Head & Face Medicine最新文献

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Biomechanical behavior of immediately placed implant using bone graft and socket shield techniques: a 3D finite element analysis. 使用植骨和窝护技术即刻放置种植体的生物力学行为:三维有限元分析。
IF 2.4 2区 医学
Head & Face Medicine Pub Date : 2025-08-13 DOI: 10.1186/s13005-025-00537-2
Reham A Rashwan, Sanaa H AbdElkader, Noha M Elkersh, Rewaa G AboElhassan
{"title":"Biomechanical behavior of immediately placed implant using bone graft and socket shield techniques: a 3D finite element analysis.","authors":"Reham A Rashwan, Sanaa H AbdElkader, Noha M Elkersh, Rewaa G AboElhassan","doi":"10.1186/s13005-025-00537-2","DOIUrl":"10.1186/s13005-025-00537-2","url":null,"abstract":"<p><strong>Background: </strong>Recently, several techniques for immediate implant placement have gained popularity, offering numerous advantages. These include the preservation of bone around the tooth socket and enhanced aesthetics. Nonetheless, the biomechanical behavior of implants and peri-implant tissues under immediate loading with these techniques remains uncertain. This study examines stress distribution surrounding an immediately placed implant, using socket shield and bone graft techniques compared to a healed socket.</p><p><strong>Materials and methods: </strong>Cone-beam computed tomography (CBCT) scans of the anterior maxilla were used to construct finite element analysis (FEA) models. The process of modeling the implant, abutment, and provisional crown used standard tessellation language (STL) files of the original components. The implant was modeled in three clinical scenarios: a healed socket (HS), an extraction socket with bone graft (BG), and a socket shield (SS). A frictional contact (µ = 0.3) was established to simulate immediate loading. An axial load of 25.5 N and a non-axial load of 178 N at a 30° angle were applied along the implant's long axis in a palatal direction. FEA was conducted for stress distribution analysis.</p><p><strong>Results: </strong>In evaluating maximum principal, von Mises stress distribution within the cortical bone, the HS model exhibited the highest stress level, with a maximum of 125 MPa, 127 MPa, respectively. The SS model demonstrated the lowest stress, recording a maximum of 82 MPa, 90.7 MPa, respectively, while the BG model had a maximum value of 115 MPa, 116.84 MPa, respectively. When assessing the von Mises stress distribution associated with the implant, the HS model recorded the highest stress value of 385 MPa. In contrast, the BG and SS models recorded lower stress values of 252 MPa and 281 MPa, respectively.</p><p><strong>Conclusions: </strong>The socket shield technique exhibits advantageous biomechanical performance under immediate loading conditions by reducing stress on peri-implant bone and implant components. These results endorse its clinical applicability but necessitate further in vivo validation.</p>","PeriodicalId":12994,"journal":{"name":"Head & Face Medicine","volume":"21 1","pages":"59"},"PeriodicalIF":2.4,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12345125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144845813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does expander design influence the risk of asymmetric palatal expansion? A retrospective cohort study. 扩张器的设计是否影响腭不对称扩张的风险?回顾性队列研究。
IF 2.4 2区 医学
Head & Face Medicine Pub Date : 2025-08-13 DOI: 10.1186/s13005-025-00534-5
Gilles Claeys, Shankeeth Vinayahalingam, Johannes Kleinheinz, Stefaan Bergé, Tong Xi
{"title":"Does expander design influence the risk of asymmetric palatal expansion? A retrospective cohort study.","authors":"Gilles Claeys, Shankeeth Vinayahalingam, Johannes Kleinheinz, Stefaan Bergé, Tong Xi","doi":"10.1186/s13005-025-00534-5","DOIUrl":"10.1186/s13005-025-00534-5","url":null,"abstract":"<p><strong>Background: </strong>Unplanned asymmetric palatal expansion following Surgically Assisted Rapid Maxillary Expansion (SARME) can result in a poor esthetic outcome or an unstable occlusion. The purpose of this study was to analyze the association between expander design and asymmetric expansion.