National journal of maxillofacial surgery最新文献

{"title":"Effects of low-level laser therapy and intramasseteric triamcinolone on postoperative sequelae following mandibular third molar surgery: A comparative study.","authors":"Rupali S Tiwari, Nupoor Deshpande, Bhushan Mundada, Amit Reche, Priyanka Paul Madhu, Pranoti Pramod Ranit, Samrudhi S Kotewar","doi":"10.4103/njms.njms_67_23","DOIUrl":"10.4103/njms.njms_67_23","url":null,"abstract":"<p><strong>Introduction: </strong>The extraction of impacted third molars is now a standard procedure for oral surgeons. However, it also presents with postoperative sequelae that are difficult for the patients to handle. Hence, to overcome these complications, the present study compares the efficacy of laser therapy and triamcinolone acetonide to find the best treatment modality for patients with such difficulties.</p><p><strong>Materials and methods: </strong>A prospective, randomized clinical trial was carried out on 60 patients aged 18-30 years requiring impacted third molar extraction. The subjects were grouped into two (<i>n</i> = 30 for each group) to assess pain, trismus, and edema. One group was provided with laser treatment with a continuous wavelength of 650 nm at an energy density of 1.26 J/cm² and output power of 0.3 W for 60 sec, and the other with triamcinolone acetonide 40 mg/ml postoperatively on day two and 20 mg/ml postoperatively on day seven intraorally into buccal mucosa over the masseter muscle. The assessment was done for days 2 and 7. Statistical Package for Social Sciences version 24.0 was used for data analysis, and the statistical significance established was <i>P</i> < 0.05.</p><p><strong>Result: </strong>After assessment for pain, edema, and trismus, complications were reduced from day two to day seven when the two treatment modalities had statistical differences. It was found that the triamcinolone group had more reduction in complications than the laser group.</p><p><strong>Conclusion: </strong>In its limitations, the study concluded that triamcinolone acetonide acts as a better treatment modality than laser treatment during an assessment.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"98-103"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288067","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":"Is there a higher prevalence of apical periodontitis in head and neck cancer patients? A retrospective study with panoramic radiographs.","authors":"Aline Gouvêa de Lima, Luiz Felipe Palma, Andressa Taveira, Marcelo Marcucci, Giulio Gavini","doi":"10.4103/njms.njms_118_24","DOIUrl":"10.4103/njms.njms_118_24","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aimed to retrospectively investigate whether there is a difference in the occurrence of apical periodontitis (AP) between patients diagnosed with head and neck cancer (HNC) and non-HNC individuals, given the scarcity of studies on the subject.</p><p><strong>Materials and methods: </strong>Medical records from 660 patients diagnosed with HNC and 167 without any diagnosis of malignancy were selected. The radiographs were examined by two experienced examiners, and the images were classified as normal or altered.</p><p><strong>Results: </strong>281 oncologic patients (comprising 4391 teeth) and 144 non-oncologic patients (comprising 3094 teeth) were evaluated. Radiographic signs of AP were found in 16.19% and 9.02% of teeth in HNC and non-HNC patients, respectively (<i>P</i> < 0.0001). Considering teeth without endodontic treatment, the prevalence of AP was 15.90% in HNC patients and 6.41% in the others (<i>P</i> < 0.0001). However, there was no difference between the groups regarding AP in endodontically treated teeth (25.37% in the HNC group and 30.42% in the non-HNC group; <i>P</i> = 0.35).</p><p><strong>Conclusion: </strong>Within the study's limitations, patients diagnosed with HNC present a higher prevalence of AP compared to non-HNC patients, both in general and concerning endodontically untreated teeth.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"39-43"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288078","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":"Patient acceptance and outcomes of treatments with Corticobasal® implants. A prospective cohort study.","authors":"Stefan Ihde, Antonina Ihde, Olga Sipic","doi":"10.4103/njms.njms_31_24","DOIUrl":"10.4103/njms.njms_31_24","url":null,"abstract":"<p><p>The introduction of Corticobasal®️ implants has opened up a whole new world of possibilities for oral implantology and for dentistry in general. This innovative method breaks beyond the limitations imposed by the availability of bone, the presence of teeth, and the health of the patient, ushering in a paradigm shift in total dental rehabilitation. An investigation made aims to distinguish the level of patient satisfaction subsequent to their adoption of this innovative therapeutic modality of modern \"tooth-free dentistry\".