Publications by authors named "Silvio Taschieri"
The use of dentin grafts is relatively recent, and their efficacy remains a topic of debate. Various techniques and devices are available for dentin grafting; however, their application has been inconsistent, as each method yields a distinct product with unique biological properties and potential uses. One of the challenges that arises with the introduction of a new biomaterial is the potential confusion between different preparations.
View Article and Find Full Text PDF: To reconstruct and maintain hard tissues over time, it is necessary to follow effective protocols and use appropriate materials. The selection of the graft material and its properties can also affect the final outcomes. For this purpose, numerous graft materials have been suggested.
View Article and Find Full Text PDFEfficacy of Different Materials for Maxillary Sinus Floor Augmentation With Lateral Approach. A Systematic Review.
Clin Implant Dent Relat Res
June 2025
Background: Maxillary sinus floor augmentation (MSFA) with lateral approach has undergone considerable changes since its inception, mainly due to the introduction of a variety of grafting materials and surgical protocols, with the aim of providing predictable and durable support to implants and improving treatment outcomes. The aim of this systematic review was to evaluate the performance of MSFA in terms of graft stability and implant survival, based on randomized clinical trials.
Methods: The study protocol was registered on PROSPERO.
Purpose: To achieve a consensus among international experts regarding the management of postoperative complications after maxillary sinus floor elevation.
Materials And Methods: A total of 32 experts were enrolled and divided into dental implant providers (21), experts with a well-established reputation as sinus specialists (8), ear, nose and throat specialists (2), and experts with a well-established reputation as ear, nose and throat specialists (1). Before starting, a systematic literature search was conducted on the topic, and a list of articles was sent to the panel.
The aim of the present systematic review was to evaluate the efficacy of surgical techniques for the preservation of a tooth with VRF. We included case series presenting techniques for the treatment of VRFs. Both electronic sources (MEDLINE, EMBASE, Cochrane Central) and reference lists/table of contents of pertinent journals were screened.
View Article and Find Full Text PDFBackground: Tooth autotransplantation is a reliable procedure with high long-term success and survival rates, showing many advantages over dental implants, particularly for young patients in craniofacial development. Nonetheless, insufficient bone availability at the recipient site is a key limitation. This study aims to establish the feasibility of tooth autotransplantation combined with staged or simultaneous bone regeneration to address complex cases.
View Article and Find Full Text PDFArticle Synopsis
- - The article reviews the diagnosis of odontogenic sinusitis (ODS) that could result from complications after oral surgery, stressing the need for careful patient evaluation.
- - It covers key diagnostic techniques to identify issues like oroantral communications, dental implant dislocation, and possible infections in implants or grafts placed in the maxillary sinuses.
- - The piece underscores the importance of various oral exam methods, imaging options, and collaboration with otolaryngologists in assessing and managing infectious ODS.
Standard Versus Step Burs for Implant Site Preparation: A Randomized Controlled Clinical Trial.
Int J Oral Maxillofac Implants
May 2025
Article Synopsis
- The study aimed to analyze the effectiveness of two different drilling methods (straight burs vs. step burs) for preparing implant sites and their impact on clinical and radiographic outcomes.
- Conducted as a randomized controlled trial, the research involved 60 patients receiving the same implants while comparing bone resorption rates over one and two years between the two groups.
- The findings indicated no significant difference in bone resorption between the two drilling protocols, suggesting that both methods are equally effective for implant site preparation.
CAD/CAM Titanium Meshes for GBR: A Case Series with Preliminary Histologic Analysis.
Int J Periodontics Restorative Dent
May 2024
Titanium has been proposed as a mesh material for guided bone regeneration (GBR) since the 1990s. To overcome difficulties in shaping and adapting meshes to the defect, digital techniques were introduced to digitally print meshes capable of fitting the bone perfectly, reproduced through the patient's CT scan. Five patients were included in this case series, and their CBCT data were acquired and sent to the producer of the titanium meshes.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to compare the effectiveness of air-abrasive powder versus chlorhexidine (CHX) for treating peri-implant mucositis, a reversible inflammatory condition that can lead to more severe issues if left untreated.
