34 results on '"Ferrari Cagidiaco, Edoardo"'
Search Results
2. A Randomized Controlled Clinical Trial on Lithium Disilicate Veneers Manufactured by the CAD–CAM Method: Digital Versus Hybrid Workflow
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Verniani, Giulia, primary, Ferrari, Marco, additional, Manfredini, Daniele, additional, and Ferrari Cagidiaco, Edoardo, additional
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- 2024
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3. A Randomized Controlled Clinical Trial on Press, Block Lithium Disilicate, and 3D Printed Partial Crowns in Posterior Teeth: One-Year Recall.
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Verniani, Giulia, Casucci, Alessio, Val, Matteo, Ruggiero, Gennaro, Manfredini, Daniele, Ferrari, Marco, and Ferrari Cagidiaco, Edoardo
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DENTAL resins ,MATERIALS testing ,DENTAL fillings ,COMPUTER-aided design ,COMPLICATIONS of prosthesis ,DENTURES ,DENTAL materials ,STATISTICAL sampling ,DENTAL crowns ,RANDOMIZED controlled trials ,MANN Whitney U Test ,DESCRIPTIVE statistics ,LITHIUM ,DENTAL ceramics ,THREE-dimensional printing ,COMPARATIVE studies ,DATA analysis software ,SURVIVAL analysis (Biometry) ,PROSTHESIS design & construction - Abstract
This study compares the clinical performances of two lithium disilicate (Initial LiSi press vs. Initial LiSi Block, GC Corp.) and a 3D printed resin (Temp Print, GC Corp.) partial crown using modified United States Public Health Service (USPHS) evaluation criteria and survival rates after one year of clinical service. Eighty-nine partial adhesive restorations on posterior teeth were realized using different materials: Group 1 used Initial LiSi press, Group 2 used Initial LiSi Block, and Group 3 used Temp Print. An analog workflow was used to realize the restoration of Group 1, while a fully digital workflow was used for Groups 2 and 3. The modified USPHS parameters, together with periodontal parameters, were collected at baseline and at the one-year recall. Contingency tables to assess for significant differences of success over time in each group were used. All modified USPHS parameters showed Alpha or Bravo; no Charlie was recorded. No statistically significant difference emerged between the three groups in any of the assessed variables (p > 0.05). All modified USPHS scores were compatible with the outcome of clinical success, no restoration was replaced or repaired, and the survival rate was 100% at the one-year recall. No difference was found between the traditional and digital workflows used to fabricate the restorations. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Implant-Prosthetic Rehabilitation of the Agenesis of Maxillary Lateral Incisors: A 2-Year Prospective Clinical Study with Full Digital Workflow.
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Sorrentino, Roberto, Di Mauro, Maria Irene, Ruggiero, Gennaro, Leone, Renato, Ferrari Cagidiaco, Edoardo, Annunziata, Marco, Ferrari, Marco, and Zarone, Fernando
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THERAPEUTIC use of metals ,DENTAL implants ,DIGITAL technology ,JAW diseases ,POSTOPERATIVE care ,THREE-dimensional imaging ,DENTURES ,HYPODONTIA ,ORAL hygiene ,ORAL mucosa ,DESCRIPTIVE statistics ,INCISORS ,DECIDUOUS teeth ,WORKFLOW ,LONGITUDINAL method ,TOOTH eruption ,MASTICATORY muscles ,DENTAL occlusion ,ORTHODONTIC appliances ,KAPLAN-Meier estimator ,PROSTHODONTICS ,DENTISTRY ,QUALITY of life ,MAXILLA ,PATIENT satisfaction ,DATA analysis software ,PROSTHESIS design & construction ,PSYCHOLOGY of dentists ,MEDICAL care costs - Abstract
The main objectives of the present prospective clinical study were to evaluate the survival and success rates of implant-supported zirconia single crowns fabricated with a full digital workflow for the rehabilitation of mono- and bilateral agenesis of maxillary lateral incisors after 2 years of clinical function; biological and technical parameters affecting the prosthetic restorations were recorded, as well as the patient-satisfaction score. Twenty-two patients showing mono- or bilateral agenesis of the maxillary lateral incisors were included in this study, and a total of 30 narrow-diameter implants were inserted. Thirty screw-retained monolithic cubic zirconia single crowns with internal connections were fabricated. Objective outcome evaluations were performed by means of the Functional Implant Prosthodontic Score, whereas the patient-satisfaction score was evaluated using Visual Analog Scales. Descriptive statistics were performed and the Kaplan–Meier analysis was run to analyze time-to-event data. After 2 years of clinical function, the overall FIPS found in the present study was 9.2, whereas the average patient-satisfaction score was 8.7. The Kaplan–Meier analysis at the 2-year follow-up reported a cumulative survival rate of 100% and a cumulative success rate of 93.3%. The implant-prosthetic rehabilitation with a full digital workflow proved to be an effective and reliable procedure for the functional and aesthetic treatment of the agenesis of maxillary lateral incisors in the short-term. Clinical investigations with wider sample populations and longer observational follow-ups could be useful to validate, in the long-term, the clinical outcomes of the present prospective clinical study. [ABSTRACT FROM AUTHOR]
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- 2024
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5. Intramuscular Botulinum Toxin as an Adjunct to Arthrocentesis with Viscosupplementation in Temporomandibular Disorders: A Proof-of-Concept Case–Control Investigation.