</p><p><strong>Methods: </strong>In this retrospective cohort study, preoperative and postoperative cone beam computed tomography (CBCT) scans of patients treated with SARME were randomly selected from the Radboud University medical imaging database. Patients were divided into two groups according to the used expander: (1) bone-borne distractor (TPD); (2) tooth-borne expander (Hyrax). Transverse dental and skeletal maxillary expansion were quantified using landmark-based measurements. A left-right difference of more than one millimeter was considered as asymmetric. Paired and independent t-tests were performed to analyze the asymmetry within and between the groups. Linear regression analyses were used to identify predictor variables for asymmetric expansion.</p><p><strong>Results: </strong>60 patients were enrolled into the study (mean age 30.3 ± 9.1 years; 24 male and 36 female), 30 in the TPD group and 30 in the hyrax group. The mean anterior maxillary dental and skeletal expansion was 3.9 ± 2.7 mm and 2.2 ± 1.4 mm. The mean posterior maxillary dental and skeletal expansion was 5.2 ± 2.7 mm and 2.3 ± 1.6 mm. No differences in dental and skeletal expansion were found between the TPD and hyrax groups (p > 0.05). 18 patients in the TPD group and 21 patients in the hyrax group exhibited anterior dental asymmetry (p = 0.42) whereas 10 and 11 patients exhibited anterior skeletal asymmetry (p = 0.79). Linear regression analyses demonstrated that the type of expander does not appear to be a predictor variable for asymmetric expansion.</p><p><strong>Conclusion: </strong>Asymmetric maxillary opening occurred frequently after SARME irrespective of the type of expander used. Considering the similar postoperative outcome of hyrax and TPD, SARME with a hyrax expander may be preferred as it is less surgically invasive and more cost effective.</p>","PeriodicalId":12994,"journal":{"name":"Head & Face Medicine","volume":"21 1","pages":"60"},"PeriodicalIF":2.4,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144845814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effects of mitochondrial damage and energy metabolism disorders on the progression of noise-induced deafness and its treatment. 线粒体损伤和能量代谢紊乱对噪声性耳聋进展的影响及治疗。
IF 2.4 2区 医学
Head & Face Medicine Pub Date : 2025-08-07 DOI: 10.1186/s13005-025-00532-7
LuHua Xu, HongYan Jiang
{"title":"The effects of mitochondrial damage and energy metabolism disorders on the progression of noise-induced deafness and its treatment.","authors":"LuHua Xu, HongYan Jiang","doi":"10.1186/s13005-025-00532-7","DOIUrl":"10.1186/s13005-025-00532-7","url":null,"abstract":"<p><p>Noise-induced hearing loss (NIHL) is a major cause of hearing impairment globally, affecting numerous individuals. The pathogenesis of NIHL is complex, involving multiple mechanisms such as mechanical damage, oxidative stress, mitochondrial dysfunction, and energy metabolism disorders. Although these mechanisms are implicated, the complete understanding of NIHL's pathogenesis remains elusive. In recent years, the role of mitochondrial dysfunction and energy metabolism disorders in NIHL has garnered significant attention. This review aims to provide a comprehensive summary of the pathological mechanisms underlying NIHL, focusing on the contributions of mitochondrial damage and energy metabolism disorders. Moreover, this review evaluates existing therapeutic approaches and proposes future research directions through critical analysis of published evidence.</p>","PeriodicalId":12994,"journal":{"name":"Head & Face Medicine","volume":"21 1","pages":"56"},"PeriodicalIF":2.4,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perspective on the use of scraping cytology for jawbone destructive lesions, entamoeba gingivalis, and actinomyces co-infection: a retrospective analysis. 颌骨破坏性病变、牙龈内阿米巴和放线菌合并感染的刮刮细胞学应用前景:回顾性分析。
IF 2.4 2区 医学
Head & Face Medicine Pub Date : 2025-08-07 DOI: 10.1186/s13005-025-00535-4
Tsuyoshi Kurobane, Sukhbaatar Ariunbuyan, Shiro Mori, Hiroyuki Kumamoto, Tsuyoshi Sugiura
