scholarly journals The Efficacy of Powered Oscillating Heads vs. Powered Sonic Action Heads Toothbrushes to Maintain Periodontal and Peri-Implant Health: A Narrative Review

2021 ◽  
Vol 18 (4) ◽  
pp. 1468
Author(s):  
Camilla Preda ◽  
Andrea Butera ◽  
Silvia Pelle ◽  
Eleonora Pautasso ◽  
Alessandro Chiesa ◽  
...  
Keyword(s):  
Risk Of Bias ◽  
Long Term Results ◽  
Orthodontic Appliances ◽  
Gingival Inflammation ◽  
Manual Search ◽  
Mean Differences ◽  
Powered Toothbrush ◽  
Unclear Risk ◽  
Selection Of

Objectives: To compare the efficacy of rotating-oscillating heads (ORHs) VS sonic action heads (SAHs) powered toothbrushes on plaque accumulation and gingival inflammation. Methods: An electronic (MEDLINE, Embase, Inspec, PQ SciTech and BIOSIS) and a complementary manual search were made to detect eligible studies. RCTs meeting the following criteria were included: final timepoint longer than 15 days; year of publication after 2000; patients without orthodontic appliances or severe systemic/psychiatric diseases. Studies comparing two or more different types of sonic/roto-oscillating toothbrushes were excluded. Selection of articles, extraction of data, and assessment of quality were made independently by several reviewers. Results: 12 trials (1433 participants) were included. The differences between ORHs and SAHs toothbrushes were expressed as weighted mean differences (WMD) and 95% confidence intervals (CI). The heterogeneity of data was evaluated. Concerning Plaque Index, both toothbrushes obtained comparable results. Six trials of up to 3 months and at an unclear risk of bias provided significant outcomes in terms of gingival inflammation in favor of ORHs toothbrush. Evidence resulting from three trials of up to 6 months and at a high/low risk of bias stated SAHs toothbrush superiority in gingival inflammation. Conclusions: Both ORHs and SAHs toothbrushes improved the outcomes measured from the baseline. In most of the good quality trials included, SAHs toothbrush showed statistical better long-term results. Due to the shortage of investigations, no further accurate conclusions can be outlined with reference to the superiority of a specific powered toothbrush over the other.

scholarly journals Ultrasonographic Evaluation of The Effects of Orthodontic or Functional Orthopaedic Treatment on Masseter Muscles: A Systematic Review and Meta-Analysis

Medicina ◽  
2019 ◽  
Vol 55 (6) ◽  
pp. 256 ◽  
Author(s):  
Romeo Patini ◽  
Patrizia Gallenzi ◽  
Roberta Lione ◽  
Paola Cozza ◽  
Massimo Cordaro
Keyword(s):  
Masseter Muscle ◽  
Meta Analysis ◽  
Muscle Thickness ◽  
Risk Of Bias ◽  
Functional Treatment ◽  
Orthodontic Appliances ◽  
Maxillary Expansion ◽  
Bite Block ◽  
Registration Number ◽  
Mean Differences

Objectives: This review investigated the effects of orthodontic or functional orthopedic therapy on masseter muscle thickness through the use of ultrasonography (US) in growing subjects when compared with untreated subjects. Materials and Methods: This review systematically assessed studies that investigated growing subjects undergoing orthopedic therapy for the correction of malocclusion of vertical, sagittal and transversal plane. Electronic databases (CENTRAL, MEDLINE-PubMed, Scopus and Web of Science) were searched up to February 2019, including available RCTs and CCTs, without language restrictions. The primary outcome was the effect of orthopedic or functional treatment on masseter muscle thickness. The risk of bias of included studies was assessed through the Newcastle-Ottawa quality assessment scale with the aim of defining their methodological quality. A random-effects meta-analysis analyzing mean differences with 95% confidence intervals was used for quantitative analysis. Results: The search retrieved 749 titles, but the studies selection resulted in a final sample of 5 CCTs. The studies retrieved data from 233 children (age range: 5–22 years) and were conducted at university dental clinics. Children were treated for Class II malocclusion, increased vertical dimension or lateral cross-bite variably with rapid or slow maxillary expansion, twin block, bite block, mandibular activators, quad helix, alone or in combination. Risk of bias was assessed as medium for three studies, low for one and high for another. The meta-analysis determined that at the end of orthopedic or functional treatment masseter muscle thickness, measured through the use of US, is significantly reduced (MD −0.79 mm; 95% CI −1.28 to −0.31). The reduction in muscle thickness, therefore, could be considered an indicator for the evaluation of the success of therapy with orthodontic appliances. Conclusions: Although the meta-analysis revealed that US could be considered a less invasive and effective method to evaluate the masseter muscle thickness, single-blinded RCTs, are required to confirm US reliability in this field of application. This review was registered on PROSPERO with the following registration number: CRD42018068402.

