Christian Schedeit , Ioanna Kalaitsidou , Nathalie Schedeit , Bradley Aebi , Kotaro Sato , Benoît Schaller
{"title":"Retrospective analysis of surgical treatment of frontobasal fractures with the new bernese skull base fracture score","authors":"Christian Schedeit , Ioanna Kalaitsidou , Nathalie Schedeit , Bradley Aebi , Kotaro Sato , Benoît Schaller","doi":"10.1016/j.adoms.2025.100569","DOIUrl":"10.1016/j.adoms.2025.100569","url":null,"abstract":"<div><div>The aim of this study is to evaluate the success rate and effectiveness of the subcranial approach for anterior skull base fractures in comparison to findings reported in the literature. Furthermore, a clinical recommendation for this approach will be made using the new Bernese skull base score. A total of 185 adult patients with severe comminuted fractures or cerebrospinal fluid (CSF) leaks underwent open anterior skull base surgery after trauma between 2002 and 2018 in our department. We retrospectively analyzed all of these patients by evaluating preoperative symptoms, fracture types, complication rates, and long-term outcomes. The evaluation of the results of the operations is based on the cohort of 149 patients. None of the patients with a 6-month follow-up who underwent surgery using the subcranial approach developed meningitis. Of the 9 patients (6 %) who required secondary surgery at the skull base, only 1 patient (0.7 %) required repair of a CSF leak. The most common long-term complication associated with secondary skull base surgery was mucocele formation (n = 6, 4 %). Fifteen patients developed enophthalmos (8.1 %) and eleven experienced diplopia (5.9 %). In conclusion, the subcranial approach is a safe surgical technique with a low incidence of long-term complications in comminuted fractures of the anterior skull base which is indicated for the rare severer cases.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100569"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erratum regarding missing “Consent statements” in previously published articles","authors":"","doi":"10.1016/j.adoms.2025.100536","DOIUrl":"10.1016/j.adoms.2025.100536","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100536"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145026681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erratum regarding missing “Consent statements” in previously published articles","authors":"","doi":"10.1016/j.adoms.2025.100539","DOIUrl":"10.1016/j.adoms.2025.100539","url":null,"abstract":"","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100539"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145026682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maxillofacial growth retarded by microsurgical injuries in young rats","authors":"Ahmed A. El Danaf , Heba A. Eldanaf","doi":"10.1016/j.adoms.2025.100574","DOIUrl":"10.1016/j.adoms.2025.100574","url":null,"abstract":"<div><div>This study aimed to experimentally evaluate the impact of maxillofacial surgically induced trauma on the growth of the skull and facial bones. The materials were previously divided into two separate papers and published in French; however, this research article has assembled the methods and results, added measurable traces to figures, and updated the discussion, references, and layout.</div></div><div><h3>Methods</h3><div>Twelve maxillofacial injuries were tempted in 100 rats at the age of 8 ± 2 days. Surgeries were performed under surgical microscope to precisely hit a specific target. Sixty-nine rats survived to the age of 36 ± 2 days and were sacrificed. The morphology and bilateral dimensions of dry skull and facial skeleton in each group were compared with those of ten rats that escaped surgery and used as controls.</div></div><div><h3>Results</h3><div>Seven procedures including coagulation of palatine blood supply, excision of the mid-palate sagittal suture, removal of a mandibular condyle, disinsertion, or excision of a masseter muscle, cutting of a mandibular nerve, and enucleation of an eye globe, led to a deterioration of facial skeleton growth. However, five procedures including palatal subperiosteal dissection, mucoperiosteal excision, unilateral nasal obliteration, external carotid artery ligation, and facial nerve interruption did not hinder growth.</div></div><div><h3>Conclusion</h3><div>Preserving the integrity of vascularity, periosteal osteogenic power, sutures, condyle growth centers, masticatory neuromuscular function, and orbit/globe capsular matrix, are crucial for normal craniofacial growth and development.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100574"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Faisal Alzahrani , Sally Issa , Akram Alshirah , Noha Seoudi
