Paolo Faccioni

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• Doctor of Dental Surgery - Specialist in Orthodontics - Doctor of Philosophy
• Doctor at University of Verona

Background: As the rehabilitation of the upper anterior maxilla primarily requires high predictability of successful aesthetic outcomes, procedures of immediate implant placement are frequently employed. The aim of this pilot study was to retrospectively evaluate the short-term outcomes of a protocol of immediate implant placement in fresh extracti...

Background: The aim of this retrospective study was to compare the histomorphometry of post-extractive sites previously grafted with deproteinized bovine bone, with or without the association of a calcium sulphate preparation. Methods: The retrospective evaluation comprehended patients previously selected and treated for the extraction of one or mo...

Objective To evaluate the outcome of collagen matrix (CMX) compared with subepithelial connective tissue graft (SCTG) in gingival recession coverage (RC) surgery. Methods Review protocol was registered in PROSPERO. The search was conducted on MEDLINE, Cochrane Library, and Scopus databases. Randomized studies comparing CMX versus. SCTG or CMX vers...

The article presents a case report of a 42-year-old man with missing maxillary left first premolar first and second molars due to endodontic treatment failure and symptomatic periapical disease. The article discusses the challenge of replacing maxillary molars with dental implants and presents a surgical approach called Post Extractive Palatal Sock...

This study aimed to assess the impact of on oral health in oncological patients. A Prevention Dental Hygiene Project was conducted in the Day-Hospital Oncology Unit. Fourteen patients who satisfied the inclusion criteria at their first visit were enrolled voluntarily. Their oral health conditions were evaluated using the Bleeding on probing (BoP),...

The problem of orthodontic relapse is of fundamental importance for clinicians. In the literature there are few studies concerning the change in position of the teeth after orthodontic treatment. This study analyzes the occlusal changes during the first six months of orthodontic retention and the effectiveness of the Hawley retainer at the upper ar...

Tooth displacement in bordering anatomical areas is a rare and challenging complication that might occur in the attempt at tooth extraction. Displacement may be attributed to multiple factors, including inadequate clinical evaluation before surgery, an inappropriate extraction plan, the application of excessive force, the use of an incorrect surgic...

In modern dentistry, implantology is widely used; implants have a survival rate of 96.4-96.9% at 10-year follow-up. In order to obtain aesthetic, health, and performance results of implant restorations, virtual pre-surgical prosthetic planning is essential. For proper planning, the patient’s CBCT data is matched to the prosthetic design in order to...

To evaluate post-operative pain in a sample of patients undergoing implant prosthetic rehabilitation. To accomplish a literature review about pain perception and pain management in implantology; to assess patient satisfaction according to current studies. A sample of 23 consecutively treated patients was enrolled in the study. To fulfill the resear...

The aim of this study is 1) to present a new method of virtually-designed custom made scaffolds to be employed in customized bone regeneration (CBR) for segmental jaw atrophies and 2) to evaluate long-term clinical results in terms of bone regeneration success and implant rehabilitation success. A total of 11 patients with edentulousness and bone a...

To analyze changes in the vertical dimension of the lower third of the face studied on teleradiograph in L-L following rapid palatal expansion achieved by four-band Hyrax-type rapid palatal expander (RPE) and by acrylic-bonded McNamara RPE to identify the most appropriate therapeutic choice based on the patient's facial growth pattern. 30 patients...

Peri-implantitis is a growing concern as dental implants become increasingly popular. This review paper aims to present the current understanding of peri-implant disease and provide insights into its management and prevention. Material and Methods: The study followed PRISMA guidelines and conducted an extensive electronic search for relevant articl...

The purpose of this descriptive review was to assess post-operative periodontal outcomes of adjacent molar sites after the extraction of lower third molars, comparing different surgical techniques. The electronic search strategy was conducted on different databases (PubMed, Scopus, and Web of Science) fitting the following selection criteria: clini...

Background. Transparent aligners are recently introduced orthodontic devices considered promising for the improvement of oral health conditions, in terms of faster treatment times and enhanced comfort, especially if compared with traditional fixed orthodontic therapy. This systematic review aimed to evaluate at-home protocols for proper oral hygien...

16 patients were included in the study and treated with McNamara-type RPE or Hyrax-type RPE. All patients underwent CBCT scanning before starting therapy (T0) and after the 6-month retention period (T1). Nasal floor width NFW (from RNF to LNF points) and nasal wall width NWW (from RNW to LNW points) were measured with 3D-Slicer software on CBCTs ac...

