any degree of certainty the probability of future caries. Measurement of stimulated salivary flow is important only when this is greatly reduced, as happens, for example, in xerostomy, but the finding of an almost normal flow is not on its own sufficient to make a diagnosis of carioreceptivity certain. Assessment of salivary pH is not a reliable parameter for the screening of carioreceptivity although it may be an indicator of diseases (e.g. diabetes) or bad habits (e.g. heavy smokers) in the patient in question. So examination with very sophisticated methods is of little importance. The buffer potential of saliva, assessed with a colorimetric test, is the most reliable parameter as it measures an important property of saliva at individual level: the capacity to protect from local acidity. Some studies seem to point to the validity of the combined evaluation of DMF, pH, salivary flow and buffer power of saliva in the prediction of caries at the level of groups of individual, but this has little or no validity in the screening of individual carioreceptive subjects. Specific microbiological cultures for cariogenic microorganisms are the most reliable tests for the diagnosis of carioreceptivity, particularly Dentocult for the search for Streptococcus mutans which is the most important factors in caries. The search for lactobacilli also identifies bad hygienic and dietary habits in the patients.
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Some patients with prostheses or dental material containing nickel have been diagnosed as suffering from stomatitis. These lesions of the oral mucosa are sometimes difficult to interpret since allergies are not always taken into consideration. The paper reports a case of stomatitis due to nickel allergy and describes the diagnostic procedure [correction of iter] followed in order to diagnose the true nature of the pathology.
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In the first part of a larger study, the authors describe the concepts of caries activity and caries receptiveness. They analyse the numerous etiological factors involved in caries disease, together with the major clinical parameters which allow it to be diagnosed.
The importance of an early diagnosis in neoplastic pathologies of the oral cavity is now universally recognised and accepted, and dental treatment in this field requires particular care and preparation. Having identified the suspected lesions, it is necessary to eliminate those conditions which might favour the onset of neoplasia in the oral cavity, and then follow the patient during the pre- and post-radiotherapeutic stages. Dentistry is also responsible for following and carrying out the prosthetic recovery of patients undergoing radical jaw surgery, in order to enable them to return to normal day-to-day and working life in esthetic and functional terms.
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Description of a fourth superior with an over-numbered root and the problems that follow, mostly relating to the endodontic level treatment, are presented.
The importance of the loss of space in a context of preventive ortodoncy, is highly underlined in this kind of work.
On the basis of experience gained in previous research, an original technique for fixing fluoride on the enamel of healthy teeth for preventive purposes is described. An apparatus of ionophoresis with which it was possible to contain fluoride in the ionic state, and later a low power laser system with double red and infrared emission mixed in optic fibre were used to achieve this result. The proposed technique is not only extremely effective, offering as it does protection for at least 3 years, but is is very simple, practical and economical.
We have described and compared the P.C.F. of protusiva and the plaque of Bassani in the correction of the II class and II division by mentioning the advantages of the first one.
The importance of dental hygiene and the insufficient sensibilization to the problem, statistically proved, are underlined.
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