R Giorgetti

Università degli Studi di Siena, Siena, Tuscany, Italy

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Publications (12)10.7 Total impact

  • Article: Distal movement of maxillary canines and premolars with sectional mechanics following Distal Jet application to molars.
    E Bolla, T Doldo, R Giorgetti
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    ABSTRACT: to assess the effectiveness of Distal Jet without simultaneous fixed appliance treatment. twenty subjects with Class II malocclusion who received the Distal Jet appliance to move maxillary molars distally. Subsequently, the canine and premolar distal movements were achieved by the use of.017 x.025 Ni-Ti sectional wires and memory power chain. revealed that Distal Jet is more effective with less anchorage loss when this appliance is used independent of multibracket appliances. this study showed that Distal Jet is an effective and predictable appliance. The distal movements of upper premolars, canines and incisors with sectional wires fabricated from.017 x.025 Ni-Ti were biomechanically very effective, simple in clinical application, and did not require any patient compliance.
    Progress in orthodontics 02/2004; 5:72-89.
  • Article: Novel CNS syndrome and ectodermal dysplasia.
    American Journal of Medical Genetics Part A 02/2003; 116A(2):200-4. · 2.39 Impact Factor
  • Article: A functional approach to the TMJ disorders.
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    ABSTRACT: This manuscript describes our conservative approach to treatment of TMJ disorders. The method we use had been suggested by Rocabado - its aims are: joint distraction by the elimination of compression, restoration of physiologic articular rest, mobilization of the soft tissues, and whenever possible, to improve the condyle-disk-glenoid fossa relationship. To support these claims two clinical cases are presented where the non-invasive therapy was successful. The results obtained confirm the validity of this functional approach.
    Progress in orthodontics 02/2003; 4(2):20-37.
  • Article: Novel CNS syndrome and ectodermal dysplasia
    American Journal of Medical Genetics Part A 12/2002; 116A(2):200 - 204. · 2.39 Impact Factor
  • Article: Mucogingival interceptive surgery of buccally-erupted premolars in patients scheduled for orthodontic treatment. II. Surgically treated versus nonsurgically treated cases.
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    ABSTRACT: The aim of this 2-year longitudinal study was to compare the width of keratinized gingiva after orthodontic therapy for buccally erupting premolars that had been pretreated by extraction of deciduous teeth alone versus interceptive mucogingival surgery. In 8 patients (aged 9 to 12 years) who presented with bilateral buccal eruption of homologous teeth (premolars), one side was randomly treated with extraction of the deciduous molar and mucogingival surgery (test site), while the other side was treated only by extraction of the deciduous molar (control site). All of the subjects underwent orthodontic treatment with fixed appliances. At the baseline visit prior to any treatment, there was no significant difference between the mean amount of keratinized gingiva at test sites (3.06 mm) and control sites (2.93 mm). Two years later, upon completion of orthodontic treatment, there was a significant difference between test (2.93 mm) and control (1.37 mm) sites in the mean width of keratinized tissue. In the control (untreated) group, 2 sites exhibited 1 mm of gingival recession after orthodontic treatment. Mucogingival interceptive surgery is an effective technique to maintain keratinized tissue in correspondence with buccally-erupted teeth.
    Journal of Periodontology 03/2000; 71(2):182-7. · 2.60 Impact Factor
  • Article: Tunnel traction of infraosseous impacted maxillary canines. A three-year periodontal follow-up.
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    ABSTRACT: A surgical orthodontic procedure was used to treat deep infraosseous impacted canines (test teeth) associated with the persistence of the deciduous tooth in 15 patients who had the contralateral canine normally erupted (control teeth). The periodontal outcome was evaluated at the end of the orthodontic treatment and 3 years later. After extraction of the deciduous canine, a mucoperiosteal flap was raised on the buccal (seven cases) or palatal (eight cases) aspect, to expose the cusp of the impacted tooth. The empty socket of the deciduous tooth was extended to reach the impacted cusp and to form an osseous tunnel. A chain was passed through the tunnel and fixed to a bonded device on the impacted cusp. The flap was sutured back into its original position. The chain was used for traction to the impacted canine toward the center of the alveolar ridge. No attachment loss and no recession were observed at the end of the active therapy or 3 years later. No significant differences in keratinized tissue width were observed between test and control teeth at the follow-up examination.
    American Journal of Orthodontics and Dentofacial Orthopedics 02/1994; 105(1):61-72. · 1.38 Impact Factor
  • Article: [Morphofunctional correlations in children with upper maxillary endognathia].
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    ABSTRACT: In this study 23 oral breathing children suffering from maxillary hypoplasia (endognathia associated with skeletal class II or III), selected for rapid maxillary expansion (RME) have been investigated by active anterior rhinometry. None of these patients presented O.R.L. pathologies during clinical examination except for some sporadic cases of adenoid hypertrophy (5 cases). Rhinomanometric and cephalometric examinations carried out before and after RME treatment showed a good correlation between the nasal respiratory function parameters and the structural cephalometric elements investigated by means of teleradiography. In particular, an important reduction in nasal respiratory resistance in all patients with conversion from oral to nasal respiration in the majority of cases corresponds, together with cross-bite resolution, to increased transversal dimension of the maxilla produced by RME. A clear regression in adenoid hypertrophy, where present, is also noted without any type of O.R.L. treatment. The improved respiratory situation could therefore produce benefits on the trophism of the nasal mucous and the lymphatic rhinopharyngeal tissue. Agreement between clinical, radiological and rhinomanometric findings confirm the usefulness of this method in diagnosing and following-up patients with this problem.