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Guarda Nardini, Luca, Manfredini, Daniele, Colonna, Anna, Ferrari Cagidiaco, Edoardo, Ferrari, Marco, and Val, Matteo
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BOTULINUM toxin ,TEMPOROMANDIBULAR disorders ,INTRAMUSCULAR injections ,TEMPOROMANDIBULAR joint ,OROFACIAL pain ,BOTULINUM A toxins - Abstract
Background: The reduction in joint load is a potential beneficial factor in managing osteoarthritis of the temporomandibular joint (TMJ). This paper aims to compare the effectiveness of the intramuscular injection of botulinum toxin (BTX-A) as an adjunct to TMJ arthrocentesis plus viscosupplementation with arthrocentesis plus viscosupplementation alone in the management of TMJ osteoarthritis. Methods: A pilot clinical retrospective study examined TMJ osteoarthritis treatments. Patients were divided into two groups: Group A received BTX-A injections and arthrocentesis with viscosupplementation, while Group B received only arthrocentesis with viscosupplementation. The study assessed outcomes based on mouth opening (MO), pain at rest (PR), pain at mastication (PF), and masticatory efficiency (ME) at various time points (baseline (T0), 1 week (T1), 2 weeks (T2), 3 weeks (T3), and 4 weeks (T4)) up to 2 months after treatment. Results: The study included two groups, each with five patients. Group A received five weekly sessions of arthrocentesis plus viscosupplementation and a single BTX-A injection during the first arthrocentesis appointment. Group B underwent the five-session protocol of arthrocentesis plus viscosupplementation alone. MO, PF, PR, and ME improved quickly in T2 in both groups, but the improvement was of greater importance over the following weeks and lasted longer in Group A. Conclusions: Arthrocentesis with viscosupplementation associated with BTX-A was found to be more effective than arthrocentesis alone in improving clinical outcomes. This suggests that patients with TMJ osteoarthritis and myofascial pain may benefit from reduced muscle tone and joint load. [ABSTRACT FROM AUTHOR]
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- 2024
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6. Influence of different palatal morphologies on the accuracy of intraoral scanning of the edentulous maxilla: A three-dimensional analysis
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Sorrentino, Roberto, primary, Ruggiero, Gennaro, additional, Leone, Renato, additional, Di Mauro, Maria Irene, additional, Ferrari Cagidiaco, Edoardo, additional, Joda, Tim, additional, Lo Russo, Lucio, additional, and Zarone, Fernando, additional
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- 2024
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7. A randomized controlled clinical trial on press and block lithium disilicate partial crowns: A 4-year recall.
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FERRARI-CAGIDIACO, EDOARDO, VERNIANI, GIULIA, KEELING, ANDREW, ZARONE, FERDINANDO, SORRENTINO, ROBERTO, MANFREDINI, DANIELE, and FERRARI, MARCO
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CRIME & the press ,CLINICAL trials ,RANDOMIZED controlled trials ,DENTAL abutments ,CONTINGENCY tables - Abstract
Purpose: To evaluate clinical performances of two lithium disilicate systems (Initial LiSi press vs Initial LiSi Block, GC Co.) using modified United States Public Health Service (USPHS) evaluation criteria and survival rates after 4 years of clinical service. Methods: Partial adhesive crowns on natural abutment posterior teeth were made on 60 subjects who were randomly divided into two groups: Group 1: Initial LiSi press and Group 2. Initial LiSi Block. Fabrication of partial crowns was made with full analog and digital procedure in Groups 1 and 2 respectively. The restorations were followed-up for I and 4 years, and the modified USPHS evaluation was performed at baseline and each recall together with periodontal evaluation. Contingency tables to assess for significant differences of success over time in each group and time-dependent Cox regression to test for differences between the two groups were used and the level of significance was set at P< 0.05. Results: Regarding modified USPHS scores, all evaluated parameters showed Alpha or Bravo and no Charlie was recorded. No statistically significant difference emerged between the two groups in any of the assessed variables (P> 0.05). No statistically significant difference between scores recorded at the baseline and each recall. All modified USPHS scores were compatible with the outcome of clinical success and no one restoration was replaced or repaired. and the survival rate was 100% after 4 years of clinical service. No difference was found between traditional and digital procedure to fabricate the crowns. The two lithium disilicate materials showed similar results after 4 years of clinical service. [ABSTRACT FROM AUTHOR]
- Published
- 2024
8. Flexural Strength Analysis of Different Complete Denture Resin-Based Materials Obtained by Conventional and Digital Manufacturing
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Casucci, Alessio, primary, Verniani, Giulia, additional, Barbieri, Anne Lucrèce, additional, Ricci, Nicolò Maria, additional, Ferrari Cagidiaco, Edoardo, additional, and Ferrari, Marco, additional
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- 2023
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9. Multiplicative effect of stress and poor sleep quality on periodontitis: A university‐based cross‐sectional study.
