University of Brescia
School of Dentistry
Periodontology and Oral Surgery Department
Education and training:
• 2000: Honors degree in Dentistry;
• 2006: Practical and theoretical course of mucogingival surgery, Professor De Sanctis;
• 2010-2012: Advanced Course of Periodontal Surgery and Implantology in periodontally
compromised patients, Professor Trombelli, University of Ferrara;
• 2013: Stage EU Young researchers, CEERNT Bruxelles, European community fund raising
• 2015: Visiting Professor presso Ohio State University-Columbus USA
Working experience:
• From 2001: Private activity as a periodontist (surgical and non-surgical therapy and
implantology);
• From 2001: SIdP Ordinary Member;
• From 2002: Associated Researcher in Oral Surgery and Periodontology (periodontitis, peri-
implantitis, topical antibiotics, maxillary mycetomas, bisphosphonate-induced
osteonecrosis, low abrasion powders) at Dental Clinic, Spedali Civili di Brescia;
• From 2002: I° Level Medical Director at Oral Surgery and Periodontology department on
patients with systemic pathologies belonging to the current LEA at Dental Clinic, Spedali
Civili di Brescia;
• From 2002: Didactic activity as Adjunct Professor of Oral Surgery, Implantology,
Periodontology and Home Oral Hygiene, University of Brescia;
• 2015-2017: Teacher at Master of Periodontology, University of La Sapienza, Roma;
• 2016/2017: Teacher at Master of Dental Hygiene, Istituto Stomatologico Toscano;
• 2017/2018: Teacher at Master of Implantology, University of Padova;
• 2017/2018: Teacher at Dental Hygiene Master, University of Brescia;
• 2019/2020: Teacher at the II Level Master of Clinical and Microsurgical Endodontics,
University of Brescia;
• From 2021: ITI Ordinary Member;
• From 2013: speaker at national and international Courses and congresses
Reviewer:
• International Journal of Dentistry and Oral Health, 2018;
• Journal of Dentistry, Oral Disorders & Therapy, 2018;
• Quintessenza Internazionale, 2020.
Publications:
• In vitro study of amalgam corrosion. C. Paganelli, S. Salgarello, M. Mensi P. Fontana, L.
Visconti, P.L. Sapelli. La Medicina del Lavoro 2002; 93 (3): 286-9. Med Lav. 2002 May-
Jun;93(3):286-9. Italian;
• Sinusiti micotiche: aspetti epidemiologici ed eziopatogenetici. P. Orza, G. Pinsi, A. Caruso,
M. Mensi, S. Salgarello, P. Nicolai, M. Berlucchi, D. Tomenzoli, N. Manca. Bollettino di
microbiologia e indagini di laboratorio news 2002; 1: 5-12;
• Mycetoma of the Maxillary sinus: Endodontic and Microbiological Correlations. M. Mensi,
S. Salgarello, G. Pinsi, M. Piccioni. Oral Surgery, Oral Medicine, Oral Pathology, Oral
Radiology, and Endodontics 2004;98:119-23;
• Efficacia dell’anestesia intraossea in endodonzia: trial clinico randomizzato. R. Boninsegna,
M. Mensi, G. Venturi, S. Gaffuri, S. Salgarello. Giornale Italiano di Endodonzia 2004; 18 (2):
75-9;
• Histochemical and immunohistochemical evaluation of gingival collagen and
metalloproteinases in peri-implantitis. E. Borsani, S. Salgarello, M. Mensi, R. Boninsegna, A.
Stacchiotti, P.L. Sapelli, R. Bianchi, L. Rodella Acta Histochemica 2005; 107: 231-240;
• Risk of maxillary fungus ball in patients with endodontic treatment on maxillary teeth: a
case- control study. M. Mensi, M. Piccioni, F. Marsili, P. Nicolai, P.L. Sapelli, N. Latronico.
Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics 2007 Mar;
103 (3): 433-6;
• Altered immunolocalization of heat-shock proteins in human peri-implant gingiva. Borsani
E, Salgarello S, Stacchiotti A, Mensi M, Boninsegna R, Ricci F, Zanotti L, Rezzani R, Sapelli P,
Bianchi R, Rodella LF. Acta Histochem. 2007;109(3):221-7;
• Fungus ball of the paranasal sinuses: experiences in 160 patients treated with endoscopic
surgery. Nicolai P, Lombardi D, Tomenzoli D, Villaret AB, Piccioni M, Mensi M, Maroldi R.
Laryngoscope 2009 Nov, 119 (11): 2275-9;
• Utilizzo di metronidazolo topico nel trattamento di siti con parodontite severa e
periimplantite. Mensi M. Dental Trybune Italian Edition Novembre 2013;13-16;
• Efficacia della Full Mouth Instrumentation in terapia antibiotica combinata nel trattamento
della parodontite aggressiva generalizzata. Mensi M, Scotti E. Hygiene Tribune Italian
Edition – Aprile 2014; 20-22;
• Aggressive periodontitis: a simple genetic test to prevent the disease. Case control study.
Mensi M, Scotti E, Maffezzoni E, Baronio M, Lougaris V, Salgarello S. Minerva Stomatologica
Volume 63 Supplemento 1 al N. 4 (Aprile 2014)-463;
• AQP1 expression in human gingiva and its correlation with periodontal and peri-implant
tissue alterations. Buffoli B, Dalessandri M, Favero G, Mensi M, Dalessandri D, Di Rosario F,
Stacchi C, Rezzani R, Salgarello S, Rodella LF. Acta Histochem. 2014;
• Le tecnologie a basso impatto biologico e l’utilizzo di monconi estetici nella riabilitazione
implantare del paziente parodontalmente compromesso. M. Mensi Implantologia 3/2014
Sett; 79-85;
• Maxillary Fungus Ball: Zinc-oxide endodontic materials as a risk factor. P Nicolai, M Mensi,
F Marsili, M Piccioni, S Salgarello, E Gilberti, P Apostoli. Acta Otorhinolaryngologica Italica
2015;35:93-96. Acta Otorhinolaryngologica Italica official Journal of the Italian ENT Society
(ISSN 0392-100X);
• Effectiveness of local antibiotic in the treatment of acute periodontal lesion. M.Mensi, E.
Scotti. Minerva Stomatologica vol. 64-suppl1 n2 pag. 161;
• I biomateriali eterologhi nella riabilitazione implantare del seno mascellare atrofico.
Rapporti istologici a 5 mesi. A.F. Palermo, M.Mensi Implantologia 2015 Mar-59-63;
• La riabilitazione completa dei mascellari e l’impiego combinato dei biomateriali nella
gestione dei volumi implantari. S.Rosi, M.Mensi, B. Buffoli. Quintessenza
Internazionale&JOMI 2015 Gen-39-43;
• Full Mouth-Erythritol Powder Air Polishing Therapy: Paradigm Shift. Il nuovo modo di
concepire la terapia. M. Mensi, E. Scotti, A. Sordillo. Quintessenza International& JOMI
Vol 1 2016;
• Doxiciclina topica nel trattamento non chirurgico della perimplantite. M. Mensi et al.
Italian Dental Journal gennaio 2016,
• Terapia parodontale non chirurgica: ieri, oggi e domani. M.Mensi. Quintessenza
International&JOMI Vol 2 2016;
• Passato, presente e futuro dei coadiuvanti locali e sistemici nel trattamento non chirurgico
di perimplantiti e parodontiti: indicazioni e limiti. M. Mensi et al. Dental Cadmos, 3 2016;
• Clinical results of a control released doxycycline system combined with a new non surgical
approach in peri-implant pockets. One year follow-up. M. Mensi, E. Scotti, T. Brunelli, S.