</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"7-13"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288084","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":"Reversing rocuronium-induced neuromuscular block by sugammadex: New safety horizon for Indian population.","authors":"Prashant Kumar, Kiranpreet Kaur, Suresh Kumar Singhal, Sumedha Vashishth, Manisha Manohar, Nidhi Bangarwa","doi":"10.4103/njms.njms_210_23","DOIUrl":"10.4103/njms.njms_210_23","url":null,"abstract":"<p><strong>Background & aim: </strong>The study compared the efficacy of neostigmine and sugammadex in reversing rocuronium-induced neuromuscular blockade in patients undergoing surgery. The research aims to understand the drugs' benefits of safe reversal and impact in the diverse Indian population due to genetic, ethnic, lifestyle, and healthcare infrastructure differences.</p><p><strong>Methods: </strong>The prospective randomized double-blind study was conducted in 40 patients of either sex, aged 18-60 years, belonging to the American Society of Anesthesiologists physical status I-II scheduled for surgery under general anaesthesia requiring tracheal intubation. Patients in group S were given Sugammadex 2mgkg-1 [SugmadexTM by Varenyam Healthcare India] and group N were given Neostigmine 0.05mgkg-1 with glycopyrollate 0.02mgkg-1 for the reversal of rocuronium. Time to reach TOF ratio of 0.9, extubation time, Aldrete score, adverse events, and hemodynamic changes were monitored.</p><p><strong>Results: </strong>Both groups had comparable rocuronium doses and time to achieve 90% TOF ratio. However, sugammadex led to significantly faster extubation times (157.75 (97.33) [95% CI =61.0 - 414.50] sec) compared to neostigmine (341.50 (89.92) [95% CI =171.50 - 498.50] sec). Sugammadex was also associated with fewer adverse events and faster recovery based on the Aldrete score.</p><p><strong>Conclusion: </strong>In conclusion, sugammadex proved superior to neostigmine, providing rapid reversal, shorter extubation times, and fewer side effects in rocuronium-induced neuromuscular blockade. In post operative period patient population with facio maxilla surgery will get increased safety. These findings have implications not only for India but also for the global medical community.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"77-82"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288088","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":"Holistic healing: Navigating perspectives and prerogatives in treating temporomandibular joint disorders.","authors":"Harneet Singh","doi":"10.4103/njms.njms_35_24","DOIUrl":"https://doi.org/10.4103/njms.njms_35_24","url":null,"abstract":"","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 3","pages":"337-339"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019181","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":"Infrahyoid myocutaneous flap for reconstruction in head and neck cancer patients.","authors":"Vikas Sharma, Ashish Singhal, Sandhya Pandey, Gandhi Ajeet","doi":"10.4103/njms.njms_55_24","DOIUrl":"10.4103/njms.njms_55_24","url":null,"abstract":"<p><strong>Background: </strong>Reconstruction of head and neck defects following tumor excision is one of the most challenging surgeries due to multiple reasons, such as associated cosmetic and functional impairments. The three-dimensional aspect of the defect makes it more difficult. Although in modern settings, microvascular surgery is preferred in many conditions, it requires the presence of resources and expertise. Locoregional flaps are workhorse flaps in head and neck reconstruction. In this article, we present an uncommonly used flap with high acceptability and success rate in head and neck reconstruction.</p><p><strong>Aim: </strong>To find outcomes of using infrahyoid flap reconstruction in head and neck defects following cancer excision.</p><p><strong>Materials and methods: </strong>The retrospective study was conducted in the surgical oncology department of our institute. Patients with squamous cell carcinoma of the oral cavity, clinically T1-T3 and N0-N1 stage, with anticipated defects of small to medium defects were included in the study. The study was conducted from July 2020 to June 2022, including a follow-up of 1 year. A total of 14 patients were included in the study. All patients had squamous cell carcinoma of the oral cavity involving different subsites. Patients were operated on by a single surgeon, using the same technique.</p><p><strong>Result: </strong>A total of 14 patients were included with a male-to-female ratio of 11:3 and age between 45 and 60 years. None of the patients underwent revision surgery, and none of the patients had total flap loss. Four patients had minor flap complications, of which three patients had partial, superficial skin necrosis of the flap which was managed conservatively and epithelized later. None of the patients developed major complications, oro-cutaneous fistula, or radiation necrosis. None of the patients developed recurrence after 1 year of surgery.