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Marruganti, Crystal, Gaeta, Carlo, Romandini, Mario, Ferrari Cagidiaco, Edoardo, Parrini, Stefano, Discepoli, Nicola, and Grandini, Simone
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Background: The aim of this study was to evaluate the association of perceived stress and poor sleep quality with periodontitis in a university‐based cohort of individuals. Methods: A total of 235 individuals were included in this cross‐sectional study. Perceived stress and sleep quality were evaluated through validated questionnaires, while periodontitis was identified with a full‐mouth periodontal examination protocol using both European Federation of Periodontology/American Academy of Periodontology (EFP/AAP) and Centers for Disease Control and Prevention (CDC)/AAP case definitions. Simple and multiple linear and ordinal logistic regression analyses were performed to evaluate the association between perceived stress and sleep quality with periodontitis prevalence and severity. Results: Stage III/IV periodontitis resulted associated with both moderate/high perceived stress (odds ratio [OR] = 5.4; 95% confidence interval [CI]: 2.2–13.5; p < 0.001) and poor sleep quality (OR = 3.0; 95% CI: 1.2–7.4; p < 0.05). The interaction between moderate/high perceived stress and poor sleep quality presented a multiplicative association with stage III/IV periodontitis (EFP/AAP; OR = 5.8; 95% CI: 1.6–21.3; p < 0.001). Multiple linear regression analyses indicated a similar trend of association also with linear periodontal parameters, that is, mean clinical attachment level (CAL) and mean probing pocket depth (PPD). Conclusions: The findings from the present study suggest that stress and poor sleep quality may exert a multiplicative effect on periodontitis prevalence and severity. [ABSTRACT FROM AUTHOR]
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- 2024
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10. Multiplicative effect of stress and poor sleep quality on periodontitis: A university‐based cross‐sectional study
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Marruganti, Crystal, primary, Gaeta, Carlo, additional, Romandini, Mario, additional, Ferrari Cagidiaco, Edoardo, additional, Parrini, Stefano, additional, Discepoli, Nicola, additional, and Grandini, Simone, additional
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- 2023
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11. Particulate Filler and Discontinuous Fiber Filler Resin Composite’s Adaptation and Bonding to Intra-Radicular Dentin
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Ferrari, Marco, primary, Lettieri, Eugenia, additional, Pontoriero, Denise Irene Karin, additional, Vallittu, Pekka, additional, and Ferrari Cagidiaco, Edoardo, additional
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- 2023
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12. Outcomes of Endodontic-Treated Teeth Obturated with Bioceramic Sealers in Combination with Warm Gutta-Percha Obturation Techniques: A Prospective Clinical Study
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Pontoriero, Denise Irene Karin, primary, Ferrari Cagidiaco, Edoardo, additional, Maccagnola, Valerio, additional, Manfredini, Daniele, additional, and Ferrari, Marco, additional
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- 2023
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13. Oroantral Communications: Clinical Efficacy of a Double-layered Technique With/Without the Palatal Connective Tissue Flap: A Superiority, Single-center, University-based Randomized Clinical Trial.
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Baldini, Nicola, Giammarinaro, Enrica, Ferrari Cagidiaco, Edoardo, Viviano, Massimo, Discepoli, Nicola, and Parrini, Stefano
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- 2023
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14. Particulate Filler and Discontinuous Fiber Filler Resin Composite´S Adaptation and Bonding to Intra-Radicular Dentin
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Ferrari, Marco, primary, Lettieri, Eugenia, additional, Pontoriero, Denise Irene Karin, additional, Vallittu, Pekka, additional, and Ferrari Cagidiaco, Edoardo, additional
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- 2022
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15. Randomized Clinical Trial on Single Zirconia Crowns with Feather-Edge vs Chamfer Finish Lines: Four-Year Results.
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Ferrari Cagidiaco, Edoardo, Discepoli, Nicola, Goracci, Cecilia, Carboncini, Fabio, Vigolo, Paolo, and Ferrari, Marco
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ZIRCONIUM oxide ,DENTAL crowns ,HEMORRHAGE diagnosis ,DENTAL abutments ,COSMETIC dentistry ,DENTAL fillings ,SURVIVAL analysis (Biometry) ,RANDOMIZED controlled trials - Abstract
The objective of this study was to evaluate the influence of two finish lines on the fracture resistance and periodontal response of porcelain zirconia crowns. Ethical committee approval was obtained, and 50 zirconia single crowns were placed in posterior regions. Abutments were randomly distributed into two groups: Group 1 (feather-edge preparation) and Group 2 (chamfer preparation). Patients were recalled after 1 month, 6 months, and 1, 2, 3, and 4 years. The function, esthetics, and marginal adaptation of the restorations were evaluated. Bleeding on probing (BoP) and distance of margins from the bone crest were recorded. Statistical analyses were performed for survival and success rates. Group 1 had an 80% success rate (21/25 crowns) and a 96% survival rate (24/25 crowns; 1 encountered irreparable fracture of ceramic layer); Group 2 had a 76% success rate (20/25 crowns) and a 100% survival rate (25/25 crowns). Chippings were noticed on 4 crowns in Group 1 (one crown replacement). Five chippings occurred in Group 2, without any replacement. There were no statistically significant differences between the two groups. BoP was found in 18 of the 25 crowns in Group 1 (72%) and in 12 of the 25 crowns in Group 2 (48%). A statistically significant correlation between BoP and the distance of the margin to the bone crest was found. It was concluded that: (1) clinical survival and success rates of the two preparation methods on crowns are not significantly different; (2) due to the statistically significant correlation between BoP and the distance of the margin to the bone crest, margins should be placed at least 3 mm from the bone crest; and (3) higher probability of BoP is expected in cases with feather-edge preparation. [ABSTRACT FROM AUTHOR]