Calza. Minerva Stomatologiaca Vol 65 N°3 2016;
• One stage treatment of multiple recessions in the aesthetic area with the bilaminar
technique: clinical procedures and 24-month follow up. M. Mensi, E. Scotti, S. Salgarello, A.
Cerutti. The International Journal of Aesthetic Dentistry Vol.11 4/2016;
• La doxiciclina topica, come, quando e perché. Mensi M., Guarnelli M.E., Pilloni A. Dentista
Moderno Vol. 2016;
• Una nuova metodica di rimozione del biofilm con polvere di eritritolo guidata da rilevatore
di placca. Mensi M., Sordillo A., Dalè M. Dental Cadmos, Vol 2 – 2017;
• Periimplantitis: von der Diagnose zur Therapie Ein neues Behandlungsprotokoll mit
Pulverstrahlsystemen. Mensi M. PLAQUE N CARE 11, 2, 70-79 (2017);
• Full-Mouth-Erythritol-Pulver- Air-Polishing-Therapie (FM-EPAPT) – ein Paradigmenwechsel.
M Mensi, E Scotti, A Sordillo, G Garzetti, S Calza. Prophylaxe Impuls 21. Jahrgang, 70-79,
2017;
• Riabilitazione implantoprotesica dell’incisivo laterale con impianto NeO narrow
postestrattivo in cresta alveolare atrofica: case report. Mensi M., Brunelli T. Q&JOMI
Vol 4 – 35-40 – 2017;
• Rivista giapponese con titolo in giapponese. Mensi et giapponesi. The Quintessence. Vol
36, n. 12/17-2619;
• A new multiple anti-infective non-surgical therapy in the treatment of peri-implantitis: a
case series. M Mensi, E Scotti, S Calza, A Pilloni, MG. Grusovin, C Mongardini. Minerva
Stomatologica, 2017;
• Utilizzo della terapia fotodinamica in pazienti diabetici con parodontite cronica: studio
pilota. E.Scotti, S.Calza, M.Mensi. Quintessenza Int&JOMI, numero 1 volume 34 / 2018
pag 12-17;
• L’utilizzo degli antibiotici in terapia parodontale e peri-implantare: evidenze scientifiche o
consuetudine? Analisi dei risultati di un sondaggio condotto su un campione di dentisti
italiani. M.Giargia, E.Scotti, S.Marchetti, M.Mensi. Dental Cadmos numero 3 volume 86
pagg. 204-212, 2018;
• Biofilm Removal and Bacterial Re-Colonization Inhibition of a Novel Erythritol/
Chlorhexidine. AirPolishing Powder on Titanium Disks. M Mensi, A Cochis, A Sordillo, F
Uberti, L Rimondini. Materials 2018, 11, 1510; doi:10.3390;
• Periodontitis Stage III–IV, Grade C and Correlated Factors: A Histomorphometric Study.
Buffoli, Garzetti, Calza, Scotti, Borsani, Cappa, Rimondini, Mensi. Biomedicines (Special
issue: Malignant and potentially malignant disorders of the oral cavity: updates from
pathogenesis to therapy) 2019, 7(2), 43;
• Sbiancamento professionale alla poltrona e combinato: case series. Mensi, Salodini,
Marchetti, Agosti, Scotti. Supplemento 2 di Dental Tribune Italian Edition anno XV n. 5,
maggio 2019;
• Clinical efficacy of Lactobacillus Reuteri containing lozenges in the supportive therapy of
Generalized Severe and Advanced Periodontitis: one year results of a double blind
randomized placebo-controlled pilot study. GM Gabriella, S Bossini, S Calza, V Cappa, G
Garzetti, E Scotti, EF Gherlone, M Mensi. Clinical Oral Investigation, ottobre 2019;
• One-Stage Full Mouth Instrumentation (OSFMI): clinical outcomes of an innovative and
minimally-invasive protocol for the treatment of severe periodontitis. Mensi, Feres, Calza,
Sordillo, Scotti, Garzetti. Journal of the International Academy of Periodontology 2020
22/0: 1-8, giugno 2020;
• Plaque disclosing agent as a guide for professional biofilm removal: a randomized
controlled clinical trial. Mensi, Scotti, Sordillo, Agosti, Calza. International Journal of Dental
Hygiene 2020; 00:1–10. Comparison between four different implant surface debridement
methods: an in vitro experimental study. Mensi, Viviani, Agosti, Scotti, Garzetti, Calza.