</p><p><strong>Conclusion: </strong>The infrahyoid myocutaneous flap (IHF) is a fairly reliable and easy-to-perform flap for small- and medium-sized defects of the oral cavity, without requiring additional incisions and donor site reconstruction.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 3","pages":"410-416"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019164","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":"Metastasis to jaw bones from renal cell carcinoma as the sole primary source: Systematic review.","authors":"Sonia Gupta, Aruna Vanka, Shreya Gupta, Harnisha Vipulkumar Prajapati, Ruchira Shreevats, Manasi Pangarkar, Mrunali Desai, Arun Raj, Fatema Matcheswala","doi":"10.4103/njms.njms_91_23","DOIUrl":"10.4103/njms.njms_91_23","url":null,"abstract":"<p><p>Renal cell carcinoma (RCC) has been known for its high propensity of metastasis to unusual locations, and jaw bones (JBs) are one among those sites. The literature has reported several studies analyzing metastatic tumors to the oral region, but very little research work has been published to date to analyze solely JB metastasis (JBM) via RCC. The goal of this study was to examine the published cases of metastasis to JBs from RCC as the sole primary source till date. An electronic search of the published literature was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines without publication year limitation in PubMed or MEDLINE, Scopus, Google Scholar, Web of Science, ScienceDirect, Embase, and Research Gate Databases, using MeSH keywords, such as ('Renal cancer', OR 'Renal carcinoma' OR 'Renal cell cancer' OR 'Renal cell carcinoma'), AND ('Metastasis' OR 'Metastases') And ('Jaw' OR 'Maxilla' OR 'Mandible') And ('Temporomandibular joint' OR 'Condyle' OR ' Ramus'). We also searched all related journals manually. The reference list of all articles was also checked. Our research revealed a total of 56 relevant papers with 66 patients. The papers included were from 1939 to 2022. The mandible was the most predominant jaw affected than the maxilla. 19.7% of patients died with a mean survival time of 8.5 months. From the current research, it can be concluded that metastasis to JBs from RCC is a rare occurrence. A careful evaluation of these cases is needed to raise awareness of these lesions and gain a better understanding of their characteristics.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 3","pages":"367-378"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019323","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":"Correlation of lipid profile APO A1 and APO B100 in chronic periodontitis patients leading to coronary artery disease.","authors":"Shilpi Gupta, Nand Lal, Wahid Ali, Akshaya Pradhan, Ajay Kumar Verma, Prashant Gupta, Neeraj Kumar, Balendra Pratap Singh, Neeraj Sinha","doi":"10.4103/njms.njms_30_23","DOIUrl":"10.4103/njms.njms_30_23","url":null,"abstract":"<p><strong>Background: </strong>Increased attention has been focused on the association of periodontal disease with cardio-metabolic syndrome. Although the associations are multi-factorial, very few studies have explored the role of lipoprotein Apo A1 and Apo B100 with chronic periodontitis. Additionally, obstructive sleep apnea (OSA), a chronic multi-factorial respiratory disease, consists of a temporary decrease or cessation of breath for ≥ 10 seconds and leads to a reduction in blood oxygen saturation of more than 3% to 4% and/or neurological arousal. OSA involves the upper respiratory tract, and it has been proven that snoring and OSA have systemic consequences in humans. It has been recently suggested that OSA may be related to periodontitis, another chronic multi-factorial disease.</p><p><strong>Materials and methods: </strong>A total of 600 participants aged between 30 and 80 years were analyzed. In this case control study, a total of 300 in the case group with chronic periodontitis and coronary artery disease (CAD) and 300 in the control group healthy population with chronic periodontitis were recruited. The following data were collected: 1) general information on socio-demographic, health-related factors, 2) periodontal status [clinical attachment loss (CAL), pocket probing depth (PPD)], and 3) a blood sample for estimation of lipoproteins and biochemical analysis.</p><p><strong>Results: </strong>The results of the current investigation point to a potential relationship between lipid metabolism and systemic inflammation brought on by periodontitis. It was observed that there is a link between periodontal disease and CAD.</p><p><strong>Conclusion: </strong>A significant correlation was found between the lipid profile APO A1 and APO B100 and the blood vessels involved in the case groups. Hence, cardiovascular diseases can be efficiently circumvent with a biomarker based approach to treatment, which also benefits patient's quality of life.