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- 2019
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16. Adherence to Mediterranean diet, physical activity level, and severity of periodontitis: Results from a university‐based cross‐sectional study
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Marruganti, Crystal, primary, Traversi, Jacopo, additional, Gaeta, Carlo, additional, Ferrari Cagidiaco, Edoardo, additional, Parrini, Stefano, additional, Discepoli, Nicola, additional, and Grandini, Simone, additional
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- 2022
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17. Survival Rates of Endodontically Treated Posterior Teeth Restored with All-Ceramic Partial-Coverage Crowns: When Systematic Review Fails
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Ferrari, Marco, primary, Ferrari Cagidiaco, Edoardo, additional, Pontoriero, Denise Irene Karin, additional, Ercoli, Carlo, additional, and Chochlidakis, Kostantinos, additional
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- 2022
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18. Restorative difficulty evaluation system of endodontically treated teeth
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Ferrari, Marco, primary, Pontoriero, Denise I. K., additional, Ferrari Cagidiaco, Edoardo, additional, and Carboncini, Fabio, additional
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- 2022
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19. Endodontic Irrigants and Their Activation Efficacy on Cleansing Post-Space Root Canal Walls
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Marchese, Manuela, primary, Denise, Pontoriero I. K., additional, Ferrari Cagidiaco, Edoardo, additional, Iandolo, Alfredo, additional, Grandini, Simone, additional, and Ferrari, Marco, additional
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- 2021
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20. A randomized controlled clinical trial of two types of lithium disilicate partial crowns
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Ferrari Cagidiaco, Edoardo, Sorrentino, Roberto, Pontoriero, Denise Ik, Ferrari, Marco, Ferrari Cagidiaco, Edoardo, Sorrentino, Roberto, Pontoriero, Denise Ik, and Ferrari, Marco
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Purpose: This randomized controlled clinical trial evaluated the behavior of lithium disilicate partial crowns by means of a novel Functional Index for Teeth (FIT). Methods: 105 subjects in need of at least a single prosthetic restoration in posterior areas were treated with adhesive partial crowns (for a total of 170 restorations) onto natural vital abutment teeth and followed-up annually for 4 years. Subjects were randomly divided into two experimental groups: Group 1, e.max Press and Group 2, Initial LiSi Press. FIT was used for the objective assessment of outcomes including clinical and radiographic examinations. A dropout rate of 4.25% in Group 1 and 3.4% in Group 2 was recorded. FIT is made up of seven variables (interproximal, occlusion, design, mucosa, bone, biology and margins); each of them to be evaluated using a 0-1-2 score. The Mann-Whitney U test was applied for statistical analysis and the level of significance was set at P< 0.05. Results: In Group 1, five complications were recorded, and four in Group 2, with a failure rate of 6.25% and 6.17%, respectively. No statistically significant difference was found between the experimental groups in any of the assessed variables. The tested lithium disilicate material brands showed comparable clinical performances after 4 years of clinical service. Clinical significance: Clinicians can use either of the tested lithium disilicate materials to make adhesively luted partial crowns.
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- 2020
21. Análisis de la reproductibilidad de los márgenes verticales subgingivales mediante escaner óptico intraoral (IOS): Un ensayo controlado ramdomizado piloto
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Ferrari Cagidiaco, Edoardo and Sanz Alonso, Mariano
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Periodoncia ,Aparatos y material odontológicos - Abstract
El objetivo de este ensayo clínico controlado aleatorizado fue probar la capacidad de un dispositivo IOS, utilizado en condiciones estandarizadas,para detectar márgenes de pilares preparados con knife edge finish line ubicados en tres niveles diferentes en relación con el surco gingival. La hipótesis nula fue que no había diferencia en la capacidad del IOS independientemente de la posición vertical de la finish line preparada.Material y métodos: En este estudio, se reclutaron 60 pacientes (28 mujeres y 32 hombres) con una edad media de 45 (± 20,5) años (rango 18-69) que necesitaban una corona dentaria en los sitios posteriores. El presente ensayo clínico prospectivo fue aprobado por el Comité de Ética de la Universidad de Siena. Para cada individuo incluido, se obtuvo un consentimiento por escrito firmado después de información clara sobre el estudio. Se siguieron las pautas de la declaración CONSORT (http://www.consortsttement.org) (Fig. 1).