- Methodologically, one group received traditional plaque removal with CHX, while another group used erythritol powder for biofilm removal, assessing various clinical parameters and patient-reported outcomes over 12 months.
- Results indicated that both treatments were effective, with the test group showing slightly better outcomes in bleeding index and patient taste sensation, suggesting air-abrasive powders could be a viable alternative to antiseptic treatments.
Indications for implant-supported rehabilitation of the posterior atrophic maxilla: A multidisciplinary consensus among experts in the field utilising the modified Delphi method.
Int J Oral Implantol (Berl)
March 2024
Article Synopsis
- The study aims to create guidelines for treating the posterior atrophic maxilla with implants to improve clinical decisions and patient satisfaction.
- A group of 33 dental experts evaluated and rephrased 20 initial statements across three rounds of voting to reach a consensus on treatment protocols.
- Ultimately, the consensus emphasizes the need for thorough preoperative planning, considering factors like bone structure and sinus width to ensure better functional and aesthetic outcomes.
Mucosal cyst aspiration in conjunction with maxillary sinus elevation: A clinical cohort study.
Clin Implant Dent Relat Res
June 2024
Article Synopsis
- Patients with mucosal cysts in the maxillary sinus present unique challenges for implant therapy, and the study aims to propose a safe and effective treatment approach for sinus augmentation in these cases.
- The study involved 15 patients and 18 sinuses, where cyst treatment was performed via needle aspiration alongside maxillary sinus augmentation (MSA), leading to high implant success rates over 1 and 5 years.
- Results showed minimal bone resorption and a majority of patients remained asymptomatic, indicating that the method of aspirating mucosal cysts while conducting MSA is a promising treatment option.
Article Synopsis
- The study investigates the anatomical features of the mesiobuccal (MB) root canals in maxillary molars using cone beam computed tomography (CBCT) to reduce endodontic failures.
- A total of 100 CBCT scans were analyzed, focusing on measurements like root length, canal confluence, and positions of canal orifices.
- Results indicate that a longer root (over 14.56 mm) significantly increases the likelihood of confluence between MB canals, suggesting the importance of anatomical knowledge for successful root canal treatments.
The Relevant Oral Burden of Patients with Hidradenitis Suppurativa.
Dermatol Ther (Heidelb)
October 2023
Article Synopsis
- Interleukin-17 is important for both hidradenitis suppurativa (HS) and oral health, but their link is unclear, prompting a study on oral health in HS patients.
- A cross-sectional study evaluated 102 HS patients, revealing that many lacked regular dental care and 55.9% suffered from oral issues, including caries and missing teeth.
- The findings suggest a significant oral health burden in HS patients, indicating the need for dental involvement in their care and promoting oral hygiene education.
Article Synopsis
- This case report outlines a unique endodontic microsurgery technique that treats both a problem in a maxillary molar and a lesion in the maxillary sinus simultaneously through a palatal approach.
- The patient had previously undergone standard treatments for the molar but continued to experience pain and other issues, leading to the need for surgical intervention.
- Post-operative imaging showed successful healing in both areas without the need for more invasive procedures, marking a novel method in dental surgery literature.
Background: Endodontic-periodontal lesions may need surgical approach and the application of guided tissue regeneration (GTR) to be treated by a combined approach.
Objectives: The aim of the present study was to evaluate the effects of GTR on the success (clinical and radiological healing) of teeth with endodontic-periodontal lesions treated by modern surgical endodontic treatment, by means of a systematic review of the literature.
Methods: An exhaustive electronic (Medline, Embase and Scopus searched from inception to August 2020) and manual literature search combined with strict inclusion and exclusion criteria was undertaken to identify any clinical (prospective case series or comparative trials) studies that assessed the added benefit of GTR in modern surgical endodontic treatment of teeth with endodontic-periodontal lesions.
Article Synopsis
- The study assessed the effectiveness of a new bone substitute made from extracted premolars to enhance esthetics and functionality post-implant.
