{"title":"A modified high infraorbital with lateral crow feet extension incision (Punincision) for body of zygoma fractures and zygoma implants: Original research.","authors":"Prashant Punde, Nilesh Mishra, Adhishree Joshi, Aishwarya Ramgadiya","doi":"10.4103/njms.njms_31_23","DOIUrl":"10.4103/njms.njms_31_23","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of the infraorbital incision with lateral crow feet extension to treat fractures present towards the body of zygoma.</p><p><strong>Materials and methods: </strong>Totally fifteen patients aged from 22 to 69 years diagnosed with fracture line running close to body of zygoma which had been reported to authors between February 2013 and June 2018 were included in this study. Seven patients had low-level frontozygomatic fractures. Eight had fracture lines too lateral to infraorbital foramina. These fractures require longer incisions if conventional approaches are used. New incision design comprising of laterally placed infraorbital incision joined with crow feet extension was used in all these cases. Fracture stabilization was done using 1.5 mm plates in all the cases.</p><p><strong>Results: </strong>The fractures were well reduced and stabilized. The scar was inconspicuous in nature hidden in skin crease in all the cases. Operation time was observed to be less when compared to using surgical records of conventional incision cases. Soft tissue swelling was also found out to be less as compared to conventional incision cases.</p><p><strong>Conclusion: </strong>This modified incision was found to be effective for fractures near the center of body of zygoma in terms of easiness of fracture site exposure and fixation in less time.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"71-76"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Crestal bone loss in partially grafted immediate dental implants with and without use of static magnetic field: An <i>in vivo</i> study.","authors":"Akanksha Yadav, Lakshya Kumar, Uma Shanker Pal, Ranjit Patil, Madan Lal Brahm Bhatt, Aditi Verma","doi":"10.4103/njms.njms_153_23","DOIUrl":"10.4103/njms.njms_153_23","url":null,"abstract":"<p><strong>Background: </strong>The use of dental implants is a successful method in modern dentistry for replacing missing teeth. To cater to patients' desire for shorter treatment times, clinicians have explored early or immediate loading of implants shortly after their placement. Implant stability during this period is influenced by multiple factors, including bone density, bone mechanical properties, implant design, edentulous site complications, and surgical technique.</p><p><strong>Objective: </strong>This study aims to investigate whether static magnetic fields (SMFs), generated using safer magnets, can enhance osseointegration, and mitigate crestal bone loss in immediately placed dental implants post-grafting.</p><p><strong>Materials and methods: </strong>The study involves assessing crestal bone loss in two groups of immediately placed dental implants-one group exposed to an SMF and another group without such exposure. The SMF is generated by safer magnets. Implant stability and crestal bone loss are evaluated as the primary outcomes. The evaluation is conducted at baseline, as well as at intervals of 3 months, 6 months, and 1 year after implant placement. Three different examiners perform the measurements to enhance accuracy and reliability.</p><p><strong>Results: </strong>The study's findings provided insights into whether the application of SMFs impacted crestal bone loss during 1 year of follow-up. Comparison between the exposed and nonexposed groups shed light on the potential benefits of utilizing SMFs for enhancing osseointegration and minimizing crestal bone loss.</p><p><strong>Conclusion: </strong>This study's investigation into the effects of SMFs on immediately placed dental implants holds promise for advancing our understanding of techniques to accelerate osseointegration and reduce crestal bone loss.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"104-108"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Orthognathic surgery: Is surgery first approach a viable option in orthognathic surgery?","authors":"Ojas Desai, Rajesh Kshirsagar, Vikram Singh, Vivek Sunil Nair, Sudhir Pawar, Saurabh Jain","doi":"10.4103/njms.njms_114_23","DOIUrl":"10.4103/njms.njms_114_23","url":null,"abstract":"<p><p>Orthognathic surgery, also known as corrective jaw surgery, is a complex procedure used to correct significant skeletal discrepancies in the jaws and face. Historically, orthognathic surgery has been reserved for cases where other treatment modalities have failed. However, in recent years, there has been growing interest in exploring the viability of adopting an orthognathic surgery-first approach. Proponents of surgery first approach argue that immediate surgical intervention can provide substantial advantages. By addressing the underlying skeletal irregularities early on, orthognathic surgery may offer more predictable and long-lasting results. Moreover, it can improve aesthetic outcomes, enhance facial harmony, and alleviate functional issues such as malocclusion, speech difficulties, and temporomandibular joint disorders. Additionally, early orthognathic surgery may prevent or mitigate the need for subsequent orthodontic or orthopedic interventions, potentially reducing overall treatment time and cost. This view point aims to identify the potential benefits and considerations surrounding the use of orthognathic surgery as a first-line treatment option.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"3-6"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vartika Mathur, Gaurav Singh, Madan Mishra, Manthan Kumar Das