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- 2021
22. Periodontal evaluation of restorative and prosthodontic margins
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FERRARI CAGIDIACO, EDOARDO
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clinical trial ,MED/28 MALATTIE ODONTOSTOMATOLOGICHE ,margins ,restorative and prosthodontics margins ,prosthodontic ,periodontal parameters - Abstract
Prosthodontic and periodontal correlation on teeth In the daily dental practice 3 fundamental/empiric/clinical parameters have a role to establish the clinical success of prosthodontic treatment: function, aesthetic and longevity of the restorations. But, from a scientific point of view, how do we rate the success of the restorations? When analyzing the existing literature, it can be noted that many authors focus their attention on the precision of the margin, to pursuit a small gap between the abutment and the crown, and to achieve the clinical success. Christensen et al.1 and Mc Lean & Von Fraunhofer2 investigated the margins? clinical acceptability by dentists and asked to measure the gap between the abutment and the crown to a number of practitioners: it was shown that a clinician can clinically appreciate a gap not lower than 120 microns using a sharp explorer. This result may end in a not sure and sufficient seal between the crown and abutment, and consequently leakage at the margins. This finding is not in agreement with the existing data coming from an in vitro study in which the acceptable marginal gap is lower than 50 microns3 Sorensen3 reported that small defects less or equal then 0,050 mm were associated with significantly less fluid flow and bone loss than defects exceeding this value. Martignoni4-5 reported that there are variable definitions regarding what constitutes a margin that cab ne clinically acceptable, and there is no definite threshold for the maximum marginal discrepancy that is clinically acceptable. Many authors accept the criteria established by McLean and Von Fraunhofer2, they completed a 5-year examination of 1000 restorations and concluded that 120 microns should be considered the maximum marginal gap. The adaptation, the precision and the quality of the restoration margin can be of greater significance in terms of gingival health, than the position of the margin6. According to Lang et al. 7 following the placement of restorations with overhanging margins, a subgingival flora was detected which closely resembled that of chronic periodontitis. Following the placement of the restorations with clinically perfect margins, a microflora characteristic for gingival health or initial gingivitis was observed. In patients with suitable oral hygiene, tooth-supported and implant-supported crowns with intra-sulcular margins were not predisposed to unfavorable gingival and microbial responses8. Even among patients receiving regular preventive dental care, subgingival margins are associated with unfavorable periodontal reactions9. Ercoli and Caton10, in a systematic review, describe how placement of restoration margins within the junctional epithelium and supracrestal connective tissue attachment can be associated with gingival inflammation and, potentially, recession or periodontal pocket. The presence of fixed prostheses finish line within the gingival sulcus or wearing of partial, removable dental prostheses does not cause gingivitis if the patients are complaint with self-performed plaque control and periodic maintenance. Procedures adopted for the fabrication of dental restorations and fixed prostheses have the potential to cause traumatic loss of the periodontal supporting tissue. They concluded that restoration margins located within the gingival sulcus do not cause gingivitis if the patients are complaint with self-performed plaque control and periodic maintenance. Tooth-supported and/or tooth-retained restorations and their design, fabrication, delivery, and materials, have often been associated with plaque retention and loss of attachment. Restoration margins placed within the junctional epithelium and supracrestal connective tissue attachment can be associated with inflammation and, potentially, recession. Factors related to the presence, design, fabrication, delivery and materials of tooth-supported prostheses seem to influence the periodontium, generally related to localized increase in plaque accumulation and, less often, to traumatic and allergic reactions to dental materials10. Jansson showd that the influence of a marginal overhang on pocket depth and radiographic attachment decrease with increasing loss of periodontal attachment in periodontitis-prone patients, and the effect on pocket depth of a marginal overhang may act synergistically, potentiating the effect of poor oral hygiene11. Subgingival restorations with their apical borders still located subgingivally after periodontal treatment should be regarded as a risk factor in the progression of periodontitis12. Consequently, placement of the restoration margin supragingivally is recommended, especially in periodontitis-prone patients with an insufficient plaque control12. Dental restorations may be suggested as a risk indicator for periodontal disease and tooth loss. Routine SPT (Supportive Periodontal Therapy) was found to be associated with decrease in the prevalence of deep PPD over time, and it is of the utmost importance in maintaining periodontal health, especially adjacent to teeth with restorations. Finally, these findings may support the treatment of caries lesions and faulty restorations as part of a comprehensive cause-related therapy and should be followed by a regular maintenance program13. The relationship between dental restorations and periodontal status has been examined for some time. Research has shown that overhanging dental restorations and subgingival margin placement play an important role providing an ecologic niche for periodontal pathogens14. An overhanging dental restoration is primarily found in the class II restoration, since access for interdental finishing and polishing of the restoration, and cleansing is often difficult in these areas, even for patients with good oral hygiene. Many studies have shown that there is more periodontal attachment loss and inflammation associated with teeth with overhangs than those without. Presences of overhangs may cause an increase in plaque formation15-21 and a shift in the microbial composition from healthy flora to one characteristic of periodontal disease14. The location of the gingival margin of a restoration is directly related to the health status of the adjacent periodontium8. Numerous studies8-12-25 have shown that subgingival margins are associated with more plaque, more severe gingival inflammation and deeper periodontal pockets than supragingival ones. In a 26-year prospective cohort study, Schatzle et al. 25 followed middle class Scandinavian men for a period of 26 years. Gingival index, and attachment level were compared between those who did and those who did not have restorative margins greater than 1mm from the gingival margin. After 10 years, the cumulative mean loss of attachment was 0.5 mm more for the group with subgingival margins. This was statistically significant. At each examination during 26 years of the study, the degree of inflammation in the gingival tissue adjacent to subgingival restorations was much greater than in the gingiva adjacent to supragingival margins. This is the first study to document a time sequence between the placement of subgingival margins and periodontal attachment loss, confirming that the subgingival placement of margins is detrimental to gingival and periodontal health. Plaque at apical margin of a subgingival restoration will cause periodontal inflammation that may in turn destroy connective tissue and bone approximately, 1-2 mm away from inflamed area14. Determination of the distance between the restorative margin and the alveolar crest is often done with bitewing radiographs; however, it is important to remember that a radiograph is a 2-dimensional representation of 3-dimensional anatomy and structure. Thus, clinical assessment and judgment are important adjuncts in determining if, and how much, bone should be removed to maintain adequate room for the dento-gingival supra crestal connective tissue height attachment14. Although surface textures of restorative materials differ in their capacity to retain plaque26, all of them can be adequately maintained if they are correctly polished and accessible to patient care27. This includes underside of pontics. Composite resins are difficult to finish interproximally and may be more likely to show marginal defects than other materials28. As a result, they are more likely to harbor bacterial plaque29. Intra-subject comparisons of unilateral direct compositive ?veneers? showed a statistically significant increase in plaque and gingival indices adjacent to the composites, 5-6 years after placement28. In addition, when a diastema is closed with composite, the restorations are often overcontoured in the cervical-interproximal area, leading to increased plaque retention28. As more plaque is retained, this could pose a significant problem for a patient with moderate to poor oral hygiene14. For that, in absence of more specific prosthodontic parameters to evaluate the integration of crowns in to the periodontal environment, another way to determine the success and health of the restoration is to use the periodontal parameters such as: PPD (Periodontal Probing Depth) that is the measurement of the periodontal sulcus/pocket between the gingival margin and the bottom of the sulcus/pocket; REC (Recession) is the apical migration of the gingival margin measured with the distance between the gingival margin and the CEJ (Cement-Enamel Junction); PI (Plaque Index) the index records the presence of supragingival plaque; BOP (Bleeding On Probing) the presence or not of bleeding on surfaces of the teeth during the probing. The aim of this study/thesis was to propose a clinical procedure to evaluate single unit restorations and their relations with periodontal tissues by a new clinical score: the FIT ( Functional Index for Teeth). FIT, that is a novel index for the assessment of the prosthetic results of lithium disilicate crowns, based on seven restorative-periodontal parameters, that evaluate crowns placed on natural abutments, and want to be a reliable and objective instrument in assessing single partial crown success and periodontal outcome as perceived by patients and dentists.