{"title":"Perspective on the use of scraping cytology for jawbone destructive lesions, entamoeba gingivalis, and actinomyces co-infection: a retrospective analysis.","authors":"Tsuyoshi Kurobane, Sukhbaatar Ariunbuyan, Shiro Mori, Hiroyuki Kumamoto, Tsuyoshi Sugiura","doi":"10.1186/s13005-025-00535-4","DOIUrl":"10.1186/s13005-025-00535-4","url":null,"abstract":"<p><strong>Objectives: </strong>Microbial infections can influence destructive jawbone lesions, yet the role of Entamoeba gingivalis (E. gingivalis) in these lesions is poorly understood, particularly when co-infected with Actinomyces. This study introduces a novel clinicopathological perspective on jawbone destruction linked to E. gingivalis and Actinomyces co-infection, aiming to improve diagnosis and treatment. In this study, we tried to evaluate minimally invasive methods for improving diagnosis and treatment for jawbone destruction, possibly linked to E. gingivalis and Actinomyces co-infection. We analyzed 11 cases of jawbone destructive lesions observed in patients (ages 42 to 83, both female and male) who visited Tohoku University Hospital from January 2015 to December 2021, in which scraping cytology detected E. gingivalis and Actinomyces.</p><p><strong>Materials and methods: </strong>We thoroughly assessed clinical symptoms, imaging findings, and treatment outcomes, including the duration of antimicrobial therapy, to identify distinctive patterns associated with this co-infection.</p><p><strong>Results: </strong>On imaging, patients exhibited significant mandibular resorption and sclerosis, despite the absence of typical symptoms of osteomyelitis or actinomycosis. Notably, E. gingivalis alone was linked to faster wound healing and shorter antimicrobial therapy durations compared to cases with concurrent Actinomyces infection (p = 0.011). The use of minimally invasive procedures, focusing on removing necrotic bone and loose teeth, led to effective healing and rapid recovery across all cases, offering promising prospects for enhanced treatment outcomes.</p><p><strong>Conclusion: </strong>This study underscores the value of scraping cytology for early identification of E. gingivalis and Actinomyces in jawbone lesions. Early detection and targeted intervention can prevent disease progression, enhance patient outcomes, and optimize antimicrobial use.</p><p><strong>Clinical relevance: </strong>These findings highlight the need for increased awareness of microbial co-infections in jaw osteomyelitis and support a new clinicopathological approach to diagnosis and management.</p>","PeriodicalId":12994,"journal":{"name":"Head & Face Medicine","volume":"21 1","pages":"58"},"PeriodicalIF":2.4,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of personality characteristics on perception of tooth whitening outcome in young adults in long-term: a randomised, double-blind, placebo controlled trial. 性格特征对年轻人长期牙齿美白结果感知的影响:一项随机、双盲、安慰剂对照试验。
IF 2.4 2区 医学
Head & Face Medicine Pub Date : 2025-08-07 DOI: 10.1186/s13005-025-00536-3
Marija Batinić, Daniela Kovačević Pavičić, Ana Šango, Martina Brumini, Stjepan Špalj
{"title":"Effect of personality characteristics on perception of tooth whitening outcome in young adults in long-term: a randomised, double-blind, placebo controlled trial.","authors":"Marija Batinić, Daniela Kovačević Pavičić, Ana Šango, Martina Brumini, Stjepan Špalj","doi":"10.1186/s13005-025-00536-3","DOIUrl":"10.1186/s13005-025-00536-3","url":null,"abstract":"<p><strong>Background: </strong>Tooth whitening is a popular cosmetic procedure; however, its perceived effectiveness and long-term psychosocial impact remain underexplored. This study investigated perceptions of tooth color change and the associated psychological and social effects over a one-year period, with particular attention to the role of individual personality traits.</p><p><strong>Methods: </strong>Fifty participants aged 19 to 28 were randomly assigned to either an experimental group or a control group. The experimental group received a light-activated whitening gel, while the control group received an inactive gel. Evaluations were conducted at baseline, one week post-treatment, and one year post-treatment. Tooth color was measured using spectrophotometry. Standardized questionnaires were employed to assess psychosocial effects and personality traits. Data were analyzed using analysis of variance with Bonferroni post hoc tests and independent samples t-tests.