Caccianiga Gianluigi

Dr. Gianluigi Caccianiga, DDS, periodontist, orthodontist, assistant Professor in Milano Bicocca University. Director of Master: “Decontamination and photo-bio-modulation in periodontology, orthodontics and implantology” in Milano Bicocca University, teacher on Periodontology in Dental School of Milano Bicocca University. Since 1999 he is carrying out researches on Lasers in Dentistry with particular emphasis in periodontics, implantology, and pediatric dentistry fields. He lectured in several national and international meetings; he published several articles on impacted scientific journals about dental therapies laser-assisted, orthodontics, periodontics and surgery topics.

Clinical Activities
From 1991 to 1999 he served at San Raffaele Clinical Hospital in Milan; From 2000 to 2005 Chief of Orthodontics at the school of Dentistry of the University of Milan-Bicocca, San Gerardo Hospital in Monza (Directed by Prof. M. Baldoni); In 2005 Director of Paediatric Dentistry Dept. and the Center Active Geriatric Rehabilitation, property of the “European Foundation for Biomedical Research” (FERB) at the Hospital of Trescore (Bergamo) affiliated with the degree courses in Dentistry and Dental Hygiene, University of Milano-Bicocca; In March 2007 he was called by Bolognini Hospital in Seriate (Bergamo) as Director of Orthodontics Center at the Pesenti Fenaroli Hospital in Alzano Lombardo (Bergamo), affiliated with the University of Milano-Bicocca and Coordinator for the entire activity of the whole dental and main Hospital Company as well: In 2010 he became Assistant Professor at the University of Milano-Bicocca; In 2011 he has been appointed Professeur Associée at Paris VII University (France), under the agreement between the Universities of Milano-Bicocca and Diderot Paris VII as Teacher in Odontostomatologic Laser Assisted Therapy. In 2014 he was confirmed Assistant Professor at the University of Milano-Bicocca; In 2016 he has been appointed Adjunct Professor at Ludes University (Malta) as Teacher in Periodontology Laser Assisted. In March 30, 2018 received the professional qualification by the MIUR as Associate Professor, valid until March 30 2024

Research Activities
From 1996 to 1999 he performed researches in periodontal and orthodontic fields; In 2000 he was called by Prof. Marco Baldoni from San Gerardo Hospital in Monza, as Coordinator in teaching and researching in orthodontic and laser-assisted dental therapies at the Dental Clinic of the University of Milano-Bicocca. Since 1996 he is carrying out Researches on Lasers in Dentistry with particular emphasis in periodontics, surgery, and pediatric dentistry fields.

From 2001 to 2005 Lecturer and Chief Dept. at Scientific Courses in Orthodontics, University of Milano-Bicocca; From 2005 to 2007 Chief Dept. and Lecturer at the Scientific Courses in Dental Therapies Laser-assisted, University of Milano-Bicocca; Professor at the Graduate Course in Dental Hygiene at the same University for teaching in Periodontology, Semiotics, Orthodontics, Paediatric -and Community Dentistry; From 2007 to 2010 Professor at the graduate school of Orthodontics, University of Cagliari; As from 2010 Assistant Professor at the University of Milano-Bicocca, for teaching in Periodontology, Semiotics, Orthodontics and Ergonomic’s Applications in Dentistry. He lectured in several national and international meetings; he published several articles on impacted scientific journals about dental therapies laser-assisted, orthodontics, periodontics and surgery topics.

Title: Rough Dental Implant Surfaces and Peri-Implantitis: Role of Phase-Contrast Microscopy, Laser Protocols, and Modified Home Oral Hygiene in Maintenance. A 10-Year Retrospective Study

The aim of this study was to evaluate two different kinds of rough implant surface and to assess their tendency to periimplantitis disease, with a follow-up of more than 10 years. Data were obtained from a cluster of 500 implants with Ti-Unite surface and 1000 implants with Ossean surface, with a minimum follow-up of 10 years. Implants had been inserted both in pristine bone and regenerated bone. We registered incidence of peri-implantitis and other causes of implant loss. All patients agreed with the following maintenance protocol: sonic brush with vertical movement,
interdental brushes, and oral irrigators at least two times every day. For all patients with implants, we evaluated subgingival plaque samples by phase-contrast microscopy every 4 months for a period of more than 10-years. Ti-Unite surface implants underwent periimplantitis in 1.6% of the total number of implants inserted and Ossean surface implants showed peri-implantitis in 1.5% of the total number of implants. The total percentage of implant lost was 4% for Ti-Unite surfaces and 3.6% for Ossean surfaces. Strict control of implants leads to low percentage of peri-implantitis even for rough surfaces dental implants.

Title: Pain perception due to laser protocols in dentistry

The purpose of this research is to assess the analgesic efficiency of Photobiomodulation (PBM) in pain reduction in patients during dental therapies in orthodontics, implantology and periodontics. Materials and Methods: we made different RCT where patients were included and allocated to an experimental group [1. orthodontic treatments, as self ligating appliances, clear aligners, Rapid Palatal Expansion, bands on upper molars, and PBM, 2. single implant placement and PBM, 3. comparison between Dye free PDT and LANAP in non surgical periodontal treatment] and a control group (orthodontics, implants and perio only) at random. We used different devices, laser and LED. Patients referred the pain they felt using a Numerical scale rate (NRS), ranging from 0 to 10, with specific intervals of time: 6 h, 12 h, 24 h, and from days 2 to 7. The Wilcoxon-Mann-Whitney test was used to evaluate differences in NRS reported values between the two groups. Results: The pain that was felt at each time interval and the maximum score of pain were significantly lower in the experimental group (p < 0.05) and decreased faster in the experimental group, with a score test near to 0 after 2/3 days. Conclusions: PBM is efficient in reducing the intensity and the time of pain in orthodontics, in single implant placement and in non surgical periodontal protocols.