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 3","pages":"480-488"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019814","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":"Effect of relaxing sounds on anxiety levels in patients undergoing dental extraction: A randomized clinical trial.","authors":"Ahmad Assari, Hatoon Abdullah AlShamrani, Shaden Ibrahim Alquraishi, Abdullah Homoud Alghashim, Nasser Raqe Alqhtani","doi":"10.4103/njms.njms_62_23","DOIUrl":"10.4103/njms.njms_62_23","url":null,"abstract":"<p><strong>Introduction: </strong>The study was conducted to observe the effect of using relaxing sounds as a nonpharmacological intervention on anxiety levels and vital signs among patients who underwent extraction.</p><p><strong>Materials and methods: </strong>A randomized clinical trial was conducted, and patients with an indication of dental extraction, who were physically and mentally healthy, were invited to voluntarily participate in the study. Dental anxiety was assessed by measuring blood pressure, heart rates, and respiratory rates as well as with the help of the Modified Dental Anxiety Scale (MDAS) questionnaire before and after the procedure. Each participant was asked to choose a sound they preferred. All the statistical analyses were performed using SPSS Software version 23, and the statistical significance level was fixed at <i>P</i> ≤ 0.05.</p><p><strong>Results: </strong>Among the patients who underwent simple extraction, only the respiratory rate showed a statistically significant difference. The mean respiratory rate decreased from 19.24 to 17.59 after simple extraction. Among all the study variables, the MDAS score showed a statistically significant difference between the groups.</p><p><strong>Conclusions: </strong>The music group reported much less postoperative anxiety than the control group. These findings confirm the notion that the use of music selected by the patient during surgical extraction of an IMTM reduces anxiety substantially.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 3","pages":"454-459"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019817","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":"Effectiveness of teacher's training program for tobacco control in schools of Lucknow: A Quasi-experimental study.","authors":"Nishita Kankane, Vinay K Gupta, Gaurav Mishra, Shivendra K Singh, Shitanshu Malhotra","doi":"10.4103/njms.njms_117_23","DOIUrl":"10.4103/njms.njms_117_23","url":null,"abstract":"<p><strong>Introduction: </strong>Teachers play a crucial role in influencing the attitudes and behaviors of their students. Their knowledge, attitude, and practice towards tobacco use, have a direct impact on strict implementation of School Tobacco Control Policies. The present study aimed to assess the effectiveness of the teacher's training program, <i>Choose Health by Avoiding Tobacco (CHAT)</i> for tobacco control measures in schools of Lucknow.</p><p><strong>Materials and methods: </strong>The study was a Quasi experimental study conducted among 120 school teachers from six Government High Schools in Lucknow. An interactive training session on various tobacco-related topics was conducted. Knowledge gained was assessed by comparing post-test scores with pre-test scores. McNemar's test was employed to assess change in knowledge before, after, and after 1 month of the training program. Wilcoxon signed-rank test was used to compare the mean of pre-, post-, and follow-up test scores.</p><p><strong>Results: </strong>The prevalence of tobacco use was 21.7% among the participating school teachers. The female teachers did not consume tobacco in any form. There was a significant improvement in the mean post-test score as compared to the pre-test score (<i>P</i> < 0.001), with no significant attrition of knowledge gained after one month. A 94.2% of the participants reported that the training session conducted has motivated them to quit tobacco use. Evaluation of the six participating schools on their compliance with the \"Tobacco Free Educational Institute\" (ToFEI) Guidelines, demonstrated some improvement in implementation of these guidelines within two months of the training session as compared to baseline observations.</p><p><strong>Conclusion: </strong>The present study showed that the CHAT interactive educational intervention program was effective in improving knowledge related to tobacco and its laws to protect minors from the tobacco epidemic. The intervention also resulted in a high level of motivation among teachers to choose a tobacco-free life.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 3","pages":"505-512"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019819","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}