Alessandra Putrino - Academia.edu (original) (raw)

Papers by Alessandra Putrino

Journal of Clinical Medicine

In recent years, vibrational devices have been introduced in order to reduce patient discomfort i... more In recent years, vibrational devices have been introduced in order to reduce patient discomfort in some situations such as orofacial pain, orthodontic therapy, and injection of local anaesthetics. This article aims to review the clinical experience given by the use of these devices in local anaesthesia. The literature search was carried out on the main scientific databases for articles up to November 2022. Eligibility criteria were established, and pertinent articles selected. The results were classified by author, year, type of study, sample size and characteristics, purpose of use, type of vibrational device used, protocol used, and outcomes. Nine relevant articles were found. These are split mouth randomized clinical trials which evaluate the reduction in pain perception with different devices and different protocols of use in children, during procedures which require local analgesia by injection, compared with traditional local anaesthesia with premedication based on anaesthetic...

Journal of Clinical and Experimental Dentistry

Teeth and oral structures are considered valuable alternatives to DNA analysis and fingerprints f... more Teeth and oral structures are considered valuable alternatives to DNA analysis and fingerprints for personal identification. Even if their reliability has been recognized, they’ve not been widely or at all tested with new technologies. This project had the aim to study the superimposability of dental and oral structures in radiographic examinations and 3D scans and stability of some of them, like palatal rugae, in patients undergoing to dental procedures and cadavers. The survey has been performed on the virtual and plastic reconstruction of the oral cavities developed from data collected from an innovative intraoral scanner and from orthopantomographs (in all patients and cadavers- if available -) and from full-mouth periapical films (in periodontal patients and cadavers only). In all the patients oral cavity scans started at the beginning of the therapeutic procedures and after one year. In cadavers oral cavity scans have been recorded on the first and the seventh or tenth day fro...

Clinica Terapeutica, Jul 10, 2019

Cranio-facial asymmetries are an heterogeneous group of dysgnathia that recognize a small part of... more Cranio-facial asymmetries are an heterogeneous group of dysgnathia that recognize a small part of a genetic basis (1); most often they are caused by acquired factors such as trauma or inflammation, but mostly by functional alterations.

Additional file 1. "Questionnaire" contains the English version of the questionnaire re... more Additional file 1. "Questionnaire" contains the English version of the questionnaire realized for the survey in this research.

International Journal of Environmental Research and Public Health, 2021

In recent years, clear aligners have diversified and evolved in their primary characteristics (ma... more In recent years, clear aligners have diversified and evolved in their primary characteristics (material, gingival margin design, attachments, divots, auxiliaries), increasing their indications and efficiency. We overviewed the brands of aligners used in Italy and reviewed the literature on the evolution of clear aligners based on their characteristics mentioned above by consulting the main scientific databases (PubMed, Scopus, Lilacs, Google Scholar, Cochrane Library). Inclusion and exclusion criteria were established. The data were collected on a purpose-made data collection form and analyzed descriptively. From the initial 580 records, 527 were excluded because they were not related to the subject of the review or because they did not meet the eligibility criteria. The remaining 31 studies were deemed comprehensive for the purpose of the review, although the “gingival margin design” feature and “auxiliaries” tool are not well represented in the more recent literature. Current know...

La Clinica terapeutica, 2019

OBJECTIVE The aim of this study was to determine the relationship between the thickness of mastic... more OBJECTIVE The aim of this study was to determine the relationship between the thickness of masticatory and cervical muscles (temporalis, masseter and sternocleidomastoid) and facial asymmetries in young patients. METHODS 21 subjects were selected, through a detailed anamnesis and clinical examination, in order to assess the normality of oral tissues, the presence of normal occlusion, the absence of alteration in tooth dimensions and of congenital or developmental anomalies of lips, mouth or face. RESULTS The present investigation showed that temporalis, masseter and sternocleidomastoid muscles in untreated and growing individuals with facial asymmetries are thinner on the omolateral side when compared with controlateral normal side, but in the untreated one this value is more statistically significantly. CONCLUSIONS In conclusion, the cervical muscle's thickness resulted increased in young patients Ultrasound is beginning to be recognized to have potential use in dentistry as a ...