{"title":"Patient-Specific surgical management of a triad of TMJ ankylosis, micrognathia, and obstructive sleep apnea: A case report.","authors":"Vartika Mathur, Gaurav Singh, Madan Mishra, Manthan Kumar Das","doi":"10.4103/njms.njms_98_23","DOIUrl":"10.4103/njms.njms_98_23","url":null,"abstract":"<p><p>A triad of TMJ Ankylosis, Micrognathia, and Obstructive sleep apnea syndrome (OSAS), is common in prolonged cases of TMJ ankylosis or TMJ Re-Ankylosis. The goals of managing a case of TMJ ankylosis include creating a functional joint, improving the aesthetic appearance, treating OSAS, and preventing re-ankylosis. This case study documents the treatment of a 26-year-old male with bilateral TMJ re-ankylosis, which was more pronounced on the right side while considering the social and financial constraints of the patient. The case was managed by interpositional arthroplasty and advancement sliding genioplasty to correct facial asymmetry as well as to increase the posterior airway space, which was followed by an aggressive physiotherapy. Significant improvement in the patient's mouth opening and facial profile was observed after the treatment. The post-operative outcome is being assessed at regular follow-ups. This integrated approach demonstrates efficacy in addressing TMJ ankylosis, emphasizing the critical role of postoperative rehabilitation in achieving favorable results.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"165-169"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ezhilarasi Sundaram, Geeta Singh, Ravi Katrolia, Deepika Jain
{"title":"Tubercular osteomyelitis of mandible: Defining diagnostic criteria.","authors":"Ezhilarasi Sundaram, Geeta Singh, Ravi Katrolia, Deepika Jain","doi":"10.4103/njms.njms_56_23","DOIUrl":"10.4103/njms.njms_56_23","url":null,"abstract":"<p><p>Cases of extrapulmonary tuberculosis (TB) are being increasingly reported these days. Orofacial TB represents only 0.05-5% of total cases. Its vague and nonspecific clinical features pose a diagnostic challenge. Here, we report a series of five cases on mandibular TB and also an attempt was made to propose a diagnostic criterion for tuberculous osteomyelitis of the mandible. Positive cartridge-based nucleic acid amplification test for <i>Mycobacterium tuberculosis</i>, acid-fast bacilli smear test, and histopathological examination may be considered as major criteria while swelling (which gradually increases in size), noninflammatory cervical lymphadenopathy, radiographic picture of diffuse cortical erosion without reactive bone formation may be considered as minor criteria. The presence of these findings should raise a strong suspicion of TB of the mandible.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"180-185"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vascularized interpositional periosteal connective tissue flap: A comprehensive review.","authors":"Zeba Rahman Siddiqui, Sidra Rahman, Areeba Aziz, Ashutosh Srivastava","doi":"10.4103/njms.njms_84_23","DOIUrl":"10.4103/njms.njms_84_23","url":null,"abstract":"<p><p>Nowadays, esthetics plays an important role in dentistry, along with the function of the prosthesis. The prosthetic replacement of the missing tooth should be in harmony with the adjacent natural dentition to fulfill the esthetic demand of the patient, especially in the anterior region. Alveolar ridge defects following tooth extraction can be corrected, and various techniques can be used to restore the lost alveolar hard and soft tissues. The newer technique, the vascularized interpositional periosteal connective tissue (VIP-CT) flap, has been introduced, which has the potential to augment the predictable amount of soft tissues in the esthetic zone and provide many benefits when compared to other techniques.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"19-23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tahseen Ali Khan, Mehnaaz Sultana Syeda, Pradeep Koppolu, Mohammed Malik Afroz, Lingam Amara Swapna