P543Cardiac resynchronization therapy in left ventricular non-compaction: long-term results in a series of 40 patients

EP Europace ◽  
2020 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
D A Radu ◽  
C N Iorgulescu ◽  
S N Bogdan ◽  
A I Deaconu ◽  
A Badiul ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Systolic Dysfunction ◽  
Serum Levels ◽  
Left Ventricular ◽  
Long Term Results ◽  
P Value ◽  
P Values ◽  
Mean Differences

Abstract Background Left ventricular non-compaction (LVNC) is a structural cardiomyopathy (SC) with a high probability of LV systolic dysfunction. Left bundle branch block (LBBB) frequently occurs in SCs. Purpose We sought to analyse the evolution of LVNC-CRT (LC) patients in general and compare it with the non-LVNC-CRT group (nLC). Methods We analysed 40 patients with contrast-MRI documented LVNC (concomitant positive Petersen and Jacquier criteria) implanted with CRT devices in CEHB. The follow-up included 7 hospital visits for each patient (between baseline and 3 years). Demographics, risk factors, usual serum levels, pre-procedural planning factors, clinical, ECG, TTE and biochemical markers were recorded. Statistical analysis was performed using software. Notable differences were reported as either p-values from crosstabs (discrete) or mean differences, p-values and confidence intervals from t-tests (continuous). A p-value of .05 was chosen for statistical significance (SS). Results Subjects in LC were younger (-7.52 ys; <.000; (-3.617;-11.440)), with no sex predominance, more obese (45.9 vs. 28.3%; <0.24) and had less ischaemic disease (17.9 vs. 39.7%; <.007). LC implants were usually CRT-Ds (91 vs. 49.5%; <.000) and more frequently MPP-ready (35.8 vs. 8.4%; <.000). At baseline, sinus rhythm was predominant in LC (97.4 vs. 79.8%; <.007) and permitted frequent use of optimal fusion CRT (75.5 vs. 46.6%; <.002). Although initial LVEFs were similar, LCs had much larger EDVs (+48.91 ml; <.020; (+7.705;+90.124)) and ESVs (+34.91; <.05; (+1.657;+71.478)). After an initial encouraging ⁓ 1 year evolution the LC-CRT group crashed its performance in terms of both LVEF and volumes. Thus, at 1 year follow-up, when compared to nLCs, LVEFs were far lower (-22.02%; <.000; (-32.29;-11.76)) while EDVs and ESVs much higher – (+70.8 ml; <.037; (+49.27;+ 189.65)) and (+100.13; <.039; (+5.25;+195)) respectively – in LCs in spite of similarly corrected dyssynchrony. The mean mitral regurgitation (MR) degree at 1 year was much higher in LCs (+1.8 classes; <.002; (+0.69;+2.97)) certainly contributing to the poor results. The cumulated super-responder/responder (SR/R) rates were constantly lower and decreasing at both 1 year (37.5 vs. 72.4; <.040) and 2 years of follow-up (10.1 vs. 80%; NS). Conclusions CRT candidates with LVNC are significantly more severe at the time of implant. After an initial short-term improvement (probably due to acute correction of dyssynchrony) most patients fail to respond in the long term. Severe dilation with important secondary MR probably plays an important role.

