[Mesiodens: clinico-therapeutic considerations].
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Biomedical subjects
Publications and source records attributed to M Caltabiano.
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The authors have determined, by ionic resin exchange chromatographic method, HbA1 values in 16 chemical gestational diabetic pregnant, in 4 case with insulin dependent diabetes and 34 normal pregnant women. Statistical differences were found between normal's HbA1 mean values and clinical diabetics' but not with chemical gestational diabetics. HbA1 mean values in chemical gestational diabetics with diabetic familiarity were found statistically higher than normal subjects' values. Mothers with chemical gestational diabetic, who delivered newborn with less than 50th centile had HbA1 values significantly elevated.
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Our pelviscopic operative series from 1986 to June 1991 is reported. Nowadays our group performs 70% of female genital benign lesions by the pelviscopic technique. Infect laparotomy has been abandoned in case of benign ovarian cyst while the pelviscopic myomectomy rate is about 69%. Our results show that this kind of management is safe and also undeniable advantages such as morbidity reduction, shorter hospital stay, less social cost, quick return to work and renewing of the method make the indications more and more every day.
The relationship among cervical vertebral maturation and skeletal, dental and chronological ages were assessed by the Authors in lateral cephalometric, hand and orthopantomographic x-rays on 72 italian young subjects from 10 to 15 years of age. Statistically significant correlations were found between cervical vertebral maturation and skeletal age both in males and females, while vertebrae age was correlated with dental and chronological ages only in the females.
40 patients with talassemia major treated with blood transfusions were studied by the Authors. The aim of this study was to evaluate tmj signs and symptoms, according to Helkimo questionnaire. From the data collected in this investigation it comes out that clinical signs are more frequent in older subjects, in fact 27% of young patients aged from 9 to 13 years showed at least one clinical sign of dysfunction; on the other hand in the younger patients (aged from 6 to 9 years) dysfunctions were found only in 16% of subjects.
The Authors have studied the psychological characteristics of 48 subjects of whom 17 with signs and symptoms of dysfunction, 12 only with signs of dysfunction and 19 without any dysfunction. From the data collected in our investigation it's possible to assume that there isn't difference (F test) about the psychological profile between this 3 groups of subjects.
The Authors have examined with optical microscopy the articular cartilages from the supero-posterior area of the mandibular condyles of ten TMJ of 5 human fetuses. In this study have been shown the cellular components of the 3 outer areas of the condyle. Further it has been pointed out that the fibrous lining of the cartilage is not only composed of collagen fibrils, proteoglycans and fibroblasts but also contains elastic fibers.
47 patients with thalassemia major treated with blood transfusions were studied by the authors. The aim was to carry out an investigation on caries incidence. From the data collected in this investigation it was found that 90% of males and 66% of females showed caries, then there was a difference in percentage of caries between males and females. On the other hand the dmf and the DMF index showed quite the same values in males and in females.
Human teeth morphogenesis was studied by optical microscopy from the 10th to 20th week of fetal life. Enamel, dentin and pulp development were analyzed. An important observation on mandibu teeth arises from this investigation that consists in a biforcation of mandibular ossification in two branches, this could allow to the teeth to develop inside the mandibular arch.
The aim of this work is the study of hte prenatal and postnatal development of the human temporomandibular joint. Ten of human embryos and fetuses and six joint of young children were sectioned sagittally and frontally, decalcified where necessary and stained using Mallory and Cajall-Callengo techniques. At the eighteen gestational week the condylar blastema became evident, the temporal blastema appeared later. At the twenty-second week all the structure of the joint were present, but the morphogenesis was not completed as one could observe from the preparations the Meckel's cartilage. A key observation from the study of features and embryos was that the condylar cartilage wasn't uniformly distributed on the condylar surface bur it was located in posterior-lateral area. At birth TMJ showed some characteristics typical of this period such as : a flat temporal component a disc with blood vessels and a condyle with connective-vascular channels. These characteristics will disappear later in the life at about 3-5 years.
The Author after having reviewed the causes that in the past have been responsible of the neglecting of mandibular dysfunction in children, points out the need of TMJ evaluation during the orthodontic check-up to this purpose he suggests to employ a screening questionnaire and a clinical examination; further exams would be required only when the diagnosis points out a dysfunction or when the child shows a functional problem or a malocclusion a risk.
Six orthodontic wires were compared by uniaxial tensile testing. Among all the wires compared, Nitinol showed the lowest elastic modulus followed by the TMA wires.