{"title":"Bone mineral density as a criterion for primary implant stability: A retrospective CBCT analysis.","authors":"Tahseen Ali Khan, Mehnaaz Sultana Syeda, Pradeep Koppolu, Mohammed Malik Afroz, Lingam Amara Swapna","doi":"10.4103/njms.njms_1_23","DOIUrl":"10.4103/njms.njms_1_23","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine the relationship between the local bone density derived from a cone-beam computed tomography (CBCT) scan from different sites in the maxilla and mandible and the insertion torque values, for the success of oral implants.</p><p><strong>Materials and methods: </strong>A total of 73 patients who reported to our unit, with missing teeth and a desire for replacement with dental implants, were included in this study. A total of 118 implants were placed from 2008 to 2011. The number of male and female patients included in the study was 43 and 30, respectively. The mean age of the patients was 43.2 years. NobelReplace Select Tapered Implant system was used for all patients.</p><p><strong>Results: </strong>The mean bone density of all 118 implants was 620 ± 251 Hounsfield units (HU). The mean bone density and insertion torque values of the six failed implants were 459 ± 131 HU and 28 ± 5 Ncm, respectively. The mean bone density and insertion torque values of the 112 successful implants were 678 ± 217 HU and 36 ± 2 Ncm, respectively. A significant strong positive correlation was observed between bone density and torque at all sites.</p><p><strong>Conclusion: </strong>CBCT is a useful tool to determine the bone density of the concerned areas before implant placement. The valuable information derived from the CBCT about bone quality may help clinicians to avoid the placement of implants into the very poorest qualities of bone, where failure is more likely.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"126-133"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Congenital hemifacial hyperplasia-A diagnostic dilemma.","authors":"Aishwarya Bhatnagar, Madhav Nagpal, Anamika Joshi, Mehak Tariq","doi":"10.4103/njms.njms_171_22","DOIUrl":"10.4103/njms.njms_171_22","url":null,"abstract":"<p><p>CHH is a rare developmental pathology and often presents a diagnostic dilemma to a clinician. It is characterized by marked unilateral overgrowth of hard and soft tissues of the face that is present since birth and advances with age, mostly till puberty. Though aetiology remains unknown, several factors could be considered including hormonal imbalances, diseases involving the neural system, vascular conditions, lymphatic abnormalities, mechanical influences and congenital syphilis. Hence, desired investigations should be done to rule out syndromes causing facial asymmetry. Since, management is considered when aesthetics are a prime concern, it should be planned only after growth cessation. We, hereby, present a case of 10-year-old male patient reported with chief complaint of asymmetry on left side of face from birth to supplement existing clinical knowledge.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"195-200"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Milena G Guirado, Cristina Toline, Luiz F Palma, Luana Campos
{"title":"Medical device-related orofacial ulcers: Report of two cases managed with photobiomodulation therapy.","authors":"Milena G Guirado, Cristina Toline, Luiz F Palma, Luana Campos","doi":"10.4103/njms.njms_84_22","DOIUrl":"10.4103/njms.njms_84_22","url":null,"abstract":"<p><p>Oral mucosal lesions are commonly seen in intensive care unit (ICU) patients and are generally related to medical devices such as those used for orotracheal intubation. Conventional therapies comprise pharmacological agents and local measures; however, recently, alternative options have shown promising results. Thus, this paper aims to present clinical cases in which orofacial injuries resulting from orotracheal tube pressure were managed exclusively with photobiomodulation therapy (PBMT). Two patients were admitted to an ICU because of respiratory distress due to bacterial pneumonia. A few days after orotracheal intubation, bleeding lip lesions covered by crusts and related to tube pressure were noted. Three PBMT sessions were proposed in both cases and resulted in an important clinical improvement within 72 hours. Given the complexity of the ICU environment and the lack of consensus regarding the best management option for medical device-related orofacial lesions, PBMT seems to be a promising tool for that. More studies, however, are actually necessary to draw definite conclusions.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"186-188"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandeep Singh, Pankaj Ghalaut, Pritish Dixit, S Divakar
{"title":"Prosthodontic rehabilitation of resorbed mandibular ridges using guided all-on-four technique and implant retained overdentures-A case series.","authors":"Sandeep Singh, Pankaj Ghalaut, Pritish Dixit, S Divakar","doi":"10.4103/njms.njms_12_23","DOIUrl":"10.4103/njms.njms_12_23","url":null,"abstract":"<p><p>Continued residual ridge resorption in edentulous patients causes a great challenge in prosthetic rehabilitation by conventional denture. Retention and stability are greatly compromised in conventional dentures, especially if mandibular ridge is severely resorbed. Rehabilitation of such patients using dental implants has been proven as a successful treatment modality. With the evident of guided surgery, accurate and predictable implant placement can be achieved. This case series describes the prosthodontic rehabilitation of resorbed mandibular arches using guided all-on-four technique and implant retained overdentures.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"189-194"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}