Aim: Morphing and digital tools in image-editing softwares can be useful to elicit profile facial... more Aim: Morphing and digital tools in image-editing softwares can be useful to elicit profile facial aestethics and smiles preferences in orthodontic patients. We want to determine general aesthetic preference and to find out whether it was affected by sex, age, personal profile and smile, precedent therapies. Materials and methods: Reviewed english literature on PubMed Database (Keywords: morphing, videoimaging, facial aestethics) we selected 30 patients (15-45Y; 15M; 15F) at early stage of therapy at our dental offices. Using Viewbox Software we digitized a series of 4 distinct distortions from initial lateral cephalograms and photos translated into soft-tissue changes of nasal tip and 1/3 lower of the face.Photoshop software edited different smiles from frontal photos. We asked to value their and other patients distorted photos. Results: χ² test and Goodman-Kruskal index(λ) were used to measure the association of patients' preferences according to sex, age, facial profile and smile. Both sexes deemed positively orthognathic profiles whereas prognathic and retrognathic profiles were the least preferred. Gummy smile, diastema,crowdings,were considered unattractive. Age and own patient profile don't seem to have significative influence on choices. Conclusions: Patients have high expectations on orthodontic treatment. Explaining its limits and viewing possible results prevents disappointments. Self-perception and opinions on attractive facial traits should be never neglected by orthodontists.

European journal of paediatric dentistry, 2015

AIM The aim of this retrospective study is promote a better understanding of the impaction of tee... more AIM The aim of this retrospective study is promote a better understanding of the impaction of teeth 37 and 47 by means of clinical and statistical data from the point of view of early interceptive treatment. MATERIALS AND METHODS STUDY DESIGN 478 patients of the Orthodontic School of "La Sapienza" University of Rome (Italy) were studied to assess the eruption of teeth 37 and 47 on at least two good-quality panorex using angular measurements and Nolla's index from January 2008 to December 2013. Data were analysed using ANOVA and Tukey HSD test (P < 0.05). RESULTS The data obtained on the possible correlations between the examined teeth and the four reference angles show that at t0, the angular variation of teeth 36 or 46 is constant when the teeth are at the end of their eruptive process, while for teeth 37 and 47, this variation is always constant. At t0, the first and the second molars of both quadrants, during eruption showed a similar behaviour. At t1, the four t...

Life

Smart eye-tracking technology (SEET) that determines visual attention using smartphones can be us... more Smart eye-tracking technology (SEET) that determines visual attention using smartphones can be used to determine the aesthetic perception of different types of clear aligners. Its value as a communication and comprehension tool, in addition to the ethical and legal concerns which it entails, can be assessed. One hundred subjects (50 F, 50 M; age range 15–70) were equally distributed in non-orthodontic (A) and orthodontic (B) groups. A smartphone-based SEET app assessed their knowledge of and opinions on aligners. Subjects evaluated images of smiles not wearing aligners, with/without attachments and with straight/scalloped gingival margins, as a guided calibration step which formed the image control group. Subsequently, the subjects rated the same smiles, this time wearing aligners (experimental images group). Questionnaire data and average values for each group of patients, and images relating to fixation times and overall star scores, were analyzed using these tests: chi-square, t-...

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

International Journal of Dentistry and Oral Science

The Open Dentistry Journal

Aims: This study aims to verify the applicability of modern dental technologies and their related... more Aims: This study aims to verify the applicability of modern dental technologies and their related principles of use to the forensic sciences in the field of personal identification. Background: Personal identification has always had a major role in many legal and administrative actions regarding both living and death beings. The techniques used are much less advanced than the technologies potentially available. Objective: Modern technologies, available to the daily dental clinic practice, as intraoral scanners, combined in particular to the specialist skill in orthodontics, can help redefine the methods of personal identification according to the levels of accuracy, trueness and feasibility greater than those applied in traditional forensic dentistry. Methods: 23 corpses (12F;11M) have been selected for intraoral scanning with the Carestream 3500® digital device. The superimposition of initial and late digital models, digital models and radiographs (orthopantomography and full mouth...