To analyze the changes in the vertical dimension of the lower third of the face studied on teleradiograph in L-L following rapid palatal expansion (RPE) achieved by Hyrax-type banded RPE and McNamara-type acrylic-bonded RPE. MATERIALS AND METHODS 30 patients were selected: 20 were treated using McNamara-type RPE (Group 1), and 10 with Hyrax-type RP...

The aim of this study is to compare the changes of soft tissue of the middle third of the face from time T0 (before treatment) to time T1 (after one year of retention) obtained with the McNamara-type and Hyrax-type rapid palatal expander (RPE) with a control group.

Background: to evaluate the effectiveness of different topical agents in biofilm disaggregation during non-surgical periodontal therapy. Methods: the search strategy was conducted according to the PRISMA 2020 on Pubmed, Cochrane Library, Scopus, and Web of Science, and it was registered in PROSPERO, ID: CRD42023474232. It included studies comparing...

The surgical extraction of the impacted third molar is frequently associated with several complications. The purpose of this study is to assess how two different surgical protocols affect post-operative complications during the extraction of the lower impacted third molars. In order to compare and evaluate two different techniques (triangular flap...

The surgical extraction of the impacted third molar is frequently associated with several complications. The purpose of this study is to assess how two different surgical protocols affect post-operative complications during the extraction of the lower third molars. In order to compare and evaluate two different techniques (triangular flap vs envelo...

The aim of this study was to compare Orthopantomograms (OPT) and Computed Tomography (CT) with Cone Beam Computed Tomography (CBCT) in patients with Medication-Related OsteoNecrosis of the Jaws (MRONJ). The study included 25 patients (6 males and 19 females) with MRONJ who had a history of long-term bisphosphonate therapy or one of the recently re-...

The aim of this study was to analyze tooth surface roughness and clinical parameters by a systematic review of the literature to compare the efficacy of air polishing with hand or ultrasonic instrumentation during supportive periodontal therapy (SPT). This study used a research question based on the PICO method. Bibliographic research was performed...

The object of this study was to compare, through meta-analysis, the accuracy in implant placement obtained in Dynamic Navigation (DN) with Static Navigation (SN) and with Conventional Free-Hand Surgery (CS) and to provide some useful clinical parameters to consider during the planning phase of the intervention. A meta-analysis was performed, dividi...

Class II malocclusion due to mandibular retrognathia is associated with a posterior positioning of the tongue and the hyoid bone, reducing the oropharyngeal volume. This could be a contributing factor to the development of respiratory and cardiovascular problems. This study evaluates the oropharyngeal volume variation in 13 patients with class II m...

Orthodontic treatment is highly popular for restoring functional and facial esthetics in juveniles and adults. However, the prevalence of biofilm-related complications remains high. The objectives of this review are to 1) identify which of the two professional prophylaxis systems analyzed, rubber cup polishing (RCP) and air-powder polishing (APP),...

Rapid Maxillary Expansion (RME) is an orthopaedic treatment used to correct the transverse deficit of the maxilla. Most often, this defect is diagnosed in mouth-breathing patients. Rapid Palatal Expander (RPE) treatment increases the upper airways’ volume and decreases resistance, promoting physiological nasal breathing. The aim of this study is to...

In the last ten years, digital technologies have conditioned our lives in many ways. Also, in dentistry, new inventions changed our working routine, accompanying the clinician from the analogic epoch to the digital. A fully digital workflow seems to be very promising in terms of less discomfort for the patients and less time needed to make an impre...

Since its inception, modern dentistry has been a discipline in continuous evolution. Thanks to this progress, the prosthetic rehabilitation of the edentulous patient can now be effectively addressed by multiple therapeutic approaches rooted in the decision-making marriage between patient and clinician in both partial and total edentulous patients....

Recent short-term studies suggested the use of short and ultra-short implants in association with a modified osteotome sinus floor elevation (internal sinus lift) technique for the treatment of edentulous resorbed posterior maxilla. The aim of this retrospective study was to investigate this hypothesis in locking-taper implants with a mid-term foll...

We performed this clinical study in order to evaluate the reliability of the Guided Bone Regeneration (GBR) surgical technique through the use of customized CAD CAM titanium meshes (Yxoss CBR® Reoss) in order to show an alternative method of bone augmentation. Materials and methods: Nine patients presenting 10 bone defects were referred to solve...

