scholarly journals Gingival Response to Dental Implant: Comparison Study on the Effects of New Nanopored Laser-Treated vs. Traditional Healing Abutments

2020 ◽  
Vol 21 (17) ◽  
pp. 6056
Author(s):  
Barbara Ghinassi ◽  
Angela Di Baldassarre ◽  
Gianmaria D’Addazio ◽  
Tonino Traini ◽  
Mauro Andrisani ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Surface Topography ◽  
Soft Tissues ◽  
Point Of View ◽  
Lower Grade ◽  
Machined Surface ◽  
Tissue Microenvironment ◽  
Second Stage ◽  
The One

The health of peri-implant soft tissues is important for the long-term success rate of dental implants and the surface topography is pivotal in influencing it. Thus, the aim of this study was to evaluate, in human patients, the inflammatory mucosal microenvironment in the tissue surrounding a new, nanoscale, laser-treated healing abutment characterized by engineered nanopores versus a standard machined-surface. Analyses of anti- and pro-inflammatory markers, cytokeratins, desmosomal proteins and scanning electron microscopy were performed in 30 soft-tissue biopsies retrieved during second-stage surgery. The results demonstrate that the soft tissue surrounding the laser-treated surface was characterized by a lower grade of inflammation than the one facing the machined-surface, which, in turn, showed a disrupted epithelium and altered desmosomes. Moreover, higher adhesion of the epithelial cells on the laser-treated surface was detected compared to the machined one. In conclusion, the laser-treated surface topography seems to play an important role not only in cell adhesion, but also on the inflammatory makers’ expression of the soft tissue microenvironment. Thus, from a clinical point of view, the use of this kind of topography may be of crucial importance not only on healing abutments but also on prosthetic ones.

scholarly journals A CLINICAL CASE OF REMOVING A RESIDUAL FOREIGN BODY FROM THE LEFT SUPRACLAVICULAR REGION

2017 ◽  
Vol 4 (3) ◽  
pp. 120-122
Author(s):  
V.V. Boyko ◽  
V.V. Makarov ◽  
A.L. Sochnieva ◽  
V.V. Kritsak
Keyword(s):  
Surgical Treatment ◽  
Foreign Body ◽  
Soft Tissue ◽  
Clinical Case ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Life Quality ◽  
The Other ◽  
Practical Case ◽  
The One

Boyko V.V., Makarov V.V., Sochnieva A.L., Kritsak V.V.Residual foreign bodies in soft tissues are one of the main causes of chronical infection lesions and decrease in life quality. Surgical treatment is the most common way to relieve the patient from a foreign body. Often there is a question whether to remove a foreign body? On the one hand, all foreign bodies that are in the human body must be removed. On the other hand, in the absence of symptoms, the risk of surgery performed for the purpose of removal exceeds the risk associated with finding the foreign body. We would like to describe a practical case of removing a foreign body (Kirschner`s wires) from the left supraclavicular region. The young patient lived with a fragment of Kirschner's wire left after the osteosynthesis of the fractured clavicle for 5 years. Surgery to remove the residual foreign body was successful. On the 7th postoperative day the patient was discharged from the hospital under the supervision of surgeons at the place of residence.Key words: foreign body in soft tissue, Kirschner`s wire, surgical treatment. КЛІНІЧНИЙ ВИПАДОК ВИДАЛЕННЯ ЗАЛИШКОВ СТОРОННЬОГО ТІЛА З ЛІВОЇ НАДКЛЮЧИЧНОЇ ОБЛАСТІБойко В.В., Макаров В.В., Сочнева А.Л.,  Крицак В.В.Залишкові чужорідні тіла м'яких тканин залишаються однією з основних причин виникнення вогнища хронічної інфекції та зниження рівня якості життя. Хірургічне лікування основний спосіб позбавити хворого від наявності чужорідного агента. Часто виникає питання чи видаляти чужорідне тіло. З одного боку, усі сторонні тіла, що знаходяться в тілі людини, підлягають видаленню, з іншого боку при відсутності симптомів ризик операції, проводимої з метою видалення, перевищує ризик, пов'язаний з перебуванням чужорідного тіла. Ми хотіли б поділитися випадком видалення залишкового стороннього тіла (спиці Кіршнера) лівої надключичної ділянки із власної практики. Молода пацієнтка прожила з уламком спиці Кіршнера, залишеної після металлоостеосинтезу поламаної ключиці протягом 5 років. Операція з видалення залишкового стороннього тіла пройшла успішно. На 7 післяопераційну добу пацієнтка була виписана зі стаціонару під спостереження хірурги за місцем проживання.Ключові слова: чужорідне тіло м'яких тканин, спиця Кіршнера, хірургічне лікування. кЛИНИЧЕСКИЙ СЛУЧАЙ УДАЛЕНИЯ ОСТАТКОВ ИНОРОДНОГО ТЕЛА ИЗ ЛЕВОЙ ПОДКЛЮЧИЧНОЙ ОБЛАСТИ Бойко В.В., Макаров В.В., Сочнева А.Л.,  Крицак В.В.Остаточные инородные тела мягких тканей остаются одной из основных причин возникновения очага хронической инфекции и снижения уровня качества жизни. Хирургическое лечение основной способ избавить больного от наличия чужеродного агента. Часто возникает вопрос удалять ли инородное тело? С одной стороны, все инородные тела, находящиеся в теле человека, подлежат удалению, с другой стороны при отсутствии симптомов риск операции, производимой с целью удаления, превышает риск, связанный с нахождением инородного тела. Мы хотели бы поделится случаем удаления остаточного инородного тела (спицы Киршнера) левой надключичной области из собственной практики. Молодая пациентка прожила с обломком спицы Киршнера, оставленной после металлоостеосинтеза поломанной ключицы в течении 5 лет. Операция по удалению остаточного инородного тела прошла успешно. На 7 послеоперационные сутки пациентка была выписана из стационара под наблюдение хирурги по месту жительства.Ключевые слова: инородное тело мягких тканей, спица Киршнера, оперативное лечение.