Selection of small hepatocellular carcinoma improves long-term results of hepatic transplantation for malignancy

1994 ◽  
Vol 7 (s1) ◽  
pp. 238-240 ◽  
Author(s):  
W.O. Bechstein ◽  
G. Blumhardt ◽  
H. Lobeck ◽  
H. Keck ◽  
H.P. Lemmens ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Long Term Results ◽  
Small Hepatocellular Carcinoma ◽  
Hepatic Transplantation ◽  
Selection Of

scholarly journals Predictors of Recurrence of AF in Patients After Radiofrequency Ablation

2019 ◽  
Vol 14 (3) ◽  
pp. 165-168 ◽  
Author(s):  
Iskren Garvanski ◽  
Iana Simova ◽  
Lazar Angelkov ◽  
Mikhail Matveev
Keyword(s):  
Radiofrequency Ablation ◽  
Catheter Ablation ◽  
Long Term Results ◽  
Predictors Of Recurrence ◽  
The Right ◽  
Selection Of

Catheter ablation is a well-known treatment for patients with AF. Despite the growing knowledge in the field, the identification of predictors of recurrence of AF after catheter ablation is one of the primary goals and is of major importance to improve long-term results of the procedure. The aim of this article is to provide an overview of what has been published in recent years and to summarise the major predictors, helping cardiac electrophysiologists in the selection of the right candidates for catheter ablation.

scholarly journals Weight Loss and Resolution of Comorbidities After Sleeve Gastrectomy: A Review of Long-Term Results

2018 ◽  
Vol 108 (1) ◽  
pp. 3-9 ◽  
Author(s):  
D. M. Felsenreich ◽  
F. B. Langer ◽  
G. Prager
Keyword(s):  
Weight Loss ◽  
Sleeve Gastrectomy ◽  
Excess Weight Loss ◽  
Long Term Results ◽  
Conversion Rates ◽  
Long Term Follow Up ◽  
Selection Of ◽  
Long Term Studies

Background and Aims: Laparoscopic sleeve gastrectomy (SG) has massively increased in numbers over the last decade and is the most frequently performed bariatric procedure worldwide today. The aim of this review is to evaluate SG in terms of weight loss and resolution of comorbidities, based on data gained from the latest long-term studies available. Material and Methods: This review includes the results of any long-term studies on SG available at this point as well as a selection of short- and mid-term studies. Results: There are only a handful of studies on sleeve gastrectomy with long-term follow-up available at this point. Conversion rates in these long-term studies amount to up to one-third of their cohorts; however, excess weight loss in patients maintaining their sleeve is over 50%. Results on the resolution of comorbidities vary among the studies available today. Summary: Sleeve gastrectomy is a valid bariatric method but one has to be aware of its limitations.

scholarly journals Interproximal space recovery using an orthodontic elastic separator before prosthetic restoration: a case report

2011 ◽  
Vol 22 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Luciana Lira Meneghel ◽  
Linda Wang ◽  
Murilo Baena Lopes ◽  
Alcides Gonini Júnior
Keyword(s):  
Contact Point ◽  
Orthodontic Appliances ◽  
Gingival Inflammation ◽  
Second Molar ◽  
Restorative Treatment ◽  
Normal Occlusion ◽  
Fixed Orthodontic Appliances ◽  
Pocket Formation

The presence of a dental contact point is essential to maintain normal occlusion and to preserve the health of periodontal structures. Occasionally dental caries could compromise the interproximal contact point, leading to migration of the adjacent teeth with consequent retention of food, gingival inflammation, pocket formation, bone loss and dental mobility. In order to achieve an adequate restorative treatment, reestablishment of interproximal space is necessary. This report describes the interproximal space recovery between the maxillary first and second molars of a 45-year-old female patient before tooth reconstruction. In this case, an orthodontic elastic separator was indicated as an alternative to fixed orthodontic appliances in order to recover the necessary space. The technique was proven efficient, effective, economical, easy to perform and, above all, less invasive than other methods. The interproximal space was regained and a ceramic onlay was cemented for restoring the maxillary second molar. Periodical clinical and radiographic follow-up should be maintained to ensure long-term success.