- Published
- 2021
23. Patients’ illness perception before and after non‐surgical periodontal therapy. A pre‐post quasi‐experimental study
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Nicola, Discepoli, primary, Crystal, Marruganti, additional, Raffaele, Mirra, additional, Gessica, Pettinari, additional, Ferrari Cagidiaco, Edoardo, additional, and Marco, Ferrari, additional
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- 2021
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24. Analysis of The Reproducibility of Subgingival Vertical Margins Using Intraoral Optical Scanning (IOS): A Randomized Controlled Pilot Trial
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Ferrari Cagidiaco, Edoardo, primary, Zarone, Fernando, additional, Discepoli, Nicola, additional, Joda, Tim, additional, and Ferrari, Marco, additional
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- 2021
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25. Clinical Outcomes of Endodontic Treatments and Restorations with and without Posts Up to 18 Years
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Pontoriero, Denise Irene Karin, primary, Grandini, Simone, additional, Spagnuolo, Gianrico, additional, Discepoli, Nicola, additional, Benedicenti, Stefano, additional, Maccagnola, Valerio, additional, Mosca, Alberto, additional, Ferrari Cagidiaco, Edoardo, additional, and Ferrari, Marco, additional
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- 2021
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26. Patients' illness perception before and after non-surgical periodontal therapy: A pre-post quasi-experimental study.
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Discepoli, Nicola, Marruganti, Crystal, Mirra, Raffaele, Pettinari, Gessica, Ferrari Cagidiaco, Edoardo, and Ferrari, Marco
- Abstract
Background: Patient's illness perception, assessed through the Brief-Illness Perception Questionnaire (Brief-IPQ), plays a decisive role in the treatment effectiveness of a wide range of chronic diseases; nonetheless, evidence is still lacking regarding periodontitis. The aim of the present pre-post quasi-experimental study was to evaluate the change in the Brief-IPQ before and after non-surgical periodontal treatment (NST) and to evaluate its ability to foresee the efficacy of NST.Methods: A total of 126 periodontitis participants starting NST were asked to participate in the study. The nine-item Brief-IPQ together with a full periodontal chart were recorded at baseline and at the 3-month follow up (reevaluation) after NST. Pre-post comparisons of psychometric and periodontal variables were carried out through the Wilcoxon signed-rank test (α = 0.05). A predictive model was built to test the ability of the Brief-IPQ items to foresee the efficacy of NST.Results: NST led to a significant reduction in all periodontal parameters (P < 0.001); the proportion of pockets closed was 64.18%. Although the overall sum score of the Brief-IPQ remained fairly stable (P = 0.0673), significant changes occurred for items seven ("understanding") (P < 0.001) and 8 ("emotional response") (P < 0.05). The best model (R2 = 0.068, F = 2.15, P = 0.033) obtained from the multivariate linear regression analysis demonstrated that item five ("identity") (β = 2.340, P = 0.017) and item eight ("emotional response") (β = -2.569, P = 0.008) significantly predict the efficacy of NST (i.e., the proportion of pockets closed at reevaluation).Conclusions: NST significantly ameliorates patient's understanding and emotional burden related to periodontitis. Baseline values of perceived symptoms and emotional response are predictive for the short-term efficacy of NST. [ABSTRACT FROM AUTHOR]- Published
- 2022
- Full Text
- View/download PDF
27. Functional implant prosthodontic score of a one-year prospective study on three different connections for single-implant restorations
- Author
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FERRARI CAGIDIACO, Edoardo, Carboncini, Fabio, Parrini, S., Doldo, T., Nagni, M., Nuti, Niccolo', and Ferrari, M.
