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Type:  Articles

Pubblication date:  12/2011

Authors:  G. Falcolini

Language:  English

Publication:  European Journal of Paediatic Dentistry

Publisher:  Ariesdue Srl

Title:  Collaboration

Abstract:  The year 2011 has been a great year for us, since our Journal was awarded an impact factor. This opportunity increased the number of articles submitted for publication, that reached and surpassed 150 (usually the average in the past was 100). We publish about 60 articles per year, but the SIOI decided to increase the number of pages to 80 for the current issue to celebrate the reached impact factor. With more space available we can exceptionally publish 3 case reports, coming from Lebanon, Mexico, and Brazil, and 14 interesting research papers. Hopefully they will be deemed worthy of citation! Of the research articles, two focus on psychology; the first is a literature review and the second is about anxiety caused by laser therapy, which is more and more employed in paediatric dentistry. I would like to emphasise the article about helicobacter: it is well written according to our guidelines for authors and well conceived as far as the study design is concerned. It can be used as a reference for future articles to be submitted for publication. Of the others articles one is about gingivitis during orthodontic treatment, submitted by authors from Portugal, Spain and USA: a very interesting collaboration, that gives me opportunity to speak about something that happened to a 12-year-old Italian boy, a friend of my grandchildren, who spent one month in Southern Poland during the summer. Unfortunately at end of the first week, on a Saturday, both his upper central incisors underwent traumatic avulsion in a swimming pool. His parents asked me for suggestions. At first I told them to search the teeth and the following day the swimming pool was emptied and the teeth found. The second advice was to go to a local dentist to replant the teeth but a general dentist refused to do so because too much time had elapsed since the trauma. I then called a Polish colleague of the European Academy, Katarzyna Emerich, asking for advice, and she suggested to take the boy to the closest clinic that could offer a complete treatment on a Sunday. Warsaw appeared as the most viable solution, and at a local clinic the teeth were replanted, one of the roots was filled with gutta-percha, the other with calcium hydroxide, and a splint was attached to just one of the teeth. The following weekend the boy was taken to the city of Sopot, where Dr. Katarzyna Emerich had the chance to see him exactly one week after the accident. In addition to what previously described, she found that tooth 21 and tooth 11 had second degree mobility, both crowns where fractured, and no inflammation had developed in the gingival region. After the examination, she removed the splint that had been placed in Warsaw (considered to be too thin) and splinted both teeth this time, hoping for the splint to last until the end of the holidays. When the boy returned to Italy the situation was as illustrated in the figures, and the splint was maintained for another week until complete resolution of tooth mobility. This story allows me to recognise the utility of the connection between European Academy members and to emphasise to replant avulsed teeth at any time, in this case after 24 hours (the teeth had been immersed in water for a whole day!); up to this point the outcome is good, even if of course it will have to be confirmed by further follow-ups. Anyway keeping the teeth in place helps correct alveolar bone growing, and it also allows for a better future prosthesis if needed. In the past I was faced with similar cases in Italy, when many general dentists refused to replant teeth, which were then successfully put back in place at my Dental Faculty after one or two days. Hopefully all dentists will be more informed in the future.

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