</p><p><strong>Results: </strong>The experimental group showed a significantly greater improvement in tooth color shortly after treatment compared to the control group. Although this improvement diminished over time, it remained above baseline levels at the one-year follow-up. In the short term, participants in the experimental group reported reduced psychological and social concerns, while the control group reported a decrease in psychological impact only. After one year, the experimental group experienced a return of psychosocial concerns, whereas the control group continued to report improvements. Personality traits influenced these outcomes: lower neuroticism and higher perfectionism were associated with enhanced short-term benefits, while higher conscientiousness was linked to more sustained long-term improvements.</p><p><strong>Conclusions: </strong>Participants demonstrated limited ability to accurately perceive improvements in tooth color, often noticing relapse over time. The psychosocial impact of tooth whitening was influenced by personality traits, highlighting the importance of a personalized approach in cosmetic dental treatments. Practitioners should consider individual psychological profiles when managing patient expectations.</p><p><strong>Trial registration: </strong>This clinical trial was prospectively registered with ClinicalTrials.gov (Identifier NCT03380702) on December 21, 2017.</p>","PeriodicalId":12994,"journal":{"name":"Head & Face Medicine","volume":"21 1","pages":"57"},"PeriodicalIF":2.4,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12330114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of symmetry and parental satisfaction after use of customized nasal conformers in unilateral cleft lip repair: a randomized controlled clinical trial. 评估单侧唇裂修复中使用定制鼻整形器后的对称性和父母满意度:一项随机对照临床试验。
IF 2.4 2区 医学
Head & Face Medicine Pub Date : 2025-08-01 DOI: 10.1186/s13005-025-00533-6
Mahmoud Akram Khodir, Saeeda Mahmoud Osman, Hala Ragaa Ragab, Mamdouh Ahmed AboulHassan, Mona Samy Oraby
{"title":"Assessment of symmetry and parental satisfaction after use of customized nasal conformers in unilateral cleft lip repair: a randomized controlled clinical trial.","authors":"Mahmoud Akram Khodir, Saeeda Mahmoud Osman, Hala Ragaa Ragab, Mamdouh Ahmed AboulHassan, Mona Samy Oraby","doi":"10.1186/s13005-025-00533-6","DOIUrl":"10.1186/s13005-025-00533-6","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the effectiveness of customized nasal conformers used after unilateral cleft lip repair on nasal symmetry and parental satisfaction.</p><p><strong>Materials and methods: </strong>Fourteen medically free, non-syndromic children aged 10-24 weeks with unilateral cleft lip were divided into two groups. All patients underwent primary repair using the Fisher technique. Group I received customized nasal conformers fabricated using digital models, while Group II did not. Anthropometric measurements, including nostril height and width, columella deviation angle, and nasolabial angle were used to assess nasal symmetry between both groups. Parental satisfaction was evaluated using the Cleft Evaluation Profile (CEP).</p><p><strong>Results: </strong>At six months postoperatively, Group I showed no significant difference between cleft and non-cleft sides across all parameters. In contrast, Group II exhibited significant asymmetry in nostril height and width, although no significant difference was observed in the nasolabial angle. CEP scores showed significantly higher satisfaction in fathers for lip, nose, and profile, and in mothers for nose and profile. No significant difference was noted in teeth appearance for either parent group. Intra-examiner reliability was reliable across all parameters.</p><p><strong>Conclusions: </strong>The use of customized postsurgical nasal conformers in unilateral cleft lip repair was associated with improved symmetry between cleft and non-cleft sides and appeared to reduce relapse, which may have contributed to increased parental satisfaction with the treatment.</p><p><strong>Trial registration: </strong>Was retrospectively registered at Clinicaltrials.gov on 23/10/2024 (NCT06637488).</p>","PeriodicalId":12994,"journal":{"name":"Head & Face Medicine","volume":"21 1","pages":"55"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation the impact of access cavity design and activation of calcium silicate-based sealer with EDDY and XP-Endo Finisher on sealer penetration into dentinal tubules: a confocal laser scanning microscopy study. 使用EDDY和XP-Endo Finisher评估通道腔设计和激活硅酸钙基封口剂对封口剂渗入牙本质小管的影响:一项共聚焦激光扫描显微镜研究。