Background The present study aimed to investigate the patients’ perception of the dental practice during the COVID-19 outbreak, and whether the pandemic will affect the attendance of orthodontic patients at the dental practice. An online questionnaire, including the Patient Health Questionnaire-4 (PHQ-4), was submitted to Italian dental patients wi...

Purpose: To assess the effects of grade IV titanium ultrasonic tip instrumentation on different grade IV titanium implant surfaces and compare the decontamination of different implant surfaces using chlorhexidine, blue laser, or ozone. Materials and methods: Profilometry and energy-dispersive x-ray spectroscopy (EDS) analyses were performed on s...

Background: The blood wettability of titanium implant surfaces favors primary osseointegration and tissue healing in peri-implantitis. The current study aims to evaluate this property on the main different kinds of surfaces, brand new and after treatments. Methods: grade IV titanium disks were used, five machined, five laser-treated, five sandblast...

The rehabilitation of maxillary bone atrophy represents one of the main challenges of modern oral implantology. The use of zygomatic implants in the prosthetic rehabilitation of the patient affected by severe maxillary bone atrophy is another therapeutic alternative, not exempt from complications. The present study included 19 patients with edentul...

Different drugs used to treat asthma, such as beta 2 agonists and inhaled steroids, may promote a higher risk of caries, dental erosion, periodontal disease and oral candidiasis. This article reviews the evidences of mechanisms involved in oral diseases in patients affected by asthma. The main mechanism involved is the reduction of salivary flow. O...

The atrophic posterior ridges are usually characterized by poor bone quality and quantity: this situation requires the use of bone regenerative techniques. Other alternative surgical approaches are investigated. Nowadays the use of trans-sinus implants offers some advantages due to its feasibility. Today, bone grafting may be practical, but depends...

The introduction of computer-assisted and guided surgery has radically improved the possibility of using all available bone for implant support, reducing the need for extensive grafting procedures and allowing for better implant placement and restoration. Moreover, fresh frozen homologous bone (FFB) grafts have shown good osteoconductive properties...

Bisphosphonate Related Osteonecrosis of the Jaw (BRONJ) is a pathology initially described in the early 2000s that has become increasingly common in clinical dentistry and maxillofacial practice due to the frequent use of bisphosphonates medical drugs (BPs) to treat various diseases such as osteoporosis, Paget's syndrome, osteomyelitis and in bone...

Sander bite jumping appliance (BJA) is a functional appliance used to correct Class II malocclusion in growing patients. The aim of this study was to identify the dento-skeletal effects in patients treated with BJA before growth peak and to compare these effects with the ones obtained in a similar group treated with the Andresen activator (AA). Twe...

Medication-related osteonecrosis of the jaw (MRONJ) is a major disease under study for over the last twenty years. Different classifications have been proposed and many therapies for the different stages have been applied. The evolution of treatments lead to an increasingly conservative approach. Numerous adjuvant treatments have been proposed in t...

Objectives: The aim of this narrative review was to collect all findings from literature about oral signs and symptoms of COVID-19, in order to draw a picture of oral involvement of this challenging viral infection, to help oral professionals in a better triage and early diagnosis. Material and methods: The search for international literature wa...

OBJECTIVES Aim of this paper was to bring the attention to the feasibility of using unconventional and customized dental treatment helped by composite materials for direct restorations. In this particular case a multidisciplinary dental approach was taken to restore the upper dental arch of a young female with high esthetical demand, specifically a...

L'obiettivo di questo lavoro è stato quello di valutare, mediante CBCT, gli effetti a breve termine indotti da Sander Bite Jumping Appliance sul volume delle vie aeree superiori in 7 soggetti in crescita (2 maschi e 5 femmine) con malocclusione di classe II con retrusione mandibolare, per un periodo medio di 8.6 mesi (T1). Il Sander Bite Jumping Ap...

La chirurgia del terzo molare inferiore è la procedura più comune in chirurgia orale e maxillo-facciale. La conoscenza dell’anatomia e la valutazione radiologica sono i requisiti fondamentali per la pianificazione dell’intervento, e per la valutazione del rischio chirurgico e delle complicanze; inoltre rappresentano un valido strumento di ausilio a...