{"title":"Platelet concentrates and arthrocentesis as therapeutic options for temporomandibular joint osteoarthritis: A systematic review of systematic reviews","authors":"Faisal Alzahrani , Sally Issa , Akram Alshirah , Noha Seoudi","doi":"10.1016/j.adoms.2025.100571","DOIUrl":"10.1016/j.adoms.2025.100571","url":null,"abstract":"<div><div>Temporomandibular joint osteoarthritis (TMJ OA) is a degenerative condition that leads to chronic pain and restricted jaw function, significantly reducing quality of life. Minimally invasive treatments such as platelet concentrate (PC) and arthrocentesis have emerged as promising therapeutic options. This systematic review of systematic reviews (SR of SRs) aimed to evaluate the effectiveness of intra-articular injection (IAI) of PC alone or in combination with arthrocentesis, compared to hyaluronic acid (HA), corticosteroids (CS), arthrocentesis alone, or placebo.</div><div>A comprehensive search of PubMed, Scopus, the Cochrane Library, and Google Scholar identified 18 systematic reviews and meta-analyses published between 2012 and 2024. Studies evaluating pain reduction and maximum mouth opening (MMO) were included. Methodological quality was assessed using the Critical Appraisal Skills Programme (CASP) and Risk of Bias in Systematic Reviews (ROBIS) tools.</div><div>PC, offer superior and sustained pain relief compared to HA, CS, and placebo, especially when combined with arthrocentesis. However, results regarding MMO improvement were inconsistent, likely due to variations in PC preparation, follow-up periods, and patient characteristics. Risk of bias analysis revealed 51 % low risk, 26 % high risk, and 22 % unclear risk, highlighting the need for more standardised high-quality research protocols.</div><div>PC show promising potential in managing pain associated with TMJ OA through a minimally invasive approach. Further research is needed to optimise protocols and confirm long-term therapeutic outcomes.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100571"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammed Inam Ullah Khan , Rabindra Pratap Singh , Jordan Prince , Amanda Vincci Chiu , Hassan El-Awour
{"title":"Recent advances in dental local anaesthesia","authors":"Mohammed Inam Ullah Khan , Rabindra Pratap Singh , Jordan Prince , Amanda Vincci Chiu , Hassan El-Awour","doi":"10.1016/j.adoms.2025.100575","DOIUrl":"10.1016/j.adoms.2025.100575","url":null,"abstract":"<div><div>Achieving profound local anaesthesia (LA) is a vital skill for oral surgeons, enabling efficient and successful completion of surgical procedures. Recent advances in LA administration aim to enhance patient comfort, improve clinician satisfaction, and increase anaesthetic efficacy.</div><div>This review examines the evidence on emerging techniques, including vibrotactile devices, computer-controlled local anaesthetic delivery (CCLAD), single-tooth anaesthesia, intraosseous injections, needleless systems, and buffered LA solutions, comparing them to conventional syringe techniques.</div><div>The evidence for these devices and techniques is mixed, with some trials reporting reduced pain or anxiety and increased speed of onset or anaesthesia success in teeth with pulpitis, while other trials report no significant differences compared to conventional syringes. Many of the trials had small sample sizes with high risk of bias, highlighting the need for large scale randomised controlled trials to better establish efficacy of these novel devices. Clinicians should weigh the available evidence alongside their own and patients’ preferences before considering new LA equipment. Emerging techniques hold promise but require further validation to ensure consistent and reliable outcomes in surgical practice.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100575"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144895046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Non-syndromic multiple tooth impaction treated with digitally designed subperiosteal implants: A two-year follow-up case report","authors":"Mustafa Ayhan , Adnan Ferizović , Melike Baygin , Banu Gürkan Köseoğlu","doi":"10.1016/j.adoms.2025.100573","DOIUrl":"10.1016/j.adoms.2025.100573","url":null,"abstract":"<div><div>Rehabilitation of a patient with multiple impacted and retained teeth presents a major clinical challenge, particularly when conventional endosseous implants are not feasible due to anatomical limitations. This case report describes a rare presentation of a young female patient with generalized multiple impactions in the absence of any systemic or genetic condition. Comprehensive testing ruled out syndromic etiologies. A two-stage surgical protocol was followed: extraction of impacted teeth and placement of digitally designed subperiosteal implants. Fixed full-arch prostheses were delivered with excellent functional and esthetic outcomes. Follow-ups at two years confirmed implant stability, healthy soft tissue, and high patient satisfaction. To our knowledge, this is among the few reported cases that integrate digital subperiosteal implant planning in non-syndromic multiple impactions. This case highlights the value of individualized digital planning and the resurgence of subperiosteal implants in complex cases where traditional implant therapy is contraindicated.