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

To assess the possibility of controlling patients at a distance according to principles of teleor... more To assess the possibility of controlling patients at a distance according to principles of teleorthodontics to understand its possible usefulness in the future routine activity and the impact pandemic may have had on different types of orthodontic treatments. Material and Methods: One hundred orthodontic patients (57 F, 43 M, age 7-46) during quarantine were checked through videocalls and photos sent by patients following proper instructions. Three groups have been distinguished based on the type of therapy: A-fixed appliances; B-removable appliances; C-clear aligners. Relevant events about dental and gingival health, integrity of appliances, orthodontic therapies related symptoms and overall progress of treatments were recorded. Results: A and B groups reported higher percentages of gingival inflammation (27 and 22%), dental plaque (16 and 13%), deciduous tooth loss (8 and 16%). Bracket and attachment detachment were the most frequent events in A and C groups (22 and 23%). Pain and discomfort were reported in A and B groups (35 and 32%). Therapies continued to progress better in C (51% improved dental alignment) and B (31% improved malocclusions) groups. Conclusion: Orthodontics is safe and allows during emergencies to postpone checks. Everyday mobile-technology is useful in managing orthodontic patients unable to carry out in-person control. When their effectiveness equals other systems, treatments with clear aligners without attachments should be preferred in patients unavailable for regular checks.

Background: The coronavirus infection that emerged in China in the last few months of 2019 has no... more Background: The coronavirus infection that emerged in China in the last few months of 2019 has now spread globally. Italy registered its first case in the second half of February, and in a short time period, it became the top country in Europe in terms of the number of infected people and the first in the world in terms of deaths. The medical and scientific community has been called upon to manage the emergency and to take measures. Dentists also need to take new precautions during their clinical activity to protect themselves, coworkers and patients from the risks of contagion and to avoid further spread of infection.Methods: Following the data published in the international literature as well as the guidelines and directives constantly updated by the WHO and by the national health authorities, a questionnaire to be completed anonymously was submitted online to Italian dentists using social tools and online professional platforms. The collected data were processed statistically, pr...

Journal of Clinical Medicine

In recent years, vibrational devices have been introduced in order to reduce patient discomfort i... more In recent years, vibrational devices have been introduced in order to reduce patient discomfort in some situations such as orofacial pain, orthodontic therapy, and injection of local anaesthetics. This article aims to review the clinical experience given by the use of these devices in local anaesthesia. The literature search was carried out on the main scientific databases for articles up to November 2022. Eligibility criteria were established, and pertinent articles selected. The results were classified by author, year, type of study, sample size and characteristics, purpose of use, type of vibrational device used, protocol used, and outcomes. Nine relevant articles were found. These are split mouth randomized clinical trials which evaluate the reduction in pain perception with different devices and different protocols of use in children, during procedures which require local analgesia by injection, compared with traditional local anaesthesia with premedication based on anaesthetic...

Journal of Clinical and Experimental Dentistry

Teeth and oral structures are considered valuable alternatives to DNA analysis and fingerprints f... more Teeth and oral structures are considered valuable alternatives to DNA analysis and fingerprints for personal identification. Even if their reliability has been recognized, they’ve not been widely or at all tested with new technologies. This project had the aim to study the superimposability of dental and oral structures in radiographic examinations and 3D scans and stability of some of them, like palatal rugae, in patients undergoing to dental procedures and cadavers. The survey has been performed on the virtual and plastic reconstruction of the oral cavities developed from data collected from an innovative intraoral scanner and from orthopantomographs (in all patients and cadavers- if available -) and from full-mouth periapical films (in periodontal patients and cadavers only). In all the patients oral cavity scans started at the beginning of the therapeutic procedures and after one year. In cadavers oral cavity scans have been recorded on the first and the seventh or tenth day fro...

Clinica Terapeutica, Jul 10, 2019

Cranio-facial asymmetries are an heterogeneous group of dysgnathia that recognize a small part of... more Cranio-facial asymmetries are an heterogeneous group of dysgnathia that recognize a small part of a genetic basis (1); most often they are caused by acquired factors such as trauma or inflammation, but mostly by functional alterations.