scholarly journals Assessment of direct and indirect effects of building developments on the environment

2019 ◽  
Vol 9 (1) ◽  
pp. 109-114
Author(s):  
Elżbieta Hanna Szafranko
Keyword(s):  
Complex Analysis ◽  
Objective Assessment ◽  
Optimal Solution ◽  
Point Of View ◽  
Nature Protection ◽  
Building Projects ◽  
Indicator Method ◽  
Considerable Impact ◽  
The One

AbstractAny building construction undertaking is inseparable from the environment in which it will be executed. Among all buildings, the most difficult ones from the point of view of nature protection are those which have been classified as having a considerable impact on the environment. Roads and road infrastructure are a particular case. Construction of roads or railroads and their subsequent long-term use lead to many changes in the environment. When planning such building projects, it is recommended to develop variant solutions in order to choose the one that would be least harmful to the environment, and then to submit them to an objective assessment. To facilitate the selection of an optimal solution, assessment indicators are developed. However, it needs to be remembered that a factor perceived as a negative one in the immediate assessment might generate positive consequences on a broader scale and vice versa. Hence, an assessment of the impacts on the environment caused by building projects should be viewed in the context of indirect (global) and direct (local) effects. This article will present a model analysis of the impacts caused by a fragment of a road, including local and global effects measured by the indicator method. This method has been developed by the author of this article, who believes that it enables the user to make a complex analysis, while the graphic presentation it involves, discussed in the conclusions to this paper, helps to decide easily which factors are decisive in the final assessment of the analysed project.

scholarly journals Peri-Implant Diseases

2021 ◽  
Author(s):  
Dipanjan Das ◽  
Nina Shenoy
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Inflammatory Lesion ◽  
Bacterial Biofilm ◽  
Term Survival ◽  
Diagnostic Aspects ◽  
Inflammatory Conditions ◽  
Dental Prostheses ◽  
Implant Treatment

AbstractOsseointegrated dental implants have become an increasingly popular modality of treatment for the replacement of absent or lost teeth because of its high rates of long-term survival when used to support various types of dental prostheses. However, complications and implant failure can still occur and are considered by many clinicians as a major obstacle for implant treatment. Biological complications mainly refer to inflammatory conditions of the soft tissues and bone surrounding implants and their restorative components, which are induced by the accumulation of bacterial biofilm. Two clinical varieties may be distinguished: peri-implant mucositis and peri-implantitis. Peri-implant mucositis is a reversible, plaque-induced inflammatory lesion confined to the peri-implant soft tissue unit, whereas peri-implantitis is an extension of peri-implant mucositis to involve the bone supporting the implant. Diagnosing and managing these biological complications is of utmost importance for the implant surgeon and dental practitioner. This review encompasses the etiology, diagnostic aspects, prevention, and management of biological complications.

scholarly journals Environmental Dimesion of the COVID-19 Pandemic: New Chance for Green Economy

2021 ◽  
Vol 65 (12) ◽  
pp. 128-140
Author(s):  
T. Rovinskaya
Keyword(s):  
Economic Recession ◽  
State Level ◽  
Point Of View ◽  
Green Economy ◽  
Anthropogenic Pressure ◽  
The European Union ◽  
Environmental Programs ◽  
Short And Long Term ◽  
The One

