Classic cicatelli from Puglia and Molise, one of the oldest pasta types, are traditionally made by rolling pasta dough into long ropes or snakes and then cutting them into pieces 5cms in length. The cicatelli are then formed by pressing the three middle fingers of one hand into each piece of dough to create a cavity. However, in some parts of Southern Italy, ciatelli are made shorter using only the index and middle finger or only the index finger. In some places, people make them even longer by doubling the length of the piece of pasta to about 10 centimeters. They then use the 3 middle fingers of both hands.