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Featured researches published by Federico Brugnami.


Journal of Oral Implantology | 2011

A Pilot Study to Determine the Effectiveness of Different Amoxicillin Regimens in Implant Surgery

Alfonso Caiazzo; Piero Casavecchia; Antonio Barone; Federico Brugnami

The aim of this study was to attempt to determine the minimum effective regimen of amoxicillin antibiotic prophylaxis for dental implant surgery. One hundred patients were randomly allocated to 4 different antibiotic prophylactic treatment groups. At second-stage surgery, only 2 implants failed in the nonantibiotic group. No statistically significant differences were found in the 4 groups, probably because of the limited number of the samples. Until a study with a larger population may definitely rule on the role of antibiotics in oral implant surgery, in may be prudent for the practitioner to adopt the single preoperative antibiotic dose as the minimal effective regimen.


Journal of Oral and Maxillofacial Surgery | 2010

Buccal Plate Augmentation: A New Alternative to Socket Preservation

Alfonso Caiazzo; Federico Brugnami; Pushkar Mehra

Alveolar ridge resorption occurs after tooth extraction and has the potential to either complicate implant placement or impair the final esthetic result. Techniques to preserve natural bone and soft tissue contours are of great interest to clinicians and patients because even subtle postextraction buccal plate resorption may have significant clinical effects, particularly in the esthetic zone. Buccal plate augmentation (BPA) is a novel approach for ridge preservation aiming to avoid recession of the facial wall of the socket without interfering with the natural healing mechanism of the extraction socket. It consists of placement of bone graft material over an intact buccal plate, underneath the soft tissues in a surgically created pouch with an aim to maintain or augment the soft tissue esthetics of the region.


Journal of Maxillofacial and Oral Surgery | 2014

Piezosurgery-Assisted, Flapless Split Crest Surgery for Implant Site Preparation

Federico Brugnami; Alfonso Caiazzo; Pushkar Mehra

IntroductionBucco-lingual resorption of the alveolar ridge can, at times, be predictably corrected at the time of implant placement. Among the different options available to achieve this are a group of surgical techniques described as split crest or split ridge procedures. Most of these procedures require the use of a mallet and some type of chisels and/or osteotomes; they are very technique-sensitive and can be uncomfortable for patients. Recently, alternative tools to split the crest have been presented, and these include the newer bone expanders and the piezoelectric scalpel. A flapless approach to implant dentistry has become popular with the aim to alleviate post treatment side effects, accelerate healing and avoid bone resorption caused by flap elevation.MethodsWe present a technique combining the use of a piezoelectric scalpel and a tapered bone expander in a flapless fashion as a novel way to perform split crest procedures with an aim to optimize outcomes and acceptability by patients.ResultsAll implants were successfully placed and the resorbed ridge expanded in the same setting. Findings were confirmed by postoperative cone beam cat scan (CBCT) evaluation.ConclusionsThis new technique is a predictable approach for split crest procedures and has high acceptability by patients and is technically simple for surgeons.


Journal of Oral Implantology | 2011

A case report of bilateral mandibular vertical guided bone regeneration with and without bovine thrombin/calcium chloride activated platelet-rich plasma.

Federico Brugnami; Alessandro Corsi; Mara Riminucci; Alfonso Caiazzo

One patient with a bilateral vertical defect was treated on one side with guided bone regeneration (GBR) and an autologous bone graft and on the contralateral side with the addition of platelet-rich plasma (PRP). At the 6-month reentry, clinically and radiographically enough bone width and height were present to allow implant placement in both sites. At the same time point, at the histologic level, no differences were noticeable. Similar results were obtained in this case in vertical bone regeneration with and without bovine thrombin/calcium chloride activated PRP applied to GBR techniques.


Journal of Oral Implantology | 2013

Immediate Placement and Provisionalization With Buccal Plate Preservation: A Case Report of a New Technique

Federico Brugnami; Alfonso Caiazzo

Abstract Abstract Post-extraction resorption of the alveolar ridge is known particularly to affect the buccal plate, increasing the risk of facial soft-tissue recession and other adverse clinical effects. The authors have developed a simple technique for buccal plate preservation that involves surgically creating a pouch facial to the buccal plate that is filled with xenograft material. This technique can also be utilized in cases for which immediate implant placement and provisionalization are planned. A case report illustrating this approach is presented.