IF 2.4 2区 医学
Head & Face Medicine Pub Date : 2025-07-26 DOI: 10.1186/s13005-025-00530-9
Merve Sarı, Pelin Tüfenkçi
{"title":"Evaluation the impact of access cavity design and activation of calcium silicate-based sealer with EDDY and XP-Endo Finisher on sealer penetration into dentinal tubules: a confocal laser scanning microscopy study.","authors":"Merve Sarı, Pelin Tüfenkçi","doi":"10.1186/s13005-025-00530-9","DOIUrl":"10.1186/s13005-025-00530-9","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the effects of access cavity design and activation procedures on the penetration depth and bond strength of calcium silicate-based sealers to dentin, while also distinguishing the influence of the root level as an anatomical reference point.</p><p><strong>Methods: </strong>Sixty-six mandibular molars were randomly divided into two groups based on the access cavity design (traditional (TEC) or conservative (CEC)). The distal root canals were prepared using Reciproc files (40.06). The fluorescent calcium tracer Fluo-3 was added to the calcium silicate- based sealer CeraSeal to evaluate sealer penetration into dentinal tubules in confocal laser scanning microscopy (CLSM).Each access cavity group was further divided into three subgroups according to the sealer activation technique (Non-activation (NA), EDDY, XP-Endo Finisher (XP-F)) (n = 11). Root slices of 2.0 mm thickness (± 0.1 mm) were obtained at 3-5 mm and 8-10 mm from the root apex for CLSM to evaluate the percentage of sealer penetration. The bond strength was assessed with an Instron machine. Statistical analysis was performed using three-way ANOVA with Bonferroni correction, with the significance level set at 0.05.</p><p><strong>Results: </strong>There were no significant interaction effects among the independent variables (access cavity design, activation procedures and root level) (P > 0.05); however, each variable individually showed a significant main effect on both the percentage of sealer penetration and bond strength (P < 0.001). A significant main effect of access cavity design was observed, with TECs exhibiting significantly higher values than CECs in both outcomes (P < 0.001). Similarly, the root level significantly influenced results, with greater sealer penetration and bond strength at 9 mm compared to 4 mm (P < 0.001). The activation procedure also had a significant impact (P < 0.001). Post hoc comparisons using the Bonferroni correction revealed that both EDDY and XP-F significantly improved sealer penetration and bond strength compared to no activation (NA) (P < 0.001). However, no statistically significant difference was observed between EDDY and XP-F (P > 0.05).</p><p><strong>Conclusion: </strong>The TEC design, the use of EDDY and XP-Endo Finisher activation techniques and the examination of coronal root levels resulted in a greater percentage in sealer penetration and higher values of bond strength.</p><p><strong>Trial registrations: </strong>Clinical Trial Number: Not applicable.</p>","PeriodicalId":12994,"journal":{"name":"Head & Face Medicine","volume":"21 1","pages":"54"},"PeriodicalIF":2.4,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144717846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of three different apical termini on postoperative pain in teeth with irreversible pulpitis: a prospective clinical study. 三种不同的根尖末端对不可逆牙髓炎牙术后疼痛的影响:一项前瞻性临床研究。
IF 2.4 2区 医学
Head & Face Medicine Pub Date : 2025-07-21 DOI: 10.1186/s13005-025-00531-8
Fei Zhai, Haiying Zhang, Chen Zhang, Benxiang Hou
{"title":"The effect of three different apical termini on postoperative pain in teeth with irreversible pulpitis: a prospective clinical study.","authors":"Fei Zhai, Haiying Zhang, Chen Zhang, Benxiang Hou","doi":"10.1186/s13005-025-00531-8","DOIUrl":"10.1186/s13005-025-00531-8","url":null,"abstract":"<p><strong>Background: </strong>The apical terminus of root canal preparation plays a critical role in minimizing postoperative pain. Yet, significant debate remains regarding the optimal termination point. This prospective clinical study aimed to assess the effect of three different apical termini on postoperative pain in teeth with irreversible pulpitis.