    Revue de laryngologie - otologie - rhinologie 02/1992; 113(1):33-7.
  • Article: [Pulp pathology of deciduous molars and ectopic eruption of premolars. Longitudinal clinical study].
    Mondo ortodontico 13(5):109-19.
  • Article: [Nasal respiratory stenosis and maxillary hypoplasia. Changes after orthodontic treatment with rapid palatal expansion].
    A Piccini, R Giorgetti, G Fiorelli
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    ABSTRACT: The relationship between hypoplasia of the upper maxillary bone and nasal respiratory insufficiency in a group of twenty infants with malocclusion being treated by rapid maxillary expansion (RME) were studied. Prior to treatment all patients presented endognatia with discrepancies of from -4 to -7 mm in the transverse basal skeleton. These were often associated with adenoid hypertrophy (70% of the cases), increased total nasal resistance (70%), oral respiration (80%) and middle ear diseases (30%). RME led to resolution of occlusion alterations in all cases and often also brought about a regression in adenoid hypertrophy (57% of the cases), normalization of the total nasal resistance (70%) and respiration (80%). These effects were achieved alone without association with any other form of medical or surgical E.N.T. treatment. The functional results confirmed by the radiological and clinical findings indicate an increase in the diameters of the nasal fossa and in the distance between the canines, between premolars and between molars as well as reduction in adenoid vegetation and in the diffuse hypertrophic tissues lining the naso-pharyngeal space. Nonetheless, hypoplasia of the upper maxillary bone and nasal respiratory insufficiency remain strictly linked and are bound to a variable, and at times uncertain, cause-effect relationship. Is nasal stenosis the moving force of maxillary-mandibular dysmorphism and gnatological dysfunction or does it result from an overall genetic conditioning of facial skeleton development? During their vast experience in adenoid and metadenoid pathologies in infancy the authors have, at times, observed significant maxillo-facial dysmorphisms. They have likewise found that "facies adenoidea" were not always associated with hypertrophy of the pharyngeal tonsil.(ABSTRACT TRUNCATED AT 250 WORDS)
    Acta otorhinolaryngologica Italica: organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale 9(4):375-80. · 0.86 Impact Factor
  • Article: [Biomechanical fundamentals in the use of the transpalatal bar and the lingual arch].
    G Fiorelli, B Melsen, R Giorgetti
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    ABSTRACT: The Authors deal systematically with the transpalatal bar and lingual arch biomechanics. Particularly passive applications are distinguished from active ones. The Authors propose a classification of active applications based on the activation order (first, second, third), on the kind of biomechanics of the system (statically determinate or indeterminate) and on the symmetry or asymmetry of the activation. Every group of this classification is then analysed in detail.
    Mondo ortodontico 15(6):625-37.
  • Article: Evaluation of biocompatibility of metallic dental materials in cell culture model.
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    ABSTRACT: Biocompatibility of metals for dental use was tested using a three-dimensional model consisting of oral keratinocytes cultured on de-epidermised sub-mucosa. The toxicity of orthodontic metallic wire and soldering material was assessed through parameters such as the morphology and growth rate of the keratinocytes, as well as by classical histology, scanning electron microscopy (SEM) and transmission electron microscopy (TEM). The sharp composition of metallic wires and soldering materials was assessed by Auger Electron Spectroscopy (AES). The results of our experiment showed that the new model revealed inhibition of keratinocyte growth and stratification near soldering material, whereas mucosal cells were able to grow and layer out on dental wire. It is concluded that this experimental model, which simulates the oral environment, is useful for studying the effects of materials for dental use for its sensibility and reproducibility. Moreover it can provide morpho-functional information which cannot be achieved by traditional methods.
    Bulletin du Groupement international pour la recherche scientifique en stomatologie & odontologie 46(2-3):63-71.
  • Article: Cranioectodermal dysplasia: a new patient with an inapparent, subtle phenotype.
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    ABSTRACT: Cranioectodermal dysplasia is a rare syndrome characterized by craniofacial and skeletal anomalies and ectodermal dysplasia. Life-threatening associated conditions (i.e., kidney failure and abnormal regulation of the parathyroid-bone axis) can also develop. We report a patient whose features are suggestive of an inapparent, subtle phenotype of the syndrome. The patient is a 4-year-old girl with only dolichocephaly and clinodactyly; microdontia, hypodontia, and taurodontia (i.e., cone-shaped teeth); anteverted nares, full cheeks, and everted lower lip; epicanthal folds, hypertelorism and hyperopia; and corpus callosum hypoplasia. She has no rhizomelic limb shortening or hair abnormalities. In view of the rarity of the cranioectodermal dysplasias, the variability of the phenotype, and the uncertain outcome of some previously described patients, we believe this inapparent, subtle case should reported to enable better understanding and treatment of this rare syndrome.
    Pediatric Dermatology 18(4):332-5. · 1.07 Impact Factor