RESUMEN
Objective: Prolonged use of oral devices as a substitute for traditional treatments has been studied in relation to the dental and skeletal changes associated with obstructive sleep apnea syndrome (OSA), which is a sleep-breathing disorder. Materials and Methods: A review of articles indexed in PubMed, Google Scholar, Cochrane Library, Scopus, Web of Sciences, and CINHAL databases in September 2022 based on MeSH-based keywords with "dental and skeletal" and "oral appliance" and "obstructive sleep apnea" was examined to ensure that the keywords alone or cross-linked, depending on which base of the searched data, were used. 16 articles out of 289 articles were included in the research, and 273 articles were excluded due to lack of study. Conclusions: CPAP treatment has limited dental or skeletal effects in short-term or long-term use. OAs and MADs show significant dental changes with prolonged use. MAS and TSD are more effective in short-term goals than CPAP. OAs' increase may cause dental and skeletal changes. MPD shows notable cephalometric alterations.
Asunto(s)
Apnea Obstructiva del Sueño , Trastornos del Sueño-Vigilia , Humanos , Presión de las Vías Aéreas Positiva Contínua , Apnea Obstructiva del Sueño/terapia , Pacientes , Respiración , SueñoRESUMEN
The aim of this paper is to describe the figure of the Italian surgeon Iginio Tansini (1855-1943), who was full professor of surgery and director of the Department of Surgery at the University of Pavia (1903-1931). In that period, he modernized the School of Surgery founded by Antonio Scarpa (1752-1832) in the previous century; he introduced the experimental method in the discipline. One of his major contributions was an innovative technique of mastectomy followed by plastic reconstruction with myocutaneous flap. Tansini was a pioneer in oncology, supporting the importance of an early diagnosis based on a biopsy; he was also the first in Italy to practice a gastrectomy for stomach cancer with success in 1887.
Asunto(s)
Neoplasias de la Mama , Cirujanos , Historia del Siglo XIX , Historia del Siglo XX , Humanos , Italia , Masculino , MastectomíaRESUMEN
The case of an IgAk myeloma showed the following common features with more than a hundred of patients described by the literature: osteonecrosis of the jaws, prolonged administration of bisphosphonates due to neoplastic skeletal lesions, antitumoral therapies and recent dental surgery. The antiangiogenetic effects of bisphosphonates can have an important pathogenetic role and a general dental treatment should be completed before the start of bisphosphonate administration.
Asunto(s)
Difosfonatos/efectos adversos , Enfermedades Maxilomandibulares/inducido químicamente , Osteonecrosis/inducido químicamente , Anciano , Humanos , Masculino , Mieloma Múltiple/tratamiento farmacológicoRESUMEN
In a "mafia" crime case, a magistrate asked us whether it is possible to destroy a cadaver by immersing it in acids, and would it be possible to identify any residues. The aim of this study was to observe the behavior of teeth exposed to four kinds of acid solutions. The teeth were placed in plastic containers with 25 mL of acid and observed. The experiences showed that teeth are completely dissolved after 14 h of immersion in 37% solution of hydrochloric acid, while at 90h in 96% sulfuric acid, the destruction of the samples is still incomplete. In nitric acid the teeth undergo a complete dissolution in 12 h, and in 17 h in aqua regia (chloroazotic acid-hydrochloric/nitric acid 1:3). It was possible to recognize the characteristic morphological features of dental tissues and structures up until the advanced stages of degradation.