The article investigates the changes in environment that occurred in response to economic processes during the COVID‑19 pandemic (2019–2021), and related transformation of socio-political attitudes towards Green Policy and Green Economy. From the environmentalistic point of view, the pandemic played a twofold role. On the one part, it allowed the nature to “take a break” from an excessive anthropogenic pressure on the atmosphere and hydrosphere, and once again mobilized the humanity to reconsider the principles of interaction with the environment. On the other part, different types of pollution (daily and medical waste, plastic) increased dramatically; funding of international and national environmental programs was cut due to the economic recession worldwide. Nevertheless, the multidimensional crisis caused by the pandemic gave a new chance to the Green Economy. The most influential states of the world (the EU countries, USA, China and Russia) actively implement the Green Economy instruments at the state level. This process incorporates all economy sectors: finances, energy, industry, transport, agriculture and other. The European Union which had taken this path before the pandemic started is in an advanced position. At the same time, the foundations of the future environment-oriented economic policy are already enshrined in official documents (strategies, action plans, legislative acts, etc.) adopted by the leading nations thus far. Noteworthy is that the COVID‑19 crisis has updated the green political and economic agenda globally, regardless of differences between the states, which verifies the importance and necessity of agreeing a conceptually new approach to interaction with the environment in the short and long term.

scholarly journals Pathogenetic features of chronic osteomyelitis treatment

2021 ◽  
Vol 27 (5) ◽  
pp. 628-635
Author(s):  
D.V. Rimashevskiy ◽  
◽  
I.F. Akhtyamov ◽  
P.N. Fedulichev ◽  
Wessam Zaalan ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Diagnosis And Treatment ◽  
Steady Increase ◽  
Joint Function ◽  
The Past ◽  
Joint Pathology ◽  
The Social ◽  
Severe Pathology ◽  
The One

Abstract Over the past decades, there has been a steady increase in the incidence of osteomyelitis. It is associated with an increased use of implants in traumatology and orthopedics. The social aspects of osteomyelitis are, on the one hand, significant financial costs for the healthcare system, and on the other hand, high recurrence and re-infection in the treatment of joint pathology associated with long-term loss of work ability and a high risk of patient’s disability. Purpose To conduct a search and analysis of publications in Russian and English, devoted to the problem of osteomyelitis and periprosthetic infection, on the basis of which to summarize the main current notions about the etiology, pathogenesis, diagnosis and treatment of osteomyelitis. Materials and methods The search was carried out in the Pubmed and CyberLeninka databases of literature sources over the past 10 years. The data were analyzed and compared with the materials from earlier publications. Only publications from peer-reviewed journals were considered for analysis. Results and discussion Success in the treatment of peri-implant infection with prosthesis re-implantation and satisfactory joint function has been achieved in only just more than a half of patients. Recent studies have significantly changed the understanding of the etiology and pathogenesis of osteomyelitis. It has been proven that in osteomyelitis and implant-associated infection, four reservoirs of infection are formed in the patient's body: abscesses in soft tissues and bone marrow canal, biofilms on the surface of implants and necrotic tissues, intracellular colonization with bacteria of the macroorganism and lacunar-canalicular system. Understanding the mechanisms of osteomyelitis development and its course forces the specialists to take a fresh look at the causes of failures in the fight against such a severe pathology and change approaches to its prevention, diagnosis and treatment.

Immediate soft-tissue adhesion and the mechanical properties of the Ti–6Al–4V alloy after long-term acid treatment

2021 ◽  
Vol 9 (39) ◽  
pp. 8348-8354
Author(s):  
Yaming Wang ◽  
Masahiro Okada ◽  
Shi Chao Xie ◽  
Yu Yang Jiao ◽  
Emilio Satoshi Hara ◽  
...  
Keyword(s):  
Mechanical Properties ◽  
Solid State ◽  
Soft Tissue ◽  
Acid Treatment ◽  
Soft Tissues ◽  
Tissue Adhesion ◽  
Β Phase ◽  
Α Phase

A metallic solid-state adhesive for biological soft tissues was fabricated using Ti–6Al–4V alloys, and the influence of the minor β phase and the small amount of Al in the α phase are reported.