</p><p><strong>Methods: </strong>Totally, 128 patients with asymptomatic or symptomatic irreversible pulpitis were consecutively enrolled. Participants underwent root canal preparation with the apical terminus positioned either at the apical foramen (AF) or 0.5 or 1 mm short of it. Pain intensity was rated using an 11-point numerical rating scale (NRS-11) at nine time points. Data were analyzed using repeated measures analysis of variance.</p><p><strong>Results: </strong>In cases of irreversible pulpitis without preoperative pain (NRS = 0), the pain scores at 72 h after preparation were significantly lower in the AF-1 mm group than in the AF group (P < .05), with none of the patients in the AF-1 mm group reporting pain at this time point (P < .017). In cases of irreversible pulpitis with moderate preoperative pain (NRS = 4-7), the post-preparation pain scores at 4 h was significantly lower than the preoperative pain in all groups (P < .05). The pain scores in the AF-0.5 mm group remained lower than that in the other groups at 4 h, 24 h, 72 h, and 1 week. More patients reported decreased pain 4 h postoperatively in the AF-0.5 mm group than in other groups, with all patients in the AF-0.5 mm group reporting no pain at 1 week. In cases with mild preoperative pain (NRS = 1-3), the pain scores were significantly lower 72 h postoperatively than preoperatively (P < .05), with fewer patients reporting increased pain 24 h postoperatively in the AF-0.5 mm group than other groups.</p><p><strong>Conclusions: </strong>Positioning the root canal apical terminus 0.5 and 1.0 mm short of the AF in symptomatic and asymptomatic cases of irreversible pulpitis, respectively, was most effective in reducing the severity and duration of postoperative pain. Tailoring apical preparation depth to the pulpal condition-symptomatic or asymptomatic-can optimize patient comfort and support more personalized endodontic care.</p>","PeriodicalId":12994,"journal":{"name":"Head & Face Medicine","volume":"21 1","pages":"53"},"PeriodicalIF":2.4,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12278658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oral hygiene, dental caries, and periodontal status in the migrant population. A systematic review, a 10-year study. 流动人口的口腔卫生、龋齿和牙周状况。一个系统的回顾,一个10年的研究。
IF 2.4 2区 医学
Head & Face Medicine Pub Date : 2025-07-15 DOI: 10.1186/s13005-025-00527-4
Alma Graciela Garcia-Calderon, Maria Verónica Cuevas-Gonzalez, Juan Carlos Cuevas-Gonzalez, León Francisco Espinosa-Cristóbal, Simón Yobanny Reyes-López, Karla Lizette Tovar-Carrillo, Rosa Alicia Saucedo-Acuña, Graciela Zambrano-Galván, José Luis Osornio-Rojas, Luis Felipe Fornelli-Martin Del Campo, Ixchel Araceli Maya-Garcia
{"title":"Oral hygiene, dental caries, and periodontal status in the migrant population. A systematic review, a 10-year study.","authors":"Alma Graciela Garcia-Calderon, Maria Verónica Cuevas-Gonzalez, Juan Carlos Cuevas-Gonzalez, León Francisco Espinosa-Cristóbal, Simón Yobanny Reyes-López, Karla Lizette Tovar-Carrillo, Rosa Alicia Saucedo-Acuña, Graciela Zambrano-Galván, José Luis Osornio-Rojas, Luis Felipe Fornelli-Martin Del Campo, Ixchel Araceli Maya-Garcia","doi":"10.1186/s13005-025-00527-4","DOIUrl":"10.1186/s13005-025-00527-4","url":null,"abstract":"<p><p>A migrant is a person who moves away from his or her place of habitual residence, whether within a country or across an international border, temporarily or permanently, and for a variety of reasons. Migrant population presents significant challenges in maintaining optimal oral health, because of the limitation in access to a balanced diet, excessive consumption of processed foods or those with a high percentage of sugars, as well as the cost of acquiring hygiene items such as toothbrushes or toothpaste, coupled with the lack of access to public services, they comprise a highly vulnerable population to developing oral disease.</p><p><strong>Objective: </strong>This study aimed to identify and synthesize the oral health characteristics of migrant populations as reported in the literature. A search was conducted for articles that included studies that had some type of report on the oral health status of a migrant population. A bibliographic search was performed in the PubMed, ScienceDirect and Scopus databases from 2016 to 2025 using the keywords: \"immigrants\", \"emigration\", \"oral health\", \"dental caries\" and \"periodontal disease\". To perform the risk of bias analysis, the Joanna Briggs Institute tool for cross-sectional studies was used.