Additional file 1. "Questionnaire" contains the English version of the questionnaire re... more Additional file 1. "Questionnaire" contains the English version of the questionnaire realized for the survey in this research.

International Journal of Environmental Research and Public Health, 2021

In recent years, clear aligners have diversified and evolved in their primary characteristics (ma... more In recent years, clear aligners have diversified and evolved in their primary characteristics (material, gingival margin design, attachments, divots, auxiliaries), increasing their indications and efficiency. We overviewed the brands of aligners used in Italy and reviewed the literature on the evolution of clear aligners based on their characteristics mentioned above by consulting the main scientific databases (PubMed, Scopus, Lilacs, Google Scholar, Cochrane Library). Inclusion and exclusion criteria were established. The data were collected on a purpose-made data collection form and analyzed descriptively. From the initial 580 records, 527 were excluded because they were not related to the subject of the review or because they did not meet the eligibility criteria. The remaining 31 studies were deemed comprehensive for the purpose of the review, although the “gingival margin design” feature and “auxiliaries” tool are not well represented in the more recent literature. Current know...

La Clinica terapeutica, 2019

OBJECTIVE The aim of this study was to determine the relationship between the thickness of mastic... more OBJECTIVE The aim of this study was to determine the relationship between the thickness of masticatory and cervical muscles (temporalis, masseter and sternocleidomastoid) and facial asymmetries in young patients. METHODS 21 subjects were selected, through a detailed anamnesis and clinical examination, in order to assess the normality of oral tissues, the presence of normal occlusion, the absence of alteration in tooth dimensions and of congenital or developmental anomalies of lips, mouth or face. RESULTS The present investigation showed that temporalis, masseter and sternocleidomastoid muscles in untreated and growing individuals with facial asymmetries are thinner on the omolateral side when compared with controlateral normal side, but in the untreated one this value is more statistically significantly. CONCLUSIONS In conclusion, the cervical muscle's thickness resulted increased in young patients Ultrasound is beginning to be recognized to have potential use in dentistry as a ...

Aim: Morphing and digital tools in image-editing softwares can be useful to elicit profile facial... more Aim: Morphing and digital tools in image-editing softwares can be useful to elicit profile facial aestethics and smiles preferences in orthodontic patients. We want to determine general aesthetic preference and to find out whether it was affected by sex, age, personal profile and smile, precedent therapies. Materials and methods: Reviewed english literature on PubMed Database (Keywords: morphing, videoimaging, facial aestethics) we selected 30 patients (15-45Y; 15M; 15F) at early stage of therapy at our dental offices. Using Viewbox Software we digitized a series of 4 distinct distortions from initial lateral cephalograms and photos translated into soft-tissue changes of nasal tip and 1/3 lower of the face.Photoshop software edited different smiles from frontal photos. We asked to value their and other patients distorted photos. Results: χ² test and Goodman-Kruskal index(λ) were used to measure the association of patients' preferences according to sex, age, facial profile and smile. Both sexes deemed positively orthognathic profiles whereas prognathic and retrognathic profiles were the least preferred. Gummy smile, diastema,crowdings,were considered unattractive. Age and own patient profile don't seem to have significative influence on choices. Conclusions: Patients have high expectations on orthodontic treatment. Explaining its limits and viewing possible results prevents disappointments. Self-perception and opinions on attractive facial traits should be never neglected by orthodontists.

European journal of paediatric dentistry, 2015

AIM The aim of this retrospective study is promote a better understanding of the impaction of tee... more AIM The aim of this retrospective study is promote a better understanding of the impaction of teeth 37 and 47 by means of clinical and statistical data from the point of view of early interceptive treatment. MATERIALS AND METHODS STUDY DESIGN 478 patients of the Orthodontic School of "La Sapienza" University of Rome (Italy) were studied to assess the eruption of teeth 37 and 47 on at least two good-quality panorex using angular measurements and Nolla's index from January 2008 to December 2013. Data were analysed using ANOVA and Tukey HSD test (P < 0.05). RESULTS The data obtained on the possible correlations between the examined teeth and the four reference angles show that at t0, the angular variation of teeth 36 or 46 is constant when the teeth are at the end of their eruptive process, while for teeth 37 and 47, this variation is always constant. At t0, the first and the second molars of both quadrants, during eruption showed a similar behaviour. At t1, the four t...

