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Expansion of the locations of the Public Center for Dentistry • Nove da Firenze





Florence – The spaces of the Public Center for Dentistry of Central Tuscany Ausal have been expanded in the building of Villa Margherita del Palagi, thanks to the new Odontostomatology clinic activated on the third floor in the Giovannozzi Pavilion. The neuro-orthopedics clinic, a multidisciplinary service for the treatment of limb spasms in developmental age and adults with stroke, which has been active in Palagi for more than 10 years, has also been shifted to contiguous locations. Still in Giovannozzi. The entire arena was inaugurated by the president of the region, Eugenio Gianni, together with Paolo Morello Marchese, general manager of ASL Toscana Centro. For dentistry, the new polyclinic represents an extension of the existing space, in continuation of the rooms of Villa Margherita.

Also present at the inauguration were Simone Bezzini, Regional Councilor for Health, Sara Funaro, Councilor for Well-being and Health of the Municipality of Florence, and Maurizio Saguanci, President of District 1. “Expansion of services in these places – Giani underlines – will improve the activities that already exist in Palagi. For the public dental center of Ausal Toscana Centro in Villa Margherita, which already has an efficient service, the contribution of odontostomatological interventions will be increased qualitatively.

Thanks to this new polyclinic, the dental activity of Palagi, within which Villa Margherita is located, has been strengthened both in terms of quality and efficiency. For the healthcare company, Ersilia Cinisgalli, the contact person of the Palagi facility, Gianluca Lepardi, Director of the Head and Neck Area, located within the Department of Surgical Specialists of Central Tuscany ASL, attended the inauguration, among others. by Stefano Michelagnoli, who was also present this morning; Marco Massagli, director of the dental structure of Villa Margherita; Director of the Complex Operations Unit of Dentistry of Empoli, Prato, Pistoia, Luca Lillo; Dr. Adele De Simone who started the dental specialty care profession to which she devoted herself for over 20 years until her retirement; Simona Faldi, Nursing Coordinator of Palagi Dental; Francesco Napolitano, director of the Florence Maintenance and Investment Management Sector.

The restructuring and regulatory adaptation of Giovannozzi, already involved in the major intervention of Villa Margherita, required an economic-financial commitment of more than 1.5 million Euros. The work to complete the further work on the third floor of the pavilion was handed over to the company in January this year. Places for odontostomatology, “special care”, general and training In the new locations of the clinic equipped with 4 units, all so-called “special care” activities have been moved, i.e. not just for the disabled, but for people with special vulnerabilities dedicated to. , who will find better routes and places that can be crossed even by stretcher.

General activities are also located in this multivariate clinical area. The outpatient clinic also has dedicated spaces for training: thanks to an agreement with the university, internships will be provided for sixth year degree students and training courses for medical associates will be organized. The room dedicated to training was named after the late dentist colleague Alessandro Marchesi, who did much for the training of the youth. The additional four Odontostomatology stations thus respond to the increased size of the user base and the increase in essential services. Marco Massagli comments – “Improving one part of the system by making it more efficient, faster and fluid – means benefiting.” whole system.

Thanks to this new polyclinic, we hope to improve the productive capacity of the dental practice of Villa Margherita, both in terms of quality and efficiency. The training will also improve the productivity of the system.” The public dental service was inaugurated in 2019 in Villa Margherita, with 75 first visits a day immediately, which has been greatly appreciated by the population in recent years Has gone. About 17 high-turnover production lines are active every day, for a total of 25 chairs.

Medical staff work at full capacity in the morning and afternoon shifts from Monday to Friday, except for Saturday mornings. Villa Margherita ensures free treatment within certain income limits and at controlled cost. The public dental center treats 20 to 30 emergencies each day, without the need for a reservation, in addition to normal programming. Patients who are given priority compared to others and are not placed on waiting lists are the disabled, the frail, those at clinical risk, cancer patients and people waiting for a transplant, the so-called vulnerable healthcare providers: For them, the wait is zero for all specific courses, just as the expectations of caries are zero in young children, it is considered a health priority. Those who wish to book, outside these categories, without a doctor’s request, can do so through CUP.

The waiting list at Villa Margherita relates to all second and subsequent visits, so none are of an urgent nature, given that after the first visit in dentistry the path does not end but further treatments are offered. A leading center of public health, which has seen a considerable increase in demand in recent years, thanks also to the presence of top-class machinery and equipment capable of guaranteeing specific routes. With this highly innovative device, the healthcare company aims to provide answers to even the most complex dental problems, with an aim to complete the diagnosis and treatment check-up immediately after the first access to the facility. In addition to Villa Margherita, the company guarantees dental visits in structures that are present in all four regions of Florence, Prato, Empoli and Pistoia.

Unique neuroorthopedics in Tuscany. Interface with international specialists Next to the Odontostomatology clinic are the neuro-orthopedics clinics, which also started working a few weeks ago in the Giovanozzi pavilion, under the supervision of neurologist Fabrizio Balestrieri and orthopedic hand surgeon, Laura Martini. Patients are assessed collectively by Balestrieri & Martini and competent physiotherapists of neuromotor disability. The visits follow an internationally shared methodology: they include the use of assessment scales with dedicated equipment, video recording, electromyographic assessment and the use of botulinum toxin, both as a tool for pre-operative planning and as a single treatment. In form of.

Functional surgery operating sessions are held twice a month at the Santa Maria Nuova facility. This neuro-orthopedic activity is unique in Tuscany and is integrated in association with Pediatric Orthopedics of Prato. The Working Group has been liaising and updating over the years with an international group of surgeons dedicated to the treatment of spasticity; The network is coordinated by Caroline Leclerc, President of the Institut de la Maine in Paris and one of the world’s leading experts in the treatment of this pathology.

The working group also carries out consultation activities for the AIDIN (Interdisciplinary Activity for Infantile Neuromotor Disorders) of the local health authority Toscana Centro, coordinated by Mario Landi (Director of the UFSMIA Florence Center) and Laura Rosiello (Director of the SOS Functional Rehabilitation Activities Florence Center) Done through. In addition to specially dedicated physiotherapists, GRASP (Multifunctional Upper Limb Rehabilitation Group) also supports the manufacture of braces and post-surgical functional rehabilitation.

Patients who turn to neuro-orthopedic clinics are those affected by cerebral palsy (both adolescents and children aged 3–4 years) and adults who have suffered a stroke or who have SOSD related to severe brain injuries. Suffered severe head trauma. In Tuscany there are about 10,000 stroke cases per year, with 2100 cases causing moderate/severe disability. In central Tuscany, there are 1103 cases of new patients per year who develop spasticity after stroke, while with regard to infantile cerebral palsy, there are about 400 patients with spasticity in charge of local services.



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