Aim: After an implant rehabilitation in the anterior area, one of the principal critical issues of the patient long-term satisfaction is the aesthetic result. The use of Titanium dental implants may cause grayish shimmers and unaesthetic discolorations of thin peri-implant mucosa. Being white, Zirconia implants have superior optical properties and...

Aim: although autologous bone grafts still represents the gold standard in bone augmentation procedures, heterologous bone substitutes are successfully used to overcome autologous tissue limited availability, reducing morbidity, operating time and costs. The aim of the present study is to evaluate volumetric dimensional changes of a xenograft 12 mo...

Aim: the biological principles that causes an alveolar bone resorption are normally the teeth lossassociated to the bundle bone resorption. Mild or moderate alveolar resorption are normally treated bymeans of GBR technique with bone substitutes and membranes. The severe resorption usually due to a traumatic event or subsequent to implant failure ca...

Objective: Local anaesthetics are very commonly used drugs in dentistry, and people who undergo procedures with local anaesthetics often refer adverse reactions that are not of allergic origin. Considering that in dentistry contact with allergens is very frequent, it is essential to assess the real incidence of allergy to local anaesthetics. Subj...

The aim of this work was to investigate the syndromic conditions characterized by dental agenesis, which is the congenital absence of a variable number of teeth due to the lack of formation of the corresponding tooth germ

Objectives To analyze through comet assay and micronucleus test the viability and DNA damage occurred in buccal mucosa epithelial cells after a short‐term exposure to Andresen activator resin monomers. Setting and Sample Population Test group consisting of 26 subjects was treated with Andresen activator; 16 subjects who had never undergone orthodo...

Dental agenesis has a great clinical significance due to its frequency during daily practice and the therapeutic problems that can arise from it. This paper will explore all the aspects to consider in order creating a proper multidisciplinary treatment plan: in particular, orthodontic, prosthetic and implantologic therapeutic alternatives are descr...

INTRODUCTION: Dental agenesis is the congenital absence of a variable number of teeth due to the lack of formation of the corresponding tooth germ. The aim of this work was to investigate the syndromic conditions characterized by dental agenesis. EVIDENCE ACQUISITION: Based on the research conducted through the OMIM® (Online Mendelian Inheritance i...

Andresen activator (AA) is a functional appliance used to correct Class II malocclusion in growing patients. It corrects the malocclusion stimulating mandibular growth and determining a palatoversion of the upper incisors and a vestibularization of the lower incisors. The aim of this study was to analyze the treatment efficacy of class II malocclus...

Socket preservation is a surgical procedure whose aim is to limit the physiological resorption of the alveolar ridge that occurs after a dental extraction, in order to have sufficient bone to perform an implant placement. 16 articles regarding socket preservation procedures were identified through scientific archives and analysed. The biological ra...

The first option in the rehabilitation of the posterior atrophic maxilla is the sinus lift. The aim of this study is to highlight the characteristics that a sinus lift should have to maximize the subsequent implant survival rate. 33 systematic reviews regarding sinus lift procedures, implants success and survival rates were identified through scien...

TGuided bone regeneration (GBR) is a surgical procedure whose purpose is to obtain, new bone, new cementum and a new periodontal attachment around a periodontally compromised tooth. In this work, an overview of the literature was performed to analyze the state of the art concerning GBR in order to draw useful conclusions for clinical practice. Twen...

Dental agenesis has a great clinical significance due to its frequency during daily practice and the therapeutic problems that can arise from it. This paper will explore the incidence of dental agenesis, its diagnosis and how this anomaly affects the teeth differently. The second subsequent paper will look at its treatment and management.

This work illustrates the different orthodontic retainers.

The aim of this study was to analyse whether DNA damage and/or apoptosis occurred even after a short-term exposure to the metals of fixed orthodontic appliances.

This work illustrates the different methods for positioning the fixed retainer and identifies their advantages and disadvantages.

This work illustrates the different orthodontic retainers.

The aim of this work is to analyse the variability of the oral microbial flora found in patients in treatment with RPE with occlusal acrylic splint. It was also investigated whether the association of an antimicrobial mouthwash was useful during orthodontic treatment or whether regular and specific home oral hygiene manoeuvres were sufficient to ma...

This work illustrates the different methods for positioning the fixed retainer and to identifies their advantages and disadvantages.