- Subjects
Hexagon connection ,Conical connection ,Functional Implant Prosthodontic Score (FIPS) ,Single-implant - Abstract
Aim The aim of this prospective clinical trial was to analyze, using the Functional Implant Prosthodontic Score (FIPS), the clinical resultsof three different abutment-implant connections (1 hexagon vs 2 conical types) single-unit restorations after one year of clinical service. Material and methods Thirty patients were restored with cement-retained crowns on soft tissue level implants (10 TTc Windmix, 10 TTk Windmix and 10 Aadva GC) in posterior sites and followed-up for 1 year. FIPS was applied for objective outcome assessment beside clinical and radiographic examinations. Five variables were defined for evaluation, resulting in a maximum score of 10 per implant restoration. The patients’ level of satisfaction was recorded and correlated with FIPS. Results All implants and connected crowns revealed survival rates of 100% without any biological or technical complications after three years of loading. The total FIPS recorded for group 1 was 44, 43 in group 2 and 42 in group 3. The mean total FIPS score was 8.6±1.1, ranging from 6 to 10. The variable “bone” revealed the highest scores (2.0; range: 2–2), as well “occlusion” (2.0; range: 2–2). Mean scores for “design” (1.7 ±0.4; range: 1–2), “mucosa” (1.6±0.5; range: 1–2), and “interproximal” (1.5±0.6; range: 1–2) were more challenging to satisfy. The patients expressed a high level of functional satisfaction (80.5±2.5; range: 65–100). No type of connection showed to be superior to the other two. No statistically significant differences were found among the three tested groups. A significant correlation was found between FIPS and the subjective patients’ perception with a coefficient of 0.80 (P < 0.0001). Conclusions The findings of the clinical trial indicated the great potential of both conical and hexagon connections and their good performance after 1 year of clinical service. FIPS showed to be an objective and reliable instrument to assess implant success.
- Published
- 2018
28. Evaluation of Mechanical Properties of a Hollow Endodontic Post by Three Point Test and SEM Analysis: A Pilot Study
- Author
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Lo Giudice, Giuseppe, primary, Ferrari Cagidiaco, Edoardo, additional, Lo Giudice, Roberto, additional, Puleio, Francesco, additional, Nicita, Fabiana, additional, and Calapaj, Massimo, additional
- Published
- 2019
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- View/download PDF
29. Estabilidade de tecido mole peri-implantar após restaurações de implante unitárias usando regeneração óssea guiada ou um enxerto de tecido conjuntivo: um ensaio clínico randomizado
- Author
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D’Elia, Chiara, primary, Baldini, Nicola, primary, Ferrari Cagidiaco, Edoardo, primary, Nofri, Giacomo, primary, Goracci, Cecilia, primary, and de Sanctis, Massimo, primary
- Published
- 2018
- Full Text
- View/download PDF
30. Influence of cervical margin relocation (CMR) on periodontal health: 12-month results of a controlled trial
- Author
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Ferrari, Marco, primary, Koken, Serhat, additional, Grandini, Simone, additional, Ferrari Cagidiaco, Edoardo, additional, Joda, Tim, additional, and Discepoli, Nicola, additional
- Published
- 2018
- Full Text
- View/download PDF
31. In vitro analysis of the fracture resistance of CAD-CAM monolithic zirconia molar crowns with different occlusal thickness
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Infelise, Marco, Ferrari Cagidiaco Edoardo, Sorrentino, Roberto, Gherlone Enrico Felice, Ferrari, Marco, Infelise, M, Ferrari Cagidiaco, E, Sorrentino, Roberto, Gherlone, E, and Ferrari, M
- Published
- 2016
32. Clinical Outcomes of Endodontic Treatments and Restorations with and without Posts Up to 18 Years
- Author
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Alberto Mosca, Valerio Maccagnola, Edoardo Ferrari Cagidiaco, Marco Ferrari, Gianrico Spagnuolo, Simone Grandini, Denise Irene Karin Pontoriero, Stefano Benedicenti, Nicola Discepoli, Pontoriero, Denise Irene Karin, Grandini, Simone, Spagnuolo, Gianrico, Discepoli, Nicola, Benedicenti, Stefano, Maccagnola, Valerio, Mosca, Alberto, Ferrari Cagidiaco, Edoardo, and Ferrari, Marco
- Subjects
Radiography ,medicine.medical_treatment ,0206 medical engineering ,lcsh:Medicine ,Dentistry ,endodontic retreatments ,build-up ,02 engineering and technology ,Crown (dentistry) ,Article ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Survival rate ,endodontic outcomes ,business.industry ,Proportional hazards model ,lcsh:R ,Hazard ratio ,posts ,clinical trial ,030206 dentistry ,General Medicine ,020601 biomedical engineering ,Periapical lesion ,Coronal plane ,business ,Complication - Abstract
Background: The aim of this study was to collect long-term restorative and endodontic outcomes of endodontically treated teeth (ETT). Methods: 298 teeth were included in the study and were recalled up to 18 years with a media of 10.2 years. At baseline, 198 sample teeth (66.44%) showed symptoms and 164 (55%) had periapical radiolucency. The most frequently used obturation techniques were warm gutta-percha in 80% of cases, and by carrier in 20%. A total of 192 ETT were restored by direct resin composite restorations, and 106 posts were luted. Moreover, 75 (25.16%) direct restorations remained as final restorations, 137 single crowns (45.97%), 42 (14.09%) partial adhesive crowns, and 42 (14.09%) abutments of fixed bridges were the final treatments. Descriptive and inferential statistics were performed (α = 0.05). A Cox regression model was made. Results: results showed success for 92.6% of ETT up to 18 years, 2.68% (8 ETT) showed irreversible failures, and 14 (4.69%) reversible complications. Four ETT (1.34%) failed because of root fracture and the other four (1.34%) because of endodontic complications. Eight ETT (2.69%) showed non-irreversible periodontal complications and the other six (2.01%) prosthodontic complications. Accordingly, with Kaplan–Meier analysis, the survival rate after 18 years was 97.3% (Interval of Confidence (IC) 95.1–98.3). The presence of a short or long (at least 1 mm related to radiographic apex) quality endodontic filling displayed a statistically significant higher risk of complication (hazard ratio (HR) = 17.00 (IC 5.68–56.84). Furthermore, a clinically detectable not precise coronal margins predicts the presence of any clinical complication with a hazard ratio almost seven times higher than endodontically treated teeth with a proper margin (HR = 6.89 (IC 2.03–23.38), while the presence of lucency at the baseline did not affect the risk of complication (HR = 0.575 (IC 0.205–1.61). The presence of post, tooth position in the arch, and the type of it did not show a high-risk rate (HR = 1.85, 1.98, and 2.24, respectively). Conclusions: a correct filling (at the apex) of root canals combined with proper coronal margins allow obtaining a long-term high success rate in teeth with a periapical lesion at the baseline. The use of a post or not, when its placement is related to the residual amount of the crown, does not change the final outcome of the ETT.build-up, clinical trial, endodontic outcomes, endodontic retreatments, posts