Journal of oral biology and craniofacial research | 2017

Can Corticotomy (with or without bone grafting) Expand the Limits of Safe Orthodontic Therapy

Federico Brugnami; Alfonso Caiazzo; Pushkar Mehra

Purpose To assess whether concomitant particulate bone grafting makes a difference in the ability to safely orthodontically reposition teeth outside the bony envelope after corticotomy. Material and methods Retrospective analysis of patients who underwent corticotomy as part of their orthodontic therapy for treatment of severe crowding. Patients were divided as: a) Group 1: corticotomy with bone grafting, and, b) Group 2: corticotomy without bone grafting. CT scan examinations were performed before and at the end of the treatment. Measurements of bone and tooth positions were obtained and differences between pre- and post-treatment values were calculated. Results The study sample included 20 adult patients between the ages of 25 to 58 years. A total of 144 teeth were orthodontically repositioned outside their native bony envelope after corticotomy. Average follow-up was 9 months. Teeth that were repositioned after corticotomy and bone grafting maintained the alveolar bone volume around them while corticotomy without bone grafting was not successful in maintaining bone thickness around teeth that were moved outside the alveolar housing. Conclusions Corticotomy in combination with guided bone regeneration has the potential to increase the scope of conventional orthodontic treatment by allowing for expansive movements beyond the traditional limits.


Archive | 2014

Orthodontically Driven Corticotomy: Tissue Engineering to Enhance Orthodontic and Multidisciplinary Treatment