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"20 ","pages":"Article 100573"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of piezoelectric versus rotary handpiece on postoperative sequelae following surgical removal of impacted mandibular third molars; A comparative study","authors":"Ochuko Ebrorhie , Michael Olayinka Adeyemi , Olawale Olatubosun Adamson , Emmanuel Onyebuchi Onuoha , Wasiu Lanre Adeyemo","doi":"10.1016/j.adoms.2025.100568","DOIUrl":"10.1016/j.adoms.2025.100568","url":null,"abstract":"<div><h3>Background</h3><div>Bone removal is a key step in surgically extracting the impacted mandibular third molar and is chiefly responsible for the postoperative sequelae. The piezoelectric drill was introduced to help lessen the severity of these sequelae. This study aimed to compare the effects of using either a piezoelectric drill or a conventional rotary instrument on postoperative sequelae and complications following impacted mandibular third molar surgery.</div></div><div><h3>Methodology</h3><div>The study was a prospective randomised clinical trial. Impacted mandibular third molars were surgically removed using either a piezoelectric drill or a conventional drill. The primary outcome measured included postoperative sequelae (pain, swelling, and trismus) over one week postoperatively, while the secondary outcome involved postoperative complications.</div></div><div><h3>Results</h3><div>One hundred and twenty subjects completed the study, with 60 subjects in each group. The median postoperative pain scores were lower in the piezo group, and this difference was statistically significant on the 6th and 7th days (p = 0.004 and 0.011, respectively). Postoperative swelling was also less in the piezo group compared to the rotary group on days 1 and 3 (p < 0.001). No statistically significant difference was observed in the postoperative interincisal distance between the two groups. Nine subjects experienced complications in the rotary group, whereas none did in the piezo group. This difference was statistically significant (p = 0.002).</div></div><div><h3>Conclusion</h3><div>The Piezoelectric drill resulted in faster recovery of postoperative sequelae and a lower incidence of postoperative complications following the removal of the impacted mandibular third molar.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100568"},"PeriodicalIF":0.0,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144810020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aesthetic chin lines in women: A visual guide for gender-sensitive orthognathic surgery planning","authors":"María G. Barrón Barrera, Emmanuel Guerrero Soto","doi":"10.1016/j.adoms.2025.100570","DOIUrl":"10.1016/j.adoms.2025.100570","url":null,"abstract":"<div><div>Facial harmony is strongly influenced by the projection of the chin, particularly in the lower third of the face. This study applies the visual diagnostic tool known as Aesthetic Chin Lines (ACL), previously validated in men, to a sample of attractive adult women. A total of 200 high-resolution profile photographs were analyzed to evaluate the position of the Pogonion in relation to two perpendicular reference lines: one from the subnasale and another from the incisal edge of the upper central incisor. The results revealed that only 40.5 % of the Pogonions were within the ACL, while 56 % were located posterior to the incisor line and 3.5 % anterior to the subnasale line. These findings differ significantly from those observed in men, where 84 % fell within the ACL. This supports the hypothesis that gender influences aesthetic norms for chin projection and suggests the need for tailored aesthetic guidelines in orthognathic planning for women.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100570"},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144767240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maryam Y. Alnasser , Samar Alsuliman , Dalia M. AlYami
{"title":"The impact of dental assistants in modern oral healthcare: A literature review","authors":"Maryam Y. Alnasser , Samar Alsuliman , Dalia M. AlYami","doi":"10.1016/j.adoms.2025.100572","DOIUrl":"10.1016/j.adoms.2025.100572","url":null,"abstract":"<div><div>Dental assistants are integral to modern dentistry, who play a vital role in clinical workflows, infection control, and patient education. Despite such contributions, academic focus on their impact in clinical settings is limited. This study aims to present a review, based on available information, on the critical functions of dental assistants and the hurdles they face in medical environments. Peer-reviewed articles, clinical guidelines and reports from dental associations were synthesised to assess the roles, contributions and challenges faced by dental assistants. Dental assistants significantly enhance procedural efficiency by following four-handed dentistry, reduce infection risks by adhering to sterilization protocols and contribute to patient education. However, occupational ergonomic risks and limited professional recognition remain concerns. Recognizing the contributions of dental assistants can improve clinical efficiency and patient outcomes. Addressing ergonomic challenges and developing structured professional growth programs will further enhance their roles in dental healthcare.</div></div>","PeriodicalId":100051,"journal":{"name":"Advances in Oral and Maxillofacial Surgery","volume":"19 ","pages":"Article 100572"},"PeriodicalIF":0.0,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144763763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}