Lo scopo di questo lavoro è stato quello di dimostrare come il dispositivo Sander Bite Jumping Appliance sia efficace nel trattamento della malocclusione di II classe e come l'importanza della compliance del paziente possa ridurre i tempi di trattamento fino ad un dimezzamento degli stessi.

The aim of this work is to propose a simple and comprehensive classification of the anatomical features that can be found in long face subjects.

Patients in treatment with rapid palatal expander (RPE) require professional assistance and more meticulous instructions on oral hygiene, since this appliance predisposes to gingivitis and caries. The aim of this work is to analyse the variability of the oral microbial flora found in patients in treatment with RPE with occlusal acrylic splint. It w...

Traditional orthodontic tooth movement is based on the concept that application of a protracted force causes alveolar bone remodelling and adaptive changes in periodontal and dental tissues. Thus, if orthodontic tooth movement is described as a biological bone reaction to orthodontic forces mediated by the periodontal ligament (PDL), this event inv...

Metal ions accumulate inside the epithelial cells of the oral mucosa and damage the DNA. The aim of this study was to analyze whether DNA damage and/or apoptosis also occurs after a short-term exposure to the metals of fixed orthodontic appliances. 23 subjects were enrolled in the test group and 8 patients in the control group. Analyses performed o...

Lo scopo del lavoro è evidenziare i problemi che possono presentarsi durante il trattamento ortodontico in pazienti affetti da condizione di taurodontismo e suggerire degli approcci per ridurre il rischio di incorrere in complicanze durante le fasi del movimento ortodontico.

Lo scopo di questo studio è valutare gli effetti scheletrici e dento-alveolari a breve termine, sul piano sagittale, a livello del mascellare superiore e le conseguenze a livello mandibolare, dell'espansione rapida palatale in 18 soggetti di età compresa tra 6 e 10 anni con cross-bite posteriore mono o bilaterale, utilizzando l'espansore su docce i...

Case Report

The aim of this study is to evaluate the sagittal skeletal and dento-alveolar short term effects on the upper jaw and the consequences on the mandible of the rapid palatal expansion in 18 subjects aged between 6 and 10 years old with posterior cross-bite in mixed dentition, using McNamara R.P.E.

The aim of this study was to investigate short-term dento-skeletal effects of Sander Bite Jumping Appliance for the early treatment of skeletal class II malocclusion

Lo scopo dello studio è stato quello di analizzare gli effetti dentoscheletrici a breve termine nel trattamento della malocclusione di classe II con apparecchiature funzionali (nel nostro caso utilizzando il Monoblocco di Andresen) in soggetti trattati in fase precoce di sviluppo, comparandoli ai dati esistenti in letteratura riguardanti pazienti t...

Lo scopo dello studio è stato quello di analizzare gli effetti dentoscheletrici a breve termine nel trattamento della malocclusione di classe II con apparecchiature funzionali di Andresen in soggetti trattati in fase precoce di sviluppo, comparandoli ai dati esistenti in letteratura riguardanti pazienti trattati nel picco di crescita.

The aim of this work is to analyse the variability of the oral microbial flora found in patients in treatment with RPE with occlusal acrylic splint. It was also investigated whether the association of an antimicrobial mouthwash was useful during orthodontic treatment or whether regular and specific home oral hygiene manoeuvres were sufficient to ma...

Lo scopo di questo lavoro è quello di analizzare dal punto di vista meccanico, fisico e microstrutturale uno specifico arco ortodontico costituito da una lega di nickel, titanio e rame.

Case report

Case report. Alternativa con microchirurgia ortodontica mediante corticotomie interdentali. Ne consegue un movimento ortodontico di espansione rapido con minor tempo di applicazione della forza, minori rischi per il tessuto parodontale ( recessioni gengivali, fenestrazioni e deiscenze ) e di riassorbimenti radicolari.

Aims: a complex clinical case with a polispecialistic intervention wil be exposed. A multidisciplinary approach permits to rationalize the therapeutic process and achieves the most simple and valid solution. Conclusions: harmonic skeletal and interdental relations are fundamental to obtain function, stability and oral health expecially in patients...

Aims: Use of interdental corticotomy to obtain a maxillary expansion and speeding up the orthodontic treatment. Conclusions: orthodontics microsurgery is particularly suitable for expansion orthodontic movement yet maintaining the periodontal tissues. However, it must be used to decrease treatment time and not to reach a perfect occlusion at the ex...