Federico Brugnami; Alfonso Caiazzo

0787. 38 Orthodontically Driven Corticotomy Sebaoun J-D, Kantarci A, Turner JW et al. (2008) Modeling of trabecular bone and lamina dura following selective alveolar decortication in rats. Journal of Periodontology, 79 (9), 1679–1688. Siegal ML, Bergman A (2002) Waddington’s canalization revisited: developmental stability and evolution. Proceedings of the National Academy of Sciences of the United States of America, 99, 10528–10532. Skogsborg C (1926) Die permanente Fixierung der Zähne nach orthodontischer Behandlung. Vierteljahrsschrift fur Zahnheilkunde, 4, 278. Skountrianos HS, Ferguson DJ, Wilcko WM et al. (2004) Maxillary arch de-crowding and stability with and without corticotomyfacilitated orthodontics. Journal of Dental Research, 81, abstract 2643J. Slack JM (2002) Conrad Hal Waddington. The last renaissance biologist? Nature Reviews/ Genetics, 3, 889–895. Stearns SC (2002) Progress on canalization. Proceedings of the National Academy of Sciences of the United States of America, 99 (16), 10229– 10230. Suya H (1991) Corticotomy in orthodontics, in Mechanical and Biological Basics in Orthodontic Therapy (eds E Hosl, A Baldauf), Huthig Buch Verlag, Heidelberg, pp. 207–226. Tetz DF (1986) Active treatment time and incisor root resorption of malocclusions treated with corticotomy-facilitated orthodontics vs. non-corticotomy treatment. Master’s thesis, Department of Orthodontics, School of Dentistry, Loma Linda University, Loma Linda, CA, USA. Twaddle BA (2001) Dentoalveolar bone density changes following accelerated osteogenesis. Master’s thesis, St Louis University, St Louis, MO, USA. Verna C, Melsen B (2012) Tissue reaction, in Adult Orthodontics (ed. B Melsen), WileyBlackwell, Oxford, pp. 80–92. Waddington CH (1957) The Strategy of the Genes: A Discussion of Some Aspects of Theoretical Biology, Allen & Unwin, London. Waldrop T (2008) Gummy smiles: the challenge of gingival excess: prevalence and guidelines for clinical management. Seminars in Orthodontics, 14 (4), 260–271. Walker E, Ferguson, DJ, Wilcko WM et al. (2006a) Orthodontic treatment and retention outcomes following selective alveolar decortication. ADEA/AADR/CADR, Orlando, FL, March 8–11, abstract 0770. Walker E, Ferguson DJ, Wilcko WM et al. (2006b) Orthodontic treatment and retention outcomes following selective alveolar decortication. Journal of Dental Research, 85 (Spec Iss A), abstract 0770. Wennstrom JL, Lindhe J, Sinclair F et al. (1987) Some periodontal tissue reactions to orthodontic tooth movement in monkeys. Journal of Clinical Periodontology, 14, 121–129. Wilcko WM, Wilcko MT, Bouquot JE, Ferguson DJ (2001) Rapid orthodontics with alveolar reshaping: Two case reports of decrowding. Int J Periodontics Restorative Dent, 21 (1), 9–19. Wilcko WM, Ferguson DJ, Bouquot JE, Wilcko MT (2003) Rapid orthodontic decrowding with alveolar augmentation:case report. World J Orthodont, 4 (3), 197–205. Wilcko MT, Wilcko WM (2009) Single Surgery comprehensive gingival grafting utilizing palatal donor tissue. Journal of Implantology and Advanced Clinical Dentistry, 1 (6), 29–45. Wilcko MT, Wilcko WM (2011) The Wilckodontics Accelerated Osteogenic Orthodontics (AOO) technique: an overview. Orthotown, (July–August), 36–48. Wilcko MT, Wilcko WM, Omniewski KB et al. (2009a) The Periodontally Accelerated Osteogenic Orthodontics (PAOO) technique: efficient space closing with either orthopedic or orthodontic forces. Journal of Implantology and Advanced Clinical Dentistry, 1 (1), 45–63. Wilcko MT, Wilcko WM, Pulver JJ et al. (2009b) Accelerated Osteogenic Orthodontic technique: a 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation. Journal of Oral and Maxillofacial Surgery, 67 (10), 2149–2159. Chapter 1 Corticotomy-facilitated orthodontics: Clarion call or siren song 39 Wilcko MT, Wilcko WM, Bissada NF (2008) An evidence-based analysis of periodontally accelerated orthodontic and osteogenic techniques: a synthesis of scientific perspectives. Seminar in Orthodontics, 14 (4), 305–316. Williams MO, Murphy NC (2008) Beyond the ligament: a whole-bone periodontal view of dentofacial orthopedics and falsification of universal alveolar immutability. Seminars in Orthodontics, 14 (4), 246–259. Yaffe A, Fine N, Binderman I (1994) Regional accelerated phenomenon in the mandible following mucoperiosteal flap surgery. Journal of Periodontology, 65 (1), 79–83. Zachrisson B, Alnaes L (1973) Periodontal condition in orthodontically treated and untreated individuals. I. Loss of attachment, gingival pocket depth and clinical crown height. Angle Orthodontics, 43, 402–411. recommended reading Alberts B, Johnson A, Lewis J, et al. (2012) Molecular Biology of the Cell, 5th edn, Garland Science, New York, NY. Bak, P (1999) How Nature Works: The Science of Self-Organized Criticality, Copernicus Springer Verlag, New York, NY. Bilezikian JP, Raisz LG, Martin TJ (eds) (2008) Principles of Bone Biology, 3rd edn, Academic Press, San Diego, CA. Lanza R, Langer R, Vacanti J. (2013) Principles of Tissue Engineering, 4th edn, Elsevier, Boston, MA. Pirsig RM (1991) Lila: An Inquiry into Morals, Bantam Press, London. Waddington CH (1957) The Strategy of the Genes, 1st edn, George Allen & Unwin, London.


The Keio Journal of Medicine | 2009

Local Intraoral Autologous Bone Harvesting for Dental Implant Treatment: Alternative Sources and Criteria of Choice

Federico Brugnami; Alfonso Caiazzo; Cataldo W. Leone


Journal of Maxillofacial and Oral Surgery | 2018

Buccal Plate Preservation with Immediate Implant Placement and Provisionalization: 5-Year Follow-Up Outcomes

Alfonso Caiazzo; Federico Brugnami; Francesco Galletti; Pushkar Mehra


Orthodontically Driven Corticotomy: Tissue Engineering to Enhance Orthodontic and Multidisciplinary Treatment | 2014

Orthodontically driven corticotomy

Federico Brugnami; Alfonso Caiazzo

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Alessandro Corsi

Sapienza University of Rome

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Mara Riminucci

Sapienza University of Rome

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