</p><p><strong>Results: </strong>Twenty-one studies were selected, nine studies were conducted on migrants of multiple nationalities, in 10 studies (45.4%), oral health characteristics were self-reported by participants, whereas in 11 studies (54.6%), assessments were conducted by a qualified examiner. Based on the reported caries indices, caries experience among the studied populations ranged from 5.5 to 30.9 affected teeth, Regarding the presence of periodontal disease, seven studies reported findings ranging from gingival bleeding to positive results indicating the loss of dental support, and oral lesions were only reviewed in two studies, the most common lesions reported were leukoplakia and fibrous lesions.</p><p><strong>Conclusion: </strong>The evidence suggests that migrants try to maintain the custom of having a diet as natural as possible, but this may be diminished by the economic factor or by a process of resilience. The migrant individuals are characterized by limited access to health services, coupled with their limited economic resources, which makes them susceptible to developing oral diseases. This is corroborated by the high incidence of dental caries and bleeding gums. One of the main limitations of the study was the period (2016-2025) that was selected, which does not represent the totality of what has been published on the subject.</p>","PeriodicalId":12994,"journal":{"name":"Head & Face Medicine","volume":"21 1","pages":"52"},"PeriodicalIF":2.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application value of indocyanine green lymphography in the management of stage I/IIA microcystic lymphatic malformation of the tongue. 吲哚菁绿淋巴造影术在I/IIA期舌微囊性淋巴畸形中的应用价值。
IF 2.4 2区 医学
Head & Face Medicine Pub Date : 2025-07-14 DOI: 10.1186/s13005-025-00529-2
Tao Han, Lijun Shi, Songming Huang, Weimin Shen
{"title":"Application value of indocyanine green lymphography in the management of stage I/IIA microcystic lymphatic malformation of the tongue.","authors":"Tao Han, Lijun Shi, Songming Huang, Weimin Shen","doi":"10.1186/s13005-025-00529-2","DOIUrl":"10.1186/s13005-025-00529-2","url":null,"abstract":"<p><strong>Background: </strong>This study aims to investigate whether indocyanine green lymphography (ICGL) facilitates the effectiveness and accuracy of current management of lingual microcystic lymphatic malformation (mLM).</p><p><strong>Methods: </strong>This retrospective included patients under 18 years old with mLM of the tongue staged I or IIA, who underwent ICGL-aided surgical resection and sclerotherapy (ICGL group) or only surgical resection and sclerotherapy (non-ICGL group) between January 2019 and June 2024. The peri- and postoperative parameters of safety and feasibility were compared between two groups.</p><p><strong>Results: </strong>A total of 42 patients were included, 19 of whom received ICGL-guidance and the other 23 were in non-ICGL group. The comparison of baseline data between the two groups revealed no significant difference. Compared to the non-ICGL group, the ICGL group demonstrated superior efficacy (P = 0.017) and required fewer subsequent treatment sessions (P = 0.027), but had longer operative duration (P = 0.001). No significant differences were observed in terms of postoperative complications, length of hospital-stay, and follow-up period.</p><p><strong>Conclusions: </strong>ICGL was associated with improved postoperative outcomes and less subsequent treatment. This technique may provide rational guidance with promising clinical prospects for management of mLM of the tongue.</p><p><strong>Trail registration: </strong>This study was retrospectively registered on clinicaltrials.gov: NCT06755905, date of registration: January 20, 2025.</p>","PeriodicalId":12994,"journal":{"name":"Head & Face Medicine","volume":"21 1","pages":"51"},"PeriodicalIF":2.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144636925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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