C. Francischone - Academia.edu (original) (raw)
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Papers by C. Francischone
International Journal of Oral and Maxillofacial Surgery, 2015
The loss of multiple teeth or trauma to the anterior maxilla often results in a deficient ridge w... more The loss of multiple teeth or trauma to the anterior maxilla often results in a deficient ridge width for prosthetic tooth rehabilitation. This study evaluated the use of titanium mesh and recombinant human bone morphogenetic protein 2 (rhBMP-2) for the repair of major bone defects in the alveolar bone. Five patients were enrolled in the study; these patients required implant replacements for two contiguous missing teeth in the anterior maxilla, which lacked sufficient bone. Residual ridges were augmented with rhBMP-2 and titanium mesh to direct the geometry of the newly formed bone. Seven months later, a bone biopsy specimen was removed from the implantation site before osteotomy and insertion of dental implants. Cone beam computed tomography (CBCT) scans were obtained preoperatively, postoperatively (baseline), and 48 months after implantation to evaluate implant healing. All dental implants were placed in the grafted sites without the need for further bone augmentation. The most frequent adverse effects were facial oedema and oral erythema. Biopsy specimens were used to evaluate bone quality. CBCT scans provided a prediction of alveolar restoration and long-term success. The combination of rhBMP-2 and titanium mesh provided effective augmentation of the atrophic anterior maxilla prior to implant placement.
Ars curandi em odontologia, 1978
Quintessence international (Berlin, Germany : 1985), 2007
Patients who require restorative intervention in the anterior teeth expect esthetics to be integr... more Patients who require restorative intervention in the anterior teeth expect esthetics to be integrated with other teeth that compose the smile. Therefore, not only should clinicians have a scientific technique for restoration of dental biology and function, but also their esthetic sense should direct them in the reproduction of polychromatic and anatomic characteristics of the tooth, rendering the restoration imperceptible. The introduction of new resin composites with better mechanical and optical properties, combined with better understanding of the optical behavior of dental tissues, has allowed a more artistic approach for accomplishment of direct bonded restorations with resin composite. Reproduction of optical behavior characteristics in restorations requires proper interpretation of shade variations, with use of resources and effects with resin composite to allow correspondence with the tooth substrates, and correct use of resin composite at the proper place and of exact thick...
Revista de odontologia da Universidade de São Paulo / USP
Operative Dentistry, 2013
This study evaluated the clinical performance of ceramic inlays and onlays made with two systems:... more This study evaluated the clinical performance of ceramic inlays and onlays made with two systems: sintered (Duceram, Dentsply-Degussa)-D and pressable (IPS Empress, Ivoclar-Vivadent)-IPS after two years. Eighty-six restorations, 44 IPS and 42 D, were cemented into the mouths of 35 patients. Twenty-seven premolars and 59 molars received Class II preparations totaling 33 onlays and 53 inlays. All restorations were cemented with dual-cured resin cement (Variolink II, Ivoclar-Vivadent) and Syntac Classic adhesive under rubber dam. The evaluations were conducted by two independent investigators at the baseline and after one and two years using the modified USPHS criteria. Additionally, radiographs and slides were made. After two years, 100% of the restorations were assessed and all the restorations were considered clinically excellent or acceptable. Among the analyzed criteria, the following received Bravo ratings: marginal discoloration-IPS (31.82%), D (23.81%); marginal integrity-IPS (18.18%), D (11.9%), color match-IPS (4.55%), D (9.52%) and surface texture-IPS (2.27%); D (14.29%). No "Charlie" or "Delta" scores were attributed to the restorations. The results were subjected to the Fisher and McNemar Statistical Tests. No significant differences were noticed between the two ceramic materials. Among the analyzed criteria, only marginal discoloration presented an increased percentage of "Bravo" scores that increased with time for both ceramic materials. Compared with the baseline data, the Two types of ceramic restorations were used in this study and no significant differences were noticed between them. After two years both ceramic systems demonstrated excellent clinical performance.
The Journal of Prosthetic Dentistry, 1981
The Journal of Prosthetic Dentistry, 2005
The Journal of Prosthetic Dentistry, 1987
Australian Dental Journal, 2011
Background: The aim of this study was to evaluate the cardiovascular effects of maxillary infiltr... more Background: The aim of this study was to evaluate the cardiovascular effects of maxillary infiltration using 2% lidocaine with 1:100 000 adrenaline, 4% articaine with 1:200 000 adrenaline, and 4% articaine with 1:100 000 adrenaline in different stages during restorative dental procedures. Methods: Twenty healthy patients randomly received 1.8 mL of the three local anaesthetics. Systolic blood pressure, average blood pressure, diastolic blood pressure, and heart rate were evaluated by the oscillometric and photoplethysmograph methods in seven stages during the appointment. Results: Statistical analysis by ANOVA and Tukey tests of cardiovascular parameters did not show significant differences between the anaesthetic associations. There were significant differences for the parameters among different clinical stages. Conclusions: The variation of cardiovascular parameters was similar for lidocaine and articaine with both adrenaline concentrations and showed no advantage of one drug over the other. Cardiovascular parameters were influenced by the stages of the dental procedures, which showed the effect of anxiety during restorative dental treatment.