- Fourteen implants were placed in 12 patients, using the derived material to fill gaps after the teeth were removed.
- Results showed good esthetic scores, stable bone levels, and no complications, leading to high patient satisfaction with masticatory function and aesthetics after six months.
Radiographic protrusion of dental implants in the maxillary sinus and nasal fossae: A multidisciplinary consensus utilising the modified Delphi method.
Int J Oral Implantol (Berl)
September 2022
Article Synopsis
- * Participants reviewed existing research and completed three surveys, achieving consensus on 15 out of 17 statements regarding the clinical management of these implants.
- * Key findings include the need for regular monitoring of protruding implants and the importance of collaboration between implant providers and otolaryngologists for managing sinusitis, with implant removal being a last resort.
Article Synopsis
- The terms "sex" and "gender" have distinct meanings, with "sex" relating to biological differences and "gender" focusing on social and cultural influences; integrating both in research can enhance methodology.
- In dental research, gender is often overlooked and used interchangeably with sex, leading to inadequate consideration of how these factors influence health outcomes.
- A review found that only five out of the top 20 dental journals include specific policies on analyzing sex and gender, highlighting a need for improved guidelines to ensure thorough research in these areas.
Article Synopsis
- The study compares two methods, xenogeneic collagen matrix (XCM) and subepithelial connective tissue graft (SCTG), for increasing soft tissue thickness at dental implant sites in a sample of 30 patients.
- Results showed that SCTG led to a greater average increase in soft tissue thickness (1.55 mm) compared to XCM (1.18 mm), with SCTG also having a shorter operation time.
- Overall, while SCTG outperformed XCM in tissue gain, XCM may still be a viable option for soft tissue augmentation in certain clinical situations.
Article Synopsis
- - This study investigated the effect of using a nano-Argentum rinse alongside regular oral hygiene in patients with fixed braces to see if it reduced the risk of periodontal diseases.
- - Eighty patients were monitored for a year and divided into two groups: one used the nano-Argentum rinse for 6 months, while the control group only followed standard hygiene practices.
- - Results showed that the rinse significantly improved oral hygiene indices (e.g., PHPm, PMA, CPI) after both 1 and 6 months, indicating it was more effective than just regular care alone.
Background: In addition to non-surgical root canal treatment or retreatment, apical surgery may be carried out to manage teeth with apical periodontitis. However, it is unclear which treatment option is more effective.
Objective: To systematically review the effectiveness of apical surgery compared with non-surgical treatment or retreatment in terms of clinical and patient-related outcomes in teeth with apical periodontitis.
Objective: Previous studies demonstrated a dose-dependent efficacy of sodium bicarbonate when added to dentifrices for the mechanical control of dental biofilm. The present systematic review and meta-analysis aimed to evaluate the efficacy of a 67% sodium bicarbonate-based toothpaste for gingival health parameters improvement in subjects with gingivitis.
Materials And Methods: An electronic search on MEDLINE, Scopus, and Cochrane Central Register of Controlled Trials (CENTRAL), was performed using a combination of keywords, followed by a hand search on pertinent Journals.
Background: An effective regenerative protocol is key to reestablish and maintain the hard and soft tissue dimensions over time. The choice of the graft material and its properties also could have an impact on the results. To prevent alveolar ridge dimensional changes, since numerous graft materials have been suggested and in the past years, a growing interest in teeth material has been observed as a valuable alternative to synthetic biomaterials.
View Article and Find Full Text PDFArticle Synopsis
- The text discusses the emerging trend of minimally invasive procedures in endodontics (root canal treatment), inspired by other surgical fields, aimed at conserving tooth structure for better long-term outcomes.
- Despite the appeal, this trend faces resistance due to a lack of solid evidence supporting its efficacy, with much emphasis placed on access techniques rather than minimally invasive cleaning and surgical practices.
- The review aims to provide an impartial evaluation of these concepts, examining existing research, highlighting the importance of modern irrigation strategies for canal cleanliness, and identifying gaps in current research on minimally invasive endodontics.