- Published
- 2021
33. A randomized controlled clinical trial of two types of lithium disilicate partial crowns.
- Author
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Ferrari Cagidiaco E, Sorrentino R, Pontoriero DI, and Ferrari M
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- Ceramics, Computer-Aided Design, Dental Porcelain, Dental Prosthesis Design, Humans, Crowns, Dental Restoration Failure
- Abstract
Purpose: This randomized controlled clinical trial evaluated the behavior of lithium disilicate partial crowns by means of a novel Functional Index for Teeth (FIT)., Methods: 105 subjects in need of at least a single prosthetic restoration in posterior areas were treated with adhesive partial crowns (for a total of 170 restorations) onto natural vital abutment teeth and followed-up annually for 4 years. Subjects were randomly divided into two experimental groups: Group 1, e.max Press and Group 2, Initial LiSi Press. FIT was used for the objective assessment of outcomes including clinical and radiographic examinations. A dropout rate of 4.25% in Group 1 and 3.4% in Group 2 was recorded. FIT is made up of seven variables (interproximal, occlusion, design, mucosa, bone, biology and margins); each of them to be evaluated using a 0-1-2 score. The Mann-Whitney U test was applied for statistical analysis and the level of significance was set at P< 0.05., Results: In Group 1, five complications were recorded, and four in Group 2, with a failure rate of 6.25% and 6.17%, respectively. No statistically significant difference was found between the experimental groups in any of the assessed variables. The tested lithium disilicate material brands showed comparable clinical performances after 4 years of clinical service., Clinical Significance: Clinicians can use either of the tested lithium disilicate materials to make adhesively luted partial crowns., Competing Interests: The authors declared no conflict of interest. GC Co. and Ivoclar-Vivadent provided all the materials used in this study., (Copyright©American Journal of Dentistry.)
- Published
- 2020
34. Sealing effectiveness against Staphylococcus aureus of five different implant-abutment connections.
- Author
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Discepoli N, Ferrari Cagidiaco E, Landini G, Pallecchi L, Garcia-Godoy F, and Ferrari M
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- Dental Abutments, Dental Implant-Abutment Design, Humans, Dental Implants, Dental Leakage, Pit and Fissure Sealants, Staphylococcus aureus
- Abstract
Purpose: To compare the sealing effectiveness of four different implant-abutment connections against Staphylococcus aureus (S. aureus). The null hypotheses stated that there was no difference on sealing ability among the implant-abutment connections tested., Methods: Five diverse commercially available dental implants were used to investigate the degree of microleakage at the implant-abutment junction (IAJ): Group 1: Torque Type conical implant with double conic connection - TTc (Winsix); Group 2: Torque Type conical implant with Cone Morse connection - TTcm (Winsix); Group 3: Free Lock connection - K type implant (Winsix); Group 4: Internal double hexagon - OsseoSpeed; Group 5: Internal hexagon - Aadva Implant. Nine implants were tested in each group and one group was used as the negative control (Group 4). The abutments were connected to implants according to manufacturers' recommendations. All procedures involving connection and disconnection of implants were performed in sterile conditions in a laminar flow biological safety cabinet. S. aureus ATCC 6538, a methicillin susceptible reference strain, was chosen for the experiments to test the degree of microleakage. Statistical analysis was performed in order to find significant differences among the five groups regarding sealing capability of the implant-abutment connections tested. The recorded data were statistically analyzed., Results: One implant from Group 4 was excluded from the study because of the growth of a contaminant after 48 hours of incubation in all three wells (i.e. Paenibacillus pabuli, environmental Gram-positive bacteria). Wells A and B (i.e. wells where the samples were passed before being located in the final well C) of all other samples (n = 46) remained sterile over the 72 hours of incubation, indicating the lack of external contamination during implant-abutment connection. Similarly, no bacterial growth was observed in the five negative controls (i.e. one implant for each type), which had been inoculated with sterile saline and processed as the others. Bacterial microleakage was demonstrated with three samples, including one sample of Group 1, one of Group 3 and one of Group 5, in which growth of S. aureus in wells C after 48 hours of incubation was demonstrated (Table 1). No statistically significant difference between groups was noticed (P> 0.05)., Clinical Significance: Within the limitations of the present in vitro model, the results obtained suggest a tendency toward a better sealing capability for conical connections and internal hexagon., Competing Interests: The authors declared no conflict of interest., (Copyright©American Journal of Dentistry.)
- Published
- 2018
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