Minerva Stomatologica 2020 October; 69(5):286-94;
• Xenogeneic dermal matrix versus autologous connective tissue graft Versus no graft at
abutment connection for improving aesthetics: 6-month outcomes of a randomised
controlled trial. Baldi, Buti, Mensi, Alfonsi, Cinquini, Tonelli, Barone. Clinical trial in
dentistry, feb 2020;
• Oral care and quality evaluation: a multicentric study on periodontal treatment. Graziani
at all (Mensi) Oral health & Preventive dentistry 2020; 18 363- 372;
• Efficacy of the additional use of subgingival air-polishing with erythritol powder in the
treatment of periodontitis patients: a randomized controlled clinical trial. Mensi, Scotti,
Sordillo, Calza, Guarnelli, Fabbri, Farina, Trombelli. Clinical Oral Investigation 6/1/2021
https://doi.org/10.1007/s00784-020-03648-z;
• MRONJ: comparison between two surgical approaches Mensi, Audino, Scotti, Zanola,
Bettinsoli, Visconti, Negrini, Salgarello. Dental Cadmos 2/2021 vol 89 issue 2 pag 130-EOA;
• Efficacy of sonic vs manual toothbrushing after professional mechanical plaque removal: a
6-months randomized clinical trial. Mensi, Scotti, Sordillo, Brognoli, Dominici, Calza.Int J
Dent Hyg. 2020 Aug;18(3):285-294. doi: 10.1111/idh.12442;
• Clinical evaluation of air polishing with erythritol powder followed by ultrasonic calculus
removal versus conventional ultrasonic debridement and rubber cup polishing for the
treatment of gingivitis: A split-mouth randomized controlled clinical trial. Mensi, Scotti,
Sordillo, Dalè, Calza International Journal of Dental Hygiene 2021; 2021;00:1–10. DOI:
10.1111/idh.12537.
Supervisor of more than 40 degree theses.

Abstract

Guided Biofilm Therapy: prevention and maintenance on implant and non surgical treatment of peri-implantitis.
When we choose to replace a tooth with an implant we are deciding to replace a biological organ with a prosthesis which will function differently due to anatomy, histology and biology. The clinical biometric parameters that we will use to evaluate the health of the implant will also have to be evaluated differently. Non-surgical maintenance will be performed with different instruments. All of this is closely related to the 4 mm of soft tissue surrounding the implant abutment. This tissue must have phenotypic and biotypic characteristics such as to be able to survive over time without recession and such as to withstand the chronic inflammatory state which is always present at a marginal level. Which is why achieving adequate thickness and height of soft tissue with as much seal as possible is crucial.
The apico-coronal position of the implant will become fundamental in anticipating the re-establishment of the biological width, a connection that avoids microleakage will be essential to be able to position the implant under the bone crest, the platform switching will be mandatory to give space to the soft tissues and the position of the margin of the prosthetic restoration no further than 1-2mm from the gingival margin.
All this represents the primordial prevention that must be followed by the primary one, the possible intervention for the treatment of mucositis or peri-implantitis and the secondary prevention. The Guided Biofilm Therapy represents a standardized and effective non-surgical approach for the maintenance and for the step 2 of non-surgical therapy that can be associated with the use of topical antiseptics or can be a preparation for surgery. All these aspects will be addressed in the lecture trying to give clinical ideas on how to face the difficult task of prevention and treatment of biological complications.