Life

Smart eye-tracking technology (SEET) that determines visual attention using smartphones can be us... more Smart eye-tracking technology (SEET) that determines visual attention using smartphones can be used to determine the aesthetic perception of different types of clear aligners. Its value as a communication and comprehension tool, in addition to the ethical and legal concerns which it entails, can be assessed. One hundred subjects (50 F, 50 M; age range 15–70) were equally distributed in non-orthodontic (A) and orthodontic (B) groups. A smartphone-based SEET app assessed their knowledge of and opinions on aligners. Subjects evaluated images of smiles not wearing aligners, with/without attachments and with straight/scalloped gingival margins, as a guided calibration step which formed the image control group. Subsequently, the subjects rated the same smiles, this time wearing aligners (experimental images group). Questionnaire data and average values for each group of patients, and images relating to fixation times and overall star scores, were analyzed using these tests: chi-square, t-...

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

International Journal of Dentistry and Oral Science

The Open Dentistry Journal

Aims: This study aims to verify the applicability of modern dental technologies and their related... more Aims: This study aims to verify the applicability of modern dental technologies and their related principles of use to the forensic sciences in the field of personal identification. Background: Personal identification has always had a major role in many legal and administrative actions regarding both living and death beings. The techniques used are much less advanced than the technologies potentially available. Objective: Modern technologies, available to the daily dental clinic practice, as intraoral scanners, combined in particular to the specialist skill in orthodontics, can help redefine the methods of personal identification according to the levels of accuracy, trueness and feasibility greater than those applied in traditional forensic dentistry. Methods: 23 corpses (12F;11M) have been selected for intraoral scanning with the Carestream 3500® digital device. The superimposition of initial and late digital models, digital models and radiographs (orthopantomography and full mouth...

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

To assess the possibility of controlling patients at a distance according to principles of teleor... more To assess the possibility of controlling patients at a distance according to principles of teleorthodontics to understand its possible usefulness in the future routine activity and the impact pandemic may have had on different types of orthodontic treatments. Material and Methods: One hundred orthodontic patients (57 F, 43 M, age 7-46) during quarantine were checked through videocalls and photos sent by patients following proper instructions. Three groups have been distinguished based on the type of therapy: A-fixed appliances; B-removable appliances; C-clear aligners. Relevant events about dental and gingival health, integrity of appliances, orthodontic therapies related symptoms and overall progress of treatments were recorded. Results: A and B groups reported higher percentages of gingival inflammation (27 and 22%), dental plaque (16 and 13%), deciduous tooth loss (8 and 16%). Bracket and attachment detachment were the most frequent events in A and C groups (22 and 23%). Pain and discomfort were reported in A and B groups (35 and 32%). Therapies continued to progress better in C (51% improved dental alignment) and B (31% improved malocclusions) groups. Conclusion: Orthodontics is safe and allows during emergencies to postpone checks. Everyday mobile-technology is useful in managing orthodontic patients unable to carry out in-person control. When their effectiveness equals other systems, treatments with clear aligners without attachments should be preferred in patients unavailable for regular checks.

Background: The coronavirus infection that emerged in China in the last few months of 2019 has no... more Background: The coronavirus infection that emerged in China in the last few months of 2019 has now spread globally. Italy registered its first case in the second half of February, and in a short time period, it became the top country in Europe in terms of the number of infected people and the first in the world in terms of deaths. The medical and scientific community has been called upon to manage the emergency and to take measures. Dentists also need to take new precautions during their clinical activity to protect themselves, coworkers and patients from the risks of contagion and to avoid further spread of infection.Methods: Following the data published in the international literature as well as the guidelines and directives constantly updated by the WHO and by the national health authorities, a questionnaire to be completed anonymously was submitted online to Italian dentists using social tools and online professional platforms. The collected data were processed statistically, pr...