scholarly journals Aesthetic Rehabilitation of a Severe Dental Fluorosis Case with Ceramic Veneers: A Step-by-Step Guide

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Aminah M. El Mourad
Keyword(s):  
Wear Resistance ◽  
Dental Fluorosis ◽  
Treatment Plan ◽  
Long Term Results ◽  
Restorative Dentistry ◽  
King Saud University ◽  
Tooth Discoloration ◽  
Appropriate Treatment ◽  
Selection Of

The selection of an appropriate treatment plan for cases of dental fluorosis depends on the severity of the condition. Ceramic veneers are considered the treatment of choice for moderate to severe cases of fluorosis given the optimum aesthetics, wear resistance, biocompatibility, and long-term results of these veneers. This case report describes a step-by-step rehabilitation of fluorosed teeth, using ceramic veneers in a 26-year-old Yemeni male. The patient presented at the restorative dentistry clinics at King Saud University complaining of an unpleasant smile and generalized tooth discoloration.

Short esophagus: selection of patients for surgery and long-term results

2011 ◽  
Vol 26 (3) ◽  
pp. 704-713 ◽  
Author(s):  
Luis Durand ◽  
Roberto De Antón ◽  
Miguel Caracoche ◽  
Enrique Covián ◽  
Mariano Gimenez ◽  
...  
Keyword(s):  
Long Term Results ◽  
Short Esophagus ◽  
Selection Of Patients ◽  
Selection Of

scholarly journals Failures in through-knee amputation

1983 ◽  
Vol 7 (2) ◽  
pp. 116-118 ◽  
Author(s):  
R. Baumgartner
Keyword(s):  
Operative Treatment ◽  
Complication Rate ◽  
Operative Technique ◽  
Long Term Results ◽  
Prosthetic Rehabilitation ◽  
Knee Amputation ◽  
Prosthetic Fitting ◽  
Causes Of Failure ◽  
Selection Of

Long-term results over a period of more than 10 years give evidence of the superiority of the through-knee compared to the above-knee stump. However, failures in through-knee stumps before, during and after operation and pitfalls in prosthetic fitting are still too frequent. They are mostly due to errors because the peculiarities of the stump and the prosthetic management are not recognised. This paper emphasizes frequent causes of failure in the selection of the level of amputation, the operative technique, post-operative treatment and prosthetic rehabilitation in order to reduce the complication rate.

scholarly journals Mouth Washes – A Paradigm Shift from Chlorhexidine Gluconate to Essential Oil Mouthwash A Meta Analysis

2021 ◽  
Author(s):  
Hussain
Keyword(s):  
Essential Oil ◽  
Paradigm Shift ◽  
Meta Analysis ◽  
Gingival Inflammation ◽  
Eligibility Criteria ◽  
Comprehensive Search ◽  
Plaque Control ◽  
Mean Differences ◽  
Long Term Studies

Abstract Background: The purpose of this review is to systematically evaluate the effects of an essential-oil mouthwash compared to a chlorhexidine mouthwash with respect to plaque and parameters of gingival inflammation.Methods: PubMed databases were searched for studies up to and including may 2015. A comprehensive search was designed and the articles were independently screened. Articles that evaluated the effects of the essential oil mouthwash compared to chlorhexidine mouthwash were included. A meta-analysis was performed, and weighted mean differences were calculated.Results: A total of 17 unique articles were found, of which 11 articles met the eligibility criteria. A meta-analysis of long-term studies (duration > 3 months) showed that the essential oil mouthwash provided significantly better effects regarding prophylactic plaque control than chlorhexidineConclusion: In long-term use, the standardized formulation of essential oil mouthwash is more reliable than chlorhexidine mouthwash.

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