International Journal of Oral and Maxillofacial Surgery, 2012
International Journal of Oral and Maxillofacial Surgery, 2015
The loss of multiple teeth or trauma to the anterior maxilla often results in a deficient ridge w... more The loss of multiple teeth or trauma to the anterior maxilla often results in a deficient ridge width for prosthetic tooth rehabilitation. This study evaluated the use of titanium mesh and recombinant human bone morphogenetic protein 2 (rhBMP-2) for the repair of major bone defects in the alveolar bone. Five patients were enrolled in the study; these patients required implant replacements for two contiguous missing teeth in the anterior maxilla, which lacked sufficient bone. Residual ridges were augmented with rhBMP-2 and titanium mesh to direct the geometry of the newly formed bone. Seven months later, a bone biopsy specimen was removed from the implantation site before osteotomy and insertion of dental implants. Cone beam computed tomography (CBCT) scans were obtained preoperatively, postoperatively (baseline), and 48 months after implantation to evaluate implant healing. All dental implants were placed in the grafted sites without the need for further bone augmentation. The most frequent adverse effects were facial oedema and oral erythema. Biopsy specimens were used to evaluate bone quality. CBCT scans provided a prediction of alveolar restoration and long-term success. The combination of rhBMP-2 and titanium mesh provided effective augmentation of the atrophic anterior maxilla prior to implant placement.
Ars curandi em odontologia, 1978
Quintessence international (Berlin, Germany : 1985), 2007
Patients who require restorative intervention in the anterior teeth expect esthetics to be integr... more Patients who require restorative intervention in the anterior teeth expect esthetics to be integrated with other teeth that compose the smile. Therefore, not only should clinicians have a scientific technique for restoration of dental biology and function, but also their esthetic sense should direct them in the reproduction of polychromatic and anatomic characteristics of the tooth, rendering the restoration imperceptible. The introduction of new resin composites with better mechanical and optical properties, combined with better understanding of the optical behavior of dental tissues, has allowed a more artistic approach for accomplishment of direct bonded restorations with resin composite. Reproduction of optical behavior characteristics in restorations requires proper interpretation of shade variations, with use of resources and effects with resin composite to allow correspondence with the tooth substrates, and correct use of resin composite at the proper place and of exact thick...
Revista de odontologia da Universidade de São Paulo / USP
Operative Dentistry, 2013
This study evaluated the clinical performance of ceramic inlays and onlays made with two systems:... more This study evaluated the clinical performance of ceramic inlays and onlays made with two systems: sintered (Duceram, Dentsply-Degussa)-D and pressable (IPS Empress, Ivoclar-Vivadent)-IPS after two years. Eighty-six restorations, 44 IPS and 42 D, were cemented into the mouths of 35 patients. Twenty-seven premolars and 59 molars received Class II preparations totaling 33 onlays and 53 inlays. All restorations were cemented with dual-cured resin cement (Variolink II, Ivoclar-Vivadent) and Syntac Classic adhesive under rubber dam. The evaluations were conducted by two independent investigators at the baseline and after one and two years using the modified USPHS criteria. Additionally, radiographs and slides were made. After two years, 100% of the restorations were assessed and all the restorations were considered clinically excellent or acceptable. Among the analyzed criteria, the following received Bravo ratings: marginal discoloration-IPS (31.82%), D (23.81%); marginal integrity-IPS (18.18%), D (11.9%), color match-IPS (4.55%), D (9.52%) and surface texture-IPS (2.27%); D (14.29%). No "Charlie" or "Delta" scores were attributed to the restorations. The results were subjected to the Fisher and McNemar Statistical Tests. No significant differences were noticed between the two ceramic materials. Among the analyzed criteria, only marginal discoloration presented an increased percentage of "Bravo" scores that increased with time for both ceramic materials. Compared with the baseline data, the Two types of ceramic restorations were used in this study and no significant differences were noticed between them. After two years both ceramic systems demonstrated excellent clinical performance.
The Journal of Prosthetic Dentistry, 1981
The Journal of Prosthetic Dentistry, 2005
The Journal of Prosthetic Dentistry, 1987
Australian Dental Journal, 2011
Background: The aim of this study was to evaluate the cardiovascular effects of maxillary infiltr... more Background: The aim of this study was to evaluate the cardiovascular effects of maxillary infiltration using 2% lidocaine with 1:100 000 adrenaline, 4% articaine with 1:200 000 adrenaline, and 4% articaine with 1:100 000 adrenaline in different stages during restorative dental procedures. Methods: Twenty healthy patients randomly received 1.8 mL of the three local anaesthetics. Systolic blood pressure, average blood pressure, diastolic blood pressure, and heart rate were evaluated by the oscillometric and photoplethysmograph methods in seven stages during the appointment. Results: Statistical analysis by ANOVA and Tukey tests of cardiovascular parameters did not show significant differences between the anaesthetic associations. There were significant differences for the parameters among different clinical stages. Conclusions: The variation of cardiovascular parameters was similar for lidocaine and articaine with both adrenaline concentrations and showed no advantage of one drug over the other. Cardiovascular parameters were influenced by the stages of the dental procedures, which showed the effect of anxiety during restorative dental treatment.
International Journal of Oral and Maxillofacial Surgery, 2012