How digital strategy increases overtourism the case of Barcelona

2021 ◽  
Author(s):  
Stephane Bourliataux Lajoinie ◽  
Josep Lluis del Olmo Arriaga ◽  
Frederic Dosquet
Keyword(s):  
Point Of View ◽  
Way Of Life ◽  
Heritage Sites ◽  
Mass Tourism ◽  
Tourist Destinations ◽  
Starting Point ◽  
Total Dependence ◽  
Negative Side Effects ◽  
The One

The term ‘overtourism’ made the headlines in 2017 to denote the antithesis of a fair, well-planned form of tourism. An overtourism destination is a destination perceived as the victim of uncontrolled flows of tourists. Some authors have contributed to analysing the first stages of this perception. Boissevain (1996) published ‘Coping with tourists: European reactions to mass tourism’, in which he analysed how a massive flow of tourists in Malta generated negative side effects and a total dependence on touristic economy. Tyler et al. (1998) offered one of the first analyses of ways to control tourism flow from a sustainable point of view. Bosselman et al. (1999) published a pioneering analysis on the relationships between hosts and tourists. The paper discusses the risks and benefits of growth in tourism and the need for long-term management to avoid overexploitation of tourist destinations. These research projects laid the foundations for reflection on sustainable tourism and were the starting point for studying the risks of overtourism. Fyall and Garrod (1998) discussed the impacts of overtourism on heritage sites. On the one hand, the phenomenon contributes to a short-term economic boost; on the other hand, it impacts negatively on the way of life of local communities.

Effect of Phosphate Supplements on Soft-Tissue Calcification and Bone Turnover

1972 ◽  
Vol 42 (3) ◽  
pp. 289-299 ◽  
Author(s):  
Jenifer Jowsey ◽  
P. Balasubramaniam
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Control Diet ◽  
Control Period ◽  
Control Group ◽  
Soft Tissue Calcification ◽  
Term Study ◽  
Tissue Calcification ◽  
Long Term Study

1. The short- and long-term effects of oral phosphate supplements were studied in two groups of adult rabbits. 2. In the short-term study, compared with control animals, the bones of phosphate-supplemented rabbits showed a greater degree of porosity, and defects in the tibia created at the beginning of the study were replaced with bone tissue containing many areas of resorption. There was an increase in retention of 85Sr in the hard and soft tissues, particularly in the kidney and thoracic aorta. 3. In the long-term study, a second group of rabbits received a low calcium and phosphate intake during the control period; half of this group were then fed a low dosage of supplemental phosphate while the remaining half remained on the control diet. After a period of 6 months the bones of phosphate-supplemented animals showed increased porosity and there was an increase in 85Sr retention by the kidney compared with the control group. 4. Phosphate supplementation appears to result in secondary hyperparathyroidism and to cause soft-tissue calcification.

scholarly journals Gastric Electrical Stimulation for the Treatment of Obesity: From Entrainment to Bezoars—A Functional Review

2013 ◽  
Vol 2013 ◽  
pp. 1-15 ◽  
Author(s):  
Martin P. Mintchev
Keyword(s):  
Electrical Stimulation ◽  
Gastric Volume ◽  
Point Of View ◽  
Gastric Electrical Stimulation ◽  
Obesity Epidemic ◽  
Surgical Methods ◽  
Treatment Of Obesity ◽  
The One ◽  
Invasive Techniques

Growing worldwide obesity epidemic has prompted the development of two main treatment streams: (a) conservative approaches and (b) invasive techniques. However, only invasive surgical methods have delivered significant and sustainable benefits. Therefore, contemporary research exploration has focused on the development of minimally invasive gastric manipulation methods featuring a safe but reliable and long-term sustainable weight loss effect similar to the one delivered by bariatric surgeries. This antiobesity approach is based on placing external devices in the stomach ranging from electrodes for gastric electrical stimulation to temporary intraluminal bezoars for gastric volume displacement for a predetermined amount of time. The present paper examines the evolution of these techniques from invasively implantable units to completely noninvasive patient-controllable implements, from a functional, rather than from the traditional, parametric point of view. Comparative discussion over the available pilot and clinical studies related to gastric electrical stimulation outlines the promises and the fallacies of this concept as a reliable alternative anti-obesity strategy.

Unilateral Modification of Long Term Contracts: American Change of Terms Clauses and Italian Ius Variandi from a ‘Relational’ Point of View

2021 ◽  
Vol 17 (1) ◽  
pp. 37-53
Author(s):  
Gioia Caldarelli
Keyword(s):  
Point Of View ◽  
The Other ◽  
Unfair Advantage ◽  
Term Contract ◽  
The One

Abstract This article analyses the compromise required between certainty and flexibility in long-term contracts, which would appear to be intrinsically linked to the adoption of adjustment tools. The allocation of rights and risks at the beginning of a contract may include the enforceability of clauses which empowers one party to unilaterally amend the original terms of the contract. On the one hand, a right granted by a change of terms clause, if properly exercised, may allow both parties to obtain the most from a long-term contract. On the other, it is essential to provide limitations so as to avoid the result that this contractual dexterity gives an unfair advantage to one party to the detriment of the weaker party.

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